Histological Organization is Similar in Human Vocal Muscle and Tongue—A Study of Muscles and Nerves

Campos, Deivis de; Nascimento, Patrícia Severo do; Ellwanger, Joel Henrique; Gehlen, Günther; Rodrigues, Mariana Freitas; Jotz, Geraldo Pereira; Xavier, Léder Leal

doi:10.1016/j.jvoice.2011.12.006

Cited by 11 publications

(2 citation statements)

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“…Both hoarseness and dysphagia occur in patients with tumors and vocal cord paresis, while patients with sarcopenic dysphagia can present with hoarseness as a complication ( 14 ). Sarcopenia may occur in vocal muscles because the thyroarytenoid and tongue muscles have similar histological organization ( 15 ), and also in tongue muscle ( 16 – 18 ). Sarcopenia in vocal muscles can lead to vocal quality change.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Hoarseness and Its Association with Severity of Dysphagia in Patients with Sarcopenic Dysphagia

Wakabayashi

Kishima

Itoda

et al. 2022

The Journal of nutrition, health and aging

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Objectives To investigate the prevalence of hoarseness and its association with the severity of dysphagia in patients with sarcopenic dysphagia. Design Cross-sectional study using the Japanese sarcopenic dysphagia database. Setting 19 hospitals including 9 acute care hospitals, 8 rehabilitation hospitals, 2 long-term care hospitals, and 1 home visit rehabilitation team. Participants 287 patients with sarcopenic dysphagia, aged 20 years and older. Measurements Sarcopenic dysphagia was diagnosed using a reliable and validated diagnostic algorithm for the condition. The presence and characteristics of hoarseness classified as breathy, rough, asthenic, and strained were assessed. The prevalence of hoarseness and the relationship between hoarseness and Food Intake LEVEL Scale (FILS) were examined. Order logistic regression analysis adjusted for age, sex, naso-gastric tube, and handgrip strength was used to examine the relationship between hoarseness and FILS at baseline and at follow-up. Results The mean age was 83 ± 10 years. Seventy-four (26%) patients had hoarseness, while 32 (11%), 20 (7%), 22 (8%), and 0 (0%) patients had breathy, rough, asthenic, and strained hoarseness, respectively. Median FILS at the initial evaluation was 7 (interquartile range, 5–8). Hoarseness (β=0.747, 95% confidence intervals= 0.229, 1.265, p=0.005), age, sex, naso-gastric tube, and handgrip strength were associated independently with baseline FILS, while hoarseness (β=0.213, 95% confidence intervals= −0.324, 0.750, p=0.438) was not associated independently with the FILS at follow-up. Conclusions Hoarseness was associated with the severity of dysphagia at baseline, however not a prognostic factor for sarcopenic dysphagia. Resistance training of swallowing and respiratory muscles and voice training as part of rehabilitation nutrition might be useful for treating sarcopenic dysphagia.

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Section: Introductionmentioning

confidence: 99%

Prevalence of Hoarseness and Its Association with Severity of Dysphagia in Patients with Sarcopenic Dysphagia

Wakabayashi

Kishima

Itoda

et al. 2022

The Journal of nutrition, health and aging

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“…Drawbacks of using the hypoglossal nerve relate to potential morbidity of partial loss of function of the tongue. The extent of morbidity has not been fully defined although results of several studies indicated low morbidity in patients who have lost function of one hypoglossal nerve for facial reanimation [28][29][30] or laryngeal reinnervation. 25 The first objective of this study was to assess whether a full-hypoglossal nerve graft to the RLN can provide return of dynamic vocal fold motion, as assessed by independent reviewers.…”

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confidence: 99%