Clinical characteristics of singers attending a phoniatric outpatient clinic

Logoped Phoniatr Vocol. 2022 Oct;47(3):209-218. doi: 10.1080/14015439.2021.1924853. Epub 2021 Jun 10.

Abstract

Purpose: Studies suggest that singers are over-represented in voice clinics and present a high risk of developing voice disorders. This retrospective study aims to describe the characteristics of 78 singers consulting a phoniatrician.Methods: In their medical files, data related to age, gender, occupational status, singing training, musical style, voice complaint, diagnosis, voice-quality grading (GRBAS) and treatment were gathered.Results: The patients were mostly female singers (87%). Non-professional singers (semi-professional included) represented 64%, professional singers 25% and students of singing 11%. The majority of singers were choristers (27%) and 22% were classical-style/oratorio-style singers. Two-thirds of the population had intensive vocal activity in speech or singing. Vocal endurance, somatosensory signs and difficulties with high pitches were the most frequent symptoms. Among the patients, 79% presented with singing-voice disorders with 85% of these having vocal fold lesions. Generally, their speaking voices were preserved. Vocal-folds nodules were the most prevalent pathology (37%) followed by sulcus (26%) and voice therapy was the main treatment.Conclusions: This study emphasizes the fact that singers have specific voice complaints related to their voice usage. The high occurrence of sulcus and other congenital-lesion suspicions, unusual in the general population consulting an ENT phoniatrician, seems to be rather specific for singers in agreement with the literature.

Keywords: Prevalence; phoniatric consultation; singer; singing voice disorders.

MeSH terms

  • Ambulatory Care Facilities
  • Female
  • Humans
  • Male
  • Occupational Diseases* / diagnosis
  • Retrospective Studies
  • Singing*
  • Voice Disorders* / diagnosis
  • Voice Disorders* / epidemiology
  • Voice Disorders* / therapy
  • Voice Quality