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Buiret, G., A. Guillemaud, M. Fieux, S. Zaouche, and JC Lifante. "Assessment of Voice Changes of Patients after Thyroidectomy Without Inferior and Superior Laryngeal Nerves Injury According to the Intraoperative Neuromonitoring." Journal of Clinical Otorhinolaryngology 3, no. 2 (2021): 01–08. http://dx.doi.org/10.31579/2692-9562/025.
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Objectives: to assess voice changes of patients after thyroidectomy without inferior and superior laryngeal nerves injury according to the intraoperative neuromonitoring. Material and methods: This monocentric study included all patients who underwent thyroidectomy with laryngeal nerves neuromonitoring between September, 2018 and December, 2019. The voice assessment was performed 1 month before and 3 months after surgery. It was both subjective (with Voice Handicap Index 10 and GRBAS scale) and objective (Dysphonia Severity Index). Voice was considered impaired if there was an increase ≥ 4 points of the Voice Handicap Index 10 score or ≥ 1 point of the GRBAS scale score or a decrease ≥ 2 points of the Dysphonia Severity Index score between the two vocal assessments. A composite score was created, combining both subjective and objective scores. Predictive factors of altered voice were seek. Results: Fifty-nine patients were analyzed. Mean Voice Handicap Index 10 varied from 3.39 ± 5.40 to 2.90 ± 5.29 (p = 0.62) before and after the surgery respectively, mean GRBAS from 0.64 ± 0.76 to 0.73 ± 0.85 (p = 0.57) and mean Dysphonia Severity Index from 8.47 ± 1.15 to 8.31 ± 1.03 (p = 0.42). Voice impairment composite score identified 14 patients with an impaired voice (23.7%). Age ≥65 years, preoperative Voice Handicap Index 10 score ≥ 3 and thyroidectomy past history were independent risk factors of voice impairment. Conclusions: the voice quality 3 months after thyroidectomy was not significantly subjectively and objectively changed compared to before thyroidectomy. When grouping voice impairment scores, age ≥65 years, preoperative Voice Handicap Index 10 score ≥ 3 and thyroidectomy past history were independent risk factors of voice impairment.
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P., Sree Devi, and Asha Rani P. "Stroboscopy, Voice Handicap Index and Maximum Phonation Time as Objective and Subjective Methods to Assess the Voice Quality Following Micro Laryngeal Surgery in Benign Lesions of the Vocal Cords." International Journal of Pharmaceutical and Clinical Research 14, no. 7 (2022): 23–30. https://doi.org/10.5281/zenodo.13366991.
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<strong>Background:</strong> Altered voice quality is commonly reported by patients with benign lesions of the vocal cords; 84% of them could be corrected surgically. Patient’s response as subjective improvement in voice quality and objective improvement on Stroboscopy has revolutionized the role of voice clinics. <strong>Aim:</strong> To evaluate the final outcome of micro-laryngeal surgery for benign lesions of vocal cords with Stroboscopy and subjective improvement of quality of voice with voice handicap index and Maximum phonation time. <strong>Materials:</strong> 71 patients with benign lesions of vocal cords like cysts, polyps, nodules, plaques, angiomas, fibromas and Reinke’s edema were included in a prospective study for a period of 25 months. Preoperative and postoperative Stroboscopy variables of amplitude, mucosal wave, and glottic closure were used. Subjective assessment of voice quality was done by voice Handicap index questionnaire. Maximum phonation time was calculated before and after surgery. The study data was analyzed statistically to assess the significance using paired‘t’ test and Chi square test. <strong>Results:</strong> Patients were aged between 16 and 65 years. Out of 71 patients, 49 (69.12%) were males and 22 (30.98%) females, with a male to female ratio of 2.22:1. 49/71 (69.01%) patients belonged to the age group of 26 to 45 years. The mean age was 44.56±3.15 years. Hawkers were 21 (29.57%), Agriculturists were 18 (25.35%), Office goers were 14 (19.71%). Significant improvement on Stroboscopy variables and Voice handicap indices postoperatively at the end of 10 weeks was noted with p value 0.001. <strong>Conclusions:</strong> Voice quality assessment on Stroboscopy and VHI (Voice handicap index) was ensuring satisfaction to both the patients and the surgeon alike. The assessment methods were not time consuming and except to the initial cost of establishing Stroboscopy the overall results of the study were effective.
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Mateos-Serrano, B., I. García-López, A. Toledano, and J. Gavilán. "Subjective voice analysis in patients with muscular tension dysphonia: comparison between clinician and patient evaluation." Journal of Laryngology & Otology 135, no. 5 (2021): 458–63. http://dx.doi.org/10.1017/s0022215121001067.
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AbstractBackgroundThis study evaluated the correlation between patient and clinician subjective voice analysis in a group of patients suffering from muscular tension dysphonia. This disease does not usually present with organic lesions, and voice analysis is crucial to evaluate it.MethodsA retrospective study with 75 patients was performed. Correlation between grade, roughness, breathiness, asthenia and strain scale and voice handicap index-10 was analysed. Any possible influence of the type of muscular tension dysphonia on these two scales was studied.ResultsThere are only a few studies that correlate voice handicap index-10 and the grade, roughness, breathiness, asthenia and strain scale; however, none of them are specific for patients suffering from muscular tension dysphonia. A moderate correlation (r = 0.56) was found. No influence of muscular tension dysphonia type on voice handicap index-10 score was found, but muscular tension dysphonia type 4 had worse grade, roughness, breathiness, asthenia and strain scale scores than other muscular tension dysphonia types. This could be explained if muscular tension dysphonia type 4 is considered to be the most severe form of this disease.ConclusionThe use of assessment scales based on the opinion of both the clinician and patient must be considered as complementary clinical tools in order to perform a complete assessment of dysphonia.
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Woisard, Virginie, Séverine Bodin, Eli Yardeni, and Michele Puech. "The Voice Handicap Index: Correlation Between Subjective Patient Response and Quantitative Assessment of Voice." Journal of Voice 21, no. 5 (2007): 623–31. http://dx.doi.org/10.1016/j.jvoice.2006.04.005.
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Choi, Yeso, Bo Ram Keum, Ju Eun Kim, et al. "Early Assessment of Voice Problems in Post-Thyroidectomy Syndrome Using Cepstral Analysis." Diagnostics 14, no. 1 (2024): 111. http://dx.doi.org/10.3390/diagnostics14010111.
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Post-thyroidectomy syndrome (PTS), characterized by voice issues after thyroidectomy without recurrent laryngeal nerve injury, was investigated in this study. The Voice Fatigue Index (VFI) and cepstral analysis were employed for subjective and objective voice evaluation. Retrospective analysis involved 96 patients (37 males, 59 females) who underwent thyroidectomy without nerve injury from April 2018 to June 2022. Assessments pre- and post-thyroidectomy included the Voice Handicap Index (VHI) and VFI, along with auditory perceptual, acoustic (including cepstral), aerodynamic, and glottal vibration analyses. In females, although the GRBAS scale showed no significant change, both VHI and VFI increased post-thyroidectomy. Significant correlations were observed between the VHI and VFI in females. Acoustic analysis indicated a decrease in the cepstral peak prominence (CPP) of vowels (/a/) and sentences in females, with significant correlations between changes in the CPP/a/ and VHI/VFI. The maximum fundamental frequency (F0max) exhibited a significant decrease, correlating with the VHI and VFI changes. The VFI demonstrated effectiveness in subjective PTS voice evaluation, comparable to the VHI. The present study highlights the potential of cepstral analysis as an index reflecting subjective voice discomfort, suggesting its promise for a comprehensive PTS voice evaluation.
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Bonetti, Ana, and Mateja Visković. "Effect of inhalant allergies on voice quality in women." Hrvatska revija za rehabilitacijska istraživanja 54, no. 1 (2018): 1–9. http://dx.doi.org/10.31299/hrri.54.1.1.
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Reports of negative influence of inhalant allergies on voice quality in the world are increasingly frequent. In order to evaluate this impact using objective and subjective methods, women with allergies (n = 30) and women without allergies (n= 30) underwent multidimensional assessment consisting of perceptual assessment, Voice Handicap Index – HR (Bonetti and Bonetti, 2013) and acoustic analysis. The results indicate a negative effect of allergies on voice quality, which is measurable as significantly worse VHI-HR results and worse harmonics-to-noise ratio (HNR) in acoustic analysis.
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Hallak, Bassel, Frédéric Olivier, Pedro S. Teiga, Salim Bouayed, Sonia von Wihl, and Kishore Sandu. "Subjective Voice Assessment after Endoscopic Surgery for an Obstructive Reinke Edema Using Voice Handicap Index." Advances in Otolaryngology 2015 (October 19, 2015): 1–5. http://dx.doi.org/10.1155/2015/207085.
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Voice disorders exert a dramatic influence on patients’ quality of life (QOL). The physical, functional, and emotional impact can be accurately assessed using the conventional questionnaire of “voice handicap index” (VHI) or its shorter version, the VHI-10. We evaluated the VHI scores of patients suffering from obstructive Reinke’s edema, a benign laryngeal disorder, before and after endoscopic treatment. Comparison of pre- and postoperative VHI scores showed the treatment efficacy. The scores achieved were similar to asymptomatic individuals (control group), thus improving their quality of life. Furthermore, both VHI and VHI-10 tests yielded similar scores. We suggest routine systematic incorporation of the VHI-10 test for pre- and postoperative routine evaluation of patients with Reinke’s edema. The results are faster and reliable.
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Bunijevac, Mila, Zlatko Maksimović, and Andrijana Mikić. "Voice condition assessment and the effect of rehabilitation in vocal professionals." Биомедицинска истраживања 13, no. 1 (2022): 37–44. http://dx.doi.org/10.5937/bii2201037b.
