European Archives of Oto-Rhino-Laryngology

, Volume 258, Issue 2, pp 77–82

A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques

Guideline elaborated by the Committee on Phoniatrics of the European Laryngological Society (ELS)


  • P. H. Dejonckere
    • The Institute of Phoniatrics, University Medical Centre Utrecht, AZU F.02.504, P.O. Box 85500, Nl-3508 GA Utrecht, The Netherlands e-mail:, Tel.: +31-30-2507736, Fax: +31-30-2522627
  • Patrick Bradley
    • Nottingham, United Kingdom
  • Pais Clemente
    • Porto, Portugal
  • Guy Cornut
    • Lyon, France
  • Lise Crevier-Buchman
    • Paris, France
  • Gerhard Friedrich
    • Graz, Austria
  • Paul Van De Heyning
    • Antwerp, Belgium
  • Marc Remacle
    • Yvoir, Belgium
  • Virginie Woisard
    • Toulouse, France

DOI: 10.1007/s004050000299

Cite this article as:
Dejonckere, P., Bradley, P., Clemente, P. et al. European Archives of Oto-Rhino-Laryngology (2001) 258: 77. doi:10.1007/s004050000299


The proposal of this basic protocol is an attempt to reach better agreement and uniformity concerning the methodology for functional assessment of pathologic voices. The purpose is to allow relevant comparisons with the literature when presenting / publishing the results of voice treatment, e.g. a phonosurgical technique, or a new / improved instrument or procedure for investigating the pathological voice. Meta-analyses of the results of voice treatments are generally limited and may even be impossible owing to the major diversity in the ways functional outcomes are assessed. A multidimensional set of minimal basic measurements suitable for all “common” dysphonias is proposed. It includes five different approaches: perception (grade, roughness, breathiness), videostroboscopy (closure, regularity, mucosal wave and symmetry), acoustics (jitter, shimmer, Fo-range and softest intensity), aerodynamics (phonation quotient), and subjective rating by the patient. The protocol is elaborated on the basis of an exhaustive review of the literature, of the experience of the Committee members, and of plenary discussions within the European Laryngological Society. Instrumentation is kept to a minimum, but it is considered essential for professionals performing phonosurgery.

Keywords Voice assessmentDysphonia assessmentPhonosurgeryMeta-analysisStandardisation

Copyright information

© Springer-Verlag Berlin Heidelberg 2001