By Clark A. Rosen, C. Blake Simpson
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Extra info for Operative Techniques in Laryngology
Singular, San Diego Stasney CR (1996) Atlas of dynamic laryngeal pathology. Singular, San Diego Cornut G, Bouchayer M. Assessing dysphonia: the role of videostroboscopy. Five videocassettes, 254 min Rosen CA (2005) Stroboscopy as a research instrument: development of a perceptual evaluation tool. Laryngoscope 115:423–428 Roehm PC, Rosen C (2004) Dynamic voice assessment using flexible laryngoscopy—how I do it: a targeted problem and its solution. 1 Fundamental and Related Chapters Please see Chaps.
6 Voice Handicap Index 10 2 My voice makes it difficult for people to hear me. 01234 People have difficulty understanding me in a noisy room. 01234 My voice difficulties restrict personal and social life. 01234 I feel left out of conversations because of my voice. 01234 My voice problem causes me to lose income. 01234 I feel as though I have to strain to produce voice. 01234 The clarity of my voice is unpredictable. 01234 My voice problem upsets me. 01234 My voice makes me feel handicapped. ” 01234 From: Rosen CA, Lee AS, Osborne J, Zullo T, Murry T (2004) Development and validation of the voice handicap index-10 (VHI-10) Laryngoscope 114:1549–1556 Key Points 6 7 ■ A successful surgical outcome is dependent upon proper clinical evaluation of the patient’s voice disorder.
Normal MPT for a healthy adult is approx- 31 32 5 Glottic Insufficiency imately 25 seconds. In cases of VFP, the MPT is reduced to 10 seconds or less, typically. Shorter MPT values indicate more severe glottic incompetence, worse voice, and increased vocal fatigue. MPT values of 5 seconds or less indicate severe, uncompensated VFP that may need arytenoid adduction in addition to medialization laryngoplasty. Poor pulmonary reserve from asthma or chronic obstructive pulmonary disease may reduce MPT significantly, so results need to be taken in context of the patient’s pulmonary status.