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Introduction. The human voice is an important characteristic that enables the distinction of human from other living beings. Otherwise, it represents a picture of a person΄s personality, his health, mental and emotional state. The research aims are to determine the voice characteristics of vocal professionals with diagnosed vocal cord nodules by subjective voice assessment and objective voice measurement before and after vocal rehabilitation. Methods. This study has involved 25 examinees, aged 23 to 56. The subjective voice assessment was conducted with the Voice Handicap Index - VHI questionnaire and the objective voice measurement by a computerized laboratory for voice analysis ''Kay Elemetrics''. The obtained data were processed using descriptive and analytical statistics. Results. Before the vocal rehabilitation and the subjective and objective voice measurements, the examinees had greater psychosocial difficulties associated with their voice quality. After two months of vocal rehabilitation, there has been a significant improvement in the voice of all subjects on the VHI scale. A statistically significant and highly statistically significant improvement have been noticed in six out of seven analyzed parameters of vocal A, by the objective measurement of voice. Namely, the obtained values - the percentage of jitter Jitt (%), the percentage of shimmer Shim (%), the relative average perturbation value RAP (%) and the coefficient of fundamental frequency variation - vFo were highly statistically significant (p < 0.01). The VTI - voice turbulence index and the SPI - soft phonation index also improved, the observed difference was statistically significant (p < 0.05), while the observed difference in the FTRI parameter was not statistically significant (p > 0.05). Conclusion. Vocal rehabilitation has influenced the improvement of the voice quality, which means that the results obtained by objective voice measurements were more in accordance with the results of the subjective voice assessment.
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Menon, Unnikrishnan, VS Sheejamol, and Meera P. Cherian. "Validation of Malayalam Version of the Voice Handicap Index." International Journal of Phonosurgery & Laryngology 2, no. 1 (2012): 1–4. http://dx.doi.org/10.5005/jp-journals-10023-1025.
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ABSTRACT Background It is important to have a subjective measure of hoarseness. This can be best achieved if the questionnaire is in the patient's own language. Objective To translate the voice handicap index (VHI) into the Malayalam language, and to evaluate its clinical validity and internal consistency. Materials and methods One hundred and six patients with dysphonia and 20 asymptomatic subjects were included in the study. Internal consistency was analyzed through Cronbach's alpha coefficient. For the clinical validity assessment, the scores obtained in the patient group were compared with those found in asymptomatic individuals through the Mann-Whitney U-test. Also, comparison between the VHI scores before and after phonomicrosurgery on 14 out of the studied 106 patients was done using the nonparametric Wilcoxon signed ranks test. Spearman rank correlation was used to find the effect of patient's age on VHI scores. Finally, the gender-wise average VHI score and its three subsets was analyzed using Wilcoxon signed ranks test. Results The internal consistency was found to be excellent (α = 0.946). The control group scored significantly lower than the patients group (p < 0.001). Similarly, significant improvement was seen in the postoperative average VHI scores (p < 0.004). All of the preceding proves the validity of the translated questionnaire. Age showed a significant negative correlation for the overall VHI and their three domains (p < 0.001) in the dysphonic patients. There was no such correlation between male and female patient groups. Conclusion This Malayalam language version of the VHI questionnaire is a valid instrument for use in the voice clinic. Clinical implication: Encouragement to all voice clinicians in India to develop and use the VHI in their native tongues. How to cite this article Menon U, Sheejamol VS, Cherian MP. Validation of Malayalam Version of the Voice Handicap Index. Int J Phonosurg Laryngol 2012;2(1):1-4.
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Kosztyła-Hojna, Bożena, Diana Moskal-Jasińska, Anna Kraszewska, et al. "Verbal communication disorders in psychogenic dysphonia." Otolaryngologia Polska 73, no. 2 (2019): 1–5. http://dx.doi.org/10.5604/01.3001.0013.0999.
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Psychogenic dysphonia is defined as disturbances in voice and speech quality with emotional background with lack of organic changes in the larynx. Mental condition has significant impact on the process of producing voice, functioning of respiratory-phonatory-articulation mechanism and speech prosody. The aim of the study was visual, acoustic, perceptual assessment as well as self-assessment of voice and speech quality using subjective and objective methods in patients with psychogenic dysphonia. The study included 50 patients with psychogenic dysphonia diagnosed in the Department of Clinical Fonoaudiology and Logopedics, Medical University of Białystok and treated at the Foniatric Outpatient Clinic, University Hospital in Białystok in 2017 - 2018. The control group consisted of 30 subjects with euphonic voice. All patients underwent subjective and objective assessment of voice and speech quality. The GRBAS scale, breathing pathway assessment, respiratory-phonatory-articulation analysis, voice and speech intensity evaluation have been performed. Speech prosody has also been examined. Patient self-assessment of voice has been conducted using Voice Handicap Index (VHI). Objective evaluation of larynx included vibrations of vocal folds visualization using High Speed Digital Imaging (HSDI). Acoustic analysis of voice quality has been performed using DiagNova Technologies. The maximum phonation time (MPT) has been determined. Hyperfunctional dysphonia is the most common clinical form of psychogenic dysphonia. Abnormal breathing pathway influence the reduction of MPT and disturbance of respiratory-phonatory-articulation coordination in patients with psychogenic dysphonia. In psychogenic dysphonia intonation and speech rate disorders are observed. Results of voice self-assessment in the majority of examined patients indicates a mild voice disability.
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Nunez, Faustino, Maria Jesus Caminero, Jose-Luis Llorente-Pendas, and Carlos Suarez-Nieto. "S179 – Voice Self-evaluation after Treatment for T1 Glottic Cancer." Otolaryngology–Head and Neck Surgery 139, no. 2_suppl (2008): P136. http://dx.doi.org/10.1016/j.otohns.2008.05.353.
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Objectives 1) To present the objective and subjective analysis of voice quality following treatment of an early epidermoid glottic carcinoma. 2) Results from the objective evaluation of the voice, along with the self-evaluation of voice quality quantified using the Voice Handicap Index of a group of patients treated with endoscopic laser surgery, are compared with patients treated with radiotherapy. Methods We performed an objective voice evaluation, as well as a physical, emotional, and functional well-being assessment of 19 patients treated with laser surgery and 18 patients treated with radiotherapy. The data obtained was gathered in the statistical database SPSS 12.0. The statistical analysis used was the “Student t test” in order to compare averages and the Chi-squared test for comparing proportions. The statistical differences were considered significant when p was lower than 0.05. Results Voice quality is affected both by surgery and radiotherapy. Voice parameters only show differences in the maximum phonation time between both treatments (p < 0,005). Patients Self-Perception Analysis (Voice Handicap Index) Upon completing the comparison between the two groups, the statistical difference is significant, in favor of the radiotherapy patients in functional and emotional ratings, as well as the global scores (p < 0,005). No significant differences were found in the physical scales. Conclusions There is a reduced impact in patient's perception of voice quality after radiotherapy, despite no significant differences in vocal quality between radiotherapy and laser cordectomy.
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Mekiš, Jana, Primož Strojan, Dušan Mekiš, and Irena Hočevar Boltežar. "Change in Voice Quality after Radiotherapy for Early Glottic Cancer." Cancers 14, no. 12 (2022): 2993. http://dx.doi.org/10.3390/cancers14122993.
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Our aim was to track the changes in voice quality for two years after radiotherapy (RT) for early glottic cancer. A videoendostroboscopy, subjective patient and phoniatrician voice assessments, a Voice Handicap Index questionnaire, and objective acoustic measurements (F0, jitter, shimmer, maximal phonation time) were performed on 50 patients with T1 glottic carcinomas at 3, 12, and 24 months post-RT. The results were compared between the subsequent assessments, and between the assessments at 3 months and 24 months post-RT. The stroboscopy showed a gradual progression of fibrosis of the vocal folds with a significant difference apparent when the assessments at 3 months and 24 months were compared (p < 0.001). Almost all of the subjective assessments of voice quality showed an improvement during the first 2 years, but significant differences were noted at 24 months. Jitter and shimmer deteriorated in the first year after RT with a significant deterioration noticed between the sixth and twelfth months (p = 0.048 and p = 0.002, respectively). Two years after RT, only 8/50 (16%) patients had normal voices. The main reasons for a decreased voice quality after RT for early glottic cancer were post-RT changes in the larynx. Despite a significant improvement in the voice after RT shown in a few of the evaluation methods, only a minority of the patients had a normal voice two years post-RT.
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Kahraman, Umit, Ozlem Balcioglu, Serkan Ertugay, Emrah Oguz, and Hakan Posacioglu. "Postoperative objective and subjective voice analysis in patients who underwent carotid endarterectomy and carotid body tumor resection." Turkish Journal of Vascular Surgery 32, no. 2 (2023): 78–82. http://dx.doi.org/10.9739/tjvs.2023.04.014.
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Aim: This study aimed to compare voice changes after Carotid endarterectomy (CEA) and Glomus body tumor resection with objective instrumental and acoustic assessments. Material and Methods: A total of 14 patients underwent CEA or glomus carotid tumor resection at our institution between 2009 and 2013. Among the 14 patients, two patients were excluded due to vocal cord paralysis. This study was applied to 12 patients. Patients were called retrospectively, and objective and subjective voice parameters were measured and compared. Voice handicap index was used to measure subjective voice parameters. Objective voice analysis was performed for patients by using Multi-dimensional voice programming (MDVP), a computer-aided program. Results: A total of 12 patients were included in the study. Five patients underwent carotid endarterectomy. Glomus tumor resection was performed on seven patients. Of the patients who underwent carotid endarterectomy, four were male and one was female. Three of the patients who underwent glomus tumor resection were male and four were female. Voice handicap index (VHI) showed that two patients who underwent glomus tumor resection experienced moderate problems and the patients who underwent CEA had no obvious problems. Patients who underwent glomus carotid tumor resection obtained higher values in all MDVP parameters than those who underwent CEA. Conclusion: Despite the small number of patients, it can be said that glomus tumor resection in neck surgery, that is, tumor surgery, causes more voice changes than carotid endarterectomy operations. The elevated objective sound parameters found in this study necessitate that patients should be informed regarding the potential of developing postoperative dysphonia, especially those who rely on their voice as their profession (e.g. sound artists, teachers, politicians).
