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J Korean Soc Laryngol Phoniatr Logop > Volume 26(1); 2015 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2015;26(1): 34-39.
양성 후두 질환 환자의 후두미세 수술 전후 음성 장애 지수의 변화
김지희, 최효근, 박범정
한림대학교 의과대학 이비인후과-두경부외과학교실
Change of Voice Handicap Index After Laryngeal Microsurgery for Benign Vocal Fold Lesions
Ji Hee Kim, Hyo Geun Choi, Bumjung Park
Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University Sacred Heart Hospital
ABSTRACT
Background and Objectives:
The Voice Handicap Index (VHI) evaluates the patients perception of impact of voice disorder in term of functional, physical, emotional factors. The purpose of this study was to evaluate the change of patient's subjective voice handicap index before and after laryngeal microsurgery for benign vocal cord lesions. Materials and
Method:
We analyzed 55 patients who received laryngeal microsurgery for benign vocal cord disease from January 2011 to February 2013 retrospectively. There were 50 vocal nodules, 3 vocal polyps, 2 vocal cysts. VHI were analyzed before surgery and 3 months after surgery.
Results:
The VHI scores showed statistically significant reductions postoperatively in functional and emotional VHI (p=0.01 and p=0.034). Also, Emotional VHI score after microsurgery was higher in female than male [adjusted odd ratio (AOR)=0.292 ; 95% confidence interval, CI=0.098-0.869, p=0.01].
Conclusion:
In other words, males experience significant more emotional effects that are improved after microscopic surgery.
KEY WORDS: Voice Handicap Index (VHI);Laryngeal microsurgery;Benign vocal fold lesions;
중심 단어: 성장애지수;후두미세수술;양성후두질환;
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