Skip to main content
Log in

Voice handicap index and voice-related quality of life in small laryngeal carcinoma

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Laryngeal cancer can affect the patients’ voice. For assessment of the patients’ self-perception of their voice, several tools were introduced into clinical routine. The voice handicap index questionnaire (VHI) is regarded as the “gold standard”. However, in benign laryngeal pathologies and in functional dysphonia, the shorter voice-related quality of life questionnaire (V-RQOL) proved to be equivalent. This study examines the correlation of both questionnaires in patients who had been treated for small (T1 and T2) laryngeal cancer. It was performed during regular outclinic examinations. In total, 65 patients aged 62.1 ± 10.0 years completed the German versions of the VHI and V-RQOL. Their average VHI total score was 38.9 ± 26.0 points and the average V-RQOL score was 70.1 ± 24.4%. The total scores correlated with |ρ| = 0.92 and p < 0.01. Both questionnaires give quasi identical results, the shorter V-RQOL may be favoured for clinical application.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Robert Koch Institute (ed) and Association of Population-based Cancer Registries (ed) (2008) Cancer in Germany 2003–2004, incidences and trends, 6th edn. Berlin

  2. Singer S, Danker H, Bloching M, Kluge A, Schwenke J, Oeken J, Fuchs M, Schwarz R (2007) Perceived stigmatisation following laryngectomy. Psychother Psychosom Med Psychol 57:328–333

    Article  PubMed  Google Scholar 

  3. Nawka T, Wiesmann U, Gonnermann U (2003) Validation of the German version of the voice handicap index. HNO 51:921–929

    Article  CAS  PubMed  Google Scholar 

  4. Schuster M, Lohscheller J, Hoppe U, Kummer P, Eysholdt U, Rosanowski F (2004) Voice handicap of laryngectomees with tracheoesophageal speech. Folia Phoniatr Logop 56:62–67

    Article  PubMed  Google Scholar 

  5. Günther S, Rasch T, Klotz M, Hoppe U, Eysholdt U, Rosanowski F (2005) Determination of subjective impairment in dysphonia. A methodological comparison. HNO 53:895–900, 902–904

    Google Scholar 

  6. Schwanfelder C, Eysholdt U, Rosanowski F, Graessel E (2008) Stimmbezogene Lebensqualität: Struktur, Gültigkeit und Bedingungsfaktoren des deutschen Fragebogens. Folia Phoniatr Logop 60:241–248

    Article  PubMed  Google Scholar 

  7. Grässel E, Hoppe U, Rosanowski F (2009) Grading of the voice-related quality of life index. HNO 57:896–901

    Article  PubMed  Google Scholar 

  8. Benninger MS, Gardner GM, Jacobson BH (2005) New dimensions in measuring voice treatment outcome and quality of life. In: Sataloff RT (ed) Professional voice. The science and art of clinical care, 3rd edn. Plural Publishing, Oxford, pp 471–477

    Google Scholar 

  9. Nawka T, Verdonck-de Leeuw IM, De Bodt M, Guimaraes I, Holmberg EB, Rosen CA, Schindler A, Woisard V, Whurr R, Konerding U (2009) Item reduction of the voice handicap index based on the original version and on European translations. Folia Phoniatr Logop 61:37–48

    Article  CAS  PubMed  Google Scholar 

  10. Hogikyan ND, Sethuraman G (1999) Validation of an instrument to measure voice-related quality of life (V-RQOL). J Voice 13:557–569

    Article  CAS  PubMed  Google Scholar 

  11. Deary IJ, Wilson JA, Carding PN, MacKenzie K (2003) The dysphonic voice heard by me, you and it: differential associations with personality and psychological distress. Clin Otolaryngol 28:374–378

    Article  CAS  PubMed  Google Scholar 

  12. Bankier B, Littman AB (2002) Psychiatric disorders and coronary heart disease in women—a still neglected topic: review of the literature from 1971 to 2000. Psychother Psychosom 71:133–140

    Article  PubMed  Google Scholar 

  13. Benninger MS, Ahuja AS, Gardner G, Grywalski C (1998) Assessing outcomes for dysphonic patients. J Voice 12:540–550

    Article  CAS  PubMed  Google Scholar 

  14. Billante CR, Spector B, Hudson M, Burkard K, Netterville JL (2001) Voice outcome following thyroplasty in patients with cancer-related vocal fold paralysis. Auris Nasus Larynx 28:315–321

    Article  CAS  PubMed  Google Scholar 

  15. Rosen CA, Murry T, Zinn A, Zullo T, Sonbolian M (2000) Voice handicap index change following treatment of voice disorders. J Voice 14:619–623

    Article  CAS  PubMed  Google Scholar 

  16. Steffen A (2009) Messung der subjektiven Betroffenheit durch die tracheo-ösophageale Ersatzstimme – Ein Methodenvergleich. Dissertation, University of Erlangen-Nuremberg, Erlangen, Germany

  17. Jacobson BH, Johnson A, Grywalski C, Silbergleit A, Jacobson G, Benninger MS, Newman CW (1997) The voice handicap index (VHI): development and validation. Am J Speech Lang Pathol 6:66–70

    Google Scholar 

  18. Rosanowski F, Grässel E, Hoppe U, Köllner V (2009) Quality of life in dysphonia. HNO 57:866–872

    Article  CAS  PubMed  Google Scholar 

  19. Machulla R, Hacki T, Hoppe U, Rosanowski F, Eysholdt U (2002) Voice Handicap Index (VHI): Outcome-Parameter der stationären Stimmrehabilitation. In: Gross M, Kruse E (eds) Aktuelle phoniatrisch-pädaudiologische Aspekte 2002/2003. Median, Heidelberg

  20. Spector BC, Netterville JL, Billante C, Clary J, Reinisch L, Smith TL (2001) Quality-of-life assessment in patients with unilateral vocal cord paralysis. Otolaryngol Head Neck Surg 125:176–182

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This work was partially funded by the German Cancer Aid (Deutsche Krebshilfe) under Grant 107873.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to T. Haderlein.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kasper, C., Schuster, M., Psychogios, G. et al. Voice handicap index and voice-related quality of life in small laryngeal carcinoma. Eur Arch Otorhinolaryngol 268, 401–404 (2011). https://doi.org/10.1007/s00405-010-1374-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-010-1374-0

Keywords

Navigation