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Long-term Voice Handicap Index after type II thyroplasty using titanium bridges for adductor spasmodic dysphonia
- Source :
- Auris Nasus Larynx. 41:285-289
- Publication Year :
- 2014
- Publisher :
- Elsevier BV, 2014.
-
Abstract
- Objectives To determine the long-term functional outcomes of type II thyroplasty using titanium bridges for adductor spasmodic dysphonia (AdSD) by perceptual analysis using the Voice Handicap Index-10 (VHI-10) and by acoustic analysis. Methods Fifteen patients with AdSD underwent type II thyroplasty using titanium brides between August 2006 and February 2011. VHI-10 scores, a patient-based survey that quantifies a patient's perception of his or her vocal handicap, were determined before and at least 2 years after surgery. Concurrent with theVHI-10 evaluation, acoustic parameters were assessed, including jitter, shimmer, harmonic-to-noise ratio (HNR), standard deviation of F0 (SDF0), and degree of voice breaks (DVB). Results The average follow-up interval was 30.1 months. No patient had strangulation of the voice, and all were satisfied with the voice postoperatively. In the perceptual analysis, the mean VHI-10 score improved significantly, from 26.7 to 4.1 two years after surgery. All patients had significantly improved each score of three different aspects of VHI-10, representing improved functional, physical, and emotional well-being. All acoustic parameters improved significantly 2 years after surgery. Conclusions The treatment of AdSD with type II thyroplasty significantly improved the voice-related quality of life and acoustic parameters 2 years after surgery. The results of the study suggest that type II thyroplasty using titanium bridges provides long-term relief of vocal symptoms in patients with AdSD.
- Subjects :
- Adult
medicine.medical_specialty
Voice Quality
Audiology
Cohort Studies
Laryngoplasty
Young Adult
Thyroplasty
Quality of life
otorhinolaryngologic diseases
medicine
Humans
In patient
Longitudinal Studies
Voice Handicap Index
Aged
Retrospective Studies
business.industry
General Medicine
Middle Aged
Dysphonia
Adductor spasmodic dysphonia
Treatment Outcome
Otorhinolaryngology
Patient Satisfaction
Quality of Life
Female
Surgery
Voice handicap
business
Subjects
Details
- ISSN :
- 03858146
- Volume :
- 41
- Database :
- OpenAIRE
- Journal :
- Auris Nasus Larynx
- Accession number :
- edsair.doi.dedup.....90521aadb05879cf294d69ecaf24740f