PECULIARITIES OF THE COURSE AND TREATMENT OF ACUTE INFECTIOUS RHINOSINUSITIS IN VOICE-SPEAKING PROFESSIONALS

Abstract

Numerous scientific studies are dedicated to the study of the morphological structure of the vocal cords and the diagnostic criteria of their lesions. The purpose of the work: the study of changes in the quality of the voice and the condition of the vocal cords in persons of voice-speaking professions who were treated for acute viral or bacterial rhinosinusitis and continued to work (had vocal strain) during the illness.Research material and methods. The examination data of 24 patients (16 women and 8 men) of voice-speaking professions who were treated for acute viral or bacterial rhinosinusitis and continued to work (had voice strain) during the illness were analyzed. For each patient, a phoniatric patient study card was filled out, in which passport data was noted, including profession, patient complaints, data on life history, disease history and objective examination of ENT organs: pharyngoscopy, rhinoscopy, otoscopy, indirect laryngoscopy, which was performed with the help of 700 or 900 rigid endoscope. Research results. The analysis of the examination data of 24 patients (16 women and 8 men) of voice professionals who were treated for acute viral or bacterial rhinosinusitis and continued to work (had vocal strain) during the illness showed that during the control examination of the data of the patients for 7-10 days since the beginning of treatment, indirect laryngoscopy and stroboscopy revealed: hemorrhage in one fold - 3 cases, prenodular thickening of the edges of the vocal folds - 8 cases. The mobility of the folds was preserved in all patients, but during phonation, a gap formed between the folds in 19 patients, which was accompanied by hypertonus of the vestibular folds in 3 cases. During stroboscopy of this group of patients, vocal fold asynchrony was detected in 21 cases. The PMF was shortened in 21 patients and was 12 + 1.3 s (norm – 16s), and in men – 16 + 1.5 s (norm – 21s). Conclusions. In the treatment of patients of voice-speaking professions with acute viral or bacterial rhinosinusitis, changes in the vocal folds are observed, with possible hypertonus.