Comparison of the Pediatric Voice Handicap Index With Perceptual Voice Analysis in Pediatric Patients With Vocal Fold Lesions

Abstract

The CAPE-V and the pVHI are useful tools in the measurement of voice outcomes in children with VFLs. There are fair correlations between the CAPE-V and the pVHI, and they likely evaluate important yet different aspects of voice disturbance. Significant gender differences in these correlations should be further evaluated in future studies.

Voice Abnormalities and Laryngeal Pathology in Preterm Children

“…In prior studies, however, the median CAPE-V severity score was 30.3 among pediatric patients with vocal fold lesions, and the average CAPE-V score was 51.6 for the pediatric patients who underwent laryngotracheal reconstruction. 21,22 In comparison, the mean CAPE-V overall severity of dysphonia score for the preterm patients in this study was in between these values at 46.6 (±24.2). With that being said, important areas for future research include further characterization of the prevalence of voice disorders in this patient group and assessment of quality-of-life measures.…”

Influence of preoperative voice assessment on treatment plan prior to airway surgery

“…Voice disturbance following airway reconstruction is not uncommon; more than half of children who undergo airway reconstruction are reported to have postoperative dysphonia, which is often described as severe . Historically, the main measure of success for airway reconstruction has been decannulation, but in the past 15 years the importance of postoperative voice quality was realized .…”

Perceptual Evaluation of Voice Disorder in Children Who Have Had Laryngotracheal Reconstruction Surgery and the Relationship Between Clinician Perceptual Ratingof Voice Quality and Parent Proxy/Child Self-Report of Voice-Related Quality of Life

“…Different tools have been used to evaluate impact of voice on quality of life in different populations (e.g. adult and parent proxy questionnaires, different questionnaires suited to specific aetiologies) including the Voice Related Quality of Life (VRQOL) (26) questionnaire and the Iowa Patient's Voice Index (IPVI) (8), the Voice Handicap Index (VHI) (27) and the Pediatric Voice Handicap Index (PVHI) (28)(29)(30). In adults, Karnell et al (8) report a weak correlation between patient report (IPVI and VRQOL) and clinician report (GRBAS and CAPE-V) in their study of 103 patients with a range of different aetiologies.…”

“…In adults, Karnell et al (8) report a weak correlation between patient report (IPVI and VRQOL) and clinician report (GRBAS and CAPE-V) in their study of 103 patients with a range of different aetiologies. In children with vocal fold lesions, a fair correlation exists between CAPE-V overall severity and PVHI (29) while this correlation is reported as weak in children who have a history of airway surgery (28).…”