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OBJECTIVE: To verify the effectiveness of a blended-learning voice assistance program for elementary school teachers. STUDY DESIGN: Nonrandomized and comparative interventional clinical trial. METHODS: A total of 59 teachers participated; 33 of the 59 teachers participated in face-to-face learning (control group-CG), and 26 of the 59 teachers participated in blended learning (experimental group-EG). The Voice Assistance Program included the following for both groups: preintervention assessment, four voice workshops and postintervention assessment. The instruments used were the Vocal Production Condition - Teacher (VPC-T) questionnaire, the Screening Index for Voice Disorder (SIVD), the Vocal Health and Hygiene Questionnaire (VHHQ) and the Voice-Related Quality of Life (V-RQOL) measure. Additionally, voice samples were collected for auditory-perceptual analysis of voice quality. The workshops included theoretical and practical content for both groups. All the workshops for the CG were conducted face-to-face, while the workshops for the EG consisted of two online workshops and two face-to-face workshops. A descriptive analysis of the data was performed, and paired Wilcoxon and Mann-Whitney tests were performed using R software, with a significance level of 0.05. RESULTS: Both groups showed improved acquisition of knowledge regarding vocal health and improved voice quality, but the improvement was greater for the EG. There was a significant decrease in the risk of voice disorder in the EG. Only the CG showed significant improvement in voice-related quality of life. CONCLUSION: The voice assistance program with blended learning is effective for increasing knowledge about vocal health, reducing the risk of voice disorder and improving the voice quality of teachers.

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OBJECTIVE: To analyze the national and international literature on vocal health, working conditions and occupational health of telemarketers. METHODS: A literature review was conducted using the LILACS, PubMed and SciELO databases. The term "telemarketing" was used for all searches, along with the following descriptors: voice, vocal disorders, work condition and occupational health. Articles published in English, Portuguese or Spanish from 2009- 2019 were included. The variables selected for organizing the data were authors, region, first author's education, affiliation, journal, objective, sample, design, and result. RESULTS: A total of 540 publications were identified in the databases, and after applying the eligibility criteria, 14 articles were included in the final analysis. DISCUSSION: Of the articles selected for final analysis, there was a concentration of studies in 2014, with a new peak of resumption of research in 2019. Regarding Brazilian studies, there was a concentration of studies from the Southeast region, mostly developed by speech therapists. CONCLUSION: In the analyzed articles, it was possible to verify the interference of telemarketers' working conditions in their vocal and occupational health.

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Objetivo: Analisar o perfil da produção científica publicada nos periódicos brasileiros de Fonoaudiologia sobre parâmetros multidimensionais da voz associados à tireoidectomia. Método: revisão bibliográfica com análise bibliométrica e busca realizada nas bases de dados dos quatro periódicos brasileiros especializados em Fonoaudiologia, indexados entre 2005 e 2019. Foram cruzados os descritores disfonia, tireoidectomia e neoplasias da glândula tireoide, sendo incluídos os artigos originais, de revisão, estudos de caso, comunicações breves e resenhas editoriais que apresentassem resultados sobre parâmetros perceptivoauditivos, acústicos e/ou de autoavaliação da voz antes ou após tireoidectomia. Foram extraídas a região e instituição em que o estudo foi realizado, a quantidade de instituições envolvidas, número de autores, grau acadêmico dos autores, periódico de publicação, tipo de artigo, desenho de estudo, tamanho da amostra e parâmetros vocais avaliados. Resultado: Foram incluídos cinco estudos: dois realizados na região Sudeste, dois no Nordeste e um no Sul; três com parceria interinstitucional; quatro em que o primeiro autor era fonoaudiólogo; coautores fonoaudiólogos e médicos com grau acadêmico desde graduação até doutorado; número de autores entre três e sete. Quatro estudos foram transversais e abordaram apenas autoavaliação vocal. Três estudos foram publicados como artigos originais, um como comunicação breve e um como resenha. O tamanho amostral oscilou entre 12 e 60 indivíduos; cada periódico publicou, no mínimo, um artigo sobre o tema. Conclusão: existe baixa produção científica publicada nos periódicos brasileiros de Fonoaudiologia sobre parâmetros multidimensionais da voz associados à tireoidectomia, já que em 15 anos, foram publicados apenas cinco estudos sobre o tema.

