Abstract
Objectives Patients with cystic fibrosis (CF) may present a progressive quality alteration of voice which appears with increased fatigue and relational discomfort. To describe our experience in treating voice disorders in seven patients with CF. Methods 7 patient with CF (3F) age 20–46 years had otolaryngological visit, rhinolaryngoscopic examination and functional assessment of the voice. Three different conditions were found: 3 double lung transplantation patients with unilateral vocal cord paralysis due to surgery and with timbre of voice blown; 1 patient with gastroesophageal reflux with bilateral vocal cord edema and with timbre of voice veiled; 3 patients with bilateral hypotonia of the true vocal chords and with timbre of voice hoarse. Patients started a six months phoniatric voice rehabilitation program. Exercises consisted in breathing exercises to relax thoracic outlet and to increase vocal cord firmness and phonation time. Results All patients achivied their physiological timbre of voice, a detension of the thoracic outlet, an increased phonation time, an effective compensation by the contralateral vocal fold on that in paralysis, a regression of vocal cord edema (laryngoscopy). Conclusion A multidisciplinary program of phoniatric voice rehabilitation allowed the resolution of a functional disturbance and the relational discomfort in our patients with dysphonia.
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