Tags

Type your tag names separated by a space and hit enter

Voice outcome indicators for unilateral vocal fold paralysis surgery: a review of the literature.
Eur Arch Otorhinolaryngol. 2018 Feb; 275(2):459-468.EA

Abstract

INTRODUCTION

There is no consensus on which voice outcome indicators (VOIs) should be used to compare the merits of the various surgical treatments for unilateral vocal fold paralysis (UVFP). Authors performed a literature review to identify which VOIs are most frequently used and most relevant, in terms of significant change in pre- and post-operative measurements, to assess UVFP surgical treatments.

METHOD

A Medline/Pubmed literature review was performed and the most frequently used VOIs were identified using a Pareto diagram. For these most frequently used VOI's, the number of studies that showed a statistically significant change in pre- and post-operative results were compared to the total number of studies found using that same VOI, this portion was expressed in percent. This percentage was defined as the "percentage of significance" and used to assess changes of each VOI.

RESULTS

Eleven VOIs were identified using the Pareto analysis. These were, in decreasing order of frequency of citation: maximum phonation time (MPT), jitter, Shimmer, video-stroboscopic examination, noise to harmonic ratio (NHR/HNR), mean air flow (MeAF), fundamental frequency (F0), "Infrequent Perceptional Scales", GRBAS scale, mean subglottic pressure (MSGP). MPT, MeAF, factor G of GRBAS-I, Jitter, shimmer and VHI-30 had respective "percentage of significance" of 90, 86, 85, 74, 68 and 64%, respectively.

CONCLUSION

The results indicate that MPT, MeAF and GRBAS-I, represent the top-three most frequently used and the most relevant VOIs in terms of "percentage of significance". VHI-30 showed a relatively low rate of use and low "percentage of significance". The role of Jitter and Shimmer remains unclear. Finally, MSGP and the F0 appear to be less relevant VOIs for the evaluation of UFVP surgical treatments in terms of significant change in pre- and post-operative measurements.

Authors+Show Affiliations

Otolaryngology, Head and Neck Surgery Department, Voice and Swallowing Clinic, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, 10 avenue Hippocrate, suite 407, 1200, Brussels, Belgium. gauthier.desuter@uclouvain.be. Otolaryngology, Head and Neck Surgery Department, LUMC, University of Leiden, Leiden, The Netherlands. gauthier.desuter@uclouvain.be.Otolaryngology, Head and Neck Surgery Department, Voice and Swallowing Clinic, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, 10 avenue Hippocrate, suite 407, 1200, Brussels, Belgium.Otolaryngology, Head and Neck Surgery Department, Voice and Swallowing Clinic, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, 10 avenue Hippocrate, suite 407, 1200, Brussels, Belgium.Otolaryngology, Head and Neck Surgery Department, Voice and Swallowing Clinic, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, 10 avenue Hippocrate, suite 407, 1200, Brussels, Belgium. Otolaryngology Department, Flevoziekenhuis, Almere, The Netherlands.Otolaryngology, Head and Neck Surgery Department, LUMC, University of Leiden, Leiden, The Netherlands.Otolaryngology, Head and Neck Surgery Department, LUMC, University of Leiden, Leiden, The Netherlands.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

29264655

Citation

Desuter, G, et al. "Voice Outcome Indicators for Unilateral Vocal Fold Paralysis Surgery: a Review of the Literature." European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated With the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, vol. 275, no. 2, 2018, pp. 459-468.
Desuter G, Dedry M, Schaar B, et al. Voice outcome indicators for unilateral vocal fold paralysis surgery: a review of the literature. Eur Arch Otorhinolaryngol. 2018;275(2):459-468.
Desuter, G., Dedry, M., Schaar, B., van Lith-Bijl, J., van Benthem, P. P., & Sjögren, E. V. (2018). Voice outcome indicators for unilateral vocal fold paralysis surgery: a review of the literature. European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated With the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 275(2), 459-468. https://doi.org/10.1007/s00405-017-4844-9
Desuter G, et al. Voice Outcome Indicators for Unilateral Vocal Fold Paralysis Surgery: a Review of the Literature. Eur Arch Otorhinolaryngol. 2018;275(2):459-468. PubMed PMID: 29264655.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Voice outcome indicators for unilateral vocal fold paralysis surgery: a review of the literature. AU - Desuter,G, AU - Dedry,M, AU - Schaar,B, AU - van Lith-Bijl,J, AU - van Benthem,P P, AU - Sjögren,E V, Y1 - 2017/12/20/ PY - 2017/10/26/received PY - 2017/12/08/accepted PY - 2017/12/22/pubmed PY - 2018/6/30/medline PY - 2017/12/22/entrez KW - Injection laryngoplasty KW - Larynx reinnervation KW - Outcome KW - Thyroplasty KW - Unilateral vocal fold paralysis UVFP SP - 459 EP - 468 JF - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JO - Eur Arch Otorhinolaryngol VL - 275 IS - 2 N2 - INTRODUCTION: There is no consensus on which voice outcome indicators (VOIs) should be used to compare the merits of the various surgical treatments for unilateral vocal fold paralysis (UVFP). Authors performed a literature review to identify which VOIs are most frequently used and most relevant, in terms of significant change in pre- and post-operative measurements, to assess UVFP surgical treatments. METHOD: A Medline/Pubmed literature review was performed and the most frequently used VOIs were identified using a Pareto diagram. For these most frequently used VOI's, the number of studies that showed a statistically significant change in pre- and post-operative results were compared to the total number of studies found using that same VOI, this portion was expressed in percent. This percentage was defined as the "percentage of significance" and used to assess changes of each VOI. RESULTS: Eleven VOIs were identified using the Pareto analysis. These were, in decreasing order of frequency of citation: maximum phonation time (MPT), jitter, Shimmer, video-stroboscopic examination, noise to harmonic ratio (NHR/HNR), mean air flow (MeAF), fundamental frequency (F0), "Infrequent Perceptional Scales", GRBAS scale, mean subglottic pressure (MSGP). MPT, MeAF, factor G of GRBAS-I, Jitter, shimmer and VHI-30 had respective "percentage of significance" of 90, 86, 85, 74, 68 and 64%, respectively. CONCLUSION: The results indicate that MPT, MeAF and GRBAS-I, represent the top-three most frequently used and the most relevant VOIs in terms of "percentage of significance". VHI-30 showed a relatively low rate of use and low "percentage of significance". The role of Jitter and Shimmer remains unclear. Finally, MSGP and the F0 appear to be less relevant VOIs for the evaluation of UFVP surgical treatments in terms of significant change in pre- and post-operative measurements. SN - 1434-4726 UR - https://www.unboundmedicine.com/medline/citation/29264655/Voice_outcome_indicators_for_unilateral_vocal_fold_paralysis_surgery:_a_review_of_the_literature_ L2 - https://dx.doi.org/10.1007/s00405-017-4844-9 DB - PRIME DP - Unbound Medicine ER -