Consensus for voice quality assessment in clinical practice: guidelines of the European Laryngological Society and Union of the European Phoniatricians

Lechien, Jerome R.; Geneid, Ahmed; Bohlender, Jörg E.; Cantarella, Giovanna; Avellaneda, Juan C.; Desuter, Gauthier; Sjogren, Elisabeth V.; Finck, Camille; Hans, Stephane; Hess, Markus; Oguz, Haldun; Remacle, Marc J.; Schneider-Stickler, Berit; Tedla, Miroslav; Schindler, Antonio; Vilaseca, Isabel; Zabrodsky, Michal; Dikkers, Frederik G.; Crevier-Buchman, Lise

doi:10.1007/s00405-023-08211-6

Cited by 17 publications

(2 citation statements)

References 90 publications

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“…Voice assessment was performed according to the recommendations of the European Laryngological Society (ELS) by a dedicated team of Phoniatricians and Speech Language Pathologists [ 17 , 18 ]. Voice assessment included transnasal videolaryngostroboscopy with chip-on-the tip videoendoscopes for evaluation of respiratory and phonatory mobility of the vocal folds, glottic closure and the level of phonation (glottic or supraglottic).…”

Section: Methodsmentioning

confidence: 99%

The impact of previous endoscopic treatments on functional outcome after cricotracheal resection

Evermann,

Schweiger,

Kranebitter

et al. 2024

European Journal of Cardio-Thoracic Surgery

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OBJECTIVES Treatment options for benign subglottic stenosis include endoscopic techniques or open surgery. Although endoscopic treatment is less invasive, a considerable proportion of patients develop recurrent stenosis. Endoscopic pretreatments do not exclude patients from a later surgical repair; however, the impact of previous endoscopic treatment attempts on functional outcome after open surgery is unknown. METHODS All patients, who received a cricotracheal resection (CTR) between January 2017 and June 2023 at the Department of Thoracic Surgery, Medical University of Vienna, were included in this retrospective study. Patient characteristics, surgical variables and postoperative outcome including a detailed functional assessment were analysed. RESULTS A total of 65 patients received a CTR during the study period, of which 40 were treatment naïve and 25 had a median of 2 (range 1–9) endoscopic pretreatments. Less-invasive voice-sparing CTR or standard CTR were more often possible in treatment-naïve patients. In contrary, pretreated patients regularly required extended procedures (P = 0.049). Three or more endoscopic treatments resulted in a significantly lower mean fundamental frequency (F0) after open repair (P = 0.048). In addition, a trend towards smaller mean sound pressure levels, a higher voice handicap index, higher impairments in RBH scores (roughness, breathing and hoarseness) and a higher dysphagia severity index was found in pretreated patients. The respiratory outcome after surgery was comparable between both groups. CONCLUSIONS Multiple endoscopic pretreatments lead to worse voice quality after CTR. The impact of prior endoscopic treatment before surgical repair should be considered when discussing treatment options with patients suffering from subglottic stenosis.

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Section: Methodsmentioning

confidence: 99%

The impact of previous endoscopic treatments on functional outcome after cricotracheal resection

Evermann,

Schweiger,

Kranebitter

et al. 2024

European Journal of Cardio-Thoracic Surgery

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“…A multidimensional approach is used in clinical practice to diagnose laryngeal/voice abnormalities. This approach includes subjective evaluation of a voice both by the medical professional and the patient, objective measurement of voice acoustics and voice aerodynamics, and visualizing the larynx using video laryngostroboscopy (VLS) [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Accuracy Analysis of the Multiparametric Acoustic Voice Indices, the VWI, AVQI, ABI, and DSI Measures, in Differentiating between Normal and Dysphonic Voices

Uloza,

Pribuišis,

Ulozaite-Staniene

et al. 2023

JCM

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The study aimed to investigate and compare the accuracy and robustness of the multiparametric acoustic voice indices (MAVIs), namely the Dysphonia Severity Index (DSI), Acoustic Voice Quality Index (AVQI), Acoustic Breathiness Index (ABI), and Voice Wellness Index (VWI) measures in differentiating normal and dysphonic voices. The study group consisted of 129 adult individuals including 49 with normal voices and 80 patients with pathological voices. The diagnostic accuracy of the investigated MAVI in differentiating between normal and pathological voices was assessed using receiver operating characteristics (ROC). Moderate to strong positive linear correlations were observed between different MAVIs. The ROC statistical analysis revealed that all used measurements manifested in a high level of accuracy (area under the curve (AUC) of 0.80 and greater) and an acceptable level of sensitivity and specificity in discriminating between normal and pathological voices. However, with AUC 0.99, the VWI demonstrated the highest diagnostic accuracy. The highest Youden index equaled 0.93, revealing that a VWI cut-off of 4.45 corresponds with highly acceptable sensitivity (97.50%) and specificity (95.92%). In conclusion, the VWI was found to be beneficial in describing differences in voice quality status and discriminating between normal and dysphonic voices based on clinical diagnosis, i.e., dysphonia type, implying the VWI’s reliable voice screening potential.

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Quantitative Messverfahren in der Stimmdiagnostik

Barsties v. Latoszek,

Müller,

Nasr

2024

Diagnostik Und Behandlung in Der Stimmtherapie

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Consensus for voice quality assessment in clinical practice: guidelines of the European Laryngological Society and Union of the European Phoniatricians

Cited by 17 publications

References 90 publications

The impact of previous endoscopic treatments on functional outcome after cricotracheal resection

The impact of previous endoscopic treatments on functional outcome after cricotracheal resection

Accuracy Analysis of the Multiparametric Acoustic Voice Indices, the VWI, AVQI, ABI, and DSI Measures, in Differentiating between Normal and Dysphonic Voices

Quantitative Messverfahren in der Stimmdiagnostik

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