E-ISSN 2602-4837
The Turkish Journal of Ear Nose and Throat Effectiveness of voice therapy in hyperfunctional dysphonia in adult patients [Tr-ENT]
Tr-ENT. 2009; 19(4): 198-202

Effectiveness of voice therapy in hyperfunctional dysphonia in adult patients

Tolga Kandoğan1, Murat Koç, Gökçe Aksoy

Objectives: In this retrospective study, voice therapy
results of adult patients with hyperfunctional voice
disorders were discussed.
Patients and Methods: Ninety-one adult patients (59
females, 32 males; mean age: 37 years; range 18 to
54 years) who completed their voice therapy sessions
between May 2002 and May 2007 were included in
this study. The voice therapy plan was focused on
developing competence in perception, tonus regulation,
physiological breathing and physiological use of
voice. Especially Koblenzer, Smith, Fröschels, Höller-
Zangenfeind and Pahn techniques were included in the
plan. Patients had voice therapy sessions every one
or two weeks for about 30-45 minutes. On average,
patients had eight sessions. Voice therapy was conducted
by the same voice therapy team to the patients.
Vocal use and hygiene guidelines were also explained
to the patients. In the objective and subjective evaluation
of voice, disphonia severity index (DSI) and voice
handicap index (VHI) scores were used respectively.
Results: After voice therapy, DSI increased from
–1.4 to 1.1 and VHI decreased from 72 to 43. Voice
therapy was found to be succesful clinically.
Conclusion: These results suggest that patients
withhyperfunctional voice disorder benefits fromvoice

Keywords: Disphony severity index; hyperfunctionalvoice disorders; voice handicap index; voice therapy.

Erişkin hiperfonksiyonel disfonili hastalarda ses terapisinin etkisi

Tolga Kandoğan1, Murat Koç, Gökçe Aksoy


Anahtar Kelimeler: Disfoni şiddet indeksi; hiperfonksiyonelses bozuklukları; ses handikap indeksi; ses terapisi.

Tolga Kandoğan, Murat Koç, Gökçe Aksoy. Effectiveness of voice therapy in hyperfunctional dysphonia in adult patients. Tr-ENT. 2009; 19(4): 198-202

Corresponding Author: Tolga Kandoğan
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