Objective: To analyze the profile of scientific production published in Brazilian Speech, Language and Hearing Sciences journals on multidimensional voice parameters associated with thyroidectomy.Method: Bibliographic review with bibliometric analysis and search made in the databases of four Brazilian journals specialized in Speech, Language and Hearing Sciences, indexed between 2005 and 2019.The descriptors of dysphonia, thyroidectomy and thyroid gland neoplasms were cross-referenced, including original articles, review articles, case studies, short communications and editorial reviews presenting results on perceptive-auditory, acoustic and/or self-evaluation parameters of the voice before or after thyroidectomy. We extracted the geographic region and institution where the study was carried out, the number of institutions involved, the number of authors, the authors' academic degree, the publication periodic, the type of article, the study design, the sample size and the vocal parameters evaluated. Results: Five studies were included: two carried out in the Southeast region, two in the Northeast and one in the South; three with inter-institutional partnership; four in which the first author was a speech therapist; speech therapists and physicians with academic degrees from undergraduate to PhD; number of authors between three and seven. Four studies were transversal and approached only vocal self-evaluation. Three studies were published as original articles, one as a brief communication and one as a review. The sample size ranged from 12 to 60 individuals; each journal published at least one article on the subject.Conclusion: there is a low scientific production published in Speech, Language and Hearing Sciences journals on multidimensional voice parameters associated with thyroidectomy, since in 15 years, only five studies on the subject have been published.

Objetivo: Analizar el perfil de la producción científica publicada en las revistas brasileñas de Logopedía sobre los parámetros multidimensionales de la voz asociados a la tiroidectomía. Método: Revisión bibliográfica con análisis bibliométrico y búsqueda en las bases de datos de cuatro revistas brasileñas especializadas en Logopedia, indizadas entre 2005 y 2019. Se hicieron referencias cruzadas de los descriptores de disfonía, tiroidectomía y neoplasias de la glándula tiroides, incluidos artículos originales, artículos de revisión, estudios de casos, comunicaciones breves y revisiones editoriales que presentaban los resultados sobre parámetros perceptivos-auditivos, acústicos y/o de autoevaluación de la voz antes o después de la tiroidectomía. Se extrajo la región y la institución en la que se realizó el estudio, el número de instituciones involucradas, el número de autores, el grado académico de los autores, la revista de publicación, el tipo de artículo, el diseño del estudio, el tamaño de la muestra y los parámetros vocales evaluados. Resultados: Se incluyeron cinco estudios: dos realizados en la región Sudeste, dos en el Noreste y uno en el Sur; tres con asociación interinstitucional; cuatro en los que el primer autor fue un logopeda; logopedas y médicos con títulos académicos desde la licenciatura hasta el doctorado; número de autores entre tres y siete. Cuatro estudios fueron transversales y abordaron sólo la autoevaluación vocal. Se publicaron tres estudios como artículos originales, uno como una comunicación breve y otro como una revisión. El tamaño de la muestra osciló entre 12 y 60 individuos; cada revista publicó al menos un artículo sobre el tema. Conclusión: existe una baja producción científica publicada en las revistas brasileñas de Logopedía sobre los parámetros multidimensionales de la voz asociados a la tiroidectomía, ya que en 15 años sólo se han publicado cinco estudios sobre el tema.

