Skip to main content
Log in

Outcome analysis of benign vocal cord lesions by videostroboscopy, acoustic analysis and voice handicap index

  • Main Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Benign vocal cord lesions affect vibratory vocal fold function resulting in significant dysphonia. A prospective study of 30 patients with benign vocal fold lesions was undertaken at our centre to compare the pre and post operative voice using videostroboscopy, voice analysis and voice handicap index. The vibratory pattern of the cord improved as evidenced by the stroboscopic parameters-symmetry, mucosal wave and glottic closure (p<0.05). Voice analysis showed a trend towards normalcy but the values obtained did not attain statistical significance. Voice handicap index showed a reduction in the total and the subscales scores. Videostroboscopy along with acoustic analysis and voice handicap index are useful tools in the objective and subjective assessment of the effectiveness of treatment in patients with benign vocal cord lesions. Their routine use in a voice clinic is recommended.

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.

Similar content being viewed by others

References

  1. Rosen CA. (2005) Stroboscopy as a research instrument: development of a perceptual evaluation tool. Laryngoscope 115:423–428

    Article  PubMed  Google Scholar 

  2. Colton RH, Woo P, Brewer DW, Griffin B, Casper J. (1995) Stroboscopic signs associated with benign lesions of the vocal folds. J Voice 9:312–325

    Article  PubMed  CAS  Google Scholar 

  3. Bless DM, Swift E. (1996) Stroboscopy: new diagnostic techniques and applied Physiology. In: Fried MP, ed. The Larynx a multidisciplinary approach. 2nd ed. St. Louis. Mosby-Year Book, Inc; p. 81–100

    Google Scholar 

  4. Korovin GS, Rubin JS. (2003) Introduction to the laboratory diagnosis of vocal disorders. In: Rubin JS, Sataloff RT, Korovin GS, eds. Diagnosis and treatment of voice disorders. 2nd ed. Australia. Thomson Delmar Learning; p 183–189

    Google Scholar 

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

    Google Scholar 

  6. Wilson JA, Webb A, Carding PN, Steen IN, Mackenzie K, Deary IJ (2004) Voice symptom scale and the voice handicap index (VHI): a comparison of structure and content. Clin Otolaryngol 29:169–174

    Article  PubMed  CAS  Google Scholar 

  7. Deary IJ, Webb A, MacKenzie K, Wilson JA, Carding PN. (2004) Short, self-report voice symptom scales: psychometric characteristics of the voice handicap index-10 and the vocal performance questionnaire. Otolaryngol Head Neck Surg 31: 232–235

    Article  Google Scholar 

  8. Loughran S, Calder N, MacGregor FB, Carding P, MacKenzie K. (2005) Quality of life and voice following endoscopic resection or radiotherapy for early glottic cancer. Clin Otolaryngol 30:42–47

    Article  PubMed  CAS  Google Scholar 

  9. Colton RH, Casper FK. (1996) In: Understanding voice problems: a physiological perspective for diagnosis and treatment. 2nd ed. Baltimore. Williams and Wilkins; p. 186–241

    Google Scholar 

  10. Koufmann JA and Issacson G. (1991) The spectrum of voice dysfunction. Otolaryngol Clin North Am 24:985–988

    Google Scholar 

  11. Woo P, Casper J, Colton R, Brewer D. (1994) Aerodynamic and stroboscopic findings before and after microlaryngeal phonosurgery. J Voice 6:66–70

    Google Scholar 

  12. Noordzij Jp, Woo P. (2000) Glottal area waveform analysis of benign vocal fold lesions before and after surgery. Ann Otol Rhinol Laryngol 109: 441–446

    PubMed  CAS  Google Scholar 

  13. Koufman JA. (2003) Evaluation of laryngeal biomechanics by fibreoptic laryngoscopy. In: Rubin JS, Sataloff RT, Korovin GS, eds. Diagnosis and treatment of voice disorders. 2nd ed. Australia. Thomson Delmar Learning; 171–189

    Google Scholar 

  14. Woo P. (2003) Diagnosis and management of postoperative dysphonia. In: Rubin JS, Sataloff RT, Korovin GS, eds. Diagnosis and treatment of voice disorders. 2nd ed. Australia. Thomson Delmar Learning; p. 701–716

    Google Scholar 

  15. Lim J, Choi J, Kim K, Choi H. (2000) Voice analysis of patients with diverse types of Reinke’s edema and clinical use of electroglottographic measurements. Acta Otolaryngologica 126:62–69

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to V. Rupa.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Thomas, G., Mathews, S.S., Chrysolyte, S.B. et al. Outcome analysis of benign vocal cord lesions by videostroboscopy, acoustic analysis and voice handicap index. Indian J Otolaryngol Head Neck S 59, 336–340 (2007). https://doi.org/10.1007/s12070-007-0096-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-007-0096-0

Keywords

Navigation