Computerized acoustic voice analysis and subjective scaled evaluation of the voice can avoid the need for laryngoscopy after thyroid surgery

Surgery ◽  
2009 ◽  
Vol 145 (3) ◽  
pp. 265-271 ◽  
Author(s):  
Joaquin Ortega ◽  
Norberto Cassinello ◽  
Dimitri Dorcaratto ◽  
Ennio Leopaldi
Keyword(s):  
Thyroid Surgery ◽  
Voice Analysis ◽  
Acoustic Voice Analysis ◽  
The Voice

Normalisation of voice parameters in patients with unilateral vocal fold palsy: is it realistic?

2019 ◽  
Vol 133 (12) ◽  
pp. 1097-1102
Author(s):  
R Kumar ◽  
N Banumathy ◽  
P Sharma ◽  
N K Panda
Keyword(s):  
Vocal Fold ◽  
Voice Analysis ◽  
Acoustic Voice Analysis ◽  
Acoustic Measures ◽  
Vocal Fold Palsy ◽  
Males And Females ◽  
Voice Range ◽  
The Voice ◽  
Post Therapy

AbstractBackgroundDisorders of voice can limit an individual's participation and impair social interaction, thus affecting overall quality of life. Perceptual and objective evaluations can provide the clinician with detailed information regarding voice disorders.MethodsThis study comprised 40 subjects aged 34–46 years, 20 of whom (10 male, 10 female) had unilateral vocal fold palsy. Data were obtained for all participants from: the Voice Handicap Index, the grade, roughness, breathiness, asthenia and strain (‘GRBAS’) scale, acoustic voice analysis, electroglottography, and voice range profiles.ResultsThe voice evaluations revealed statistically significant (p < 0.05) differences between the controls and study group, both in males and females, pre- and post-therapy.ConclusionDespite the normalisation of vocal parameters, acoustic, perceptual and self-rated assessments revealed statistically significant differences after therapy. Hence, acoustic measures, namely electroglottographic perturbation, and voice frequency and intensity range, are recommended prior to termination of therapy.

Acoustic Voice Analysis by Means of the Hoarseness Diagram

2000 ◽  
Vol 43 (3) ◽  
pp. 706-720 ◽  
Author(s):  
Matthias Fröhlich ◽  
Dirk Michaelis ◽  
Hans Werner Strube ◽  
Eberhard Kruse
Keyword(s):  
Clinical Practice ◽  
Acoustic Analysis ◽  
Acoustic Properties ◽  
Voice Analysis ◽  
Acoustic Voice Analysis ◽  
New Approach ◽  
Quantitative Monitoring ◽  
The One ◽  
Generation Mechanisms ◽  
The Voice

The hoarseness diagram (Michaelis, Fröhlich, & Strube, 1998a) has been proposed as a new approach to describe different acoustic properties of voices. To test its performance in the analysis of pathologically disturbed and normal voices five requirements are suggested that should be met by any acoustic voice-analysis protocol to be used in voice research and clinical practice. The hoarseness diagram is then tested with regard to these requirements. Individual voices are found to show a satisfactory localization in the diagram. Aspects of stationarity are discussed in the context of four case studies. The different cases illustrate that changes in the acoustic analysis results are observed if the voice-generation conditions change, whereas results are stationary if phonation conditions do not change. Different pathological voice groups defined on grounds of the specific phonation mechanism are found to map to specific regions of the hoarseness diagram, with differences between group locations being significant. All results can be interpreted without exceptions if the two hoarseness diagram coordinates are taken to reflect the vibrational irregularity of the voice-generation mechanisms on the one side and the degree of closure of the vibrating structures on the other side. The hoarseness diagram and its underlying algorithms are thus shown to constitute a useful approach to acoustic voice analysis in research and clinical practice. The tests themselves demonstrate several application possibilities, including the quantitative monitoring of individual voices.

scholarly journals Patient Self-Assessment and Acoustic Voice Analysis in Screening of Postoperative Vocal Fold Paresis and Paralysis

2021 ◽  
pp. 145749692110070
Author(s):  
M. Heikkinen ◽  
E. Penttilä ◽  
M. Qvarnström ◽  
K. Mäkinen ◽  
H. Löppönen ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Voice Handicap Index ◽  
Index Score ◽  
Parathyroid Surgery ◽  
Voice Analysis ◽  
Self Assessment ◽  
Acoustic Voice Analysis ◽  
Vocal Fold Paresis ◽  
The Voice ◽  
Patient Self Assessment

Background and Aims: The aim of this study was to evaluate the utility of two items in vocal fold paresis and paralysis screening after thyroid and parathyroid surgery: patient self-assessment of voice using the Voice Handicap Index and computer-based acoustic voice analysis using the Multi-Dimensional Voice Program. Materials and Methods: This was a prospective study of 181 patients who underwent thyroid or parathyroid surgery over a 1-year study period (2017). Preoperatively, all patients underwent laryngoscopic vocal fold inspection and acoustic voice analysis, and they completed the Voice Handicap Index questionnaire. Postoperatively, all patients underwent laryngoscopy prior to hospital discharge; 2 weeks after the surgery, they completed the Voice Handicap Index questionnaire a second time. Two weeks postoperatively, patients with vocal fold paresis or paralysis and 20 randomly selected controls without vocal fold paresis or paralysis underwent a follow-up acoustic voice analysis. Results: Fourteen patients had a new postoperative vocal fold paresis or paralysis. Postoperatively, the total Voice Handicap Index score was significantly higher (p = 0.040) and the change between preoperative and postoperative scores was greater (p = 0.028) in vocal fold paresis or paralysis patients. A total postoperative Voice Handicap Index score > 30 had 55% sensitivity, and 90% specificity, for vocal fold paresis or paralysis. In the postoperative Multi-Dimensional Voice Program analysis, vocal fold paresis or paralysis patients had significantly more jitter (p = 0.044). Postoperative jitter > 1.33 corresponded to 55% sensitivity, and 95% specificity, for vocal fold paresis or paralysis. Conclusion: In identifying postoperative vocal fold paresis or paralysis, patient self-assessment and jitter in acoustic voice analysis have high specificity but poor sensitivity. Without routine laryngoscopy, approximately half of the patients with postoperative vocal fold paresis or paralysis could be overlooked. However, if the patient has no complaints of voice disturbance 2 weeks after thyroid or parathyroid surgery, the likelihood of vocal fold paresis or paralysis is low.

