Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
권호 표지

Change of Voice Handicap Index After Laryngeal Microsurgery for Benign Vocal Fold Lesions

양성 후두 질환 환자의 후두미세 수술 전후 음성 장애 지수의 변화

  • Kim, Ji Hee (Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University Sacred Heart Hospital) ;
  • Choi, Hyo Geun (Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University Sacred Heart Hospital) ;
  • Park, Bumjung (Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University Sacred Heart Hospital)
  • 김지희 (한림대학교 의과대학 이비인후과-두경부외과학교실) ;
  • 최효근 (한림대학교 의과대학 이비인후과-두경부외과학교실) ;
  • 박범정 (한림대학교 의과대학 이비인후과-두경부외과학교실)
  • Received : 2015.03.02
  • Accepted : 2015.05.12
  • Published : 2015.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

Background and Objectives:The Voice Handicap Index (VHI) evaluates the patients perception of impact of voice disorder in term of functional, physical, emotional factors. The purpose of this study was to evaluate the change of patient's subjective voice handicap index before and after laryngeal microsurgery for benign vocal cord lesions. Materials and Methods:We analyzed 55 patients who received laryngeal microsurgery for benign vocal cord disease from January 2011 to February 2013 retrospectively. There were 50 vocal nodules, 3 vocal polyps, 2 vocal cysts. VHI were analyzed before surgery and 3 months after surgery. Results:The VHI scores showed statistically significant reductions postoperatively in functional and emotional VHI (p=0.01 and p=0.034). Also, Emotional VHI score after microsurgery was higher in female than male [adjusted odd ratio (AOR)=0.292 ; 95% confidence interval, CI=0.098-0.869, p=0.01]. Conclusion:In other words, males experience significant more emotional effects that are improved after microscopic surgery.

후두 미세 수술을 받은 환자에서 수술 전과 후 전체적인 음성 장애 지수를 비교했을 때 모두 호전이 있는 것으로 나타났다. 영역별로는 기능적, 물리적 영역에서는 남녀간의 차이가 없었으나 감성적 영역에서는 여자보다 남자에서 수술 후 만족도가 큰 것으로 나타났다. 이번 연구를 통해 음성 장애 지수가 음성의 상태를 모두 대변할 수는 없지만 객관적인 음향, 공기역학적 검사로 평가할 수 없었던 음성 장애에 대한 환자의 인식 정도를 정량화하여 평가할 수 있는 편리한 도구임을 확인 할 수 있었다.

Keywords

References

  1. Cohen SM, Jacobson BH, Garrett CG, Noordzij JP, Stewart MG, Ossoff RH, et al. Creation and validation of the Singing Voice Handicap Index. Ann Otol Rhinol Laryngol 2007;116:402-6. https://doi.org/10.1177/000348940711600602
  2. Portone CR, Hapner ER, McGregor L, Otto K, Johns MM 3rd. Correlation of the Voice Handicap Index (VHI) and the Voice-Related Quality of Life Measure (V-RQOL). J Voice 2007;21:723-7. https://doi.org/10.1016/j.jvoice.2006.06.001
  3. Reemtsma K, Morgan M. Outcomes assessment: A primer. Bull Am Coll of Surg 1997;82:34-9.
  4. Rosen CA, Murry T. Voice handicap index in singers. J Voice 2000;14:370-7. https://doi.org/10.1016/S0892-1997(00)80082-X
  5. Murry T, Rosen CA. Outcome measurements and quality of life in voice disorders. Otolaryngol Clin North Am 2000;33:905-16. https://doi.org/10.1016/S0030-6665(05)70251-6
  6. Rosen CA, Murry T, Zinn A, Zullo T, Sonbolian M. Voice handicap index change following treatment of voice disorders. J Voice 2000;14: 619-23. https://doi.org/10.1016/S0892-1997(00)80017-X
  7. Park SS, Kwon TK, Choi SH, Lee WY, Hong YH, Jeong NG, et al. Reliability and validity of the Korean version of Pediatric Voice Handicap Index: In school age children. Int J Pediatr Otolaryngol 2013; 77:107-12. https://doi.org/10.1016/j.ijporl.2012.10.006
  8. Jacobson BH, Johnson A, Grywalski C, Sibergleit A, Jacobson G, Benninger MS, et al. The Voice Handicap Index (VHI): Development and validation. Am J Speech Lang Pathol 1997;6:66-77.
  9. Green G. Psycho-behavioral characteristics of children with vocal nodules: WPBIC ratings. J Speech Hear Res 1989;54:306-12. https://doi.org/10.1044/jshd.5403.306
  10. Johns MM, Garrett CG, Hwang J, Ossoff RH, Courey MS. Quality-of-life outcomes following laryngeal endoscopic surgery for non-neoplastic vocal fold lesions. Ann Otol Rhinol Laryngol 2004;113: 597-601. https://doi.org/10.1177/000348940411300801
  11. Gliklich RE, Glovsky RM, Montgomery WW. Validation of a voice outcome survey for unilateral vocal cord paralysis. Otolaryngology-head and neck surgery. Am J Otolaryngol Head Neck Surg 1999;120: 153-8. https://doi.org/10.1016/S0194-5998(99)70399-2