Assessment of Postoperative Patients Satisfaction after Various Microlaryngeal Surgeries for Benign Vocal Fold Lesions using the Voice Handicap Index (VHI).

Abstract

Speech is one of the unique qualities that set human apart from all other living organisms. Benign vocal fold lesions are commonly encountered causes of Hoarseness of voice which are often either surgically correctable or managed by voice therapy. One of the most widely used dysphonia –specific quality of life questionnaire is the Voice Handicap Index (VHI). It is a useful tool to help gain insight into the emotional, physical, and functional components of the voice problem as well as to measure therapeutic outcomes. The aim of this prospective interventional study was to evaluate 30 patients satisfaction after microlaryngeal surgeries (MLS) with cold knife for benign vocal fold lesions by analyzing total Arabic VHI scores and sub scale scores preoperatively as well as six weeks post operatively and comparing the results with videolaryngoscopic findings.

In conclusion, MLS with cold knife gives perfect results as regards patient satisfaction of his voice quality by himself by using the VHI . VHI correlates well with the commonly used objective voice assessment parameters. It should be included in the standard voice evaluation protocols in dysphonic patients for a comprehensive assessment. That VHI is a reliable tool and easily applicable one not just in assessing quality of life but also in assessing the surgical outcome.

Keywords: Benign vocal fold lesions, Hoarseness of voice, MLS, VHI.