scholarly journals Dynamics of acoustic voice parameters in patients after antireflux surgery

2020 ◽  
Vol 19 (4) ◽  
pp. 34-38
Author(s):  
G. A. Dudaity ◽  
◽  
L. V. Georgieva ◽  
Keyword(s):  
Antireflux Surgery ◽  
Respiratory Diseases ◽  
Ph Monitoring ◽  
Control Group ◽  
Acoustic Parameters ◽  
Voice Analysis ◽  
Before And After ◽  
Upper Respiratory ◽  
The Voice ◽  
Late Postoperative Period

The article is devoted to the influence of pharyngolaryngeal reflux on the voice acoustic parameters in patients before and after the antireflux surgery (fundoplication). The study involved 12 patients aged 33 to 64 years with a confirmed impedance–pH monitoring diagnosis of gastroesophageal reflux disease. The control group included 10 patients aged 18 to 33 years. These subjects did not have any upper respiratory diseases (including pharyngolaryngeal reflux) and gastrointestinal tract diseases. Computer voice analysis was used to objectively evaluate the voice acoustic parameters. In patients before fundoplication, a statistically significant increase in Jitter and Shimmer parameters was observed in 100% of cases compared with the control group (p ≤ 0,05). In the late postoperative period, 6 months after surgery, the analysis of acoustic parameters of voice in the study group revealed: Jitter and Shimmer indicators in 100% of cases significantly decreased compared to the preoperative values (p ≤ 0,05), which indicates an improvement in voice function. Jitter and Shimmer were the most diagnostically significant parameters.

A Prototype for the Voice Analysis Diagnosis of Alzheimer’s Disease

2018 ◽  
Vol 64 (2) ◽  
pp. 473-481 ◽  
Author(s):  
Francisco Martínez-Sánchez ◽  
Juan José G. Meilán ◽  
Juan Carro ◽  
Olga Ivanova
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Voice Analysis ◽  
The Voice

Application of High Speed Digital Imaging (HSDI) technique and voice acoustic analysis in the diagnosis of the clinical form of Presbyphonia in women

2020 ◽  
Vol 74 (4) ◽  
Author(s):  
Bożena Kosztyła-Hojna ◽  
Emilia Duchnowska ◽  
Maciej Zdrojkowski ◽  
Anna Łobaczuk-Sitnik ◽  
Jolanta Biszewska
Keyword(s):  
Digital Imaging ◽  
High Speed ◽  
Elderly Women ◽  
Voice Quality ◽  
Vocal Folds ◽  
Clinical Form ◽  
Voice Analysis ◽  
Acoustic Voice Analysis ◽  
Group I ◽  
Glottal Insufficiency

<b>Introduction:</b> The aging process of voice begins after the age of 60 and has an individually variable course. Voice quality disorders at this age are called senile voice (Presbyphonia or Vox Senium). Voice pathology is particularly severe in women. The aim of the study was to diagnose the clinical form of Presbyphonia in elderly women using High Speed Digital Imaging (HSDI) and acoustic voice analysis. <br><b>Material and methods:</b> Study included 50 elderly women (average age 69) with dysphonia (Group I). Control group (Group II) included 30 women (average age 71) without voice quality disorders. Visualization assessment has been conducted with High Speed Digital Imaging (HSDI) with High Speed camera (HS). Acoustic evaluation of voice included analysis isolated vowel “a” and continuous linguistic text with Diagnoscope Specialista software. Maximum Phonation Time (MPT) has been determined. <br><b>Results:</b> In Group I, 78% of women revealed vocal folds vibrations asymmetry, vibration amplitude increase, Mucousal Wave (MW) limitation and Type D glottal insufficiency (GTs). Acoustic voice analysis proved decrease in F0, increase in Jitter, Shimmer, NHR. In 22% of women, next to vibrations asymmetry, vibration amplitude reduction and MW limitation, Type E glottal insufficiency (GTs) have been found. Acoustic voice analysis revealed slight decrease in F0 and the presence of numerous non-harmonic components in the glottis region. <br><b>Conclusions:</b> Vocal folds visualization with HSDI showed edema, less often atrophy in elderly women. Both forms of dysphonia were caused abnormal values of F0, Jitter, Shimmer, NHR in the acoustic voice evaluation and significant reduction of MPT.

Acoustic Voice Analysis Findings in Ankylosing Spondylitis

2019 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Ahmet Volkan Sünter ◽  
Özgür Yiğit ◽  
Zeynep Alkan ◽  
Özer Burnaz
Keyword(s):  
Ankylosing Spondylitis ◽  
Voice Analysis ◽  
Acoustic Voice Analysis
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