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Sprache · Stimme · Gehör 2011; 35(04): 201-205
DOI: 10.1055/s-0031-1297976
Schwerpunktthema
© Georg Thieme Verlag KG Stuttgart · New York

Allergie und Dysphonie

Allergy and Dysphonia
M. Boedeker
1   Freiburger Institut für Musikermedizin, Universitätsklinik Freiburg
2   Universitäts-HNO-Klinik, Freiburg
,
M. Echternach
1   Freiburger Institut für Musikermedizin, Universitätsklinik Freiburg
,
B. Richter
1   Freiburger Institut für Musikermedizin, Universitätsklinik Freiburg
› Author Affiliations
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Publication History

Publication Date:
05 January 2012 (online)

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Zusammenfassung

Der Dysphonie als Symptom einer allergischen Erkrankung wird bis heute im klinischen Alltag nur geringe Aufmerksamkeit geschenkt. Besonders Menschen mit hoher beruflicher Sprechbelastung wie Sänger, Pfarrer und Lehrer sind auf ihre stimmliche Leistungsfähigkeit angewiesen. Für diese Klientel bestand subjektiv schon immer ein direkter negativer Zusammenhang zwischen Allergie und Stimmfunktion. Ein direkter negativer Einfluss der Allergie auf die Stimmlippen konnte jedoch erst in jüngsten Untersuchungen wissenschaftlich nachgewiesen werden. Dieser Übersichtsartikel fasst die Forschungsarbeiten der letzten Jahre zusammen. Bei weltweit steigender Inzidenz der allergischen Erkrankungen sollte allen Symptomen ein ausreichendes Maß an Aufmerksamkeit geschenkt werden. Die allergische Dysphonie beeinträchtigt v. a. Menschen mit stimmprofessionellem Beruf. Durch eine gesteigerte Beachtung allergischer Merkmale könnten in Zukunft unklare Diagnosen durch entsprechende Diagnostik vermieden werden.

Abstract

Laryngeal allergy and resulting dysphonia is a topic that has received only little attention in the literature. The negative impact of allergies on vocal function is a notion that goes unquestioned by professional voice users with allergies as singers, clergy or teachers. As they depend on their vocal effectiveness, limitations of voice quality and function are quickly perceived and the link between allergies and voice is obvious. The very existence of a laryngeal allergy with a direct influence on the mucosal cover of the vocal folds could only be evidenced recently. The aim of this article is to highlight the role of allergy in dysphonia and will give an overview of the publications of the last years. Because of the increasing incidence of allergies worldwide, every symptom of this disease should be considered and thus misdiagnoses with regard to allergy-related dysphonia could be reduced.

Schlüsselwörter

Dysphonie - Allergie

Key words

Dysphonia - Allergy
 

  • Literatur

  • 1 Chadwick SJ. Allergy and the contemporary laryngologist. Otolaryngol Clin North Am 2003; 36: 957-988
    CrossrefPubMedGoogle Scholar
  • 2 Roth D, Ferguson BJ. Vocal allergy: recent advances in understanding the role of allergy in dysphonia. Curr Opin Otolaryngol Head Neck Surg 2010; 18: 176-181
    CrossrefPubMedGoogle Scholar
  • 3 Settipane RA, Charnock DR. Epidemiology of rhinitis: allergic and nonallergic. Clin Allergy Immunol 2007; 19: 23-34
    PubMedGoogle Scholar
  • 4 Dávila I, Mullol J, Ferrer M et al. Genetic Aspects of Allergic Rhinitis. J Investig Allergol Clin Immunol 2009; 19 (Suppl. 01) 25-31
    PubMedGoogle Scholar
  • 5 Coombs RRA. Gell PGH. The classification of allergic reactions underlying disease. In: Gell PGH, Coombs RRA. (eds.). Clinical aspects of immunology. Philadelphia: Davis; 1963
    Google Scholar
  • 6 Hosemann W. Allergologische Diagnostik. In: Strutz J, Mann W, Praxis der HNO-Heilkunde, Kopf-und Halschirurgie Stuttgart: Thieme; 2009: S. 139
    Google Scholar
  • 7 Echternach M, Traser L, Richter B. Pathophysiologische Betrachtung zur Dyshonie durch Erkrankungen im Bereich des Vokaltraktes. Sprache Stimme Gehör 2011; 35: 182-185
    PubMedGoogle Scholar
  • 8 Cohn JR, Sataloff RT, Spiegel JR et al. Airway reactivity-induced asthma in singers. J Voice 1991; 5: 332-337
    CrossrefPubMedGoogle Scholar
  • 9 Cohn JR, Sataloff RT, Spiegel JR et al. Airway reactivity induced reversible voice dysfunction in singers. Allergy Asthma Proc 1997; 18: 1-5
    CrossrefPubMedGoogle Scholar
  • 10 Barden PG, Van Heerden BB, Joubert JR. Absence of pulmonary aspiration of sinus contents in patients with asthma and sinusitis. J Allergy Clin Immunol 1990; 86: 82-88
    CrossrefPubMedGoogle Scholar
  • 11 Hamdan AL, Sibai A, Youssuf M et al. The use of a screening questionnaire to determine the incidence of allergic rhinitis in singers with dysphonia. Arch Otolaryngol Head Neck Surg 2006; 132: 547-549
    CrossrefPubMedGoogle Scholar
  • 12 Simberg S, Sala E, Tuomainen J et al. Vocal Symptoms and allergy: a pilot study. J Voice 2009; 23: 136-139
    CrossrefPubMedGoogle Scholar
  • 13 Millquist E, Bende M, Brynnel M et al. Voice change in seasonal allergic rhinitis. J Voice 2008; 22: 512-515
    CrossrefPubMedGoogle Scholar
  • 14 Reidy PM, Dworking JP, Krouse JH. Laryngeal effects of antigen stimulation challenge with perennial allergen Dermatophagoides pteronyissinus. Otolaryngol Head Neck Surg 2003; 128: 455-462
    CrossrefPubMedGoogle Scholar
  • 15 Dworking JP, Reidy PM, Stachler RJ et al. Effects of sequential Dermatophagoides pteronyssinus antigen stimulation on anatomy and physiologie of the larynx. Ear Nose Throat J 2009; 88: 793-799
    PubMedGoogle Scholar
  • 16 Roth DF, Verdolini K, Carroll T, Ferguson BJ. Laryngeal allergy, nothing to sniff at: evidence for laryngeal allergy. American Academy of Otolaryngologic Allergy 68th Annual meeting. October 2, 2009 San Diego, California: 2009
    Google Scholar
  • 17 Frew AJ, Powell RJ, Corrigan CJ et al. Efficacy and safety of specific immunotherapy with SQ allergen extract in treatment-resistant seasonal allergic rhinoconjunctivitis. J Allergy Clin Immunol 2006; 117: 319-325
    CrossrefPubMedGoogle Scholar
  • 18 Varney VA, Tabbah K, Mavroleon G et al. Usefulness of specific immunotherapy in patients with severe perennial allergic rhinitis induced by house dust mite: a double-blind, randomized, placebo-controlled trial. Clin Exp Allergy 2003; 33: 1076-1082
    CrossrefPubMedGoogle Scholar
  • 19 Bhalla RK, Jones AS, Roland NJ. Prevalence of pharyngeal and laryngeal complications in adult asthmatics using inhaled corticosteroids. J Laryngol Otol 2008; 122: 1078-1083
    PubMedGoogle Scholar
  • 20 Barnes NC. The properties of inhaled corticosteroids: Similarities and differences. Prim Care Respir J 2007; 16: 149-154
    CrossrefPubMedGoogle Scholar