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PURPOSE: Investigate the accuracy of isolated and combined acoustic measurements in the discrimination of voice deviation intensity (GD) and predominant voice quality (PVQ) in patients with dysphonia. METHODS: A total of 302 female patients with voice complaints participated in the study. The sustained /ɛ/ vowel was used to extract the following acoustic measures: mean and standard deviation (SD) of fundamental frequency (F0), jitter, shimmer, glottal to noise excitation (GNE) ratio and the mean of the first three formants (F1, F2, and F3). Auditory-perceptual evaluation of GD and PVQ was conducted by three speech-language pathologists who were voice specialists. RESULTS: In isolation, only GNE provided satisfactory performance when discriminating between GD and PVQ. Improvement in the classification of GD and PVQ was observed when the acoustic measures were combined. Mean F0, F2, and GNE (healthy × mild-to-moderate deviation), the SDs of F0, F1, and F3 (mild-to-moderate × moderate deviation), and mean jitter and GNE (moderate × intense deviation) were the best combinations for discriminating GD. The best combinations for discriminating PVQ were mean F0, shimmer, and GNE (healthy × rough), F3 and GNE (healthy × breathy), mean F 0, F3, and GNE (rough × tense), and mean F0 , F1, and GNE (breathy × tense). CONCLUSION: In isolation, GNE proved to be the only acoustic parameter capable of discriminating between GG and PVQ. There was a gain in classification performance for discrimination of both GD and PVQ when traditional and formant acoustic measurements were combined.

OBJETIVO: Investigar a acurácia das medidas acústicas, isoladas e combinadas, na discriminação da intensidade do desvio vocal (GG) e da qualidade vocal predominante (QVP) em pacientes disfônicos. MÉTODO: Participaram 302 pacientes do gênero feminino, com queixa vocal. A partir da vogal /ɛ/ sustentada, foram extraídas as medidas acústicas de média e desvio padrão (DP) da frequência fundamental (F0), o jitter, o shimmer e o Glottal to noise excitation (GNE) e a média dos três primeiros formantes (F1, F2, F3). A avaliação perceptivo-auditiva do GG e QVP foi realizada por três fonoaudiólogos especialistas em voz. RESULTADOS: Isoladamente, apenas o GNE obteve desempenho satisfatório na discriminação do GG e da QVP. Houve uma melhora na classificação do GG e QVP com a combinação das medidas acústicas. A média de F0, F2 e GNE (saudável × desvio leve a moderado), DP de F0, F1 e F3 (leve a moderado × desvio moderado), Jitter e GNE (moderado × desvio intenso) foram as melhores combinações para discriminar o GG. As melhores combinações para discriminação da QVP foram média de F0, Shimmer e GNE (saudável × rugosa), F3 e GNE (saudável × soprosa), média de F0, F3 e GNE (rugosa × tensa), média de F0, F1 e GNE (soprosa × tensa). CONCLUSÃO: De forma isolada, o GNE mostrou-se o único parâmetro acústico capaz de discriminar o GG e a QVP. Houve um ganho no desempenho da classificação com a combinação das medidas acústicas tradicionais e formânticas, tanto para a discriminação do GG como da QVP.

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RESUMO Objetivo Investigar a acurácia das medidas acústicas, isoladas e combinadas, na discriminação da intensidade do desvio vocal (GG) e da qualidade vocal predominante (QVP) em pacientes disfônicos. Método Participaram 302 pacientes do gênero feminino, com queixa vocal. A partir da vogal /ɛ/ sustentada, foram extraídas as medidas acústicas de média e desvio padrão (DP) da frequência fundamental (F0), o jitter, o shimmer e o Glottal to noise excitation (GNE) e a média dos três primeiros formantes (F1, F2, F3). A avaliação perceptivo-auditiva do GG e QVP foi realizada por três fonoaudiólogos especialistas em voz. Resultados Isoladamente, apenas o GNE obteve desempenho satisfatório na discriminação do GG e da QVP. Houve uma melhora na classificação do GG e QVP com a combinação das medidas acústicas. A média de F0, F2 e GNE (saudável × desvio leve a moderado), DP de F0, F1 e F3 (leve a moderado × desvio moderado), Jitter e GNE (moderado × desvio intenso) foram as melhores combinações para discriminar o GG. As melhores combinações para discriminação da QVP foram média de F0, Shimmer e GNE (saudável × rugosa), F3 e GNE (saudável × soprosa), média de F0, F3 e GNE (rugosa × tensa), média de F0, F1 e GNE (soprosa × tensa). Conclusão De forma isolada, o GNE mostrou-se o único parâmetro acústico capaz de discriminar o GG e a QVP. Houve um ganho no desempenho da classificação com a combinação das medidas acústicas tradicionais e formânticas, tanto para a discriminação do GG como da QVP.

