Relation between voice self-assessment and clinic evaluation data in dysphonic individuals/Relacao entre autoavaliacao vocal e dados da avaliacao clinica em individuos disfonicos

Purpose: to associate the rates of vocal self-assessment and clinic evaluation data from of dysphonic individuals. Methods: observational, descriptive and retrospective study. It were studied medical records of patients treated at a school-clinic of Speech Language Patology in the period from 2007 to 2011. Data were presented regarding the vocal self-assessment (voice related quality of life, vocal handicap index and assignment of note regarding the impact vocals), anamnesis (sex, age, occupation, type of abuse, duration of abuse, previous treatment for dysphonia), perceptual evaluation (vocal quality, degree of alteration, pitch, loudness, resonance, articulation and CPFA) and objective data (maximum fonation time and relation between consonants s/z). Data were statistically analyzed. Results: there was no difference in comparing the scores of voice related quality of life, vocal handicap index with variables related to gender, vocal quality, grade of dysphonia, pitch, resonance, articulation, rhythm of speech and type of dysphonia. Individuals with pneumophonoarticulatory incoordination, who use their voice professionally and who have made previous treatments for dysphonia were the worst rates in the vocal self-assessment. There were no correlations between rates of vocal self-assessment and other continuous variables (age, duration of abuse, maximum phonation time and relation s / z). Conclusion: the vocal self-assessment is a very subjective impression, and is independent of most of data collected in the clinical evaluation. Being professional voice, already have had other previous treatments for dysphonia, and incoordination pneumophonoarticulatory seem to influence negatively on the individual's self-assessment about the impact of dysphonia in his/her daily life. KEYWORDS: Voice; Voice Disorders; Dysphonia; Quality Of Life Objetivo: associar os indices de autoavaliacao vocal aos dados da avaliacao clinica de individuos disfonicos. Metodos: estudo observacional, analitico, retrospectivo. Foram analisados os prontuarios de pacientes disfonicos atendidos em uma Clinica-Escola de Fonoaudiologia no periodo de 2007 a 2011. Foram levantados os dados referentes a autoavaliacao vocal (indices de qualidade de vida em voz, desvantagem vocal e atribuicao de nota referente ao impacto vocal), a anamnese (sexo, idade, profissao, tipo de queixa, tempo de queixa, tratamentos anteriores para a disfonia), a avaliacao perceptivo-auditiva (qualidade vocal, grau de altera