Prevalence of Laryngeal and Pharyngeal Symptoms in Patients with Environmental Allergy
Manish D Shah, Sarah K Wise, Melissa R Rotella, Avani P Ingley, Michael M Johns
Citation Information :
Shah MD, Wise SK, Rotella MR, Ingley AP, Johns MM. Prevalence of Laryngeal and Pharyngeal Symptoms in Patients with Environmental Allergy. Int J Phonosurg Laryngol 2014; 4 (1):1-4.
The effect of environmental allergy on laryngeal and pharyngeal complaints is not well understood. The goal of this study was to determine the prevalence of laryngeal and pharyngeal symptoms in patients with environmental inhalant allergy.
Methods
A retrospective review was conducted of all patients undergoing allergy skin testing between 2006 and 2009. Patients with positive skin tests were included and were classified as ‘mild’ or ‘extensive’ reactors based on skin testing results. Data regarding laryngeal and pharyngeal complaints, as well as ocular and nasal symptoms, had been systematically documented for all patients. The prevalence of these complaints was calculated in each group of reactors and overall.
Results
The prevalence of laryngeal and pharyngeal complaints was 42.0% overall, 45.5% among the mild reactors, and 39.3% in the extensive reactors. No patients complained of hoarseness or were felt to have dysphonia. There was no statistically significant difference between the mild and extensive reactors (p = 0.78). The prevalence of ocular and/or nasal symptoms was 96.0, 90.9 and 100%, respectively.
Conclusion
The prevalence of laryngeal and pharyngeal complaints in allergy sufferers was low in this study. Given the conflicting literature on this topic, there is insufficient evidence to establish a causal link between environmental allergy and laryngeal and pharyngeal symptoms.
How to cite this article
Shah MD, Wise SK, Rotella MR, Ingley AP, Johns MM. Prevalence of Laryngeal and Pharyngeal Symptoms in Patients with Environmental Allergy. Int J Phonosurg Laryngol 2014;4(1):1-4.
Quality of life in allergic rhinitis. Ann Allergy Asthma Immunol 1999;83(5):449-454.
Quality of life in patients with allergic rhinitis. Ann Allergy Asthma Immunol 2000;85(5):338-347.
Direct expenditures for the treatment of allergic rhinoconjunctivitis in 1996, including the contributions of related airway illnesses. J Allergy Clin Immunol 1999;103(3):401-407.
Prevalence of voice disorders in teachers and the general population. J Speech Lang Hear Res 2004;47(2):281-293.
Vocal disorders and the professional voice user: the allergist's role. Ann Allergy Asthma Immunol 1995;74(5):363-375.
Comparison of intradermal dilutional testing, skin prick testing and modified quantitative testing for common allergies. Otolaryngol Head Neck Surg 2007;137(2): 246-249.
Similar distribution of mast cells and substance P- and calcitonin generelated peptide-immunoreactive nerve fibers in the adult human larynx. Ann Otol Rhinol Laryngol 1996;105(10):825-831.
Baseline laryngeal effects among individuals with dust mite allergy. Otolaryngol Head Neck Surg 2008;139(1):149-151.
Allergies and vocal fold edema: a preliminary report. J Voice 1999;13(1): 113-122.
Laryngeal symptoms in patients exposed to Japanese cedar pollen: allergic reactions and environmental pollution. Eur Arch Otothinolaryngol 1999; 256(4):209-211.
Laryngeal effects of antigen stimulation challenge with perennial allergen Dermatophagoides pteronyssinus. Otolaryngol Head Neck Surg 2003;128(4): 455-462.
Effects of sequential Dermatophagoides pteronyssinus antigen stimulation on anatomy and physiology of the larynx. Ear Nose Throat J 2009;88(2):793-799.
The use of screening questionnaire to determine the incidence of allergic rhinitis in singers with dysphonia. Arch Otolargyngol Head Neck Surg 2006;132(5):547-549.
Is dysphonia due to allergic laryngitis being misdiagnosed as laryngopharyngeal reflux? Logoped Phoniatr Vocol 2010;35(1):1-5.
Allergic laryngitis as a cause of dysphonia: a preliminary report. Logoped Phoniatr Vocol 2010;35(4):169-174.
Voice handicap index in singers. J Voice 2000;14(3):370-377.
A review of outcome measurements for voice disorders. Otolaryngol Head Neck Surg 2002;126(5):562-572.