Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life

To date, little is known about the long-term predictors of quality of life (QoL) in unilateral vocal fold paralysis (UVFP). The main objective of this study was to evaluate the predictors of long-term QoL in UVFP patients submitted to voice therapy (VT) exclusively. Data from patients diagnosed with...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-01, Vol.15 (1), p.e34078-e34078
Main Authors: Sousa, Francisco, Santos, Mariline, Azevedo, Sara, Pinto, Ana, Vaz Freitas, Susana, Coutinho, Miguel, Almeida E Sousa, Cecília, Moreira da Silva, Álvaro
Format: Article
Language:English
Subjects:
Dysphagia
Dyspnea
Etiology
Iatrogenesis
Laryngoscopy
Otolaryngology
Patients
Quality of life
Questionnaires
Statistical analysis
Swallowing
Thyroidectomy
Values
Variables
Variance analysis
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Summary:To date, little is known about the long-term predictors of quality of life (QoL) in unilateral vocal fold paralysis (UVFP). The main objective of this study was to evaluate the predictors of long-term QoL in UVFP patients submitted to voice therapy (VT) exclusively. Data from patients diagnosed with UVFP who followed a VT program between 2013 and 2019 were reviewed. Video laryngoscopy (VL) records were obtained at the beginning and at the end of VT. To assess QoL, Voice Handicap Index 30 (VHI-30) score was assessed in three temporal frames: before voice therapy (pre-VT), at the last VT session (post-VT), and in the present (cur-VHI). A longitudinal analysis was performed regarding the evolution of QoL and the factors influencing QoL through time were analyzed. Seventy-eight percent of patients had iatrogenic UVFP. The mean time of follow-up after VT was 3.942 years (range 6 months-7 years). There was a significant improvement in QoL through all time points (F (2,88)=72.179, p
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.34078