Audiology - Communication Research
https://audiolcommres.org.br/article/doi/10.1590/2317-6431-2025-3033pt
Audiology - Communication Research
Original Article

Desvio vocal, sinais e sintomas, diagnóstico laringológico e sua associação com a autopercepção da voz

Vocal deviation, signs and symptoms, laryngological diagnosis, and their association with self-perception of voice

Izamara Araújo; Marcia Simões-Zenari; Maura Neves; Fábio Jacob; Katia Nemr

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Resumo

Objetivo: Investigar a associação entre a autopercepção da qualidade vocal e o grau de desvio vocal, sinais e sintomas e diagnóstico laringológico.

Métodos: Estudo transversal, observacional e descritivo. A amostra foi composta por 100 indivíduos de ambos os gêneros, com média de 38 anos e 10 meses de idade, usuários de um hospital universitário. Foi aplicado o Protocolo de Rastreio de Risco de Disfonia - Geral, que contempla uma Escala Analógica Visual para autoavaliação da qualidade vocal. Foram gravadas as vozes e realizado exame laringológico.

Resultados: A pontuação média na escala foi 4,13 (desvio leve). A partir da análise clínica observou-se maior frequência de disfonia leve e lesões laríngeas benignas. Cerca de um terço da amostra apresentou exame laríngeo sem alterações. A autopercepção do desvio vocal se associou aos sinais e sintomas de rouquidão, voz grave e dor na garganta.

Conclusão: A associação da autopercepção da qualidade vocal com alguns sinais e sintomas vocais e a não associação com o desvio vocal e com o tipo de lesão laríngea indica muitas particularidades na maneira como cada paciente percebe sua alteração, sendo necessário que essa percepção seja ampliada para melhor sucesso terapêutico.

Palavras-chave

Voz; Qualidade da voz; Escala visual analógica; Autopercepção; Disfonia

Abstract

Purpose: To investigate the association between self-perception of vocal quality and the degree of vocal deviation, signs and symptoms, and laryngological diagnosis.

Methods: Cross-sectional, observational, and descriptive study. The sample consisted of 100 individuals of both sexes, with an average age of 38.9 years, users of a university hospital. The General Dysphonia Risk Screening Protocol was applied, which includes a Visual Analog Scale (VAS) for self-assessment of vocal quality. Voices were recorded and a laryngological examination was performed.

Results: The average VAS score was 4.13 (mild deviation). From the clinical analysis, it was observed that there was a higher frequency of mild dysphonia and benign laryngeal lesions. Approximately one third presented laryngeal exam without alterations. Self-perception of vocal deviation was associated with signs and symptoms of hoarseness, deep voice and sore throat.

Conclusion: The association of self-perception of vocal quality with some vocal signs and symptoms and the lack of association with vocal deviation and the type of laryngeal lesion indicates many particularities in the way each patient perceives his/her alteration, and it is necessary that this perception be expanded for better therapeutic success.

Keywords

Voice; Voice Quality; Visual analog scale; Self-concept; Dysphonia

References

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Submitted date:
02/13/2025

Accepted date:
06/06/2025

69977e9da953955aa667e0d9 acr Articles
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