Subjective Voice Assessment after Endoscopic Surgery for an Obstructive Reinke Edema Using Voice Handicap Index

Hallak, Bassel; Olivier, F; Teiga, Pedro S.; Bouayed, Salim; Wihl, Sonia von; Sandu, Kishore

doi:10.1155/2015/207085

Cited by 2 publications

(4 citation statements)

References 5 publications

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“…Compared to RE treatment, numerous reports have previously demonstrated the value of ML approaches, 2,19,20 while in‐office procedures have only been recently considered suitable. Young and colleagues reported an average change of −8.3 in the VHI‐10 and a regression rate of 81% using the KTP laser in the outpatient clinic 21 .…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, in our study, the persistence rate of VFP after OB treatment was 4%, similar to Kim and colleagues, who achieved a complete regression rate of 96% in treating VFPs in the same setting. 18 Compared to RE treatment, numerous reports have previously demonstrated the value of ML approaches, 2,19,20 while in-office procedures have only been recently considered suitable. Young and colleagues reported an average change of À8.3 in the VHI-10 and a regression rate of 81% using the KTP laser in the outpatient clinic.…”

Section: Discussionmentioning

confidence: 99%

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Office‐Based Treatment of Vocal Fold Polyps and Reinke's Edema: A Rational Comparison With Suspension Laryngoscopy

et al. 2023

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ObjectiveBenign laryngeal lesions have traditionally been treated through suspension laryngoscopy under general anesthesia (GA). Recently, the development of operative videoendoscopes coupled with photoangiolytic lasers has allowed clinicians to treat these conditions in the outpatient clinic. We report our experience in the office‐based (OB) setting for the treatment of patients affected by vocal fold polyps (VFPs) and Reinke's edema (RE), comparing it to patients treated under GA.MethodsA retrospective analysis was conducted on patients affected by VFP or RE. A 445 nm diode blue laser was used through the operative channel of a flexible video‐endoscope for OB procedures, while GA surgeries were carried out with cold steel instrumentation. The Voice Handicap Index‐10 (VHI‐10) represented the primary outcome. Endoscopic outcomes, duration, and morbidity of the procedures were investigated as secondary outcomes.ResultsA total of 153 patients were retrospectively enrolled. 52 were treated in an OB setting, while 91 underwent GA. Regarding patients with RE, both the OB and GA cohorts showed a significant improvement in VHI‐10 (from 12.7 to 2.6 and 19.5 to 5.1, respectively; p < 0.001), as did those with VFPs (from 11.8 to 2.3 and 15.9 to 2.9 respectively; p < 0.001). No differences were found when comparing VHI‐10 in the OB and GA cohorts. The mean procedural time of OB treatment (4.9 min) was significantly shorter than GA (37.1 min). No adverse events were reported.ConclusionOur data demonstrate the efficacy and safety of the OB setting. For selected patients, OB treatments offer comparable vocal outcomes, favorable morbidity, and reduced operation times, making them an appealing alternative to the traditional approach.Level of Evidence3 Laryngoscope, 133:2665–2672, 2023

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Office‐Based Treatment of Vocal Fold Polyps and Reinke's Edema: A Rational Comparison With Suspension Laryngoscopy

et al. 2023

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“…Traditional voice disorder treatment and assessment protocols center on forms of objective acoustic measurement, primarily focusing on components of voice production. 1,2 However, these measures do not take into account vocal function from the perspective of the patient, as well as the level of handicap experienced as a result of the disorder. 2,3 This handicap refers to the inability to perform certain tasks and the resulting social, economic and environmental disadvantage that results from this impairment.…”

mentioning

confidence: 99%

“…1,2 However, these measures do not take into account vocal function from the perspective of the patient, as well as the level of handicap experienced as a result of the disorder. 2,3 This handicap refers to the inability to perform certain tasks and the resulting social, economic and environmental disadvantage that results from this impairment. 1 Nowadays, physicians have learned to manage patients in a more holistic approach, taking into consideration not just the biological and physiological aspects of the disease but the patient's emotional and functional well-being as well.…”

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confidence: 99%

Validation of the Filipino Voice Handicap Index-10 (FVHI-10)

Hernandez,

Atienza,

Madrid

et al. 2023

Philipp J Surg Spec

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Rationale/Objective: The Voice Handicap Index (VHI) is a self-assessment tool that evaluates the patient’s reaction and perception to a vocal disorder. This study aimed to establish, validate and assess the reliability of the Filipino translation of the Voice Handicap Index 10 (FVHI-10). Methods: The VHI-10 was translated and adapted to the Filipino language and culture with the help of the Sentro ng Wikang Filipino- University of the Philippines Manila. A self-assessment of voice quality and FVHI-10 were performed by the patients and their GRBAS scale scoring was rated by a speech language pathologist. The Spearman’s correlation between the FVHI-10 and the self-assessment and GRBAS scale scores was obtained to test for validity. To evaluate the reliability of the FVHI-10, testing through determining internal consistency was conducted through the use of Chronbach α coefficient, inter-item correlation, item-total correlation and Cronbach α coefficient if tool item was deleted. Results: Fifty-five individuals participated in the study (29 males, 26 females, age range: 30-55 years) with the diagnosis of voice disorder based on complaints of hoarseness or dysphonia and laryngoscopic f indings. Convergent validity was confirmed with moderate to strong correlation between the FVHI-10 and self-assessment (r=-.893, p<.05) and GRBAS scale scores (r=.427, p<.05). Reliability as measured through internal consistency was confirmed (Cronbach α=.874) (average ρ<.5) (corrected item-total correlation>0.3) (average inter item correlation=.15-.85). Conclusion: The FVHI-10 was determined to be a valid and reliable instrument that can be utilized in the assessment of Filipino patients with voice disorders. Key words: Dysphonia, voice disorder, reliability, validity, voice handicap index-10, quality of life, Philippines

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Subjective Voice Assessment after Endoscopic Surgery for an Obstructive Reinke Edema Using Voice Handicap Index

Cited by 2 publications

References 5 publications

Office‐Based Treatment of Vocal Fold Polyps and Reinke's Edema: A Rational Comparison With Suspension Laryngoscopy

Office‐Based Treatment of Vocal Fold Polyps and Reinke's Edema: A Rational Comparison With Suspension Laryngoscopy

Validation of the Filipino Voice Handicap Index-10 (FVHI-10)

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