ABSTRACT Purpose Investigate the accuracy of isolated and combined acoustic measurements in the discrimination of voice deviation intensity (GD) and predominant voice quality (PVQ) in patients with dysphonia. Methods A total of 302 female patients with voice complaints participated in the study. The sustained /ɛ/ vowel was used to extract the following acoustic measures: mean and standard deviation (SD) of fundamental frequency (F0), jitter, shimmer, glottal to noise excitation (GNE) ratio and the mean of the first three formants (F1, F2, and F3). Auditory-perceptual evaluation of GD and PVQ was conducted by three speech-language pathologists who were voice specialists. Results In isolation, only GNE provided satisfactory performance when discriminating between GD and PVQ. Improvement in the classification of GD and PVQ was observed when the acoustic measures were combined. Mean F0, F2, and GNE (healthy × mild-to-moderate deviation), the SDs of F0, F1, and F3 (mild-to-moderate × moderate deviation), and mean jitter and GNE (moderate × intense deviation) were the best combinations for discriminating GD. The best combinations for discriminating PVQ were mean F0, shimmer, and GNE (healthy × rough), F3 and GNE (healthy × breathy), mean F 0, F3, and GNE (rough × tense), and mean F0 , F1, and GNE (breathy × tense). Conclusion In isolation, GNE proved to be the only acoustic parameter capable of discriminating between GG and PVQ. There was a gain in classification performance for discrimination of both GD and PVQ when traditional and formant acoustic measurements were combined.

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PURPOSE: To investigate whether there is association between vocal symptoms, voice complaint, and working and voice conditions self-reported by telemarketers. METHODS: Study participants were 72 telemarketing operators, both genders, who work in an emergency call center. They responded to a questionnaire on personal data, voice complaints, vocal symptoms, and working conditions. Data analysis was performed using the Chi-square, Mann-Whitney, and Fisher's Exact tests. RESULTS: Correlation was found between the telemarketers in the study group and voice disorder complaint for aspects of working condition, such as noisy working environment, and aspects of voice condition, such as change in the voice and workplace absence. Differences were observed between the mean of auditory vocal symptoms of participants for echo in the work room, change in voice, and workplace absence, as well as between the mean of their sensory vocal symptoms in relation to the variables stressful work rate, noisy working environment, noise from other rooms, echo in the work room, radio use, change in voice, and workplace absence. CONCLUSION: Correlation was found between the presence of vocal complaints, number of auditory and sensory vocal symptoms, and working conditions self-reported by the telemarketers surveyed.

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RESUMO Objetivo investigar se existe associação entre os sintomas vocais, a queixa vocal e as condições de trabalho e da voz autorreferidas por teleoperadores. Método participaram 72 teleoperadores, de ambos os gêneros, atuantes em uma central de atendimento em emergência. Eles responderam ao questionário que levantou dados pessoais, queixa vocal, sintomas vocais e condições de trabalho. A análise dos dados foi realizada por meio do Teste Quiquadrado, Teste exato de Fisher e do Teste Mann-Whitney. Resultados houve associação entre o grupo de teleoperadores com queixa de distúrbio da voz para os aspectos de condição de trabalho como empresa ruidosa, e para os aspectos de condição de voz: mudança na voz e faltas ao trabalho. Observaram-se diferenças entre a média de sintomas vocais auditivos para: eco na sala, mudança na voz e faltas ao trabalho, assim como se observou entre a média de sintomas vocais sensoriais dos participantes em relação às variáveis: ritmo de trabalho estressante, empresa ruidosa, barulho vindo de outras salas, eco na sala, uso do rádio, mudança na voz e faltas ao trabalho. Conclusão existe associação entre a presença de queixa vocal, o número de sintomas vocais auditivos e sensoriais e as condições de trabalho autorreferidas pelos teleoperadores pesquisados.

