Abstract
■ A successful surgical outcome is dependent upon proper clinical evaluation of the patient’s voice disorder. It therefore behooves the serious practitioner of laryngology to focus not only on his or her surgical skills, but also on evaluative and perceptual skills. This will ensure proper patient selection and make for improved surgical outcomes.
■ Careful history taking and clinical evaluation are important tools in the diagnostic evaluation of the voice patient.
■ When caring for patients with voice disorders, the clinician should pay particular attention to the level of voice use, the importance of the voice to the patient, and the impact of the voice disorder on their quality of life.
■ Clinical outcome instruments such as the Reflux Symptom Index (RSI) and the Voice Handicap Index 10 (VHI-10) are extremely useful tools for the evaluation of vocal complaints.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
Selected Bibliography
Sataloff RT (1997) Professional voice—the science and art of clinical care, 2nd edn. Singular, San Diego
Koufman JA, Amin MR, Panetti M, Prevalence of reflux in 113 consecutive patients with laryngeal and voice disorders (2000) Otolaryngol Head Neck Surg 123:385–8. Erratum in: Otolaryngol Head Neck Surg 124:104
Koufman JA (1991) The otolaryngologic manifestations of gastroesophageal reflux disease. Laryngoscope 101(Suppl.)53:1–78
Belafsky PC, Postma GN, Koufman JA (2002) Validity and reliability of the reflux symptom index (RSI). J Voice 16:274–277
Ritter FN (1973) Endocrinology. In: Paparella M, Shumrick D (eds) Otolaryngology. Saunders, Philadelphia, pp 727–734
Silverman EM, Zimmer CH (1978) Effect of the menstrual cycle on voice quality. Arch Otolaryngol Head Neck Surg 104:7–10
Courey MS, Postma GN (1996) Microvascular lesions of the true vocal folds. Curr Opin Otolaryngol Head Neck Surg 4:134
Sataloff RT (1995) Vocal fold hemorrhage: diagnosis and treatment. NATS J May/June:45
Smith ME, Ramig LO (1995) Neurological disorders and the voice. In: Rubin JS, Sataloff RT, Korovin GS et al (eds) Diagnosis and treatment of voice disorders. Igaku-Shoin, New York, pp 203–219
Koufman JA, Isaacson G (1991) The spectrum of vocal dysfunction. Otolaryngol Clin North Am 24:985–988
Cooper M (1973) Modern trends in voice rehabilitation. Charles C. Thomas Springfield, Ill.
Bassich CJ, Ludlow DL (1986) The use of perceptual methods by new clinicians for assessing voice quality. J Speech Hear Dis 51:125
Dejonckere PH et al (1993) Perceptual evaluation of dysphonia: reliability and relevance, Folia Phoniatr (Base1) 45:76
Kreiman J et al (1993) Perceptual evaluation of voice quality: review, tutorial, and a framework for future research, J Speech Hear Res 36:21
Hirano M (1981) Clinical examination of the voice. Springer, Berlin, Heidelberg, New York
Voice disorders: Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V). American Speech-Language-Hearing Association Special Interest Division 3: Voice and Voice Disorders. 2003. Available at: http://www.asha.org
Benninger MS, Ahuja AS, Gardner G, Grywalski C (1998) Assessing outcomes for dysphonic patients. J Voice 12:540–550
Jacobson GH, Johnson A, Grywalski C et al (1997) The Voice handicap index (VHI): development and validation. Am J Speech Lang Pathol 6:66–70
Hogikyan ND, Sethuraman G (1999) Validation of an instrument to measure voice-related quality of life (V-RQOL). J Voice 13:557–569
Ma EP-M, Yiu EM-L (2001) Voice activity and participation profile: assessing the impact of voice disorders on daily living. J Speech Lang Hear Res 44:511–524
Carding PN, Horsley IA, Docherty GD (1999) Measuring the effectiveness of voice therapy in a group of forty-five patients with non-organic dysphonia. J Voice 13:76–113
Deary IJ, Wilson JA, Carding PN et al (2003) VoiSS, a patient-derived voice symptom scale. J Psychosometr Res 54:483–489
Hogikyan ND, Rosen CA (2002) A review of outcome measurements for voice disorders. Otol Head Neck Surg 126:562–572
Jacobson BH, Johnson A, Grywalsky C et al (1997) The Voice Handicap Index (VHI): development and validation. Am J Speech Lang Pathol 6:66–70
Rosen CA, Lee AS, Osborne J, Zullo T, Murray T (2004) Development and validation of the Voice Handicap Index-10. Laryngoscope 114:1549–1556
Rights and permissions
Copyright information
© 2008 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
(2008). Principles of Clinical Evaluation for Voice Disorders. In: Operative Techniques in Laryngology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68107-6_2
Download citation
DOI: https://doi.org/10.1007/978-3-540-68107-6_2
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-25806-3
Online ISBN: 978-3-540-68107-6
eBook Packages: MedicineMedicine (R0)