Elliana Kirsh Devore

Objectives To assess: (1) the Voice Handicap-10 (VHI) instrument with item response theory (IRT) and determine which items convey the most information, (2) the extent to which voice handicap can be measured with a subset of items for efficient information intake, and (3) whether a proposed shorter scale has differing discriminatory ability for key diagnoses made by fellowship-trained laryngologists, as compared to the 10-item instrument.

Original Report Editor's Note: This Manuscript was accepted for publication on April 18, 2023. Accepted for presentation at the American Broncho-Esophagological Association, Combined Otolaryngological Spring Meetings, 2023. The authors have no conflicts of interest to disclose. Adaobi Ahanotu, Elliana Kirsh DeVore, Maria Edelen, Mary Marcos, Elizabeth Willard, and Nina W. Zhao have no disclosures.

A male in his 60s, nonsmoker, with history of gastroesophageal reflux disease, hiatal hernia repair, and recurrent bronchitis presented to an otolaryngology subspecialty clinic with 1 month of mild dyspnea. Office bronchoscopy identified a paratracheal diverticulum and abnormal scar tissue in the mainstem bronchi bilaterally. The trachea demonstrated posterior scar bands with intermittent dilations ( Figure 1 ).