ABSTRACT Purpose To investigate whether there is association between vocal symptoms, voice complaint, and working and voice conditions self-reported by telemarketers. Methods Study participants were 72 telemarketing operators, both genders, who work in an emergency call center. They responded to a questionnaire on personal data, voice complaints, vocal symptoms, and working conditions. Data analysis was performed using the Chi-square, Mann-Whitney, and Fisher’s Exact tests. Results Correlation was found between the telemarketers in the study group and voice disorder complaint for aspects of working condition, such as noisy working environment, and aspects of voice condition, such as change in the voice and workplace absence. Differences were observed between the mean of auditory vocal symptoms of participants for echo in the work room, change in voice, and workplace absence, as well as between the mean of their sensory vocal symptoms in relation to the variables stressful work rate, noisy working environment, noise from other rooms, echo in the work room, radio use, change in voice, and workplace absence. Conclusion Correlation was found between the presence of vocal complaints, number of auditory and sensory vocal symptoms, and working conditions self-reported by the telemarketers surveyed.

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RESUMO Objetivo: comparar os sintomas auditivos, proprioceptivos e os totais pré e pós-terapia de grupo de pacientes com disfonia, além de associar o número de sintomas vocais às variáveis sexo, faixa etária, uso profissional da voz e diagnóstico laríngeo. Métodos: participaram 27 pacientes inseridos em grupos terapêuticos. Todos responderam aos sintomas vocais auditivos, proprioceptivos e totais do Protocolo de Triagem Vocal (PTV) pré e pós-terapia de grupo, que constou de oito encontros, sendo o primeiro e último para aplicação do PTV; do segundo ao sétimo foram realizadas sessões terapêuticas fonoaudiológicas de abordagem eclética. Resultados: os participantes eram adultos, maioria do sexo feminino e diagnóstico laríngeo predominante de lesão na porção membranosa das pregas vocais. Pôde-se perceber que houve redução significante dos sintomas vocais proprioceptivos e totais quando se comparou pré e pós-terapia. Minimizaram significantemente pós-terapia os sintomas vocais: fadiga vocal, garganta seca, bolo na garganta, esforço e desconforto ao falar. Houve associação entre sintomas vocais (proprioceptivos, auditivos e totais) pós-terapia de grupo com as variáveis sexo feminino e diagnóstico laríngeo lesão de massa na porção membranosa das pregas vocais. Não houve associação dos sintomas vocais pós-terapia com faixa etária e nem uso profissional da voz. Conclusão: houve redução dos sintomas vocais totais e proprioceptivos relatados pelos pacientes ao comparar o pré e o pós-terapia. Houve associação entre sexo feminino e diagnóstico de lesão de massa na porção membranosa das pregas vocais com sintomas totais, proprioceptivos e auditivos pós-terapia de voz. A faixa etária e o uso profissional da voz não foram associados à redução dos sintomas vocais.

