Özet:

Objective: To determine the aerodynamic change in voice, its effect on voice-related quality of life in patients who underwent endoscopic sinus surgery (ESS) and/or septoplasty. Material and Methods: Demographic characteristics, medical history, complaints, operation were prospectively recorded. Voice evaluations were performed preoperatively and at 3 months postoperatively. Subjective and objective voice assessment were done with the Voice-Related Quality of Life (VRQoL) Scale and Voice Handicap Index, maximum phonation time (MPT) and S/Z ratio. Results: Our study was conducted with a total of 42 patients, 20 (47.6%) male and 22 (52.40%) female. The mean age was 39.02±14.38 years. Septoplasty were performed to 24 (57.14%) patients, and septoplasty and ESS were performed to 18 (42.86%) patients. While 23 of the patients (54.8%) had a history of intubation due to another surgery, 28 (66.7%) of them stated that they experienced preoperative voice changes.. However, no statistically significant difference was found between the complaint of preoperative voice change and intubation history or gender (p>0.05). It was observed that the MPT was prolonged after surgery (p=0.003), particularly in men (p=0.005). The social, physical and total VRQoL increased after surgery (p=0.035, p=0.002, p=0.001, respectively). There was a greater improvement in total VRQoL Scale values in patients who underwent ESS (23.83 vs. 2.62; p=0.005). Conclusion: Our study shows that septoplasty and ESS may increase voice-related quality of life and have a positive effect on the aerodynamic structure of voice. More studies are needed to confirm our results.

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