Quality of Life Measures and Predictors for Adults With Unilateral Vocal Cord Paralysis
Article first published online: 2 JAN 2009
Copyright © 2008 The Triological Society
Volume 118, Issue 10, pages 1837–1841, October 2008
How to Cite
Fang, T.-J., Li, H.-Y., Gliklich, R. E., Chen, Y.-H., Wang, P.-C. and Chuang, H.-F. (2008), Quality of Life Measures and Predictors for Adults With Unilateral Vocal Cord Paralysis. The Laryngoscope, 118: 1837–1841. doi: 10.1097/MLG.0b013e31817e7431
- Issue published online: 2 JAN 2009
- Article first published online: 2 JAN 2009
- Manuscript Accepted: 1 MAY 2008
- Unilateral vocal cord paralysis;
- health status;
- quality of life
Objective/Hypothesis: To investigate the quality of life (QoLF) status of Taiwanese adults with unilateral vocal cord paralysis (UVCP).
Study Design: A prospective, QoLF survey in a tertiary referral voice center.
Methods: Fifty-five consecutive UVCP patients were evaluated with Medical Outcome Study Short Form-36 (SF-36) Health Survey and the voice outcome survey at entry.
Results: UVCP patients have significantly lower scores in all eight SF-36 subscales (P < .05) than do normative Taiwan adult population, particularly in role functioning-physical problems, social functioning, and role functioning-emotional problems. Shimmer parameter is a robust and consistent predictor for bodily pain (β = −20.8), role functioning-emotional problems (β = −27.9), and social functioning (β = −20) general health dimensions. Shimmer is also predictive of UVCP-related total voice outcome survey score (β = −8.6, P < .05).
Conclusions: UVCP can seriously compromise phonation, swallowing, and social functions; thus significantly impacting a patient's general health status. Voice physiological function is also a QoLF outcome indicator.