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Clin Otolaryngol ; 46(3): 570-576, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33449440

RESUMO

OBJECTIVE: To describe and compare the findings of endoscopic sensory assessment in COPD patients and healthy controls. DESIGN: A prospective cross-sectional study. SETTING: Otorhinolaryngology outpatient clinic at a university hospital. PARTICIPANTS: 27 adults with COPD and 11 age-matched healthy controls. MAIN OUTCOME MEASURES: Group differences in light touch endoscopic tests of pharyngeal and laryngeal sensation, controlling for pooled salivary secretions in the pharynx and laryngo-pharyngeal reflux as measured by the Reflux Finding Score (RFS). RESULTS: A significant difference in laryngeal sensation was found between the study groups (P = .047), with reduced laryngeal sensation in the COPD patients. Additionally, a significant relationship was found between impaired oropharyngeal sensation and the presence of pooled salivary secretions in the pharynx (P = .018), especially in the pyriform sinuses (P = .012). No differences in the frequency of abnormal RFSs were found between groups. CONCLUSION: Individuals with COPD were significantly more likely to present with impaired laryngeal sensation. Additionally, impaired sensation in the oropharynx was associated with pooled salivary secretions in the pharynx.


Assuntos
Laringe/fisiopatologia , Faringe/fisiopatologia , Doença Pulmonar Obstrutiva Crônica/fisiopatologia , Transtornos de Sensação/fisiopatologia , Idoso , Estudos Transversais , Feminino , Refluxo Gastroesofágico/fisiopatologia , Humanos , Laringoscopia , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Saliva/metabolismo
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