Stuut, M. (Marijn) (2012) Voice Handicap Index bij benigne laryngeale afwijkingen. thesis, Medicine.
Full text available on request.Abstract
Voice Handicap Index of benign laryngeal disorders Introduction: The chance of developing a voice problem during life is about 30%. Vocal problems can have major impact on quality of life and often occur in different domains. The Voice Handicap Index (VHI) is a voice-related quality of life instrument to measure the psychosocial impact of voice problems in the physical, emotional and functional domains. The objective of this study was to analyze the change of VHI after treatment in seven common benign laryngeal disorders at the University Medical Center Groningen (UMCG). In addition, correlation between the three domains is calculated as well as the predictive diagnostic value of the VHI before treatment. Methods: Patients with voice problems referred to the special voice outpatient clinic of the UMCG underwent a multidimensional voice examination. Treatments used are phonosurgery, speech therapy, medical therapy and in some cases wait-and-see. VHI forms were completed before and three months after treatment. Data were analyzed by the t-test, Wilcoxon signed-rank test, multinomial logistic regression and Pearson correlation. Differences in gender were tested by the Mann-Whitney U test. A p-value <0.05 was considered to be significant. From November 2006 until January 2012 143 patients were retrospectively included in this cohort study. Results: Women presented with voice problems at younger age (37.0 years, SD 15.8 vs. 46.1 years, SD 16.5, p=0.001). After treatment VHI improved for six diagnoses (cyst (p=0.001), polyp (p<0.000), unilateral vocal cord paralysis (p=0.001), Reinke edema (p=0.010), 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). There was no correlation between the total VHI and different diagnoses. The three domains were not independent.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Dikkers, dr. F.G. and Afdeling: Keel-, Neus- en Oorheelkunde and Universitair Medisch Centrum Groningen |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:06 |
| Last Modified: | 25 Jun 2020 11:06 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2564 |
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