Issue N# 5 - 2004
PHONIATRICS
Quality of life before and after thyroplasty for vocal fold paralysis.
Authors : S. Borel, L. Crevier-Buchman, C. Tessier, S. Hans, O. Laccourreye, D. Brasnu (Paris)
Ref. : Rev Laryngol Otol Rhinol. 2004;125,5:287-290.
Article published in french 
Downloadable PDF document french
Summary :
Objectifs: The aim of our prospective study was to evaluate the vocal handicap in relation with the quality of life in patients with unilateral vocal fold paralysis (UVFP), before and after thyroplasty with Montgomery implant (type I). Methods: Ten patients had to file the VHI questioner before and three months after thyroplasty. The 30 items of the Voice Handicap Index scale are sub-divided in 3 categories referring to “Functional”, “Physical” and “Emotional” dimensions. Results: Before thyroplasty, the global score and the 3 sub-scales rating are high reflecting severe impairment in speech communication (VHI total = 65,9/120, F = 25.7/40, E = 19.9/40, P = 20.8/40). Three months after thyroplasty, a significant improvement is found predominantly in the field of functional and emotional evaluation, corresponding to an improved quality of social life (VHI total = 20,9/120, F = 6.3/40, E = 3.6/40, P = 10.6/40). Conclusion: These results show the interest in using the autoevaluation VHI scale as a complementary evaluation associated to perceptual, acoustic and aerodynamic evaluation to objectify the functional improvement in voice quality after thyroplasty.
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