Department of OtoRhinoLaryngology, Bernhoven Hospital, Veghel, The Netherlands.
J Voice. 2012 Jul;26(4):466-70. doi: 10.1016/j.jvoice.2011.04.005. Epub 2011 Aug 11.
Voice disorders have a multifactorial genesis and may be present in various ways. They can cause a significant communication handicap and impaired quality of life.
To assess the effect of vocal fold lesions and voice quality on voice handicap and psychosomatic well-being.
Female patients, aged 18-65 years, who were referred to the outpatient clinic with voice problems were subsequently assessed. Laryngostroboscopic examination and acoustic voice analysis were carried out, and the patients were asked to fill in the Voice Handicap Index (VHI) and Symptom Check List-90 questionnaires.
Eighty-two patients were included. In 43 patients (52.4%), a vocal fold lesion was observed. The VHI and psychosomatic well-being did not differ significantly between patients with and without a vocal fold lesion. The patients with a vocal fold lesion showed lower scores on the Dysphonia Severity Index (DSI) compared with those without a vocal fold lesion. However, the DSI was not correlated with voice handicap and psychosomatic well-being, except for the VHI physical subscale.
Objective measurement does not necessarily correlate with the subjective appraisal of the patient's voice handicap and psychosomatic well-being. Furthermore, the criterion of the presence of a vocal fold lesion as the base of indemnity that is applied by health insurance institutions should be questioned.
嗓音障碍具有多因素的发病机制，可能以多种方式出现。它们可能导致严重的沟通障碍和生活质量受损。
评估声带病变和嗓音质量对嗓音障碍和身心幸福感的影响。
将 18-65 岁因嗓音问题就诊的女性患者纳入研究。进行频闪喉镜检查和声学嗓音分析，并要求患者填写嗓音障碍指数（VHI）和症状清单 90 问卷。
共纳入 82 例患者。在 43 例（52.4%）患者中观察到声带病变。声带病变患者的 VHI 和身心幸福感与无声带病变患者之间无显著差异。与无声带病变患者相比，声带病变患者的嗓音障碍严重指数（DSI）得分较低。然而，DSI 与嗓音障碍和身心幸福感之间没有相关性，除了 VHI 生理子量表。
客观测量不一定与患者嗓音障碍和身心幸福感的主观评估相关。此外，健康保险机构应用的声带病变存在作为赔偿依据的标准值得质疑。