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Lee, Jin-Choon, and Eui-Suk Sung. "A study on voice changes after thyroid surgery." Korean Intraoperative Neuromonitoring Society 4, no. 2 (2024): 135–39. https://doi.org/10.54441/jnn.2024.4.2.135.
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Thyroid surgery can lead to significant voice changes, which is one of the most serious complications. This study examines post-thyroidectomy vocal changes using a multi-dimensional assessment approach, including perceptual evaluation, subjective voice evaluation (voice handicap index), acoustic analysis, aerodynamic assessments, and vocal fold vibration analysis (stroboscopy, high-speed videoendoscopy, and kymography). The perceptual evaluation showed that patients experienced reduced vocal clarity, stability, and increased vocal fatigue following surgery. Acoustic analysis revealed changes in the fundamental frequency, increased jitter and shimmer values, and a reduced harmonics-to-noise ratio, which indicated a decrease in vocal stability and clarity. Aerodynamic assessments showed a decrease in maximum phonation time and expiratory pressure, suggesting weakened vocal fold closure and insufficient respiratory support. Vocal fold vibration analysis revealed asymmetry and irregular vibration patterns, which further confirmed the observed degradation in vocal quality. These findings highlight the importance of employing a comprehensive, multi-faceted evaluation to accurately assess post-thyroidectomy vocal changes. This approach is essential for guiding targeted rehabilitation efforts aimed at improving vocal recovery and minimizing long-term voice problems following thyroid surgery.
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Song, Wen, Felix Caffier, Tadeus Nawka, et al. "T1a Glottic Cancer: Advances in Vocal Outcome Assessment after Transoral CO2-Laser Microsurgery Using the VEM." Journal of Clinical Medicine 10, no. 6 (2021): 1250. http://dx.doi.org/10.3390/jcm10061250.
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Patients with unilateral vocal fold cancer (T1a) have a favorable prognosis. In addition to the oncological results of CO2 transoral laser microsurgery (TOLMS), voice function is among the outcome measures. Previous early glottic cancer studies have reported voice function in patients grouped into combined T stages (Tis, T1, T2) and merged cordectomy types (lesser- vs. larger-extent cordectomies). Some authors have questioned the value of objective vocal parameters. Therefore, the purpose of this exploratory prospective study was to investigate TOLMS-associated oncological and vocal outcomes in 60 T1a patients, applying the ELS protocols for cordectomy classification and voice assessment. Pre- and postoperative voice function analysis included: Vocal Extent Measure (VEM), Dysphonia Severity Index (DSI), auditory-perceptual assessment (GRB), and 9-item Voice Handicap Index (VHI-9i). Altogether, 51 subjects (43 male, eight female, mean age 65 years) completed the study. The 5-year recurrence-free, overall, and disease-specific survival rates (Kaplan–Meier method) were 71.4%, 94.4%, and 100.0%. Voice function was preserved; the objective parameter VEM (64 ± 33 vs. 83 ± 31; mean ± SD) and subjective vocal measures (G: 1.9 ± 0.7 vs. 1.3 ± 0.7; VHI-9i: 18 ± 8 vs. 9 ± 9) even improved significantly (p < 0.001). The VEM best reflected self-perceived voice impairment. It represents a sensitive measure of voice function for quantification of vocal performance.
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Hamzany, Yaniv, Lise Crevier-Buchman, Jérôme R. Lechien, Gideon Bachar, Daniel Brasnu, and Stéphane Hans. "Multidimensional Voice Quality Evaluation After Transoral CO2 Laser Cordectomy: A Prospective Study." Ear, Nose & Throat Journal 100, no. 1_suppl (2020): 27S—32S. http://dx.doi.org/10.1177/0145561320906328.
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Objective: To investigate voice quality changes of patients treated by transoral laser cordectomy (TLC) for early glottic cancer according to the type of cordectomies. Methods: A total of 164 consecutive male patients with an early glottic cancer were prospectively recruited from the Department of Otolaryngology—Head and Neck Surgery of the Georges Pompidou European Hospital. Depending on the tumor characteristics, patients benefited from type I to VI CO2 cordectomy regarding the European Laryngological Society classification. The following voice quality outcomes were pre- to postoperatively assessed: voice handicap index (VHI), perceptual grade of dysphonia, roughness, breathiness, maximum phonation time, and acoustic parameters. Results: Fifty-five patients with Tis, T1, or T2 vocal fold cancer completed the study (mean age: 61.7 years). Of these patients, 34 and 21 composed group 1 (types I-III TLC) and group 2 (types IV-VI TLC), respectively. Voice handicap index, grade of dysphonia, and breathiness significantly improved from pre- to 3- and 6-month posttreatment in group 1. In group 2, only VHI significantly improved from pre- to 3- and 6-month posttreatment. Acoustic and aerodynamic measurements did not change throughout the postoperative course. Patients with types I to III TLC exhibited better postoperative voice outcomes compared to those treated by types IV to VI TLC. Conclusion: Irrespective to the types of TLC, the subjective voice quality of patients treated by CO2 laser cordectomy for early glottic cancer significantly improved from pre- to 3- and 6-month posttreatment. The usefulness of aerodynamic and acoustic measurements as postoperative outcomes of voice quality changes remain controversial and require future studies considering multidimensional assessment of voice.
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Singh, R. "A PROSPECTIVE STUDY TO EVALUATE THE OUTCOME OF FLEXIBLE ENDOSCOPIC INJECTION THYROPLASTY IN PATIENTS OF VOCAL FOLD PARALYSIS." First Issue 2022 Volume 10, Issue 1 (2022): 23–27. http://dx.doi.org/10.36611/upjohns/volume10/issue1/4.
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INTRODUCTION Injection Laryngoplasty in the office setting have shown promising results with significant improvement in both subjective and objective voice outcome measures in patients of Vocal fold paralysis OBJECTIVE The aim of this study was to evaluate the safety, efficacy and outcome of Flexible Endoscopic Injection Type-1 Thyroplasty in patients of Unilateral Adductor Vocal fold paralysis METHOD A Prospective hospital based Interventional study was carried out in the department of ENT of a Tertiary Care Medical College and associated Hospital during a period of 22 months from January 2020 to October 2021. A total of 60 patients were selected according to Inclusion criteria and Exclusion criteria.Each of these patients underwent Injection Laryngoplasty with Gel foam under Local Anesthesia. Auditory perceptual assessment was done using modified GRBAS score, Voice Handicap Index and Maximum phonation time. RESULTS Statistical analysis revealed a significant difference between pre and post-injection voice quality as assessed by “GRBAS” scale and Voice Handicap Index (VHI). Maximum phonation time (MPT) was sufficiently increased following injection andimprovement was consistent throughout the follow-up periods. CONCLUSION Injection Laryngoplasty with gel foam paste is a temporary remedy for compensatory therapy for v o c a l c o r d p a r a l y s i s w i t h o u t a n y m a j o r disadvantages. KEYWORDS Hoarseness, Vocal cord paralysis, Injection Thyroplasty
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Veselinovic, Mila, Mirna Hotilovac, Nina Brkic-Jovanovic, Renata Skrbic, and Vesela Milankov. "Subjective and objective acoustic voice analysis of primary school teachers." Medical review 74, no. 3-4 (2021): 98–105. http://dx.doi.org/10.2298/mpns2104098v.
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Introduction. Voice disorders in primary school teachers, as vocal professionals, are very common and often an inevitable phenomenon, which is unfortunately given little importance. Primary school teachers are at greater risk compared to other educators, because they rarely have opportunities for vocal rest during their working hours. The aim of this paper was to determine the acoustic voice characteristics of primary school teachers and their subjective experience of voice quality. Material and Methods. The study included 30 female teachers employed at the elementary school ?Branko Radicevic? in Banja Luka. For the purpose of objective acoustic analysis, the computer program Praat was used; for the purposes of subjective acoustic analysis the Grade, Instability, Roughness, Breathiness, Asthenia, and Strain scale was used, whereas the Voice Handicap Index was used for voice self-assessment. The effects of work experience, number of classes per week, bad habits and chronic diseases on voice quality were analyzed. Results. Statistically significant differences were found only in subjects who reported bad habits in the domain of subjective acoustic analysis, where pathological values were obtained for subscales grade, instability, roughness, breathiness and strain (p < 0.05), whereas the second statistically significant difference was observed in participants without previous history of chronic diseases, and who had significantly better speech intensity and lower harmonicsto-noise ratio (p < 0.05). Conclusion. In our research, objective and subjective acoustic analysis showed that about half of primary school teachers have voice disorders. Unhealthy habits and chronic diseases have a greater impact on the quality of voice of the primary school teachers than the length of work experience and the number of classes per week.
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Asik, M. B., O. Karasimav, H. Birkent, A. L. Merati, M. Gerek, and Y. Yildiz. "Impact of unilateral carbon dioxide laser posterior transverse cordotomy on vocal and aerodynamic parameters in bilateral vocal fold paralysis." Journal of Laryngology & Otology 130, no. 4 (2016): 373–79. http://dx.doi.org/10.1017/s0022215116000700.
