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Anales de Otorrinolaringología Mexicana

Anales de Otorrinolaringología Mexicana
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2014, Number 3

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Otorrinolaringología 2014; 59 (3)

Dysphonia Degree Assessment Pre and Post-Surgery by Means of Voice Handicap Index on Adult Patients With Benign Larynx Lesions

Moreno-Padilla R, Neme-Tovilla DG, Flores-Moro A
Full text How to cite this article

Language: Spanish
References: 10
Page: 151-157
PDF size: 360.83 Kb.


Key words:

dysphonia, Voice Handicap Index, voice disorders.

ABSTRACT

Background: Benign lesions of the vocal cords are a common cause of dysphonia. The Voice Handicap Index (VHI) quantifies the impact perceived by an affected subject in emotional, physical and functional aspects of voice disorders. VHI provides a numeric value and classified dysphonia as mild, moderate, severe and serious.
Objective: To describe the degree of pre- and postoperative dysphonia by Voice Handicap Index in its abbreviated version (VHI-10).
Patients and method: A clinical, descriptive, prospective and longitudinal study was performed including 36 adult patients with benign larynx lesions such as polyp, nodule, cyst and papiloma from June to December 2010, which met the criteria for inclusion under informed consent. We applied the VHI-10 questionnaire. The sample size calculation was performed using the formula to observe the group average difference pre- and postsurgery using Epicalc 2000 program; Student t test was applied.
Results: The preoperative Voice Handicap Index value was 25.72 (severe dysphonia) and the postoperative value was of 8.4 (mild dysphonia). Clinical relevance was found in 86.1% of cases (31 patients) The overall significance was statistically significant at p = 0.000.
Conclusions: The VHI-10 is a reliable, simple and validated tool to assess subjective changes in dysphonia in patients with benign larynx disease.


REFERENCES

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  2. Behrman A, et al. The effect of upper airway surgery on voice. Otolaryngol Head Neck Surg 2002;127:36-42.

  3. Hogikyan N, Rosen C, et al. A review of outcome measurements for voice disorders. Otolaryngol Head Neck Surg 2002;126:562-572.

  4. Sistema de Informatica 2011 (SIMO). Tumor benigno de laringe –Enfermedad de las cuerdas vocales– otros tumores de comportamiento incierto de laringe. Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza.

  5. Jacobsen BH, Johnson A, Grywalski C, et al. The Voice Handicap Index (VHI): development and validation. Am J Speech Lang Pathol 1997;6:66-70.

  6. Rosen C, Lee A, et al. Development and validation of the Voice Handicap Index-10. Laryngoscope 2004;114:1549-1556.

  7. Núñez-Batalla F, Corte-Santos P, Señaris-González B, et al. Adaptation and validation to the Spanish of the Voice Handicap Index (VHI-30) and its shortened version (VHI-10). Acta Otorrinolaringol Esp 2007;58:386-392.

  8. Lam P, Chan K, Ho W, et al. Cross-cultural adaptation and validation of the Chinese Voice Handicap Index-10. Laryngoscope 2006;116:1192-1198.

  9. Señaris-González B, et al. Índice de Incapacidad Vocal: factores predictivos. Acta Otorrinolaringol Esp 2006;57:101- 108.

  10. Rosen C, Murry T. Voice Handicap Index change following treatment of voice disorders. J Voice 2000;14:619-623.




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Otorrinolaringología. 2014;59