Publications of LIONEL LEJEUNE
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See detailWhat is the professional profile of patients in phoniatrics?
Remacle, Angélique ULiege; Petitfils, Cloé; LEJEUNE, LIONEL ULiege et al

Conference (2015, April 10)

Objective. Research has paid increased attention to occupational voice disorders. This study describes the occupational status of patients examined in the Department of Otorhinolaryngology at Liège ... [more ▼]

Objective. Research has paid increased attention to occupational voice disorders. This study describes the occupational status of patients examined in the Department of Otorhinolaryngology at Liège University Hospital (Belgium) from 2009 to 2013. Study design. Retrospective study. Methods. The sex, age, diagnosis and occupational status were identified for 1,079 patients who were examined for a voice problem (754 women and 325 men; ages 4 to 93). The diagnosis was established using videolaryngostroboscopy. For patients who were employed, we identified (1) the numerically most frequent professionals, and (2) the professionals most at risk of consulting for their voice, based on the distribution of these professions among all workers living in French-speaking Belgium. Results. 11% of patients were unemployed, 15% were students, 20% were retired, and 54% were workers. In decreasing order of frequency, the most commonly seen professionals were teachers, office workers, artists (singers, actors, and musicians), storekeepers and marketing representatives, managers, domestic workers, and laborers. Regarding their distribution in the working population, the workers at greatest risk of consulting were artists, music teachers, counselors, sports coaches, psychologists, switchboard operators, journalists, and teachers. Nodules are the most common pathologies, encountered in 16.8% of the workers and 42.8% of the students who consulted the Department of Otorhinolaryngology for dysphonia. Conclusion. Prevention is needed both for the professions that seek medical help in the largest numbers (teachers) and for those that are at highest risk of consulting (artistic professions). In addition, teachers must be informed of the need to seek help as soon as voice problems appear. Level of evidence: 2b [less ▲]

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See detailQuel est le profil professionnel des patients consultant en phoniatrie?
REMACLE, Angélique ULiege; Petitfils, Cloé; LEJEUNE, LIONEL ULiege et al

Conference (2014, October 13)

Nous avons analysé les dossiers de 1079 patients (754 femmes et 325 hommes) qui se sont présentés au CHU de Liège entre 2009 et 2013 pour une plainte vocale. Chez ces patients, nous avons répertorié 121 ... [more ▼]

Nous avons analysé les dossiers de 1079 patients (754 femmes et 325 hommes) qui se sont présentés au CHU de Liège entre 2009 et 2013 pour une plainte vocale. Chez ces patients, nous avons répertorié 121 personnes sans profession (11%), 166 étudiants (16%), 215 retraités (20%), et 577 travailleurs (53%). Parmi ces 577 travailleurs, il y avait notamment 129 enseignants, 55 employés de bureau, 50 chanteurs, comédiens et musiciens, 41 commerçants, 39 managers, 37 aides ménagères et 35 ouvriers. Objectif : Pour les travailleurs, nous avons tenté d’établir le degré d’exposition aux troubles de la voix selon la profession exercée en fonction de leur représentation dans la partie francophone de la Belgique (Wallonie). Notre objectif était de cibler les travailleurs les plus à risque de consulter un spécialiste de la voix. Méthode : Nous avons estimé la proportion de ces travailleurs par profession en calculant le rapport entre leur nombre en consultation phoniatrique et leur nombre parmi les travailleurs wallons. Résultats : Les travailleurs qui consultent le plus pour un problème de voix et qui sont donc le plus à risque sont, par ordre décroissant : les chanteurs, comédiens et musiciens (3.3% ont consulté), suivis par les professeurs de musique (1.5%), les animateurs (0.45%), les entraineurs sportifs (0.29%), les psychologues (0.20%), les journalistes et standardistes (0.17%), et les enseignants (0.14). En conclusion, cette étude montre que les travailleurs qui consultent le plus en phoniatrie ne représentent pas nécessairement le groupe professionnel le plus à risque. [less ▲]

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See detailStructure and oscillary function of the vocal folds
FINCK, Camille ULiege; LEJEUNE, LIONEL ULiege

in Brudzinski, Stefan (Ed.) Handbook of Mammalian Vocalization (2009)

Voice can be produced by the vibration of the vocal folds that together form a highly efficient oscillator. Sustained phonation and self-protection against vibratory stresses depend on the histological ... [more ▼]

Voice can be produced by the vibration of the vocal folds that together form a highly efficient oscillator. Sustained phonation and self-protection against vibratory stresses depend on the histological organization and molecular composition of the folds. T Their connective tissue, the lamina propria, has a multilayered structure in humans and other mammalian species. T The layered organization determines its biomechanical features. Laryngeal muscles can modify the biomechanical characteristics of the vocal folds, thus permitting the emission of a wide variety of sounds. Laminar organization of human and animal vocal folds is described and their biomechanical properties and relationship with the oscillatory function is explained. [less ▲]

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