ABSTRACT Purpose: to compare auditory, proprioceptive and total symptoms in dysphonia patients pre- and post- group therapy, and associate the number of vocal symptoms with gender, age, professional use of voice, and laryngeal diagnosis variables. Methods: the sample included 27 patients enrolled in therapeutic groups. All had auditory, proprioceptive, and total vocal symptoms from the Vocal Screening Protocol (VSP), pre- and post- group therapy, which consisted of eight meetings, with the first and last being for the implementation of the VSP; in the second to seventh, speech therapy sessions were performed using an eclectic approach. Results: the participants were adults, mostly female, and predominantly with laryngeal diagnoses involving lesions in the membranous portion of the vocal folds. There was a significant reduction in proprioceptive and total vocal symptoms when pre- and post- therapy was compared. The following vocal symptoms were significantly minimized post-therapy: vocal fatigue, dry throat, lumps in the throat, effort and discomfort when speaking. There was a connection between post group therapy (proprioceptive, auditory, and total) vocal symptoms and the female and laryngeal diagnosis involving mass lesions in the membranous portion of the vocal folds variables. There was no connection between post-therapy vocal symptoms and age or professional use of voice. Conclusion: there was a reduction in total and proprioceptive vocal symptoms reported by patients, comparing pre- and post- therapy. There was a connection between females and diagnoses of mass lesions in the membranous portion of the vocal folds and total, proprioceptive, and auditory symptoms post- voice therapy. Age and professional use of voice were not associated with reduced vocal symptoms.

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RESUMO Objetivo investigar se existe associação entre a frequência de ocorrência dos sintomas vocais, a intensidade do desvio vocal e o diagnóstico laríngeo em pacientes com diferentes distúrbios da voz. Métodos Participaram do estudo 330 pacientes com queixa vocal, distribuídos em cinco grupos de acordo com o diagnóstico laringológico: G1-sem lesão laríngea, G2-lesões benignas das pregas vocais, G3-distúrbio neurológico da voz, G4-fenda glótica sem causa orgânica ou neurológica e G5-distúrbio de voz secundário a refluxo gastroesofágico. Foram alocados em cinco grupos, de acordo com o diagnóstico laríngeo. Todos os participantes responderam à Escala de Sintomas Vocais (ESV) e gravaram a vogal /ɛ/ sustentada, que foi analisada quanto à intensidade do desvio vocal por meio de uma escala analógico-visual. Resultados Houve diferença nos escores total, de limitação e físico da ESV entre diferentes grupos diagnósticos. Pacientes com lesão na porção membranosa das pregas vocais apresentaram maior número de sintomas vocais em relação aos outros grupos diagnósticos. Observou-se correlação positiva entre a intensidade do desvio vocal e os escores total, de limitação e emocional da ESV. Pacientes com desvio vocal moderado e intenso apresentaram maior número de sintomas vocais que pacientes com vozes saudáveis ou com desvio leve. Conclusão Existe associação entre o diagnóstico laríngeo, a intensidade do desvio vocal e a frequência de ocorrência dos sintomas vocais. Pacientes com lesão benigna nas pregas vocais e com desvio vocal mais intenso apresentam maior frequência de sintomas vocais.

ABSTRACT Purpose To investigate whether there is an association between the frequency of occurrence of vocal symptoms, the intensity of vocal deviation and laryngeal diagnosis in patients with different voice disorders. Methods The study included 330 patients with vocal complaints. The patients were divided into five groups according to the laryngeal diagnosis: G1- without laryngeal lesions; G2 -benign vocal fold lesions; G3 - voice disorder of neurological origin; G4 -incomplete glottal closure without organic or neurologic cause; and G5 - voice disorder secondary to gastroesophageal reflux. All participants responded to the Voice Symptom Scale (VoiSS) and recorded the sustained /ɛ/ vowel, which was analyzed for the intensity of vocal deviation using a visual analog scale. Results There were differences in total VoiSS scores and in scores for the impairment and physical domains among the different diagnostic groups. Patients with lesions in the membranous portion of the vocal folds presented more vocal symptoms than those in the other diagnostic groups. There was a positive correlation between the intensity of vocal deviation and the total, limitation and emotional VoiSS scores. Patients with moderate and intense vocal deviation showed a greater number of vocal symptoms than patients with healthy voices or with mild deviations. Conclusion There is an association between laryngeal diagnosis, the intensity of vocal deviation and vocal symptoms. Patients with benign vocal fold lesions and more intense vocal deviations have a higher frequency of vocal symptoms.

