Voice disorders in mucosal leishmaniasis

Detalhes bibliográficos
Autor(a) principal: Ruas, Ana Cristina Nunes
Data de Publicação: 2014
Outros Autores: Lucena, Márcia Mendonça, Costa, Ananda Dutra da, Vieira, Jéssica Rafael, Melo, Maria Helena de Araújo, Terceiro, Benivaldo Ramos Ferreira, Torraca, Tania Salgado de Sousa, Schubach, Armando de Oliveira, Rosalino, Claudia Maria Valete
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/10639
Resumo: INI, Papes VI/FIOCRUZ, CNPq, FAPERJ
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spelling Ruas, Ana Cristina NunesLucena, Márcia MendonçaCosta, Ananda Dutra daVieira, Jéssica RafaelMelo, Maria Helena de AraújoTerceiro, Benivaldo Ramos FerreiraTorraca, Tania Salgado de SousaSchubach, Armando de OliveiraRosalino, Claudia Maria Valete2015-06-02T15:56:10Z2015-06-02T15:56:10Z2014RUAS, Ana Cristina Nunes et al. Voice disorders in mucosal leishmaniasis. Plos One, v.9, n.7, p.e101831, 2014.1932-6203https://www.arca.fiocruz.br/handle/icict/1063910.1371/journal.pone.01018311932-6203INI, Papes VI/FIOCRUZ, CNPq, FAPERJFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Departamento de Fonoaudiologia. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, BrasilUniversidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, BrasilUniversidade Federal do Estado do Rio de Janeiro. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, BrasilUniversidade Federal do Rio de Janeiro. Departamento de Otorrinolaringologia e Oftalmologia. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Departamento de Otorrinolaringologia e Oftalmologia. Rio de Janeiro, RJ, BrasilIntroduction Leishmaniasis is considered as one of the six most important infectious diseases because of its high detection coefficient and ability to produce deformities. In most cases, mucosal leishmaniasis (ML) occurs as a consequence of cutaneous leishmaniasis. If left untreated, mucosal lesions can leave sequelae, interfering in the swallowing, breathing, voice and speech processes and requiring rehabilitation. Objective To describe the anatomical characteristics and voice quality of ML patients. Materials and Methods A descriptive transversal study was conducted in a cohort of ML patients treated at the Laboratory for Leishmaniasis Surveillance of the Evandro Chagas National Institute of Infectious Diseases - Fiocruz, between 2010 and 2013. The patients were submitted to otorhinolaryngologic clinical examination by endoscopy of the upper airways and digestive tract and to speech-language assessment through directed anamnesis, auditory perception, phonation times and vocal acoustic analysis. The variables of interest were epidemiologic (sex and age) and clinic (lesion location, associated symptoms and voice quality. Results 26 patients under ML treatment and monitored by speech therapists were studied. 21 (81%) were male and five (19%) female, with ages ranging from 15 to 78 years (54.5+15.0 years). The lesions were distributed in the following structures 88.5% nasal, 38.5% oral, 34.6% pharyngeal and 19.2% laryngeal, with some patients presenting lesions in more than one anatomic site. The main complaint was nasal obstruction (73.1%), followed by dysphonia (38.5%), odynophagia (30.8%) and dysphagia (26.9%). 