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AbstractObjectives:Carbon dioxide laser posterior transverse cordotomy is a common option for bilateral vocal fold paralysis. This study prospectively evaluated aerodynamic and acoustic effects of unilateral carbon dioxide laser posterior transverse cordotomy in bilateral vocal fold paralysis patients.Methods:The study comprised 11 bilateral vocal fold paralysis patients (9 females, 2 males), with a mean age of 46.6 ± 14.1 years. All patients were treated by laser posterior transverse cordotomy. Pre-operative and two-month post-operative assessments were conducted, including: dyspnoea scales, maximum phonation time measurement, spirometry and bicycle ergometry.Results:All subjective and objective aerodynamic parameters showed statistically significant improvements between the pre- and post-operative period. Objective spirometric and ergometric parameters showed a significant increase post-operatively. The changes in objective voice parameters (fundamental frequency (f0), jitter, shimmer, soft phonation index and noise-to-harmonic ratio) were statistically non-significant; however, there was a significant improvement in subjective voice parameters post-operatively, as assessed by the voice handicap index and grade-roughness-breathiness-asthenia-strain scale (p = 0.026 and p = 0.018 respectively).Conclusion:Unilateral carbon dioxide laser posterior transverse cordotomy is an effective procedure that results in improved dyspnoea and aerodynamic performance with some worsening of voice parameters.
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Lechien, Jérôme R., Mohamad Khalife, Kathy Huet, et al. "Perceptual, Aerodynamic, and Acoustic Characteristics of Voice Changes in Patients with Laryngopharyngeal Reflux Disease." Ear, Nose & Throat Journal 98, no. 6 (2019): E44—E50. http://dx.doi.org/10.1177/0145561319840830.
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Laryngopharyngeal reflux (LPR) is an inflammatory condition suspected to be associated with dysphonia. In this study, we investigated multidimensional perceptual, aerodynamic, and acoustic voice changes in patients with clinically diagnosed LPR compared to healthy participants. We prospectively included 80 outpatients with Reflux Finding Score (RFS) >7 and Reflux Symptom Index (RSI) >13 from September 2013 to April 2016 and we compared clinical and voice quality assessments of these patients with 80 healthy participants. Statistically significant differences were found between groups with regard to Voice Handicap Index, perceptual voice quality (grades of dysphonia, roughness, strain, breathiness, asthenia, and instability), phonatory quotient, percentage jitter, percentage shimmer, peak-to-peak amplitude variation, standard deviation of fundamental frequency, and noise to harmonic ratio. Granulation score of RFS was found to affect the highest number of acoustic parameters. We did not identify significant correlation between vocal fold edema and objective voice quality measurements. This study supports that patients with LPR have significant deterioration of both subjective and objective voice quality compared to healthy participants.
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Seipelt, Matthias, Andreas Möller, Tadeus Nawka, Ute Gonnermann, Felix Caffier, and Philipp P. Caffier. "Monitoring the Outcome of Phonosurgery and Vocal Exercises with Established and New Diagnostic Tools." BioMed Research International 2020 (January 23, 2020): 1–10. http://dx.doi.org/10.1155/2020/4208189.
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Instrument-assisted measuring procedures expand the options within phoniatric diagnostics by quantifying the condition of the voice. The aim of this study was to examine objective treatment-associated changes of the recently developed vocal extent measure (VEM) and the established dysphonia severity index (DSI) in relation to subjective tools, i.e., self-evaluation via voice handicap index (VHI-12) and external evaluation via auditory-perceptual assessment of hoarseness (H). The findings for H (3 raters’ group assessment), VHI-12, DSI, and VEM in 152 patients of both sexes (age range 16–75 years), taken before and 3 months after phonosurgery or vocal exercises, were compared and correlated. Posttherapeutically, all of the recorded parameters improved (p<0.001). The degree of H reduced on average by 0.5, the VHI-12 score sank by 5 points, while DSI and VEM rose by 1.5 and 19, respectively. The correlations of these changes were significant but showed gradual differences between H and VHI-12 (r = 0.3), H and DSI (r = −0.3), and H and VEM (r = −0.4). We conclude that all investigated parameters are adequate to verify therapeutic outcomes but represent different dimensions of the voice. However, changes in the degree of H as gold standard were best recognized with the new VEM.
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Mekis, Jana, Primoz Strojan, and Irena Hocevar Boltezar. "Factors affecting voice quality in early glottic cancer before and after radiotherapy." Radiology and Oncology 53, no. 4 (2019): 459–64. http://dx.doi.org/10.2478/raon-2019-0050.
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Abstract Background Radiotherapy (RT) is a successful mode of treatment for early glottic cancer. The aim of the study was to assess voice quality both before and 3 months after successful RT using multimodal methods while also identifying the factors affecting it. Patients and methods In 50 patients with T1 glottic carcinoma, the subjective (patients’ assessment of voice quality [VAS], Voice Handicap Index [VHI] questionnaire, phoniatricians’ assessment using the grade/roughness/ breathiness [GRB] scale), and objective assessments (fundamental laryngeal frequency [F0], jitter, shimmer, maximum phonation time [MPT]) of voice quality were performed before RT and 3 months post-RT. The data on gender, age, extent of the tumors, biopsy types, smoking, local findings, and RT were obtained from the medical documentation. Results Three months after the treatment, VAS, VHI, G and R scores, F0, and MPT significantly improved in comparison with their assessment prior to treatment. Before the treatment, the involvement of the anterior commissure significantly deteriorated jitter (p = 0.044) and the involvement of both vocal folds deteriorated jitter (p = 0.003) and shimmer (p = 0.007). After the RT, F0 was significantly higher in the patients with repeated biopsy than in the others (p = 0.047). In patients with post-RT changes, the B score was significantly higher than in those without post-RT changes (p = 0.029). Conclusions Voice quality already significantly improved three months after the treatment of glottic cancer. The main reason for the decreased voice quality prior to treatment is the tumor’s extent. Post-RT laryngeal changes and repeated biopsies caused more scarring on vocal folds adversely influencing voice quality after the treatment.
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Müller, Constanze, Felix Caffier, Tadeus Nawka, Matthias Müller, and Philipp P. Caffier. "Pathology-Related Influences on the VEM: Three Years’ Experience since Implementation of a New Parameter in Phoniatric Voice Diagnostics." BioMed Research International 2020 (December 19, 2020): 1–11. http://dx.doi.org/10.1155/2020/5309508.
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The vocal extent measure (VEM) represents a new diagnostic tool to express vocal capacity by quantifying the dynamic performance and frequency range of voice range profiles (VRPs). For VEM calculation, the VRP area is multiplied by the quotient of the theoretical perimeter of a circle with equal VRP area and the actual VRP perimeter. Since different diseases affect voice function to varying degrees, pathology-related influences on the VEM should be investigated more detailed in this retrospective study, three years after VEM implementation. Data was obtained in a standardized voice assessment comprising videolaryngostroboscopy, voice handicap index (VHI-9i), and acoustic-aerodynamic analysis with automatic calculation of VEM and dysphonia severity index (DSI). The complete dataset comprised 1030 subjects, from which 994 adults (376 male, 618 female; 18-86 years) were analyzed more detailed. The VEM differed significantly between pathology subgroups ( p < 0.001 ) and correlated with the corresponding DSI values. Regarding VHI-9i, the VEM reflected the subjective impairment better than the DSI. We conclude that the VEM proved to be a comprehensible and easy-to-use interval-scaled parameter for objective VRP evaluation in all pathology subgroups. As expected, exclusive consideration of the measured pathology-related influences on the VEM does not allow conclusions regarding the specific underlying diagnosis.
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Ujvary, Laszlo Peter, Magdalena Chirilă, Cristina Țiple, et al. "The Effect of Platelet-Rich Plasma Injection on Short Term Vocal Outcomes Following Phonosurgery—A Pilot Study." Medicina 58, no. 8 (2022): 988. http://dx.doi.org/10.3390/medicina58080988.
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Background and Objectives: The efficiency and optimal voice rest period following phonosurgery remains debatable. Platelet-rich plasma (PRP) is a safe and cheap alternative to many bioactive agents being studied on animal models, and is already in use in many medical areas. We investigate the short-term effects of PRP and voice rest on voice outcomes following phonosurgery as an alternative to voice rest alone. Materials and Methods: A prospective single-blinded pilot study was conducted. Sixteen patients with a diagnosis of vocal fold cyst and polyps were included, forming equal groups (PRP and voice rest vs. voice rest alone). Voice analysis was carried out on the preoperative day, day three, and week three following surgery. The measured parameters were fundamental frequency (F0), noise–signal ratio (NSR), harmonic poverty (HP), attack alteration (AL), pitch instability (PI), and amplitude instability (AI).VHI(Voice Handicap Index)-30 questionnaires were carried out before surgery and three weeks following surgery to assess the impact of subjective voice change on quality of life. PRP was obtained using commercial kits with separator gel. Results: An average 3.68-fold increase in platelets was obtained with PRP. No side effects were noted after injection. All voice parameters improved on day three and week three following surgery. Statistical significance was noted only in the fundamental frequency of male patients (p = 0.048) in favor of the PRP-voice rest group. In addition, the VHI- 30 questionnaire results between preoperative and postoperative assessments showed statistically significant differences in total VHI score (p = 0.02) as well as the physical (p = 0.05) and emotional (p = 0.02) scale in favor of the PRP-voice rest group. Conclusions: PRP presents short term safety in patients who undergo phonosurgery, although long-term outcomes are unknown. PRP and voice rest are superior to voice rest alone when considering subjective assessment of the voice. When analyzing acoustic parameters, PRP and voice rest are not superior to voice rest alone.
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Xiao, Christopher C., Friederike S. Luetzenberg, Nancy Jiang, and Jonathan Liang. "Does Nasal Surgery Affect Voice Outcomes? A Systematic Review with Meta-Analyses." Annals of Otology, Rhinology & Laryngology 129, no. 12 (2020): 1174–85. http://dx.doi.org/10.1177/0003489420933290.
