Objective: The aim of this study was to define patient characteristics of a dysphonic population in terms of voice disorder, gender, age, and subjective and objective vocal parameters and to explore the relevant characteristics of the most frequent groups of voice disorders. Patients and Methods: Patient records from 4,447 subjects referred for voice assessment and/or voice therapy were analyzed. Results: Significantly more cases of dysphonia were structural as compared to nonstructural. This significant difference was found in almost all age groups. Significantly more women were diagnosed with dysphonia than men. The most common symptom was light-to-moderate hoarseness. The average voice handicap index was 31 and the average dysphonia severity index was -0.6. Vocal fold nodules (VFN), functional voice disorders (FVD) and vocal fold paralysis (VFP) were the three most frequently diagnosed vocal pathologies and were analyzed in detail. Women were found to be significantly more vulnerable to FVD, VFN and cysts, whereas men were significantly more often diagnosed with carcinoma, hyperkeratosis, laryngitis, papillomatosis, presbyphonia, puberphonia and VFP. Conclusions: The results of this study allow a better estimation of the clinical needs and costs for a specific dysphonic population looking for help and highlight the gender-related risks of specific voice disorders.

Cohen SM, Kim J, Rioy N, Asche C, Courey M: Prevalence and causes of dysphonia in a large treatment-seeking population. Laryngoscope 2012;122:343-348.
Best SR, Fakhry CF: The prevalence, diagnoses, and management of voice disorders in a national ambulatory medical care survey (NAMCS) cohort. Laryngoscope 2010;121:150-157.
Van Houtte E, Van Lierde K, D'Haeseleer E, Claeys S: The prevalence of laryngeal pathology in a treatment-seeking population with dysphonia. Laryngoscope 2009;120:306-312.
Coyle S, Weinrich BC, Stemple JC: Shifts in relative prevalence of laryngeal pathology in a treatment-seeking population. J Voice 2001;15:424-440.
Van de Heyning PH, Remacle M, Van Cauwenberghe P: Functional assessment of voice disorders: report of the Royal Belgian Society for Ear, Nose, Throat, Head and Neck Surgery. Acta Otorhinolaryngol 1996;50:321-386.
Hertegard S: Voice problems in a small Swedish town: a retrospective study of the prevalence and a follow-up. J Voice 1988;1:336-340.
Herrington-Hall BL, Lee L, Stemple JC, Niemi KR, McHone M: Description of laryngeal pathologies by age, sex, and occupation in a treatment-seeking sample. J Speech Hear Disord 1988;53:57-64.
Woo SH, Kim RB, Choi S-H, Lee SW, Won SJ: Prevalence of laryngeal disease in South Korea: data from the Korea National Health and Nutrition Examination Survey from 2008 to 2011. Yonsei Med J 2014;55:499-507.
Dejonckere PH, Bradley P, Clemente P, Cornut G, Crevier-Buchman L, Friedrich G, Van de Heyning P, Remacle M, Woisard V: A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new techniques. Eur Arch Otorhinolaryngol 2001;258:77-82.
Wuyts FL, De Bodt MS, Molenberghs G, Remacle M, Heylen L, Millet B, Van Lierde K, Raes J, Van de Heyning PH: The Dysphonia Severity Index: an objective measure of vocal quality based on a multiparameter approach. J Speech Lang Hear Res 2000;43:796-809.
De Bodt MS, Jacobson B, Musschoot S, Zaman S, Heylen L, Mertens F, Van de Heyning P, Wuyts F: De Voice Handicap Index. Een instrument voor het kwantificeren van de psychosociale consequenties van stemstoornissen. Logopedie 2000;13:29-33.
De Bodt MS, Wuyts F, Van De Heyning P, Croux C: Test-retest study of the GRBAS scale. The influence of experience and professional background on perceptual rating attitudes of voice quality. J Voice 1997;111:74-80.
Sapienza C, Hoffman Ruddy B: Voice Disorders. Oxford, Plural Publishing, 2009, pp 199-203.
Hummel C, Scharf M, Schuetzenberger A, Graessel E, Rosanowski F: Objective voice parameters and self-perceived handicap in dysphonia. Folia Phoniatr Logop 2010;62:303-307.
Smits RK, Marres H, De Jong F: The relation of vocal fold lesions and voice quality to voice handicap and psychosomatic well-being. J Voice 2012;26:446-470.
Cohen SM: Self-reported impact of dysphonia in a primary care population: an epidemiological study. Laryngoscope 2010;120:2022-2032.
Bhattacharyya N: The prevalence of voice problems among adults in the United States. Laryngoscope 2014;124:2359-2362.
Roy N: Functional dysphonia. Head Neck Surg 2003;11:114-148.
Hakkesteegt MM, Brocaar MP, Wieringa MH, Feenstra L: Influence of age and gender on the dysphonia severity index. A study of normative values. Folia Phoniatr Logop 2006;58:264-273.
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