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Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life

2023-01Journal article Open access
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dc.contributor.authorSousa, Francisco Alves de
dc.contributor.authorSantos, Mariline
dc.contributor.authorAzevedo, Sara
dc.contributor.authorPinto, Ana
dc.contributor.authorFreitas, Susana Vaz
dc.contributor.authorCoutinho, Miguel
dc.contributor.authorAlmeida e Sousa, Cecília
dc.contributor.authorMoreira da Silva, Álvaro
dc.date.accessioned2024-07-02T13:57:20Z
dc.date.available2024-07-02T13:57:20Z
dc.date.issued2023-01
dc.description.abstractTo date, little is known about the long-term predictors of quality of life (QoL) in unilateral vocal fold paralysis (UVFP). The main objective of this study was to evaluate the predictors of long-term QoL in UVFP patients submitted to voice therapy (VT) exclusively. Data from patients diagnosed with UVFP who followed a VT program between 2013 and 2019 were reviewed. Video laryngoscopy (VL) records were obtained at the beginning and at the end of VT. To assess QoL, Voice Handicap Index 30 (VHI-30) score was assessed in three temporal frames: before voice therapy (pre-VT), at the last VT session (post-VT), and in the present (cur-VHI). A longitudinal analysis was performed regarding the evolution of QoL and the factors influencing QoL through time were analyzed. Seventy-eight percent of patients had iatrogenic UVFP. The mean time of follow-up after VT was 3.942 years (range 6 months-7 years). There was a significant improvement in QoL through all time points (F (2,88)=72.179, p<0.001), with VHI-30 decrease from the baseline pre-VT to post-VT(p<0.001) and from post-VT to cur-VT (p=0.0013). In the iatrogenic UVFP population, patients starting VT earlier showed better long-term QoL (p=0.023). UVFP patients with dysphagia at presentation showed significantly worse QoL in the late follow-up (p=0.016). Hence, iatrogenic UVFP patients beginning VT rapidly may show better QoL in the future. Also, our results suggest that dysphagia at UVFP onset may predict higher morbidity later in life.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSousa F, Santos M, Azevedo S, et al. Unilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Life. Cureus. 2023;15(1):e34078. doi:10.7759/cureus.34078pt_PT
dc.identifier.doi10.7759/cureus.34078pt_PT
dc.identifier.issn2168-8184
dc.identifier.urihttp://hdl.handle.net/10400.16/2985
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCureus, Inc.pt_PT
dc.relation.publisherversionhttps://doi.org/10.7759/cureus.34078pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectdysphagiapt_PT
dc.subjectquality of lifept_PT
dc.subjecttimept_PT
dc.subjectunilateral vocal fold paralysispt_PT
dc.subjectvhi-30pt_PT
dc.subjectvoice handicap indexpt_PT
dc.subjectvoice therapypt_PT
dc.titleUnilateral Vocal Fold Paralysis and Voice Therapy: Predictors of Long-Term Quality of Lifept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPagee34078.pt_PT
oaire.citation.titleCureuspt_PT
oaire.citation.volume15pt_PT
person.familyNameSousa
person.familyNameSantos
person.familyNameVaz Freitas
person.familyNameCoutinho
person.givenNameFrancisco Alves de
person.givenNameMariline
person.givenNameSusana
person.givenNameMiguel
person.identifierhttps://scholar.google.pt/citations?hl=pt-PT&user=pPPCqbAAAAAJ&view_op=list_works&gmla=AJsN-F4130_aPo2sx_xsSQ0Wyj-bCTKlHUWgisamo31ZYQPrQh54wY78YcB38QSlzer8sog0ORw81DPiKvDd-Rk6Fvp1s0bCBg
person.identifier.ciencia-id1E10-59C7-8086
person.identifier.orcid0000-0003-4113-3259
person.identifier.orcid0000-0001-7041-0994
person.identifier.orcid0000-0002-0667-7632
person.identifier.orcid0000-0003-4556-7679
person.identifier.scopus-author-id7006018657
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication6d0cf218-638a-4b17-8bdf-30203de52429
relation.isAuthorOfPublicationef75372b-6b4a-40e6-a7bb-2b5073aebbeb
relation.isAuthorOfPublicatione868f804-eeba-4471-b1c6-00d7585b664a
relation.isAuthorOfPublicationea94aeb2-0f0d-4844-b739-fcfb47f34cd8
relation.isAuthorOfPublication.latestForDiscovery6d0cf218-638a-4b17-8bdf-30203de52429

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