23 patients (84.6%) presented voice quality perturbations. Dysphonia was significantly associated to lesions in the larynx, pharynx and oral cavity. Conclusion We observed that vocal quality perturbations are frequent in patients with mucosal leishmaniasis, even without laryngeal lesions; they are probably associated to disorders of some resonance structures (larynx, pharynx and nasal and oral cavities) or even to compensation mechanisms caused by the presence of lesions in the upper airways and digestive tract.engPublic Library of ScienceVoice disorders in mucosal leishmaniasisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleLeishmaniasisLeishmaniasis, CutaneousNasal ObstructionVoice QualityLeishmanioseLeishmaniose CutâneaObstrução NasalQualidade da Vozinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82352https://www.arca.fiocruz.br/bitstream/icict/10639/1/license.txtafbdf7d7a9bcf771a1cc7edf5f618413MD51ORIGINALVoice disorders in mucosal leishmaniasis.pdfVoice disorders in mucosal leishmaniasis.pdfapplication/pdf174467https://www.arca.fiocruz.br/bitstream/icict/10639/2/Voice%20disorders%20in%20mucosal%20leishmaniasis.pdfc398805248d9aa0c36a7a0d1dec5c13cMD52TEXTVoice disorders in mucosal leishmaniasis.pdf.txtVoice disorders in mucosal leishmaniasis.pdf.txtExtracted texttext/plain18906https://www.arca.fiocruz.br/bitstream/icict/10639/3/Voice%20disorders%20in%20mucosal%20leishmaniasis.pdf.txt1739faf994d116efb993d2ad9bed6d8aMD53icict/106392018-04-04 08:26:30.088oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352018-04-04T11:26:30Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Voice disorders in mucosal leishmaniasis
title Voice disorders in mucosal leishmaniasis
spellingShingle Voice disorders in mucosal leishmaniasis
Ruas, Ana Cristina Nunes
Leishmaniasis
Leishmaniasis, Cutaneous
Nasal Obstruction
Voice Quality
Leishmaniose
Leishmaniose Cutânea
Obstrução Nasal
Qualidade da Voz
title_short Voice disorders in mucosal leishmaniasis
title_full Voice disorders in mucosal leishmaniasis
title_fullStr Voice disorders in mucosal leishmaniasis
title_full_unstemmed Voice disorders in mucosal leishmaniasis
title_sort Voice disorders in mucosal leishmaniasis
author Ruas, Ana Cristina Nunes
author_facet Ruas, Ana Cristina Nunes
Lucena, Márcia Mendonça
Costa, Ananda Dutra da
Vieira, Jéssica Rafael
Melo, Maria Helena de Araújo
Terceiro, Benivaldo Ramos Ferreira
Torraca, Tania Salgado de Sousa
Schubach, Armando de Oliveira
Rosalino, Claudia Maria Valete
author_role author
author2 Lucena, Márcia Mendonça
Costa, Ananda Dutra da
Vieira, Jéssica Rafael
Melo, Maria Helena de Araújo
Terceiro, Benivaldo Ramos Ferreira
Torraca, Tania Salgado de Sousa
Schubach, Armando de Oliveira
Rosalino, Claudia Maria Valete
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Ruas, Ana Cristina Nunes
Lucena, Márcia Mendonça
Costa, Ananda Dutra da
Vieira, Jéssica Rafael
Melo, Maria Helena de Araújo
Terceiro, Benivaldo Ramos Ferreira
Torraca, Tania Salgado de Sousa
Schubach, Armando de Oliveira
Rosalino, Claudia Maria Valete
dc.subject.en.pt_BR.fl_str_mv Leishmaniasis
Leishmaniasis, Cutaneous
Nasal Obstruction
Voice Quality
topic Leishmaniasis
Leishmaniasis, Cutaneous
Nasal Obstruction
Voice Quality
Leishmaniose
Leishmaniose Cutânea
Obstrução Nasal
Qualidade da Voz
dc.subject.decs.pt_BR.fl_str_mv Leishmaniose
Leishmaniose Cutânea
Obstrução Nasal
Qualidade da Voz
description INI, Papes VI/FIOCRUZ, CNPq, FAPERJ
publishDate 2014
dc.date.issued.fl_str_mv 2014
dc.date.accessioned.fl_str_mv 2015-06-02T15:56:10Z
dc.date.available.fl_str_mv 2015-06-02T15:56:10Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.fl_str_mv RUAS, Ana Cristina Nunes et al. Voice disorders in mucosal leishmaniasis. Plos One, v.9, n.7, p.e101831, 2014.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/10639
dc.identifier.issn.none.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0101831
dc.identifier.eissn.none.fl_str_mv 1932-6203
identifier_str_mv RUAS, Ana Cristina Nunes et al. Voice disorders in mucosal leishmaniasis. Plos One, v.9, n.7, p.e101831, 2014.
1932-6203
10.1371/journal.pone.0101831
url https://www.arca.fiocruz.br/handle/icict/10639
dc.language.iso.fl_str_mv eng
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