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Objectives: Changes in airflow dynamics after nasal surgery may have implications on voice quality. Multiple studies have evaluated the impact of nasal surgery on voice using heterogeneous outcome measures. We aim to systematically review the impact of nasal surgery on voice quality. Methods: Our study design was a systematic review with meta-analyses. A literature search of PubMed, Ovid, Cochrane from 1997 to 2017 was performed. Inclusion criteria included English language studies containing original data on nasal surgery and voice. Two investigators independently reviewed all manuscripts and performed a comprehensive quality assessment. Meta-analysis was completed on quantitative voice measurements. Results: Of 463 identified, 19 studies with 692 patients fulfilled eligibility. Nasal surgeries performed included endoscopic sinus surgery (11/20), septoplasty (11/20), rhinoplasty (2/20), and turbinate reduction (2/20). Voice outcomes measured included nasalance (8/20), fundamental frequency (11/20), jitter (10/20), shimmer (10/20), harmonic to noise ratio (HRN) (8/20), formants (5/20), and voice handicap index (VHI) (4/20). Voice examinations were assessed preoperatively and 1 to 30 months postoperatively. Meta-analysis revealed statistically significant changes in nasalance, ( P < .01) 1 month postoperatively; there was no significant difference in nasalance at 6 months postoperatively. All other variables analyzed revealed no statistically significant differences. Five of nine studies showed majority of patients did not notice subjective change in voice after surgery, but with high heterogeneity of measurements. Conclusions: There may be a short-term increase in nasalance that resolves at longer follow-up, but there seem to be no other objective changes in voice. There may be subjective changes after surgery, but require further study to evaluate.
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Gupta, Anchal, Palak Gupta, and Padam Singh Jamwal. "Effect of septoplasty on quality of voice." International Journal of Otorhinolaryngology and Head and Neck Surgery 5, no. 4 (2019): 1079. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20192734.
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<p class="abstract"><strong>Background:</strong> Septoplasty is one the most commonly performed surgery in ENT. The aim of this study was to evaluate change in voice after septoplasty using voice handicap index (VHI).</p><p class="abstract"><strong>Methods:</strong> The current study was conducted at Department of ENT, SMGS Hospital, Government Medical College, Jammu, from October 2017 to November 2018. The study population was the patients who had come to the department with deviated nasal septum admitted for septoplasty. Voice assessment was done by Subjective Voice evaluation using VHI. It was done at three times i.e. preoperatively, postoperatively at 1 week and then postoperatively at 1 month. </p><p class="abstract"><strong>Results:</strong> Out of 50 cases operated, 84% patients of present study were in the age group of 18-30 years. The mean age was 25 years. The eldest patient in our study was 55 years old. 40 patients were males and 10 were females with male: female ratio of 4:1. Mean VHI score at preoperative, postoperative 1 week and postoperative 1 month were 23.2, 22 and 21.5 respectively. No statistical difference was obtained while comparing the mean VHI score at different time intervals. The scores between 0-30 are in the mild category i.e. minimal amount of handicap.</p><p><strong>Conclusions:</strong> According to our experience a widened nasal cavity has no effect on voice quality and procedures about nasal obstruction like septoplasty can be performed safely. However, professional voice users, in particular, should be informed about the possible minor postoperative changes, before the septoplasty procedure. </p>
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Hussain, A., and M. Shakeel. "Selective lateral laser thyroarytenoid myotomy for adductor spasmodic dysphonia." Journal of Laryngology & Otology 124, no. 8 (2010): 886–91. http://dx.doi.org/10.1017/s0022215110000253.
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AbstractObjective:Selective lateral laser thyroarytenoid myotomy is a conceptually sound, simple, minimally invasive, repeatable and predictable new surgical procedure for treating adductor spasmodic dysphonia. This paper aims to introduce and describe the surgical technique, and to present a clinical case series and its outcomes.Study design:A prospective, clinical case series treated with selective lateral laser thyroarytenoid myotomy, with follow up of 2.5 years.Method:Pre- and post-operative data were collected prospectively for patients undergoing selective lateral laser thyroarytenoid myotomy. These data included patient demographics, previous interventions for adductor spasmodic dysphonia, technical aspects of surgery and clinical outcome. Outcome data included clinical assessment, voice handicap index, need for further intervention, and patient satisfaction assessed by subjective improvement (detailed subjectively by the patients themselves and objectively using the Glasgow benefit inventory).Results:Four patients (two men and two women; mean age 65 years; age range 41–80 years) were included. The mean duration of adductor spasmodic dysphonia was 11 years. All patients had previously been treated with botulinum toxin A. All patients reported improvement in voice quality, fluency, sustainability and elimination of voice breaks over 2.5 years' follow up. Clinical assessment revealed no alteration in mucosal wave, and complete relief of hyperadduction was observed on phonation. No patients required supplementary botulinum toxin treatment during follow up.Conclusion:Selective lateral laser thyroarytenoid myotomy seems to represent a curative procedure for adductor spasmodic dysphonia, a chronic, debilitating condition. This procedure is conceptually simple, minimally invasive and repeatable. It also seems to offer a safe and lasting alternative to botulinum toxin therapy.
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Khoranova, M. Yu. "Results of surgical co2-laser treatment in patients with bilateral paralysis of larynx." Russian Otorhinolaryngology 21, no. 1 (2022): 66–73. http://dx.doi.org/10.18692/1810-4800-2022-1-66-73.
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Introduction. Despite advances in modern surgery, the percentage of patients with bilateral paralysis of the larynx is not decreasing. There are many author’s methods of treatment, but there is no single algorithm. This problem remains relevant, especially among people of working age. Research objective: Optimization of surgical treatment of patients with bilateral paralysis of the larynx using a CO2-laser. Materials and methods. For 2014–2018, 143 patients diagnosed with bilateral paralysis of the larynx were treated. The patients underwent a general clinical examination, video endolaryngoscopy, video stroboscopy, spirometry, acoustic voice analysis. For a subjective assessment of the condition, patients filled out the VOICE HANDICAP INDEX (VHI) voice questionnaire, the 36-Item Short Form Survey (SF-36) quality of life questionnaire. Depending on the degree of stenosis, age, body mass index, the presence of a tracheostomy, comorbidities, the following operations were performed using a CO2-laser: posterior partial chordotomy, posterior vestibulo-chordotomy, posterior chordotomy with wound defect plasty. Results and discussion: The patients followed up for 6 to 12 months in the postoperative period. A positive outcome achieved in 128 patients (90%). 15 patients needed a second operation. Tracheostomy patients were decannulated on days 3 to 5. Conclusion. Restoration of respiratory function was achieved by expanding the lumen of the glottis in the posterior parts of the larynx, while maintaining a socially adapted voice was achieved due to intact anterior two-thirds of the vocal folds. These methods are among the most effective and minimally invasive methods for the treatment of bilateral paralysis of the larynx.
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Prasad, Sachana, Ranjan Raychowdhury, and Amitabha Roychoudhury. "Assessment of pre and postoperative voice quality in cases of vocal fold polyp." International Journal of Otorhinolaryngology and Head and Neck Surgery 6, no. 2 (2020): 352. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20200150.
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<p class="abstract"><strong>Background:</strong> Benign vocal fold lesions comprise of a wide range of conditions resulting from vocal misuse or abuse (vocal nodules, polyps, cysts etc.), acute and chronic inflammatory changes, congenital vocal fold anomalies, vocal fold trauma and benign tumours. It results in significant impairment of vocal communication with major psychosocial impact.</p><p class="abstract"><strong>Methods:</strong> The<strong> </strong>prospective<strong> </strong>study was conducted in Department of Otolaryngology, Vivekananda Institute of Medical Sciences, Kolkata from January 2016 to January 2018. All forty patients diagnosed with vocal fold polyp underwent phonomicrosurgery using micro-flap technique followed by voice therapy. Detailed pre-operative and post-operative (3 weeks, 6 weeks, 12 weeks follow up) voice assessment including fibre optic laryngoscopy and laryngovideo-stroboscopic findings were recorded. </p><p class="abstract"><strong>Results:</strong> Voice quality of the 40 patients with vocal fold polyps who underwent cold steel phonomicrosurgery had a statistically significant improvement at each follow up visit (3 weeks, 6 weeks and 12 weeks) as assessed by the subjective variables of voice handicap index score, visual analogue scale score and grade, roughness, breathiness, asthenia, strain score and objective variables of jitter, shimmer, harmonic-to-noise ratio, maximum phonation time and fibreoptic laryngoscopy and videolaryngostroboscopic findings. Fundamental frequency in females had statistically improved results but in males, though there was an improvement, the values were not statistically significant.</p><p class="abstract"><strong>Conclusions:</strong> Cold steel microlaryngeal surgery using micro-flap technique offers excellent results in patients with vocal fold polyps. Perceptual, aerodynamic, acoustic, self-analysis and videolaryngostroboscopic parameters together allow multidimensional assessment of voice characteristics.</p>
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Tandan, Nisha, Shuchita Singh Pachaury, Arvind Kumar Kairo, et al. "Evaluation of fat implantation in patients with sulcus vocalis: Acoustic assessment before and after treatment." Journal of Laryngology and Voice 14, no. 1 (2024): 1–10. https://doi.org/10.4103/jlv.jlv_17_23.
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ABSTRACT Objective: Sulcus vocalis is the most difficult clinical entity to treat. This study aims to prospectively intervene and evaluate the efficacy of employing fat implantation for treating cases of sulcus vocalis, using acoustic assessment as the primary evaluation tool. Materials and Methods: Thirteen patients diagnosed with sulcus vocalis II/III, who were refractory to over 6 months of speech therapy were enrolled in the study. The surgical intervention involved harvesting fat through a periumbilical incision, followed by its implantation into the vocal fold after creating a submucosal pocket and securing it with tissue glue. The patients were assessed at 1 and 3 months post-surgery. Results: The results revealed that subjective improvements were observed in patients with sulcus vocalis using the Voice Handicap Index, with statistically significant improvements at 1 (P = 0.017) and 3 months (P < 0.001), whereas perceptual parameters, such as the grade, roughness, breathiness, asthenia, strain scale, did not show significant effects. Voice analysis demonstrated improvements in maximum phonation time (P = 0.022 at 3 months), S/Z ratio (P = 0.009 at 3 months), jitter (P = 0.012 at 3 months), shimmer (P = 0.050 at 3 months), and noise-to-harmonics ratio (P = 0.016 at 3 months) over time. However, no significant changes were noted in fundamental frequency (f0) and (VAM), loudness range, and pitch range at both time points. Conclusions: This study concludes that fat implantation appears to be a promising treatment option for refractory cases of sulcus vocalis. This pilot study demonstrated subjective improvements in some acoustic parameters over time. The limitations of this study, being its small sample size and fat implantation done on a single vocal cord, underscore the need for further research to comprehensively evaluate the safety, efficacy, patient selection criteria, and long-term outcomes of fat implantation for sulcus vocalis.