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OBJECTIVE: To analyze perceptual-auditory and acoustic characteristics of children's voices of different age ranges. PATIENTS AND METHODS: Ninety-three 3- to 10-year-old children grouped from 3 to 5, 6 to 7, and 8 to 10 years served as participants. The severity of vocal deviation and the parameters of roughness, breathiness, strain, and instability were assessed using a visual analog scale. We calculated the mean and standard deviation of fundamental frequency (F0), jitter, shimmer, and glottal-to-noise excitation ratio for the sustained vowel, and the mean of F0 variability for connected speech. RESULTS: The most affected voices were in the age range 8-10 years, and only the phonation tension level was reduced as a result of aging. There were significant differences between children aged 3-5 years and the other age ranges for F0 mean for sustained vowels and F0 variability. CONCLUSION: Children aged 8-10 years had the highest severity of vocal deviation. There was a significant reduction of phonation tension and measure of F0, jitter, and shimmer after the age of 5 years.

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OBJETIVO: Analisar a presença do distúrbio de voz em professores na concordância entre autorreferência, avaliação perceptiva da voz e das pregas vocais. MÉTODOS: Deste estudo transversal, participaram 60 professores de duas escolas públicas de ensino fundamental e médio. Após responderem questionário de autopercepção (Condição de Produção Vocal do Professor - CPV-P) para caracterização da amostra e levantamento de dados sobre autorreferência ao distúrbio de voz, foram submetidos à coleta de amostra de fala e exame nasofibrolaringoscópico. Para classificar as vozes, três juízes fonoaudiólogos utilizaram à escala GRBASI e, para pregas vocais (PPVV), um otorrinolaringologista descreveu as alterações encontradas. Os dados foram analisados descritivamente, e a seguir submetidos a testes de associação. RESULTADOS: No questionário, 63,3% dos participantes referiram ter ou ter tido distúrbio de voz. Do total, 43,3% foram diagnosticados com alteração em voz e 46,7%, em prega vocal. Não houve associação entre autorreferência e avaliação da voz, nem entre autorreferência e avaliação de PPVV, com registro de concordância baixa entre as três avaliações. Porém, houve associação entre a avaliação da voz e de PPVV, com concordância intermediária entre elas. CONCLUSÃO: Há maior autorreferência a distúrbio de voz do que o constatado pela avaliação perceptiva da voz e das pregas vocais. A concordância intermediária entre as duas avaliações prediz a necessidade da realização de pelo menos uma delas por ocasião da triagem em professores.

PURPOSE: To analyze the presence of voice disorders in teachers in agreement between self-report, auditory-perceptive assessment of voice quality and vocal fold assessment. METHODS: The subjects of this cross-sectional study were 60 public elementary, middle and high-school teachers. After answering a self-awareness questionnaire (Voice Production Conditions of Teachers - CPV-P) used to characterize the sample and collect self-report data regarding voice disorders, the teachers were submitted to speech sample collection procedures and laryngoscopic examination. In order to classify the voices, three speech-language pathologist judges used the GRBASI scale, and an otorhynolaryngologist described the alterations seen in the vocal folds. Data were descriptively analyzed and then submitted to association tests. RESULTS: In the questionnaire, 63.3% of the subjects reported having or having had a voice disorder, while 43.3% were diagnosed with a vocal quality deviation and 46.7% with vocal fold alteration. There was no association between self-report and voice quality assessment, or between self-report and vocal fold evaluation, with low levels of agreement between the three assessments. However, there was association between voice quality and vocal fold assessment, with intermediate level of agreement between them. CONCLUSION: There were more self-reported voice disorders than what was found in the auditory-perceptive and vocal fold assessments. The intermediate agreement between the two assessments predicts the need for the use of at least one of these techniques when performing screening procedures in teachers.