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KMID : 1004320150260010034
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Journal of the Korean Society of Logopedics and Phoniatrics
2015 Volume.26 No. 1 p.34 ~ p.39
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Change of Voice Handicap Index After Laryngeal Microsurgery for Benign Vocal Fold Lesions
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Kim Ji-Hee
Choi Hyo-Geun
Park Bum-Jung
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Abstract
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Background and Objectives:The Voice Handicap Index (VHI) evaluates the patients perception of impact of voice disorder in term of functional, physical, emotional factors. The purpose of this study was to evaluate the change of patient’s subjective voice handicap index before and after laryngeal microsurgery for benign vocal cord lesions.
Materials and Methods:We analyzed 55 patients who received laryngeal microsurgery for benign vocal cord disease from January 2011 to February 2013 retrospectively. There were 50 vocal nodules, 3 vocal polyps, 2 vocal cysts. VHI were analyzed before surgery and 3 months after surgery.
Results:The VHI scores showed statistically significant reductions postoperatively in functional and emotional VHI (p=0.01 and p=0.034). Also, Emotional VHI score after microsurgery was higher in female than male [adjusted odd ratio (AOR)=0.292 ; 95% confidence interval, CI=0.098-0.869, p=0.01].
Conclusion:In other words, males experience significant more emotional effects that are improved after microscopic surgery.
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KEYWORD
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Voice Handicap Index (VHI), Laryngeal microsurgery, Benign vocal fold lesions
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