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Lukaschyk, Julia, Jakob Abel, Meike Brockmann-Bauser, Annerose Keilmann, Angelika Braun, and Anna-Katharina Rohlfs. "Cross-Validation and Normative Values for the German Vocal Tract Discomfort Scale." Journal of Speech, Language, and Hearing Research 64, no. 6 (2021): 1855–68. http://dx.doi.org/10.1044/2021_jslhr-20-00462.
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Purpose The Vocal Tract Discomfort Scale (VTD Scale) is a self-rating questionnaire investigating physical symptoms in the larynx associated with vocal pathology. The aim of this work was to investigate the reliability, validity, sensitivity, and specificity of the first German version and to provide normative data with thresholds for pathology and a scaling scheme. Study Design A retrospective multicenter study was performed. Method A total of 571 participants (409 female and 162 male), with a mean age of 47.2 years, were recruited at three German centers; of these, there were 447 participants with voice disorder and 124 vocally healthy participants. The clinical examination consisted of patient history, visual laryngeal examination, acoustic and aerodynamic assessment, perceptual analysis by the Grading-Roughness-Breathiness-Asthenia-Strain Scale, and subjective evaluation using the VTD Scale and the Voice Handicap Index (VHI). Statistics included group comparisons ( t test and analysis of variance), Pearson correlation coefficient (between VTD Scale and VHI), and Cronbach's alpha to assess validity and reliability. Analysis of receiver operating characteristics was performed to examine VTD Scale's discriminatory ability and provide a cutoff score. Additionally, percentiles were applied to provide VTD Scale ranges. Results There were highly significant differences between healthy participants and participants with voice disorder regarding the total score and both subscales of the VTD Scale. Internal consistency was excellent (α = .928). We found moderate, positive correlation between the VTD Scale and VHI (ρ = .596, p < .001). Receiver operating characteristics analysis showed an area under the curve of 0.876 ( p < .001, 95% confidence interval [0.846, 0.906]). VTD Scale ranges were no (score: 0–13), mild (score: 14–26), moderate (score: 27–40), and severe (score: 41–96) disorder. Conclusions Results confirm an excellent reliability and validity of the German VTD Scale. It provides additional and independent diagnostic information and is a useful instrument to complement voice assessment. The scaling into four severity subgroups allows the tool to be used for screening patients and considers a transferral to a voice specialist.
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Ma, Jingru, Rui Fang, Ruiqing Zhen, et al. "A 532-nm KTP Laser for Vocal Fold Polyps: Efficacy and Relative Factors." Ear, Nose & Throat Journal 100, no. 1_suppl (2020): 87S—93S. http://dx.doi.org/10.1177/0145561320946153.
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Objective: We retrospectively analyzed the laryngoscopy results and voice outcomes of patients with vocal polyps who received potassium titanyl phosphate (KTP) laser treatments in a clinician’s office, in order to establish the effectiveness and relative factors affecting the efficacy of this treatment. Material and Methods: We enrolled 25 patients with vocal polyps who had undergone KTP laser treatment in the Department of Otorhinolaryngology at our hospital between July 2017 and November 2019. Pre- and postoperative evaluations were measured using laryngovideostroboscopy (LVS), the Voice Handicap Index questionnaire (VHI-30), the GRBAS scale (G hoarseness, R roughness, B breathiness, A asthenia, S strain), and objective acoustic parameters. The reduction rate of lesions was calculated and relative factors affecting efficacy (size, side, location, the position of lesions, type, gender, and occupation) were tested. Results: Areas of lesions decreased from 101.95 ± 70.16 before surgery to 30.49 ± 35.80 after surgery ( Z = 5.234, P < .001). The LVS data showed that the postoperative proportions of normal to mild conditions were the same or higher than the preoperative data in 3 instances: glottal closure (100% vs 100%), amplitude (90.91% vs 63.64%), and mucosal wave (81.82% vs 54.55%). A significant improvement was observed in VHI-30 scores, GRBAS scores, and acoustic parameters ( P < .05). The size of lesions had an effect on the GRBAS scores ( P < .001) but not on VHI-30 scores and objective acoustic parameters ( P > .05). Other factors we tested did not affect voice outcomes. Conclusion: Potassium titanyl phosphate laser treatment can effectively reduce the lesion area of vocal polyps and improve the voice quality. The presence of small lesions seems to predict good subjective assessments of voice quality, but it remains to be seen whether this correlates with true voice quality.
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Ramakrishnan and Gopala Krishna. "Voice Handicap Index (VHI) as Diagnostic Tools for Dysphonia Disorder: Narrative Literature Review." Archives of The Medicine and Case Reports 3, no. 2 (2022): 260–62. http://dx.doi.org/10.37275/amcr.v3i2.195.
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In the diagnosis of dysphonia, assessing the patient's voice quality is personal and subjective. The diagnosis of voice abnormalities is based on history, physical examination, and supporting examinations. In determining the degree of Dysphonia disorder, we can use the voice handicap index. Voice Handicap Index (VHI) is one of the most widely used tools to measure the physical, functional, and emotional aspects of Dysphonia disorder.
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Cox, Steven R., Stephanie Milillo, and Zahra Sedighi Maman. "Voice Characteristics of Female College Athletes: A Pilot Study." Perspectives of the ASHA Special Interest Groups 5, no. 1 (2020): 113–18. http://dx.doi.org/10.1044/2019_persp-19-00142.
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Purpose The purpose of this study was to identify changes in NCAA Division II female athletes' objective and subjective voice characteristics before, during, and after a regular volleyball season. Method Acoustic, aerodynamic, and Voice Handicap Index-10 data were collected from five female volleyball athletes at three timepoints: preseason, midseason, and postseason. Results Individual data suggest increases in objective and subjective voice characteristics at midseason, but many values returned to typical limits at postseason. Increases observed in acoustic, aerodynamic, and Voice Handicap Index-10 data for the volleyball team captain remained elevated at midseason and postseason. Conclusions Female volleyball players are a group of voice users who are required to communicate in the presence of background noise while engaging in varying levels of physical effort. As a result, they may experience negative changes to objective and/or subjective voice characteristics during a regular season. The present data, concerning changes in female volleyball athletes' voice characteristics, need to be confirmed by studies with a larger number of participants.
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Ju, Y. H., K.-Y. Jung, S.-Y. Kwon, et al. "Effect of voice therapy after phonomicrosurgery for vocal polyps: a prospective, historically controlled, clinical study." Journal of Laryngology & Otology 127, no. 11 (2013): 1134–38. http://dx.doi.org/10.1017/s0022215113002454.
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AbstractObjective:This study aimed to evaluate the efficacy of post-operative voice therapy after phonomicrosurgery for vocal polyp removal.Methods:The study retrospectively enrolled 55 consecutive patients who had undergone voice therapy after phonomicrosurgery for vocal polyp removal occurring between June 2010 and June 2011. A historical group of 63 similar patients not receiving voice therapy was used as an external control. We compared voice analysis parameters and Voice Handicap Index scores for the two groups.Results:Most objective and subjective voice outcome parameters were significantly improved after surgical treatment. Although the study and control groups showed no significant difference regarding objective parameters (using acoustic and aerodynamic analysis) or the subjective parameters assessed using the grade-roughness-breathiness-asthenia-strain scale, the study group had significantly better final Voice Handicap Index scores.Conclusion:Following surgery for vocal polyps, post-operative voice therapy can improve patients' vocal discomfort, emotional responses and everyday self-perception.
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Taguchi, Aki, Kazuyo Mise, Kaori Nishikubo, Masamitsu Hyodo, and Osamu Shiromoto. "Japanese Version of Voice Handicap Index for Subjective Evaluation of Voice Disorder." Journal of Voice 26, no. 5 (2012): 668.e15–668.e19. http://dx.doi.org/10.1016/j.jvoice.2011.11.005.
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Shoeib, Rasha Mohammed, Jilan F. Nassar, and Hassan H. Ghandour. "Anxiety in female teachers with dysphonia: correlation between the voice handicap index and anxiety state." Egyptian Journal of Otolaryngology 28, no. 2 (2012): 142–48. http://dx.doi.org/10.7123/01.ejo.0000413577.72909.80.
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EnAbstract Background Female teachers are at particular risk of developing voice disorders. They are more likely to have psychiatric disorders such as anxiety or depression. Aim To assess the presence of anxiety in female teachers with dysphonia, paying particular attention to the association between the patient’s self-evaluation of her voice handicap and anxiety state. Participants and methods Thirty-nine female teachers with dysphonia were subjected to a voice assessment protocol, Arabic voice handicap index (VHI), to quantify the degree of handicap related to voice disorders and assessment of anxiety using the Manifest Anxiety Scale of Taylor. The results obtained were compared with the results of 34 normal female teachers who were subjected to the same assessment protocols. Results There were highly significant differences between both the groups in the scores of VHI and the anxiety scale. Anxiety showed a significant correlation with the duration of dysphonia, the grade of dysphonia, the total score of VHI, and its three domains. Conclusion Anxiety is frequent among dysphonic female teachers, with a significant association between the patient’s self-evaluation of her voice handicap and anxiety state. Such a high association advocates for both vocal education programs and psychiatric consultations.
