Very long-term Voice Handicap Index Voice Outcomes after Montgomery Thyroplasty: A cross-sectional study
| Autor: | S. Van Der Vorst, J.T. van Lith-Bijl, P. P. G. van Benthem, Gauthier Desuter, Séverine Henrard, E Zapater, Elisabeth V. Sjögren |
|---|---|
| Přispěvatelé: | UCL - SSS/IONS - Institute of NeuroScience, UCL - SSS/IONS/NEUR - Clinical Neuroscience, UCL - SSS/IREC/MONT - Pôle Mont Godinne, UCL - SSS/IRSS - Institut de recherche santé et société, UCL - (SLuc) Service d'oto-rhino-laryngologie, UCL - (MGD) Service d'oto-rhino-laryngologie |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Cross-sectional study medicine.medical_treatment VHI Prosthesis 03 medical and health sciences 0302 clinical medicine Thyroplasty dysphonia Voice outcomes Medicine Voice Handicap Index 030223 otorhinolaryngology Montgomery thyroplasty Age differences business.industry Significant difference voice Vocal fold paralysis outcomes quality of life Otorhinolaryngology 030220 oncology & carcinogenesis Physical therapy phoniatrics Voice handicap business Voice handicap index medical education |
| Zdroj: | Clinical Otolaryngology, Vol. 43, no. 4, p. 1097-1103 (2018) Clinical Otolaryngology, 43(4), 1097-1103. WILEY |
| Popis: | OBJECTIVE: The aim of this multicentric cross-sectional study was to examine the permanency of Montgomery thyroplasty (MTIS) results from a patient's perspective. DESIGN: The study consisted of collecting Voice Handicap Index (VHI-30) questionnaires from patients who had previously been operated with MTIS between 2 and 12 years before. Very long-term (>2 years) postoperative data were compared with the previously acquired preoperative and early postoperative VHI results. Influence of factors such as age, gender, size/side of the prosthesis and length of the follow-up were also analysed. SETTING: Multicentric study involving three tertiary European voice centres. PARTICIPANTS: Forty-nine unilateral vocal fold paralysis (UVFP) patients, treated by MTIS, were included in the study. MAIN OUTCOME MEASURES: The Voice Handicap Index-30 score. RESULTS & CONCLUSIONS: The median VHI was significantly different over time-points (Friedman's test P < .001), with a significant difference between preoperative and early postoperative time-points (median VHI: 70 vs 21, respectively; P < .001) and between preoperative and very long-term postoperative time-points (median VHI: 70 vs 16, respectively; P < .001). The median VHI did not differ for the early and very long-term postoperative time-points (median VHI: 21 vs 16; P = .470). Age differences, gender differences and size/side differences of the prostheses, centres where surgery took place and length of the follow-up showed no significant influence. Medialisation thyroplasty (MT) overall and MTIS, in particular, should be considered as a possible standard of care for UVFP when permanency of voice results is sought. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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