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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2023; 27(04): e654-e661
DOI: 10.1055/s-0042-1760286
Original Research

Assessment of the Sensitivity of the Vocal Tract in Parkinson Disease by Nasal Video Endoscopy

Gabriela de Castro Machado
1   Graduate Program in Surgical Sciences, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
,
Luise Stumpf Hubner
1   Graduate Program in Surgical Sciences, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
,
Jordana Balbinot
1   Graduate Program in Surgical Sciences, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
,
Aline Prikladnicki 
2   Graduate Program in Cardiology Department, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS Brazil
,
Gerson Schulz Maahs
3   Department of Ophthalmology and Otorhinolaryngology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
,
Silvia Dornelles
4   Department of Health and Human Communication, Instituto de Psicologia, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
,
Sady Selaimen da Costa
3   Department of Ophthalmology and Otorhinolaryngology, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
› Author Affiliations Funding The author(s) received no financial support for the research.
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Abstract

Introduction Sensory deficits of the upper airways are common in people with Parkinson disease. Compounded by considerable deterioration of the swallowing function, these deficits may contribute to the elevated rates of morbidity and mortality among this population.

Objective To examine the sensitivity of the vocal tracts of people with Parkinson disease using nasal videoendoscopy and to compare the results with paired controls.

Methods The present was a prospective, observational, case-control study. Sensitivity assessments were conducted in a sample of 24 people divided into 2 groups: one group of 12 patients with Parkinson's disease, and a control group with 12 healthy subjects. The study group also underwent a fiberoptic endoscopic evaluation of swallowing and answered the Swallowing Disturbance Questionnaire (SQD) to detect dysphagia.

Results There was a significant difference (p < 0.05) in the region of the arytenoid cartilages, showing that sensitivity was better preserved among the control group, and that sensitivity deficits were present in the study group. The qualitative results showed sensorial impairment in the study group than in the control group regarding the base of the tongue, the vestibular folds, and the vocal folds. The study group showed self-awareness regarding the deficits in the swallowing function, but there was no statistically significant association between swallowing function deficits and deterioration of sensorial function among them.

Conclusions Sensorial deficits were present in the study group when compared to the healthy subjects, mainly in the qualitative evaluation.

Keywords

nervous system diseases - endoscopy - deglutition - swallowing disorders

Supplementary Material



Publication History

Received: 24 May 2021

Accepted: 18 September 2022

Article published online:
23 October 2023

© 2023. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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