Summary
Objectives/Hypothesis
To determine the predictive value of objective voice measurements in patients with
vocal fold masses for receiving medical or surgical management.
Study Design
Retrospective chart review.
Methods
Patients presented from January 2015 through March 2020 and diagnosed with vocal fold
mass. Objective voice measurements studied were average fundamental frequency, jitter
percent, relative average perturbation, shimmer percent, noise to harmonic ratio,
standard deviation of fundamental frequency, maximum phonation time, and S:Z ratio.
Non-parametric Mann Whitney U test, chi square and fisher exact test were used.
Results
Ninety-six patients (48 male and 48 female) were included. Males who received surgical
management (MS) had significantly higher jitter percent (1.82 ± 1.34) than males who
received medical management (MM) (1.16 ± 19.21), P = 0.02. Furthermore, MS had significantly higher relative average perturbation percent
(1.06 ± 0.78) than MM (0.68 ± 0.57), P = 0.03. Females who received surgical management had significantly lower shimmer
percent (3.74 ± 2.88) than females who received medical management (4.66 ± 2.42),
P = 0.01. Univariate significance was found in some female confounding variables. A
logistic regression model did not show significance.
Conclusion
Males with high jitter percent and relative average perturbation are more likely to
receive surgical management for vocal fold masses. Females with lower shimmer percent
are more likely to have surgical management of vocal fold masses when compared to
the medical management group. Objective voice measures did not show significant predictive
value when controlled for confounding variables.
Key Words
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Article Info
Publication History
Published online: October 28, 2022
Accepted:
September 29,
2022
Publication stage
In Press Corrected ProofFootnotes
Declarations of interest: none
Identification
Copyright
© 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
