Objectives: The purpose of this study was to assess and compare the total score and subscale scores of the Voice Handicap Index (VHI) in speakers with and without hearing loss. A further aim was to determine if a correlation exists between severities of hearing loss with total scores and VHI subscale scores. Patients and Methods: In this cross-sectional, descriptive analytical study, 100 participants, divided in 2 groups of participants with and without hearing loss, were studied. Background information was gathered by interview, and VHI questionnaires were filled in by all participants. Results: For all variables, including mean total score and VHI subscale scores, there was a considerable difference in speakers with and without hearing loss (p < 0.05). The correlation between severity of hearing loss with total score and VHI subscale scores was significant. Conclusion: Speakers with hearing loss were found to have higher mean VHI scores than speakers with normal hearing. This indicates a high voice handicap related to voice in speakers with hearing loss. In addition, increased severity of hearing loss leads to more severe voice handicap. This finding emphasizes the need for a multilateral assessment and treatment of voice disorders in speakers with hearing loss.

1.
Crannel K: Voice and Articulation. Boston, Wadsworth Publishing Company, 2000.
2.
Mattiske JA, Oates JM, Greenwood KM: Vocal problems among teachers: a review of prevalence, causes, prevention, and treatment. J Voice 1998;12:489-499.
3.
Nicolosi L, Harryman E, Krescheck J: Terminology of Communication Disorders. Speech-Language-Hearing, ed 5. Philadelphia, Lippincott Williams & Wilkins, 2004.
4.
Kent RD: The uniqueness of speech among motor systems. Clin Linguist 2004;18:495-505.
5.
Ryan C, et al: Measuring quality of life in dysphonic patients: a systematic review of content development in patient-reported outcome measures. J Voice 2008;24:193-198.
6.
Webb W, Adler R: Neurosensory organization of speech and hearing; in Webb W, Adler R: Neurology for Speech and Language Pathologists, ed 5. Mosby Inc., 2008, pp 118, 146-147.
7.
Angelocci AA, Kopp GA, Holbrook A: The vowel formants of deaf and normal-hearing eleven-to fourteen-year-old boys. J Speech Hear Disord 1964;29:156-160.
8.
Hudgins CV, Numbers FC: An investigation of the intelligibility of the speech of the deaf. Provincetown, The Journal Press, 1942.
9.
Amir O, et al: Applying the Voice Handicap Index (VHI) to dysphonic and nondysphonic Hebrew speakers. J Voice 2006;20:318-324.
10.
Guimaraes I, Abberton E: An investigation of the Voice Handicap Index with speakers of Portuguese: preliminary data. J Voice 2003;18:71-82.
11.
Schindler A, et al: Correlation between the Voice Handicap Index and voice measurements in four groups of patients with dysphonia. Otolaryngol Head Neck Surg 2009;141:762-769.
12.
Colton R, Casper J, Leonard R: Understanding voice problems. Baltimore, Lippincott Williams & Wilkins, 2006.
13.
Murry T, et al: The relationship between ratings of voice quality and quality of life measures. J Voice 2004;18:183-192.
14.
Madeira F, Tomita SH: Voice Handicap Index evaluation in patients with moderate to profound bilateral sensorineural hearing loss. Braz J Otorhinolaryngol 2010;76:59-70.
15.
Jacobson BH, Johnson A, Grywalski C, Silbergleit A, Jacobson G, Benninger MS, Newman CW: The Voice Handicap Index (VHI): development and validation. Am J Speech Lang Pathol 1997;6:66.
16.
Moradi N, Pourshahbaz A, Soltani M, Javadipour SH, Hashemi H, Soltaninejad N: Cross-cultural equivalence and evaluation of psychometric properties of voice handicap index into Persian. J Voice 2013;27:258.e15-258.e22.
17.
Moradi N, Pourshahbaz A, Soltani M, Javadipour SH: Cutoff point at voice handicap index used to screen voice disorders among Persian speakers. J Voice 2013;27:130.e1-130.e5.
18.
Wilson JA, Webb A, Carding PN, Steen IN, MacKenzie K, Deary IJ: The Voice Symptom Scale (VoiSS) and the Vocal Handicap Index (VHI): a comparison of structure and content. Clin Otolaryngol Allied Sci 2004;29:169-174.
19.
Cohen SM, Turley R: Coprevalence and impact of dysphonia and hearing loss in the elderly. Laryngoscope 2009;119:1870-1873.
20.
Baudonck N, D'haeseleer E, Dhooge I, Van Lierde K: Objective vocal quality in children using cochlear implants: a multiparameter approach. J Voice 2011;25:683-691.
21.
Kosztyla-Hojna B, Moskal D: The impact of cochlear implant (CI) on the process of phonation and quality of life of patients with pre- and postlingual deafness (in Polish). Pol Merkur Lekarski 2012;33:70-79.
22.
Kosztyla-Hojna B, Rogowski M, Kasperuk J, Rutkowski R, Rycko P: Qualitative analysis of voice and speech in patients with cochlear implant - preliminary results. Pol Merkur Lekarski 2009;27:305-310.
23.
Ubrig MT, Goffi-Gomez MV, Weber R, Menezes MH, Nemr NK, Tsuji DH, et al: Voice analysis of postlingually deaf adults pre- and postcochlear implantation. J Voice 2011;25:692-699.
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