Quality-of-life assessment in patients with unilateral vocal cord paralysis

Brian C. Spector, James L. Netterville, Cheryl Billante, Janye Clary, Lou Reinisch, Timothy Smith

Research output: Contribution to journalArticle

111 Citations (Scopus)

Abstract

OBJECTIVE: Our objective was to identify the impact of unilateral vocal cord paralysis (UVCP) on an individual's quality of life both before and after thyroplasty. STUDY DESIGN AND SETTING: This was a prospective observational outcome study of consecutive patients presenting to a laryngology clinic with UVCR Participants received The Medical Outcomes Study Short Form 36-Item Health Survey (SF-36), the Voice Handicap Index (VHI), and the Voice Outcome Survey (VOS). Patients underwent medialization laryngoplasty with silastic, with or without arytenoid adduction. Outcome measures were repeated after surgery. RESULTS: A review of 45 patients at presentation revealed statistically significant reductions in quality of life as measured by each survey. Marked improvements were noted after surgery. CONCLUSIONS: Our preoperative data support a profile of significant general health-related and voice-related limitations caused by UVCP Patient perceptions improved significantly after the surgical treatment of glottal insufficiency. SIGNIFICANCE: The SF-36, VHI, and VOS provide an important complement to traditional endpoints in the analysis of patients with UVCP.

Original languageEnglish (US)
Pages (from-to)176-182
Number of pages7
JournalOtolaryngology - Head and Neck Surgery
Volume125
Issue number3
DOIs
StatePublished - Sep 2001
Externally publishedYes

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Vocal Cord Paralysis
Quality of Life
Laryngoplasty
Outcome Assessment (Health Care)
Otolaryngology
Health Surveys
Observational Studies
Health
Surveys and Questionnaires

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Quality-of-life assessment in patients with unilateral vocal cord paralysis. / Spector, Brian C.; Netterville, James L.; Billante, Cheryl; Clary, Janye; Reinisch, Lou; Smith, Timothy.

In: Otolaryngology - Head and Neck Surgery, Vol. 125, No. 3, 09.2001, p. 176-182.

Research output: Contribution to journalArticle

Spector, Brian C. ; Netterville, James L. ; Billante, Cheryl ; Clary, Janye ; Reinisch, Lou ; Smith, Timothy. / Quality-of-life assessment in patients with unilateral vocal cord paralysis. In: Otolaryngology - Head and Neck Surgery. 2001 ; Vol. 125, No. 3. pp. 176-182.
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