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The Effect of Acute Xerostomia on Vocal Function
Jong-Lyel Roh, MD, PhD;
Hyo Seon Kim, MD;
Ah-Young Kim, MD
Arch Otolaryngol Head Neck Surg. 2006;132:542-546.
Objective To evaluate whether xerostomia can affect vocal function in an experimental model.
Design Randomized controlled study.
Setting Academic center.
Subjects Twenty healthy young men.
Interventions Glycopyrrolate was administered to induce acute xerostomia in 10 men, and saline was administered to 10 men who served as controls.
Main Outcome Measures Whole salivary flow rate and dry mouth scale were time-serially measured, and subjective and objective vocal functions were checked before and after treatment. The salivary and vocal functions were compared between groups.
Results Significant salivary hypofunction and symptoms developed within 90 minutes after the administration of glycopyrrolate. Vocal effort and phonation threshold pressure significantly increased (P<.005) and voice range profiles decreased in the xerostomia group (P = .003) but not in the control group. Other voice parameters were comparable between groups (P>.05). High correlations were also found between salivary and vocal parameters.
Conclusion Our findings suggest that vocal function can be affected by xerostomia.
Author Affiliations: Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul (Dr Roh), and Department of OtolaryngologyHead and Neck Surgery, Cancer Research Institute, Chungnam National University College of Medicine, Taejon (Drs H. S. Kim and A.-Y. Kim), South Korea.
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