The effect of Isshiki type 1 thyroplasty on quality of life and vocal performance
Type 1 thyroplasty for unilateral vocal cord palsy improves many vocal outcome measures but there is little information on quality of life despite its increasingly recognized importance. Our prospective study examined its effect on a range of subjective and objective measures and quality of life. Tw...
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| Veröffentlicht in: | Clinical otolaryngology 2000-10, Vol.25 (5), p.418-422 |
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| creator | Hajioff, D. Rattenbury, H. Carrie, S. Carding, P. Wilson, J. |
| description | Type 1 thyroplasty for unilateral vocal cord palsy improves many vocal outcome measures but there is little information on quality of life despite its increasingly recognized importance. Our prospective study examined its effect on a range of subjective and objective measures and quality of life. Twenty‐seven patients underwent thyroplasty. Before and after surgery they completed a vocal performance questionnaire and the Nottingham Health Profile (NHP); instrumental analyses of jitter, shimmer and noise‐harmonic ratio (NHR); and perceptual analyses of grade, roughness, breathiness, aesthenia and strain (GRBAS) were also performed. Significant improvements were found in instrumental, perceptual and self‐assessment of voice and the energy, social and emotional dimensions of the NHP. Three patients had initially poor results but were successfully revised. These results of type 1 thyroplasty compare favourably with those previously published. The improvement in quality of life appears to result directly from improved voice. Many thyroplasty patients have limited life expectancy: early surgical intervention should be considered. |
| doi_str_mv | 10.1046/j.1365-2273.2000.00395.x |
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Our prospective study examined its effect on a range of subjective and objective measures and quality of life. Twenty‐seven patients underwent thyroplasty. Before and after surgery they completed a vocal performance questionnaire and the Nottingham Health Profile (NHP); instrumental analyses of jitter, shimmer and noise‐harmonic ratio (NHR); and perceptual analyses of grade, roughness, breathiness, aesthenia and strain (GRBAS) were also performed. Significant improvements were found in instrumental, perceptual and self‐assessment of voice and the energy, social and emotional dimensions of the NHP. Three patients had initially poor results but were successfully revised. These results of type 1 thyroplasty compare favourably with those previously published. The improvement in quality of life appears to result directly from improved voice. 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Our prospective study examined its effect on a range of subjective and objective measures and quality of life. Twenty‐seven patients underwent thyroplasty. Before and after surgery they completed a vocal performance questionnaire and the Nottingham Health Profile (NHP); instrumental analyses of jitter, shimmer and noise‐harmonic ratio (NHR); and perceptual analyses of grade, roughness, breathiness, aesthenia and strain (GRBAS) were also performed. Significant improvements were found in instrumental, perceptual and self‐assessment of voice and the energy, social and emotional dimensions of the NHP. Three patients had initially poor results but were successfully revised. These results of type 1 thyroplasty compare favourably with those previously published. The improvement in quality of life appears to result directly from improved voice. Many thyroplasty patients have limited life expectancy: early surgical intervention should be considered.