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Subjective voice analysis in patients with muscular tension dysphonia: comparison between clinician and patient evaluation

Published online by Cambridge University Press:  28 April 2021

B Mateos-Serrano Open the ORCID record for B Mateos-Serrano [Opens in a new window] ,
I García-López ,
A Toledano  and
J Gavilán
B Mateos-Serrano*
Affiliation:
Department of Otolaryngology, La Paz University Hospital, Madrid, Spain
I García-López
Affiliation:
Department of Otolaryngology, La Paz University Hospital, Madrid, Spain
A Toledano
Affiliation:
Independent investigator, Lyon, France
J Gavilán
Affiliation:
Department of Otolaryngology, La Paz University Hospital, Madrid, Spain
*
Author for correspondence: Dr B Mateos-Serrano, Department of Otolaryngology, La Paz University Hospital, Paseo de la Castellana 261, Madrid28046, Spain E-mail: [email protected]
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Abstract

Background

This study evaluated the correlation between patient and clinician subjective voice analysis in a group of patients suffering from muscular tension dysphonia. This disease does not usually present with organic lesions, and voice analysis is crucial to evaluate it.

Methods

A retrospective study with 75 patients was performed. Correlation between grade, roughness, breathiness, asthenia and strain scale and voice handicap index-10 was analysed. Any possible influence of the type of muscular tension dysphonia on these two scales was studied.

Results

There are only a few studies that correlate voice handicap index-10 and the grade, roughness, breathiness, asthenia and strain scale; however, none of them are specific for patients suffering from muscular tension dysphonia. A moderate correlation (r = 0.56) was found. No influence of muscular tension dysphonia type on voice handicap index-10 score was found, but muscular tension dysphonia type 4 had worse grade, roughness, breathiness, asthenia and strain scale scores than other muscular tension dysphonia types. This could be explained if muscular tension dysphonia type 4 is considered to be the most severe form of this disease.

Conclusion

The use of assessment scales based on the opinion of both the clinician and patient must be considered as complementary clinical tools in order to perform a complete assessment of dysphonia.

Keywords

DysphoniaVoice QualityVoice DisordersLaryngeal MusclesVoice FatigueQuality Of Life
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 5 , May 2021 , pp. 458 - 463
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr B Mateos-Serrano takes responsibility for the integrity of the content of the paper

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