Clinical and Voice-Related Characteristics of Teachers Presenting with Voice Disorders in Georgia

Abstract

BACKGROUND. Voice disorders represent a common occupational health problem among professionals who rely heavily on vocal communication in their daily work. OBJECTIVES. To explore the clinical characteristics, occupational factors, and perceived voice handicap among teachers presenting with voice disorders in Georgia. METHODS. A clinic-based cross-sectional study was conducted among 100 teachers presenting with voice complaints at a specialized otolaryngology clinic in Georgia between 2023 and 2025. Participants underwent videostroboscopic examination performed by experienced otolaryngologists. Data on sociodemographic characteristics, occupational conditions, lifestyle factors, comorbidities, and self-reported voice symptoms were collected using a structured questionnaire. Descriptive statistical analysis was performed using SPSS 21.0. RESULTS. The mean age of participants was 39.3±10.0 years, and 53% were female. Inflammatory laryngeal conditions and benign vocal fold lesions were the most frequently identified diagnostic categories. Hoarseness and variable voice quality were the most reported symptoms. Occupational exposures, including noisy classroom environments and work-related stress, were frequently reported. Participants with benign vocal fold lesions had descriptively higher mean VHI-30 scores than those with inflammatory laryngeal conditions; however, no formal statistical comparison was performed. CONCLUSIONS. This clinic-based study highlights the importance of early clinical assessment, preventive vocal health strategies, and occupational interventions to reduce the burden of voice disorders among teachers.