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Female</subject><subject>Humans</subject><subject>Isshiki type 1 thyroplasty</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><subject>Prospective Studies</subject><subject>Prosthesis Implantation</subject><subject>Quality of Life</subject><subject>Surveys and Questionnaires</subject><subject>Thyroid Cartilage - surgery</subject><subject>Vocal Cord Paralysis - etiology</subject><subject>Vocal Cord Paralysis - surgery</subject><subject>voice analysis</subject><subject>Voice Quality</subject><issn>0307-7772</issn><issn>1749-4478</issn><issn>1365-2273</issn><issn>1749-4486</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM1u1DAURi0EosPAKyCLBbsE_8axxKYaQVtU0SIVFbGxPMm1JtNMnNpJO3l7HGZUJFbd2Ffy-T5dH4QwJTklovi0zSkvZMaY4jkjhOSEcC3z_Qu0eHp4iRaEE5UppdgJehPjNoGCKvUanVBKKCukWqAfNxvA4BxUA_YOX8S4ae4aPEw9YIqHzRR839o4TNh3-H60bTOPDreNA2y7Gj_4yra4h-B82NmugrfolbNthHfHe4l-fv1yszrPLq_OLlanl1klmJaZBUa1EmshXCGZY1bUNZdrbRlNpxNa8dIRLXQtE8VJoXTFbEloAaViJeFL9PHQ2wd_P0IczK6JFbSt7cCP0SiWfi-TiCX68B-49WPo0m4mbUB1wfgMlQeoCj7GAM70odnZMBlKzOzcbM2s1sxqzezc_HVu9in6_tg_rndQ_wseJSfg8wF4bFqYnl1sVlenaUjx7BBv4gD7p7gNd6ZQXElz-_3MyNvzX7-v-Tcj-B_KFpxb</recordid><startdate>200010</startdate><enddate>200010</enddate><creator>Hajioff, D.</creator><creator>Rattenbury, H.</creator><creator>Carrie, S.</creator><creator>Carding, P.</creator><creator>Wilson, J.</creator><general>Blackwell Science Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200010</creationdate><title>The effect of Isshiki type 1 thyroplasty on quality of life and vocal performance</title><author>Hajioff, D. ; Rattenbury, H. ; Carrie, S. ; Carding, P. ; Wilson, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4295-ae21974b44f652f2a4dd35b9a215b9f49738f0949d574b30679c2a8016e872803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Female</topic><topic>Humans</topic><topic>Isshiki type 1 thyroplasty</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications</topic><topic>Prospective Studies</topic><topic>Prosthesis Implantation</topic><topic>Quality of Life</topic><topic>Surveys and Questionnaires</topic><topic>Thyroid Cartilage - surgery</topic><topic>Vocal Cord Paralysis - etiology</topic><topic>Vocal Cord Paralysis - surgery</topic><topic>voice analysis</topic><topic>Voice Quality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hajioff, D.</creatorcontrib><creatorcontrib>Rattenbury, H.</creatorcontrib><creatorcontrib>Carrie, S.</creatorcontrib><creatorcontrib>Carding, P.</creatorcontrib><creatorcontrib>Wilson, J.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical otolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hajioff, D.</au><au>Rattenbury, H.</au><au>Carrie, S.</au><au>Carding, P.</au><au>Wilson, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of Isshiki type 1 thyroplasty on quality of life and vocal performance</atitle><jtitle>Clinical otolaryngology</jtitle><addtitle>Clin Otolaryngol Allied Sci</addtitle><date>2000-10</date><risdate>2000</risdate><volume>25</volume><issue>5</issue><spage>418</spage><epage>422</epage><pages>418-422</pages><issn>0307-7772</issn><issn>1749-4478</issn><eissn>1365-2273</eissn><eissn>1749-4486</eissn><abstract>Type 1 thyroplasty for unilateral vocal cord palsy improves many vocal outcome measures but there is little information on quality of life despite its increasingly recognized importance. Our prospective study examined its effect on a range of subjective and objective measures and quality of life. Twenty‐seven patients underwent thyroplasty. Before and after surgery they completed a vocal performance questionnaire and the Nottingham Health Profile (NHP); instrumental analyses of jitter, shimmer and noise‐harmonic ratio (NHR); and perceptual analyses of grade, roughness, breathiness, aesthenia and strain (GRBAS) were also performed. Significant improvements were found in instrumental, perceptual and self‐assessment of voice and the energy, social and emotional dimensions of the NHP. Three patients had initially poor results but were successfully revised. These results of type 1 thyroplasty compare favourably with those previously published. The improvement in quality of life appears to result directly from improved voice. Many thyroplasty patients have limited life expectancy: early surgical intervention should be considered.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>11012657</pmid><doi>10.1046/j.1365-2273.2000.00395.x</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Aged, 80 and over Female Humans Isshiki type 1 thyroplasty Male Middle Aged Postoperative Complications Prospective Studies Prosthesis Implantation Quality of Life Surveys and Questionnaires Thyroid Cartilage - surgery Vocal Cord Paralysis - etiology Vocal Cord Paralysis - surgery voice analysis Voice Quality |
| title | The effect of Isshiki type 1 thyroplasty on quality of life and vocal performance |
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