Voice Disorders in Lower Primary School Teachers: An Observational Study
Muhammed Gazi Yildiz1, Nagihan Bilal1, Irfan Kara1
1Department of ENT, Kahramanmaraş Sütcü Imam university faculty of medicine, Turkey.
Journal of Voice : Official Journal of the Voice Foundation
|December 22, 2020
Summary
Dysphonia significantly impacts teachers, with voice problem severity linked to smoking and classroom conditions. Treatment improved subjective voice measures, highlighting the value of questionnaires in managing teacher voice disorders.
Area of Science:
- Otolaryngology
- Occupational Health
- Speech-Language Pathology
Background:
- Voice disorders are prevalent among teachers, necessitating etiology-based diagnostic and treatment approaches.
- This study investigates subjective voice analysis changes in lower primary school teachers undergoing dysphonia diagnosis and treatment.
Purpose of the Study:
- To assess changes in subjective voice parameters during dysphonia management in lower primary school teachers.
- To evaluate the efficacy of treatment modalities on voice-related quality of life and associated symptoms.
Main Methods:
- Prospective observational study of 351 lower primary school teachers (2015-2019).
- Data collected on sociodemographics, laryngeal lesions, and pre/post-treatment Voice Handicap Index-10 (VHI-10), Reflux Symptom Index (RSI), and Hospital-Anxiety Depression Scale (HADS).
- Statistical analysis performed using SPSS.
Main Results:
- Dysphonia development correlated with smoking, professional experience, and classroom crowding.
- Significant improvements observed in RSI, VHI-10, and HADS scores post-treatment across all groups.
- RSI improved significantly for granuloma and reflux disorders; VHI-10 and HADS showed significant clinical recovery differences compared to laryngeal lesions.
Conclusions:
- Elevated RSI, VHI-10, and HADS scores are common in dysphonic teachers with various laryngeal pathologies.
- Treatment modalities led to significant improvements in subjective scale scores.
- Questionnaire surveys are crucial for dysphonia diagnosis, treatment, and follow-up in this population.
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