Abstract
OBJECTIVES
The course of chronic obstructive pulmonary disease (COPD) features episodic exacerbation, contributing to severity. The present study assessed associations between COPD, dysphonia and dysphagia. Laryngeal aspiration is a risk factor for repeated exacerbation of COPD. Certain risk factors are common to COPD and laryngeal pathology; dyspnea impairs phonation and swallowing.
MATERIAL AND METHODS
This prospective study included 29 patients with group E COPD outside of exacerbation episodes, and free of neurodegenerative disease and history of head and neck cancer. Phonation and swallowing were assessed concomitantly.
ENDPOINTS
The main study endpoint was the prevalence of phonation and swallowing disorders in severe COPD. The secondary objective was to determine whether vocal disorder is a marker of dysphagia in patients at risk of respiratory infection.
RESULTS
Prevalence of dysphonia and dysphagia was high on objective assessment but underestimated in self-reports. More than 50% of patients showed deficits in at least 1 mechanism of swallowing, and notably delayed triggering of the pharyngeal reflex. Only the s/z ratio was significantly associated with dysphagia.
CONCLUSION
Dysphagia and dysphonia are frequent and underestimated in severe COPD. The present study argues for systematic objective screening of swallowing disorder, even in the absence of complaint or dysphonia.
TY - JOUR
T1 - Pharyngo-laryngeal dysfunction and severe COPD.
AU - Marécaux,C,
AU - Poncelet,M,
AU - Bonhomme,O,
AU - Lagier,A,
Y1 - 2026/05/22/
PY - 2026/5/23/medline
PY - 2026/5/23/pubmed
PY - 2026/5/22/entrez
KW - COPD
KW - COPD exacerbation
KW - Dysphagia
KW - Dysphonia
KW - Swallowing
JF - European annals of otorhinolaryngology, head and neck diseases
JO - Eur Ann Otorhinolaryngol Head Neck Dis
N2 - OBJECTIVES: The course of chronic obstructive pulmonary disease (COPD) features episodic exacerbation, contributing to severity. The present study assessed associations between COPD, dysphonia and dysphagia. Laryngeal aspiration is a risk factor for repeated exacerbation of COPD. Certain risk factors are common to COPD and laryngeal pathology; dyspnea impairs phonation and swallowing. MATERIAL AND METHODS: This prospective study included 29 patients with group E COPD outside of exacerbation episodes, and free of neurodegenerative disease and history of head and neck cancer. Phonation and swallowing were assessed concomitantly. ENDPOINTS: The main study endpoint was the prevalence of phonation and swallowing disorders in severe COPD. The secondary objective was to determine whether vocal disorder is a marker of dysphagia in patients at risk of respiratory infection. RESULTS: Prevalence of dysphonia and dysphagia was high on objective assessment but underestimated in self-reports. More than 50% of patients showed deficits in at least 1 mechanism of swallowing, and notably delayed triggering of the pharyngeal reflex. Only the s/z ratio was significantly associated with dysphagia. CONCLUSION: Dysphagia and dysphonia are frequent and underestimated in severe COPD. The present study argues for systematic objective screening of swallowing disorder, even in the absence of complaint or dysphonia.
SN - 1879-730X
UR - https://www.unboundmedicine.com/prime/citation/42173710/Pharyngo-laryngeal_dysfunction_and_severe_COPD.
DB - PRIME
DP - Unbound Medicine
ER -
