Review of the Multidisciplinary Voice Clinic in a District General Hospital of the United Kingdom

Main Article Content

Louise Marie Evans
Parry Haf Beca
Helen Patterson
Alagar Chandra Mohan

Abstract

Introduction


The Voice Clinic is a multidisciplinary specialist voice clinic. Our aim is to review patient demographics, subjective symptoms both at presentation and 16 months post clinic and patient satisfaction.


 


Methods


A retrospective review of all pre treatment voice clinic questionnaires for all new patients who attended the voice clinic over a 3-month period. A telephone interview was conducted 16 months after first presentation to determine patient satisfaction and whether patient’s symptoms had improved. 


 


Results


A total of 25 patients who had completed a pre clinic questionnaire were identified, 17/25 completed the follow up interview. 88% of patients reported symptoms of ≥ 6 months duration. 41% underwent Speech and Language Therapy (SALT), 24% had medical management, 6% surgery, and 30% were given advice only. On a severity scale of 1- 10 (10 most severe) 40% rated their voice severity to be ≥5/10 at presentation, 16 months later this was 11% of patients.  56% rated the impact of their voice on their life to be ≥ 5/10 at presentation, 16 months later this was 6%.


 


Conclusion


 


Although limited the review shows that for the majority of patients their symptoms and quality of life improved after review at the multidisciplinary clinic.

Article Details

How to Cite
1.
Evans LM, Beca PH, Patterson H, Mohan AC. Review of the Multidisciplinary Voice Clinic in a District General Hospital of the United Kingdom. BJOHNS [Internet]. 2016Dec.18 [cited 2024Nov.5];24(3):154-6. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/97
Section
Our experience
Author Biographies

Louise Marie Evans, Wrexham Maelor Hospital Wales UK

ENT Registrar

Morriston Hospital

Swansea

 

 

Parry Haf Beca, ENT FP2 Wrexham Maelor Hospital Wales

ENT FP2
Wrexham Maelor Hospital
Wales

Helen Patterson, Wrexham Maelor Hospital Wales

Speech and language therapist

SALT department
Wrexham Maelor Hospital
Wales

Alagar Chandra Mohan, Wrexham Maelor Hospital Wales

ENT Consultant

Wrexham Maelor Hospital

Wales

References

Academy of Medical Royal Colleges (Jan 2012). The Benefits Of Consultant– Delivered Care. http://www.aomrc.org.uk/doc_view/9450-the-benefits-of-consultant-delivered-care

Miller T, Deary V, Patterson J. Improving access to psychological therapies in voice disorders: a cognitive behavioural therapy model. Curr Opin Otolaryngol Head Neck Surg. 2014;22(3):201-5

Daniilidou P, Carding P, Wilson J, Drinnan M, Deary V. Cognitive behavioral therapy for functional dysphonia: a pilot study. Ann Otol Rhinol Laryngol. 2007;116(10):717-22

Carding PN, Wilson JA, MacKenzie K, Deary IJ. Measuring voice outcomes: state of the science review The Journal of Laryngology & Otology 2009; 123: 823-829.