Voice outcomes and its impact on quality of life after open airway surgery in children

Maunsell, Rebecca; Resende, Rafaela Lombas de; Morioka, Amanda; Pazinatto, Debora; Constantini, Ana Carolina

doi:10.1016/j.ijporl.2021.110980

Cited by 2 publications

(4 citation statements)

References 15 publications

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“…Most articles were published in the last 8 years and the first was in 2009. Of the 12 articles, only 3 involved subjects that did not have English as their native language 2,6,7 . The methodological and demographic characteristics of the studies included in this review are described in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the pediatric population, perceptual assessment reported by the family is extremely important to assess the ability to communicate. There is not always a direct correlation between family perception and quality of life 7 : a child and/or family with good communication skills can overcome the limitations of severe dysphonia and present fewer vocal complaints, for example. 11 Many of the questionnaires applied are subjective and dependent on the examiner’s experience.…”

Section: Discussionmentioning

confidence: 99%

“…Bergeron (2018) 3 3 Bliss (2014) 14 3 3 Cohen (2018) 15 3 Cohen (2019) 10 3 de Alarcon (2009) 5 3 Dohar (2013) 1 3 Geneid (2011) 2 3 3 3 Kelchner (2010) 8 Maunsell (2022) 7 3 Pullens (2017) 6 3 Tirado (2011) 11 3 3 3 Zacharias (2015) 12 3…”

Section: Discussionmentioning

confidence: 99%

“…Voice quality of life questionnaires are mostly adaptations from those applied to adult populations. Questionnaires validated for pediatric use are currently pVOS, HUI3, VAS, pVRQoL, pVHI, and 14 3 3 Cohen (2018) 15 3 3 3 3 3 Cohen (2019) 10 3 3 de Alarcon (2009) 5 3 Dohar (2013) 1 3 3 3 3 Geneid (2011) 2 Kelchner (2010) 8 3 3 3 3 Maunsell (2022) 7 3 3 3 3 3 Pullens (2017) 6 3 3 3 3 3 3 Tirado (2011) 11 3 3 3 3 3 3 Zacharias (2015) 12 3…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Voice After Open Airway Surgery in Children: A Systematic Review

et al. 2022

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Objective This review aims to describe the methods used to assess the vocal quality and quality of life of children after airway reconstruction and their limitations. Data Sources A systematic review was carried out in 10 databases for articles published between 2000 and 2021 following the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-analyses). Review Methods Articles were included that described perceptual voice assessment with or without acoustic measures and/or voice quality impact questionnaires. Articles with no description of a specific voice assessment were excluded. Results A total of 12 studies were included, yielding 263 patients. The mean age at evaluation was 9 years. Follow-up varied from 5 months to 20 years with most patients being evaluated at least a year after surgery. Methods used to evaluate voice were perceptual, aerodynamic, and acoustic analysis and quality of life questionnaires. CAPE-V (Consensus Auditory Perceptual Evaluation–Voice) was the most used auditory-perceptual instrument (72.7%). Of the acoustic parameters, fundamental frequency and maximum phonation time were the most described (58.3%), and among the quality of life assessment questionnaires, pVHI (Pediatric Voice Handicap Index) was the most used (54.5%). Conclusion Multidimensional evaluations tailored to the individual child can be recommended after open airway surgery. CAPE-V scale, fundamental frequency, maximum phonation time, and pVHI are the most frequently used methods; therefore, their use may help broaden communication among authors. In the multitude of methods available, cognitive ability and degree of voice disturbance should be considered since they are the most important limiting factors in this population.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Evaluation of Voice After Open Airway Surgery in Children: A Systematic Review

et al. 2022

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Characterizing Dysphonia After Pediatric Open Airway Reconstruction: Systematic Review and Meta-Analysis

Dahan,

Pincivy,

Nhan

et al. 2024

Journal of Otolaryngology - Head & Neck Surgery

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Background Pediatric laryngotracheal stenosis often requires open airway reconstruction. While these surgeries establish an airway for adequate ventilation, many patients develop subsequent dysphonia. Numerous studies have reported outcomes related to voice. Objective This study aims to evaluate dysphonia in pediatric patients following open airway reconstruction, focusing on acoustic parameters, perceptual voice quality, and voice-related quality of life. Methods A comprehensive search using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines across 6 databases identified articles involving pediatric patients who underwent open airway reconstruction and reported postoperative vocal acoustic parameters, perceptual voice quality, voice-related quality of life, or vocal mechanics. Articles were assessed for bias risk, and common outcomes were synthesized qualitatively and quantitatively using meta-analyses. Results Among 4089 articles, 21 were included, involving 497 pediatric patients. Laryngotracheoplasty was the most common procedure followed by cricotracheal resection. The Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) scale was frequently used to assess voice quality, with a mean score of 55.6 [95% confidence intervals (CIs): 47.9-63.3]. Voice-related quality of life was measured using the pediatric Voice Handicap Index (pVHI) and Pediatric Voice-Related Quality of Life Survey, with mean scores of 35.6 (95% CI: 21.4-49.7) and 83.7 (95% CI: 74.1-93.2), respectively. The fundamental frequency was 210.5 (95% CI: 174.6-246.3). Other common findings included supraglottic phonation, anterior commissure blunting, posterior glottic diastasis, and abnormal vocal cord mobility. Conclusion Pediatric patients experiencing dysphonia after open airway reconstruction exhibited moderately decreased voice quality and reduced voice-related quality of life. However, there was inconsistency in study protocols and outcome measures used. Preserving voice quality during airway reconstruction is crucial to avoid negative impacts on quality of life.

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Voice outcomes and its impact on quality of life after open airway surgery in children

Cited by 2 publications

References 15 publications

Evaluation of Voice After Open Airway Surgery in Children: A Systematic Review

Evaluation of Voice After Open Airway Surgery in Children: A Systematic Review

Characterizing Dysphonia After Pediatric Open Airway Reconstruction: Systematic Review and Meta-Analysis

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