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Longitudinal Voice Outcomes After Voice Therapy in Unilateral Vocal Fold Paralysis.
J Voice. 2016 Nov; 30(6):767.e9-767.e15.JV

Abstract

OBJECTIVES

To investigate the long-term effectiveness of voice therapy in vocal outcomes of patients with unilateral vocal fold paralysis (UVFP) and vocal productions of patients with long-standing treatment-naïve UVFP treated with voice therapy.

STUDY DESIGN

Prospective observational study.

METHODS

A voice therapy protocol was applied individually in three stages. Fifteen sessions were scheduled twice a week in 70 patients with UVFP. Forty-seven patients were treated within a year of the diagnosis (group 1). The remaining patients had delayed therapy (at least 1 year after diagnosis) (group 2). Multidisciplinary assessment included nasofibroscopy, videostroboscopy, acoustic and aerodynamic parameters, and perception of voice impairment measures. A subgroup of the 70 patients (n = 32) was reassessed after 1 year of follow-up.

RESULTS

Our voice therapy protocol significantly improved voice productions and perception of voice impairment in group 1 (P < 0.0001). Patients in group 2 experienced less hoarseness and had improved perception of voice impairment (P = 0.007). The improvement was long lasting and persisted at 1 year of follow-up in both groups.

CONCLUSIONS

Voice therapy is effective in patients with UVFP and its benefits are sustained over time. Early referral for voice therapy seems to be associated with greater benefit, but quality of life also improves for patients despite delayed treatment.

Authors+Show Affiliations

Voice Pathology Unit, Navarra Health Service Hospital, Pamplona, Spain. Electronic address: olivia.busto.crespo@navarra.es.Voice Pathology Unit, Navarra Health Service Hospital, Pamplona, Spain.Voice Pathology Unit, Navarra Health Service Hospital, Pamplona, Spain.Voice Pathology Unit, Navarra Health Service Hospital, Pamplona, Spain.Voice Pathology Unit, Navarra Health Service Hospital, Pamplona, Spain.Voice Pathology Unit, Navarra Health Service Hospital, Pamplona, Spain.Voice Pathology Unit, Navarra Health Service Hospital, Pamplona, Spain.Voice Pathology Unit, Department of ENT, Clínica Universidad de Navarra, Pamplona, Spain.Voice Pathology Unit, Department of ENT, Clínica Universidad de Navarra, Pamplona, Spain.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

26658167

Citation

Busto-Crespo, Olivia, et al. "Longitudinal Voice Outcomes After Voice Therapy in Unilateral Vocal Fold Paralysis." Journal of Voice : Official Journal of the Voice Foundation, vol. 30, no. 6, 2016, pp. 767.e9-767.e15.
Busto-Crespo O, Uzcanga-Lacabe M, Abad-Marco A, et al. Longitudinal Voice Outcomes After Voice Therapy in Unilateral Vocal Fold Paralysis. J Voice. 2016;30(6):767.e9-767.e15.
Busto-Crespo, O., Uzcanga-Lacabe, M., Abad-Marco, A., Berasategui, I., García, L., Maraví, E., Aguilera-Albesa, S., Fernández-Montero, A., & Fernández-González, S. (2016). Longitudinal Voice Outcomes After Voice Therapy in Unilateral Vocal Fold Paralysis. Journal of Voice : Official Journal of the Voice Foundation, 30(6), e9-e15. https://doi.org/10.1016/j.jvoice.2015.10.018
Busto-Crespo O, et al. Longitudinal Voice Outcomes After Voice Therapy in Unilateral Vocal Fold Paralysis. J Voice. 2016;30(6):767.e9-767.e15. PubMed PMID: 26658167.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Longitudinal Voice Outcomes After Voice Therapy in Unilateral Vocal Fold Paralysis. AU - Busto-Crespo,Olivia, AU - Uzcanga-Lacabe,María, AU - Abad-Marco,Ana, AU - Berasategui,Iosune, AU - García,Lola, AU - Maraví,Enrique, AU - Aguilera-Albesa,Sergio, AU - Fernández-Montero,Alejandro, AU - Fernández-González,Secundino, Y1 - 2015/12/03/ PY - 2015/08/14/received PY - 2015/10/27/accepted PY - 2015/12/15/pubmed PY - 2017/5/10/medline PY - 2015/12/15/entrez KW - Dysphonia KW - Speech therapy KW - Unilateral vocal fold paralysis KW - Voice pathology KW - Voice therapy SP - 767.e9 EP - 767.e15 JF - Journal of voice : official journal of the Voice Foundation JO - J Voice VL - 30 IS - 6 N2 - OBJECTIVES: To investigate the long-term effectiveness of voice therapy in vocal outcomes of patients with unilateral vocal fold paralysis (UVFP) and vocal productions of patients with long-standing treatment-naïve UVFP treated with voice therapy. STUDY DESIGN: Prospective observational study. METHODS: A voice therapy protocol was applied individually in three stages. Fifteen sessions were scheduled twice a week in 70 patients with UVFP. Forty-seven patients were treated within a year of the diagnosis (group 1). The remaining patients had delayed therapy (at least 1 year after diagnosis) (group 2). Multidisciplinary assessment included nasofibroscopy, videostroboscopy, acoustic and aerodynamic parameters, and perception of voice impairment measures. A subgroup of the 70 patients (n = 32) was reassessed after 1 year of follow-up. RESULTS: Our voice therapy protocol significantly improved voice productions and perception of voice impairment in group 1 (P < 0.0001). Patients in group 2 experienced less hoarseness and had improved perception of voice impairment (P = 0.007). The improvement was long lasting and persisted at 1 year of follow-up in both groups. CONCLUSIONS: Voice therapy is effective in patients with UVFP and its benefits are sustained over time. Early referral for voice therapy seems to be associated with greater benefit, but quality of life also improves for patients despite delayed treatment. SN - 1873-4588 UR - https://www.unboundmedicine.com/medline/citation/26658167/Longitudinal_Voice_Outcomes_After_Voice_Therapy_in_Unilateral_Vocal_Fold_Paralysis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0892-1997(15)00236-2 DB - PRIME DP - Unbound Medicine ER -