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Yurtsever Kum, Nurcan. "Efficacy of voice therapy in the treatment of mutational falsetto." Praxis of Otorhinolaryngology 11, no. 2 (2023): 50–55. http://dx.doi.org/10.5606/kbbu.2023.05900.
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Objectives: This study aimed to evaluate the effectiveness of voice therapy in patients with mutational falsetto with objective and subjective methods. Patients and Methods: In this retrospective study, 18 male patients (mean age: 17.2±3.7 years; range, 14 to 26 years) diagnosed with mutational falsetto underwent acoustical analysis between May 2020 and January 2023 using Praat software. For objective acoustic analyses, fundamental frequency, jitter, shimmer, and maximum phonation time parameters were used. For subjective analyses, the GRBAS (Grade, Roughness, Breathiness, Asthenia and Strain) scale and the voice handicap index were used. Pre- and post-voice therapy subjective and objective parameters were compared. Results: The mean pre-voice therapy fundamental frequency value of the patients was 183.63±22.18 Hz, while the post-therapy value was 125.03±15.52 Hz. The mean pre-voice therapy voice handicap index score of the patients was 30.33±3.67, whereas the post-therapy score was 9.77±2.48. While the GRBAS scale value of the patients was 7.38±1.24, post therapy score was 1.55±1.29. As a result of the comparison of the objective and subjective values before and after the therapy, a statistically significant difference was found (p<0.001). Conclusion: Mutational falsetto can be treated with the use of inexpensive sound analysis programs that do not require special hardware in clinical practice and with sound therapy methods.
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Webb, A. L., P. N. Carding, I. J. Deary, K. MacKenzie, I. N. Steen, and J. A. Wilson. "Optimising outcome assessment of voice interventions, I: reliability and validity of three self-reported scales." Journal of Laryngology & Otology 121, no. 8 (2007): 763–67. http://dx.doi.org/10.1017/s0022215107007177.
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AbstractBackground:There is an increasing choice of voice outcome research tools, but good comparative data are lacking.Objective:To evaluate the reliability and validity of three voice-specific, self-reported scales.Design:Longitudinal, cohort comparison study.Setting:Two UK voice clinics: the Freeman Hospital, Newcastle upon Tyne, and the Glasgow Royal Infirmary.Participants:One hundred and eighty-one patients presenting with dysphonia.Main outcome measures:All patients completed the vocal performance questionnaire, the voice handicap index and the voice symptom scale. For comparison, each patient's voice was recorded and assessed perceptually using the grade–roughness–breathiness–aesthenia–strain scale. The reliability and validity of the three self-reported vocal performance measures were assessed in all subjects, while 50 completed the questionnaires again to assess repeatability.Results:The results of the 170 participants with completed data sets showed that all three questionnaires had high levels of internal consistency (Cronbach's alpha = 0.81–0.95) and repeatability (voice handicap index = 0.83; vocal performance questionnaire = 0.75; voice symptom scale = 0.63). Concurrent and criterion validity were also good, although, of the grade–roughness–breathiness–aesthenia–strain subscales, roughness was the least well correlated with the self-reported measures.Conclusion:The vocal performance questionnaire, the voice handicap index and the voice symptom scale are all reliable and valid instruments for measuring the patient-perceived impact of a voice disorder.
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Taguchi, Aki, Masamitsu Hyodo, Kazuyo Mise, and Osamu Shiromoto. "Japanese Version of Voice Handicap Index (VHI) for Subjective Evaluation of Voice Disorders." Japan Journal of Logopedics and Phoniatrics 47, no. 4 (2006): 372–78. http://dx.doi.org/10.5112/jjlp.47.372.
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Joshi, Sushant, Hemendra Bamaniya, Shiv K. Vaishnav, Harbinder S. Bhuie, and Rajiv K. Saxena. "Comparison between Voice Handicap Index and Voice Symptom Scale by Subjective Analysis of Voice Disorders." International Journal of Phonosurgery & Laryngology 8, no. 1 (2018): 19–25. http://dx.doi.org/10.5005/jp-journals-10023-1153.
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Palash, Chirangib Singha, Md Mosleh Uddin, Kazi Shameemus Salam, SM Mesbah Uddin Ahmad, Md Jaber Al Sayied, and Md Hasanul Haque. "Surgical and Non-Surgical Treatment Outcome Assessed by Voice Handicap Index of Patients with Vocal Fold Nodule." Bangladesh Journal of Otorhinolaryngology 28, no. 1 (2022): 29–36. http://dx.doi.org/10.3329/bjo.v28i1.60796.
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Background: Vocal nodules are a frequently occurring type of laryngeal disorder. Vocal fold nodules are usually bilateral swellings of variable size (< 3mm) found at the mid-part of the membranous vocal cords. Vocal abuse, misuse and overuse are frequently claimed to be the causes of vocal nodules and mostly affect professional voice users. It has important public health implications and impact on patient quality of life (QoL). Voice handicap index (VHI) is an important tool for quality of life assessment and outcome of intervention in voice disordered patients.
 Objective: To compare the outcome of Voice handicap index (VHI) score after surgical and non-surgical intervention of vocal cord nodule.
 Methods: In this prospective study 30 patients with vocal nodules refractory to the first session of voice therapy were diagnosed by fiber optic laryngoscopy. After simple random allocation management was done either by voice therapy or surgery. VHI (Voice Handicap Index) was applied as outcome measures for assessing the efficiency of intervention between surgical and non-surgical groups.
 Results: The mean value of Voice handicap index total (VHIt) was 54.40 (± 8.56) before voice therapy which significantly changed to 25.80 (± 6.23) after voice therapy in non-surgical group(n2).
 Bangladesh J Otorhinolaryngol 2022; 28(1): 29-36
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Hernandez, Melfred, Diane Clarice Atienza, Daryl Anne Madrid, and Michael Valdez. "Validation of the Filipino Voice Handicap Index-10 (FVHI-10)." Philippine Journal of Surgical Specialties 78, no. 2 (2023): 31–39. http://dx.doi.org/10.61662/pcs_bmye9070.
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Rationale/Objective: The Voice Handicap Index (VHI) is a self-assessment tool that evaluates the patient’s reaction and perception to a vocal disorder. This study aimed to establish, validate and assess the reliability of the Filipino translation of the Voice Handicap Index 10 (FVHI-10). Methods: The VHI-10 was translated and adapted to the Filipino language and culture with the help of the Sentro ng Wikang Filipino- University of the Philippines Manila. A self-assessment of voice quality and FVHI-10 were performed by the patients and their GRBAS scale scoring was rated by a speech language pathologist. The Spearman’s correlation between the FVHI-10 and the self-assessment and GRBAS scale scores was obtained to test for validity. To evaluate the reliability of the FVHI-10, testing through determining internal consistency was conducted through the use of Chronbach α coefficient, inter-item correlation, item-total correlation and Cronbach α coefficient if tool item was deleted. Results: Fifty-five individuals participated in the study (29 males, 26 females, age range: 30-55 years) with the diagnosis of voice disorder based on complaints of hoarseness or dysphonia and laryngoscopic f indings. Convergent validity was confirmed with moderate to strong correlation between the FVHI-10 and self-assessment (r=-.893, p<.05) and GRBAS scale scores (r=.427, p<.05). Reliability as measured through internal consistency was confirmed (Cronbach α=.874) (average ρ<.5) (corrected item-total correlation>0.3) (average inter item correlation=.15-.85). Conclusion: The FVHI-10 was determined to be a valid and reliable instrument that can be utilized in the assessment of Filipino patients with voice disorders. Key words: Dysphonia, voice disorder, reliability, validity, voice handicap index-10, quality of life, Philippines
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Ms., Sayantani Mukherjee, Indranil Chatterjee Mr., and Bibhu Prasad Hota Mr. "Development and Transadaptation of Voice Handicap Index-Bangla." International Journal of Science and Healthcare Research 4, no. 2 (2019): 44–61. https://doi.org/10.5281/zenodo.3933100.
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The present study aimed to transadapt and validates the Voice Handicap Index in Bangla language. The objective of the study was to develop and validate a vernacular test which would be beneficial for assessment of functional impact of voice disorders. The present study consisted of 60 participants (30 male and 30 female) within the age range of 18 - 60 years. The test was translated, back translated and later assessed for face and validity and reliability. The internal consistency of the test items showed high reliability (Cronbach’s α = 0.865). Most of the questionnaires such as the Voice Handicap Index (Jacobson et al.,1997) that evaluate the ‘quality of life’ related with voice were developed in English and were intended to be used in English speaking countries. Hence a development of vernacular test was pertinent thus Voice Handicapped index –Bangla was developed.
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Behrman, Alison, Mark J. Shikowitz, and Seth Dailey. "The Effect of Upper Airway Surgery on Voice." Otolaryngology–Head and Neck Surgery 127, no. 1 (2002): 36–42. http://dx.doi.org/10.1067/mhn.2002.126589.
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OBJECTIVE: Our goal was to assess patient perception and acoustic characteristics of voice before and after upper airway surgery. STUDY DESIGN AND SETTING: We conducted a prospective assessment of 44 surgical patients preoperatively and postoperatively at a tertiary care, academic hospital. Operations included septoplasty and turbinectomy (n = 28) and septoplasty, turbinectomy, uvulopalatopharyngoplasty, and tonsillectomy (n = 16). Patient opinion measures included Voice Handicap Index score, perception of vocal resonance, and change in voice. Acoustic measures included assessment of the relative amplitude of selected formants (resonances) of the vocal tract. RESULTS: Mean Voice Handicap Index scores were unchanged after surgery. Nine patients (20%) perceived their voice to be improved after surgery. None perceived the voice to be worse. Postoperative changes in relative formant amplitudes were statistically significant. These changes caused the acoustic features to become more representative of normative data than the preoperative values. CONCLUSION: Upper airway oeprations can affect acoustics and perception of voice. SIGNIFICANCE: Patients are unlikely to perceive a change in voice as a result of upper airway surgeries, but in those cases where a difference is perceived, it is likely to be a positive change.
