Speech and Voice after Laryngectomy: Perceptual and Acoustical Analyses of Tracheoesophageal Speech Related to Voice Handicap Index

2011 ◽  
Vol 63 (2) ◽  
pp. 98-108 ◽  
Author(s):  
Elisabet Lundström ◽  
Britta Hammarberg
Keyword(s):  
Voice Handicap Index ◽  
Tracheoesophageal Speech

Comparison of Voice Handicap Index in Patients with Esophageal and Tracheoesophageal Speech after Total Laryngectomy

2019 ◽  
Vol 72 (5) ◽  
pp. 363-369 ◽  
Author(s):  
Danijela Dragičević ◽  
Rajko M. Jović ◽  
Vladimir Kljajić ◽  
Ljiljana Vlaški ◽  
Slobodan Savović
Keyword(s):  
Total Laryngectomy ◽  
Voice Handicap Index ◽  
Tracheoesophageal Speech

Der Singing Voice Handicap Index-12

HNO ◽  
2021 ◽  
Author(s):  
S. Gantner ◽  
P. Caffier ◽  
P. Hulin ◽  
M. Fuchs ◽  
P. Kummer ◽  
...  
Keyword(s):  
Voice Handicap Index ◽  
Singing Voice

Medialization Laryngoplasty in the Elderly: Outcomes and Expectations

2017 ◽  
Vol 157 (4) ◽  
pp. 664-669 ◽  
Author(s):  
Andrew Jay Bowen ◽  
Tiffany L. Huang ◽  
Michael S. Benninger ◽  
Paul C. Bryson
Keyword(s):  
Elderly Patients ◽  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Tertiary Care ◽  
Anticoagulation Therapy ◽  
Voice Handicap Index ◽  
Care Hospital ◽  
Disease Etiology ◽  
Chi Square Analysis ◽  
Medialization Laryngoplasty

Objective To describe the profile and outcomes of elderly patients undergoing medialization laryngoplasty for vocal cord paralysis. Study Design Case series with retrospective review. Setting Tertiary care hospital. Subjects and Methods Patients were included in the study if they were >65 years old at the time of medialization laryngoplasty between 2008 and 2015. Patient comorbidities, anticoagulation status, disease etiology, and physical examination findings were recorded with postoperative length of stay, complications, pre- and posttreatment voice outcomes with the Voice Handicap Index (at 6 weeks, 4 months, 8 months, and 1 year), and postprocedural interventions (revision injections, surgery, therapy). Results A total of 112 patients met the eligibility criteria. Iatrogenic injury to the recurrent laryngeal nerve (50%) was the most common etiology, followed by idiopathic (31%) causes. Sixty percent of patients were receiving long-term antiplatelet and/or anticoagulation therapy. All but 14 patients on aspirin therapy stopped their antiplatelet/anticoagulation therapy prior to surgery. Most patients were discharged on the day of surgery. Postprocedure Voice Handicap Index scores significantly improved ( P < .001) by 47%, 53%, 64%, and 57% at each of the 4 measured postprocedure dates, respectively. Two patients had major nonsurgical complications postoperatively requiring inpatient hospitalization. Chi-square analysis revealed no differences between intraoperative aspirin use, sex, or comorbidities and the incidence of complications ( P > .05). Conclusion The clinical profile and outcomes of our patients undergoing medialization laryngoplasty are comparable to those seen in younger cohorts. Medialization laryngoplasty is a safe and successful option for elderly patients with vocal cord paralysis and vocal handicap.

scholarly journals A Randomized Controlled Trial of Two Semi-Occluded Vocal Tract Voice Therapy Protocols

2015 ◽  
Vol 58 (3) ◽  
pp. 535-549 ◽  
Author(s):  
Mara R. Kapsner-Smith ◽  
Eric J. Hunter ◽  
Kimberly Kirkham ◽  
Karin Cox ◽  
Ingo R. Titze
Keyword(s):  
Quality Of Life ◽  
Vocal Tract ◽  
Controlled Trial ◽  
Voice Quality ◽  
Voice Handicap Index ◽  
Voice Therapy ◽  
Control Group ◽  
Perceptual Evaluation ◽  
Therapy Program

PurposeAlthough there is a long history of use of semi-occluded vocal tract gestures in voice therapy, including phonation through thin tubes or straws, the efficacy of phonation through tubes has not been established. This study compares results from a therapy program on the basis of phonation through a flow-resistant tube (FRT) with Vocal Function Exercises (VFE), an established set of exercises that utilize oral semi-occlusions.MethodTwenty subjects (16 women, 4 men) with dysphonia and/or vocal fatigue were randomly assigned to 1 of 4 treatment conditions: (a) immediate FRT therapy, (b) immediate VFE therapy, (c) delayed FRT therapy, or (d) delayed VFE therapy. Subjects receiving delayed therapy served as a no-treatment control group.ResultsVoice Handicap Index (Jacobson et al., 1997) scores showed significant improvement for both treatment groups relative to the no-treatment group. Comparison of the effect sizes suggests FRT therapy is noninferior to VFE in terms of reduction in Voice Handicap Index scores. Significant reductions in Roughness on the Consensus Auditory-Perceptual Evaluation of Voice (Kempster, Gerratt, Verdolini Abbott, Barkmeier-Kraemer, & Hillman, 2009) were found for the FRT subjects, with no other significant voice quality findings.ConclusionsVFE and FRT therapy may improve voice quality of life in some individuals with dysphonia. FRT therapy was noninferior to VFE in improving voice quality of life in this study.

scholarly journals Detection of benign proliferative lesions on vocal cords with voice handicap index

2012 ◽  
Vol 4 (4) ◽  
pp. 733-735 ◽  
Author(s):  
XUEKUN HUANG ◽  
GEHUA ZHANG ◽  
XIUJIN LIU ◽  
TAO WANG ◽  
LING ZHU
Keyword(s):  
Voice Handicap Index ◽  
Vocal Cords
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