Voice handicap and voice-related quality of life in COVID-19 patients

Brazilian Journal of OtorhinolaryngologyVolume 90, Issue 4, July–August 2024, 101437Brazilian Journal of OtorhinolaryngologyAuthor links open overlay panel, , , , , Highlights•

Lung impairment due to COVID-19 increases the voice handicap index score.

The voice-related quality of life score is reduced in these patients.

There is a correlation between pulmonary function and the changes in voice.

Video laryngoscopy did not identify any laryngeal changes in these patients.

AbstractObjectives

Identifying voice handicap and voice-related quality of life in patients presenting pulmonary impairment associated with COVID-19 infection, comparing pulmonary parameters between these patients and individuals in the control group, as well as correlating pulmonary parameters to self-assessment questionnaires (IDV-10 and QVV).

Methods

Thirty-five (35) patients presenting pulmonary impairment with COVID-19 infection were herein selected and compared to 35 individuals who were not affected by COVID-19 infection. Two self-assessment questionnaires were applied (vocal handicap index and voice quality of life protocol). Maximum phonation time Forced Expiratory Pressure (PEF) and Forced Inspiratory Pressure (PIF) were measured and videolaryngoscopy was performed.

Results

There was statistically significant difference in scores recorded in voice self-assessment questionnaires (IDV-10 and QVV), Expiratory Pressure (PEF) and Forced Inspiratory Pressure (PIF) between patients with pulmonary impairment associated with COVID-19 infection and those in the control group. Correlation between PEF/PIF and scores recorded in voice self-assessment questionnaires was also observed.

Conclusion

Pulmonary impairment associated with COVID-19 infection has worsened voice handicap and voice-related quality of life in the assessed patients, as well as reduced their forced expiratory and inspiratory pressure in comparison to the control group.

Keywords

Voice

Voice quality

Lung injury

COVID-19

© 2024 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier España, S.L.U.

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