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Feige, Katharina, Anne Strauss, and Gero Strauss. "Voice Handicap Index-18 as an Instrument for Assessing Subjective Voice Impairment Between Voice Pre- and Post-treatment." Journal of Voice 34, no. 5 (2020): 810.e1–810.e10. http://dx.doi.org/10.1016/j.jvoice.2019.04.005.
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Hasanvand, Arezoo, Akbar Darouie, Samira Aghadoost, Payman Dabirmoghaddam, and Enayatollah Bakhshi. "The Study of Vocal Function in Patients With Early Laryngeal Carcinoma After Transoral Laser Microsurgery." Journal of Rehabilitation 24, no. 1 (2023): 114–31. http://dx.doi.org/10.32598/rj.24.1.3615.1.
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Objective Today transoral laser microsurgery is considered as one of the first options to control early laryngeal cancer, and voice disorder is one of the inevitable complications of this therapeutic component. This study aimed to compare the vocal function in patients with early-stage laryngeal cancer following laser surgery with healthy individuals with normal voice quality using acoustic analysis and the voice handicap index and to examine the correlation between the results of these two evaluations in each group. Materials & Methods The current research is a descriptive-correlational and comparative study that was cross-sectioned using convenience sampling into two groups consisting of 60 men (Mean±SD of age 59.18±5.170 years) with early laryngeal cancer undergoing laser surgery as a patient group and 60 men (Mean±SD of age 56.68±5.491 years) with normal voice quality, and without any history of voice disorder as a control. The vocal function of participants was assessed using acoustic parameters (including jitter, shimmer, harmonic to noise ratio, fundamental frequency, smoothed cepstral peak prominence) and a 30-item Persian version of the voice handicap index questionnaire (including overall score and scores of physical, emotional and functional subscale). Then, data were analyzed using SPSS software, version 20, descriptive statistics, Kolmogorov-Smirnov, independent t-test, and Pearson correlation coefficient at the P<0.05. Results The results show that the acoustic parameters and voice handicap index in the group undergoing laser surgery are significantly different from the control group (P<0.001). Also, a significant direct correlation between jitter and shimmer with total score and physical subscale of VHI, a significant inverse correlation between the harmonic-to-noise ratio and total score, functional and physical subscales of VHI, as well as between smoothed cepstral peak prominence with total score and all subscales of VHI (P<0.05). In addition, in the control group, there is no significant correlation between the acoustic parameters and the subscales of the voice handicap index (P<0.05). Conclusion The findings of the acoustic analysis and the voice handicap index show impairment in vocal function and a decrease in voice-related quality of life (QoL) in patients with early laryngeal cancer after laser surgery. Furthermore, a significant correlation between the scores of the voice handicap index and acoustic analysis parameters, especially cepstral analysis indicates the necessity to pay attention to frequency-based analysis. Therefore the results of the present study emphasize the need for a comprehensive assessment of vocal function, providing voice therapy programs, and attention to psychological problems in patients with early laryngeal cancer after laser surgery.
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Piccirillo, Jay F., Colin Painter, Andrea Haiduk, Dennis Fuller, and John M. Fredrickson. "Assessment of Two Objective Voice Function Indices." Annals of Otology, Rhinology & Laryngology 107, no. 5 (1998): 396–400. http://dx.doi.org/10.1177/000348949810700506.
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In the care of patients with voice disorders, physicians, speech pathologists, and other health care professionals routinely make diagnoses, recommend treatment, and evaluate outcomes. Although objective and subjective measures exist, unfortunately, there is no widely accepted, valid method for classifying voice disorders and assessing outcome after voice treatment. In the present research, the relationship between two previously created multivariate objective voice function indices, the weighted odds ratio index and the multivariate logistic regression index, and subjective assessment of voice function was evaluated. Twenty-three adult patients presenting to a speech science laboratory for evaluation of voice disorders were studied in this prospective observational study together with 12 normal volunteers as controls. Vocal function was measured on 14 different parameters with a protocol that included a multichannel input for simultaneous assessment of acoustic and physiological parameters. Each patient was recorded reading the standard passage “The North Wind and the Sun,” and recordings were then evaluated by the GRBAS scale. Overall, there was a statistically significant relationship between the weighted odds ratio index and multivariate logistic regression index and mean GRBAS scores. This research demonstrates that the voice function values calculated from two different multivariate objective voice function indices are significantly associated with subjective voice assessments. These multivariate objective voice indices may be appropriate for use in clinical trials and outcomes research on treatment effectiveness for voice disorders.
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Kim, Ji Sung, and Hahn Jin Jung. "A Pilot Study on Voice Therapy Methods for Voice Recovery in Post-Thyroidectomy Syndrome." Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 36, no. 1 (2025): 12–18. https://doi.org/10.22469/jkslp.2025.36.1.12.
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Background and Objectives Post-thyroidectomy syndrome (PTS) refers to voice problems that occur after thyroidectomy without laryngeal nerve injury, often affecting vocal function and quality of life. This study aims to develop and evaluate a tailored voice therapy program for PTS and assess its effectiveness through both objective and subjective voice measures.Materials and Method This study included patients who underwent thyroidectomy. The therapy group consisted of seven female patients diagnosed with PTS by a laryngologist 2 weeks postoperatively. The control group was matched for age, sex, and surgical extent. Voice evaluation included both objective acoustic analysis and subjective evaluations using the Korean Voice Handicap Index-10 (K-VHI-10) and the Korean Voice Fatigue Index (K-VFI). The therapy program incorporated neck exercises and semi-occluded vocal tract exercises (SOVTE). The voice therapy program consisted of a single 40-minute direct session provided by a speech-language pathologist, followed by a 2-week period of patient-performed home exercises.Results The therapy group showed significant improvements in minimum pitch (p=0.035) and pitch range (p=0.013) compared to the control group. Additionally, subjective evaluations revealed significantly lower K-VHI-10 (p=0.003) and K-VFI (p=0.040) scores in the therapy group than in the control group.Conclusion The voice therapy program for PTS effectively improved pitch-related problems and subjective voice outcomes. These findings highlight the importance of early voice therapy intervention in optimizing postoperative voice recovery. Further research with larger sample sizes is needed to validate these results and refine treatment protocols.
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Котельникова, Н. М., О. В. Карнеева, Т. И. Гаращенко, and А. В. Герцен. "Assessment of the Impact of Voice Dysfunction on the Quality of Life of Patients with Sjögren’s Disease." Оториноларингология. Восточная Европа 13, no. 3 (2023): 304–11. http://dx.doi.org/10.34883/pi.2023.13.3.025.
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Введение. Голос является одним из основных средств коммуникации, обеспечивающим социальное взаимодействие людей в современном обществе. Этот неоспоримый факт обусловливает актуальность вопросов, касающихся здоровья голоса и качества жизни человека. Одной из причин голосовых расстройств является аутоиммунная патология, в частности болезнь Шегрена (первичный синдром Шегрена). Отсутствие достаточной освещенности в отечественной литературе проблемы нарушения качества жизни пациентов с патологией голосового аппарата, ассоциированной с первичным синдромом Шегрена, определило цель настоящего исследования. Цель. Изучение степени влияния нарушения голосовой функции на качество жизни пациентов с болезнью Шегрена. Материалы и методы. В работе изложены результаты исследования клинико-функционального состояния гортани и качества жизни 46 пациентов с нарушением голоса, ассоциированным с болезнью Шегрена. Обосновано включение в диагностический комплекс опросника Voice Handicap Index («Индекс расстройства голоса», VHI) с целью определения степени влияния нарушения голосовой функции на качество жизни пациентов с болезнью Шегрена. Проведен детальный анализ результатов анкетирования пациентов с применением шкалы VHI. Результаты. В ходе обследования пациентов с болезнью Шегрена выявлена органическая патология гортани, в частности хронический катаральный, субатрофический ларингит, бамбуковые узелки голосовых складок. Продемонстрировано изменение качества жизни различной степени выраженности у пациентов с нарушением голоса при первичном синдроме Шегрена. Заключение. Для пациентов с болезнью Шегрена характерно органическое поражение гортани, проявляющееся в первую очередь нарушением голоса. Голосовые расстройства у данной категории пациентов в значительной степени ухудшают качество жизни. Опросник Voice Handicap Index информативен, удобен в применении и может быть использован для динамической оценки степени влияния патологии голосового аппарата на качество жизни пациентов и мониторинга эффективности реабилитационных мероприятий. Introduction. The voice is of the leading means of communication, it ensures the social interaction of people in modern society. So, it is impossible to overestimate its importance in human life. Purpose. To scrutinize the quality of life in violation of the voice function in patients suffering from Sjögren’s disease. Materials and methods. The paper presents the results of a study of the clinical and functional state of the larynx and quality of 46 patients’ life with voice impairment associated with Sjögren’s disease. The inclusion of the questionnaire "Voice Handicap Index" ("Voice Disorder Index", VHI) into the diagnostic complex was justified in order to determine the degree of influence of voice dysfunction on the quality of life of patients with Sjögren’s disease. A detailed analysis of the results of questioning patients using the VHI scale was carried out. Results. During the examination of patients with Sjögren’s disease, organic pathology of the larynx was revealed. In particular, chronic catarrhal, subatrophic, bamboo nodules of the vocal folds were detected. Deterioration in the quality of life of varying severity was demonstrated in patients with voice impairment associated with primary Sjögren’s syndrome. Conclusion. Patients with Sjögren’s disease are characterized by an organic lesion of the larynx, which manifests itself primarily as a voice disorder. Voice disorders in this category of patients significantly worsen the quality of life. The Voice Handicap Index questionnaire is informative, convenient. It can be used to dynamically assess the impact of the pathology of the vocal apparatus on the quality of life of patients and monitor the effectiveness of rehabilitation measures.