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Keywords:

  • Unilateral vocal cord paralysis;
  • health status;
  • quality of life

Abstract

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.