Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-23T19:39:38.394Z Has data issue: false hasContentIssue false

Short term effect of hubble-bubble smoking on voice

Published online by Cambridge University Press:  31 January 2011

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: [email protected]

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.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Doll, R. Risk from tobacco and potentials for health gain. Int L Tuberc Lung Dis 1999;3:90–9Google ScholarPubMed
2Wasilewicz, M, Drechsler, H, Wawrzonowicz-Syczewska, M. Tobacco smoking and progression of hepatic lesions in patients with chronic HCV infections. Med Sci Monit 2003;9:1720Google Scholar
3Mortada, W, Sobh, M, El-Defrawy, M. The exposure to cadmium, lead and mercury from smoking and its impact on renal integrity. Med Sci Monit 2004;10:CR112–16Google Scholar
4Maziak, W, Ward, KD, Afifi Soweid, RA, Eissenberg, T. Tobacco smoking using a waterpipe: a re-emerging strain in a global epidemic. Tob Control 2004;13:327–33CrossRefGoogle Scholar
5Chaaya, M, Jabbour, S, El-Roueiheb, Z, Chemaitelly, H. Knowledge, attitudes, and practices of argileh (water pipe or hubble-bubble) and cigarette smoking among pregnant women in Lebanon. Addict Behav 2004;29:1821–31CrossRefGoogle ScholarPubMed
6Chaaya, M, El-Roueiheb, K, Chemaitelly, H, Azar, G, Nasr, J, Al-Sahab, B. Argileh smoking among university students: a new tobacco epidemic. Nicotine & Tobacco Research 2004;6:457–63CrossRefGoogle Scholar
7Knishkowy, B, Amitai, Y. Water-pipe (narghile) smoking: an emerging health risk behavior. Pediatrics 2005;116:e113–19CrossRefGoogle ScholarPubMed
8Al Mutairi, SS, Shihab-Eldeen, AA, Mojiminiyi, OA, Anwar, AA. Comparative analysis of the effects of hubble-bubble (Sheesha) and cigarette smoking on respiratory and metabolic parameters in hubble-bubble and cigarette smokers. Respirology 2006;11:449–55CrossRefGoogle ScholarPubMed
9Lim, JY, Choi, JN, Kim, KM, Choi, HS. Voice analysis of patients with diverse types of Reinke's edema and clinical use of electroglottographic measurements. Acta Otolaryngol 2006;126:62–9Google Scholar
10Maziak, W, Eissenberg, T, Rastam, S, Hammal, F, Asfar, T, Bachir, ME et al. Beliefs and attitudes related to narghile (waterpipe) smoking among university students in Syria. Ann Epidemiol 2004;14:646–54Google Scholar
11Shafagoj, YA, Mohammed, FI. Levels of maximum end-expiratory carbon monoxide and certain cardiovascular parameters following hubble-bubble smoking. Saudi Med J 2002;23:953–8Google Scholar
12Hadidi, KA, Mohammed, FI. Nicotine content in tobacco used in hubble-bubble smoking. Saudi Med J 2004;25:912–17Google Scholar
13Vecerina-Volic, S, Kovac, D, Gulic, R. Smokers' edema of the vocal cords [in Croatian]. Lijec Vjesn 1997;119:14Google Scholar
14Hirabayashi, H, Koshii, K, Uno, K, Ohgaki, H, Nakasone, Y, Fujisawa, T et al. Laryngeal epitheal changes on effects of smoking and drinking. Auris Nasus Larynx 1990;17:105–14CrossRefGoogle Scholar
15Gonzalez, J, Capri, A. Early effects of smoking on the voice: a multidimensional study. Med Sci Monit 2004;10:CR649–56Google Scholar
16Hojslet, PE, Moesgaard-Nielsen, V, Karlsmose, M. Smoking cessation in chronic Reinke's oedema. J Laryngol Otol 1990;104:626–8Google Scholar
17Wiskirska-Woznica, B, Obrebowski, A, Swidzinski, P, Wojnowski, W, Wojciechowska, A. Effect of smoking on phonation [in Polish]. Przegl Lek 2004;61:1068–70Google ScholarPubMed
18Damborenea Tajada, J, Fernandez Liesa, R, Liorente Arenas, E, Naya Galvez, MJ, Marin Garrido, C, Rueda Gormedino, P et al. The effect of tobacco consumption on acoustic voice analysis [in Spanish]. Acta Otorrinolaringol Esp 1999;50:448–52Google Scholar
19Guimaraes, I, Abberton, E. Health and voice quality in smokers: an exploratory investigation. Logopedics Phoniatrics Vocology 2005;30:185–91Google Scholar