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Voice Handicap Index is a scale designed to measure the voice disability in daily life. Two groups of patients were evaluated. One group was represented by glottic carcinoma treated by cordectomy Type I & II (13 patients), type III (5 patients), type V (5 patients). Evaluation was done pre and postoperatively for 12 months. The other group was represented by patients with unilateral vocal fold paralysis treated by thyroplasty (17 patients). Evaluation was done before and 3 months postoperatively. Total VHI, emotional and physical subscales improved significantly for type I&II cordectomy and for thyroplasty. VHI can provide an insight into patients handicap.