Vocal Handicap Index Measurement as a Tool in Evaluation of Patients with Voice Disorders
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 5
Abstract
Background: Benign lesions of the vocal cords and functional dysphonia cause voice changes in patients. Endoscopic evaluation helps in anatomical diagnosis, but functional assessment and subjective evaluation by the patient makes it efficient to assess the patient satisfaction and effect of different treatment modalities used. Aim: The aim of this study is to use vocal handicap index (VHI) as a tool to assess the degree of functional deviation in patients with voice disorders. Materials and Methods: A total of 82 patients with different organic (55) and functional lesions (27) of the vocal cord were included. The diagnosis was based on the endoscopy of the larynx and measurement of vocal handicap (VHI) in both organic lesions and functional dysphonia, and a subjective questionnaire filled by the patient including the VHI and the quality of life index (QoLI) (a measure of voice-related QoL). Observations and Results: A mean score of 65.3 on VHI of organic lesions of vocal cords and 58.6 in patients with functional dysphonia at the time of diagnosis were noted. The QoLI scores were 21.2 and 19.4, respectively, before treatment. Following different treatment modalities, the scores were 36 among non-functional lesions and 32 among functional dysphonia were noted. Similarly, the QoLI scores were improved to 59 and 53, respectively. Conclusion: VHI scores and QoLI scores help in assessing the impact of incapacity caused by voice disorders on work performance and associated social and emotional impacts on patients. VHI also helps in assessing the effect of treatment modalities on voice disorders.
Authors and Affiliations
J Bhupender Singh Rathode, Kosoori Sreenivas
Keywords
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