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Short term effect of hubble-bubble smoking on voice

Published online by Cambridge University Press:  31 January 2011

A-L Hamdan ,
A Sibai ,
L Mahfoud ,
D Oubari ,
J Ashkar  and
N Fuleihan
A-L Hamdan*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon
A Sibai
Affiliation:
Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
L Mahfoud
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon
D Oubari
Affiliation:
Specialty Voice Center, Beirut, Lebanon
J Ashkar
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon
N Fuleihan
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon
*
Address for correspondence: Dr Abdul-Latif Hamdan, Department of Otolaryngology – Head and Neck Surgery, American University of Beirut, PO Box 11-0236, Beirut, Lebanon Fax: +00961 961 1 746660 E-mail: alhamdan@svclb.com
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Abstract

Objective:

To investigate the short term effect of hubble-bubble smoking on voice.

Study design:

Prospective study.

Material:

Eighteen non-dysphonic subjects (seven men and 11 women) with a history of hubble-bubble smoking and no history of cigarette smoking underwent acoustic analysis and laryngeal video-stroboscopic examination before and 30 minutes after hubble-bubble smoking.

Results:

On laryngeal video-stroboscopy, none of the subjects had vocal fold erythema either before or after smoking. Five patients had mild vocal fold oedema both before and after smoking. After smoking, there was a slight increase in the number of subjects with thick mucus between the vocal folds (six, vs four before smoking) and with vocal fold vessel dilation (two, vs one before smoking). Acoustic analysis indicated a drop in habitual pitch, fundamental frequency and voice turbulence index after smoking, and an increase in noise-to-harmonics ratio.

Conclusion:

Even 30 minutes of hubble-bubble smoking can cause a drop in vocal pitch and an increase in laryngeal secretions and vocal fold vasodilation.

Keywords

Hubble BubbleSmokingVoiceAcoustic AnalysisStroboscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 5 , May 2011 , pp. 486 - 491
Copyright
Copyright © JLO (1984) Limited 2011

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