Vocal Characteristics of Patients With Morbid Obesity

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dc.contributor.authorBosso, Janaina Regina [UNESP]
dc.contributor.authorMartins, Regina Helena Garcia [UNESP]
dc.contributor.authorPessin, Adriana Bueno Benito [UNESP]
dc.contributor.authorTavares, Elaine Lara Mendes [UNESP]
dc.contributor.authorLeite, Celso Vieira [UNESP]
dc.contributor.authorNaresse, Luiz Eduardo [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2020-12-12T02:28:15Z
dc.date.available2020-12-12T02:28:15Z
dc.date.issued2019-01-01
dc.description.abstractIntroduction: Obesity modifies vocal characteristics, causing abnormal fat deposition in the abdominal region and upper airways. For some authors the voice of the obese is not different from nonobese and the vocal symptoms are scarce; for others dysphonia in obese is reported by 70% of them and the voice becomes hoarse, breathy, and unstable. Objective: To characterize the voice of patients with morbid obesity. Methods: Two groups were included: Obese (n-27), aged between 26 and 59 years, selected for bariatric surgery; Control (n-27), matched in age, with ideal weight for height. Parameters: Vocal self—assessment (Vocal Disadvantage Index—IDV and Quality of Life and Voice—QVV); Perceptual-auditory vocal evaluation (GRBASI scale), maximum phonation time; Acoustic vocal analysis and Videolaryngoscopic exams. Results: In obese, the most frequent symptoms were gastroesophageal and hoarseness. The vocal self-evaluation did not record any relevant complaints in both groups. In obese, the perceptual-auditory voice evaluations indicated significant changes in R (roughness), B (breathiness), I (instability), and S (tension) parameters. Acoustic vocal analysis recorded changes in the noise-harmonic ratio (NHR) and soft phonation index (SPI) parameters. The videolaryngoscopy examinations showed, in control and obese groups, respectively: normal: 92.5% and 55.5%; posterior pachydermia: 11.1% and 33.3%; mid-posterior bowing: 0% and 7.4%; edema/congestion: 0% and 7.40%. Conclusion: The voice of the obese becomes discreetly hoarse, breathless, and unstable. The most frequent videolaryngoscopic findings in obese patients are hyperemia and edema of vocal folds and posterior pachydermia, related to acid laryngitis, secondary to gastroesophageal reflux.en
dc.description.affiliationDepartment of Ophthalmology Otorhinolaryngology Head and Neck Surgery São Paulo State University (Unesp)
dc.description.affiliationDepartment of Surgery São Paulo State University (Unesp)
dc.description.affiliationUnespDepartment of Ophthalmology Otorhinolaryngology Head and Neck Surgery São Paulo State University (Unesp)
dc.description.affiliationUnespDepartment of Surgery São Paulo State University (Unesp)
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipIdFAPESP: 10493-8
dc.identifierhttp://dx.doi.org/10.1016/j.jvoice.2019.09.012
dc.identifier.citationJournal of Voice.
dc.identifier.doi10.1016/j.jvoice.2019.09.012
dc.identifier.issn1873-4588
dc.identifier.issn0892-1997
dc.identifier.lattes3191894452135777
dc.identifier.scopus2-s2.0-85073820033
dc.identifier.urihttp://hdl.handle.net/11449/201264
dc.language.isoeng
dc.relation.ispartofJournal of Voice
dc.sourceScopus
dc.subjectBariatric surgery—Dysphonia—Hoarseness—Obesity—Voice
dc.titleVocal Characteristics of Patients With Morbid Obesityen
dc.typeArtigo
unesp.author.lattes3191894452135777[5]

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