Change of Voice Handicap Index after treatment of benign laryngeal disorders
Voice disorders can have major impact on quality of life. Problems caused by these disorders can be experienced in different domains. The Voice Handicap Index (VHI) is a well-known voice-related quality of life instrument to measure physical, emotional and functional complaints. VHI change after treatment in seven separate benign laryngeal disorders was studied. In addition, correlation between the three domains was examined. VHI forms were completed before and 3 months after treatment. In a 5-year-period, 143 patients with seven specific diagnoses were retrospectively included. VHI improved for six diagnoses polyp (p < 0.000), cyst (p = 0.001), unilateral paralysis (p = 0.001), Reinke edema (p = 0.016), papillomatosis (p = 0.001), nodules (p = 0.002). Sulcus glottidis did not change (p = 0.897). Mean VHI after treatment was higher for females (p = 0.021). The values of the three domains correlate statistically significant. For each diagnosis, the mean VHI after treatment remained higher than in subjects with a healthy voice. Because the domains are interdependent, their absolute values could not be compared. After treatment, VHI improved in six of the seven diagnoses. The scores on the physical, emotional, and functional domain are interdependent. Scores of the different domains cannot be compared.
KeywordsBenign laryngeal disorders Voice Handicap Index Quality of life Treatment outcome
Conflict of interest
The authors declare that they have no conflict of interest.
- 12.Smits R, Marres H, de Jong F (2011) The relation of vocal fold lesions and voice quality to voice handicap and psychosomatic well-being. J Voice 26(4):466–470 Google Scholar
- 13.Dejonckere PH, Bradley P, Clemente P, Cornut G, Crevier-Buchman L, Friedrich G et al (2001) 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). Eur Arch Otorhinolaryngol 258(2):77–82PubMedCrossRefGoogle Scholar
- 14.Jacobson BH, Johnson A, Grywalski C (1997) The Voice Handicap Index (VHI): development and validation. Am J Speech Language Pathol 6:66–70Google Scholar
- 37.Dikkers FG, Nikkels P (1995) Benign lesions of the vocal folds: histopathology and phonotrauma. G. Ann Otol Rhinol Laryngol 104:698–703Google Scholar