Teflon Injection in 16 Patients with Paralytic Dysphonia

1984 ◽  
Vol 49 (1) ◽  
pp. 72-82 ◽  
Author(s):  
Britta Hammarberg ◽  
Björn Fritzell ◽  
Helge Schiratzki
Keyword(s):  
Perturbation Analysis ◽  
Vocal Fold ◽  
Distribution Analysis ◽  
Point Scale ◽  
Acoustic Data ◽  
Perceptual Evaluation ◽  
Average Spectrum ◽  
Long Time ◽  
Time Average ◽  
The Voice

Sixteen patients with paralytic dysphonia were treated with Teflon injection in the paralyzed vocal fold. Trained voice pathologists rated the pre- and postinjection voices on a 5-point scale for each of 11 voice characteristics. Among these, aphonia, breathiness, and hypofunction diminished significantly after injection. The perceptual evaluation was correlated with acoustic data from long-time-average spectrum analysis, fundamental frequency distribution analysis, and waveform perturbation analysis. In this acoustic assessment, systematic changes were found in the long-time-average spectra, which agreed well with the perceptual data. In 12 of 16 patients the voice was both perceptually and acoustically improved after Teflon injection.

Optimal Selection of Long Time Acoustic Features Using GA for the Assessment of Vocal Fold Disorders

2012 ◽  
Vol 239-240 ◽  
pp. 65-70 ◽  
Author(s):  
Sindhu Ravindran ◽  
Neoh Siew-Chin ◽  
Hariharan Muthusamy
Keyword(s):  
Vocal Fold ◽  
Acoustic Analysis ◽  
Feature Reduction ◽  
Optimal Selection ◽  
Acoustical Parameters ◽  
Long Time ◽  
Minimum Number ◽  
Reduction Methods ◽  
The Voice ◽  
Selection Of

In recent times, vocal fold problems have been increasing dramatically due to unhealthy social habits and voice abuse. Non-invasive methods like acoustic analysis of voice signals can be used to investigate such problems. Various feature extraction techniques are used to classify the voice signals into normal and pathological. Among them, long-time acoustical parameters are used by many researchers. The selection of best long-time acoustical parameters is very important to reduce the computational complexity, as well as to achieve better accuracy with minimum number of features. In order to select best long-time acoustical parameters, different feature reduction methods or feature selection methods are proposed by researchers. In this work, genetic algorithm (GA) based optimal selection of long-time acoustical parameters is proposed to achieve higher accuracy with minimum number of features. The classification is carried out using k-nearest neighbourhood (k-NN) classifier. In comparison with other works in the literature, the simulation results show that a minimum of 5 features are required to classify the voice signals by GA and a better accuracy of 94.29% is achieved.

scholarly journals Comparative perceptual evaluation and acoustic voice analysis of a transgender client male to female before and after laser-assisted voice adjustment surgery

2021 ◽  
Vol 57 (1) ◽  
pp. 40-55
Author(s):  
Gordana Varošanec-Škarić ◽  
Siniša Stevanović ◽  
Iva Bašić
Keyword(s):  
Voice Quality ◽  
Spontaneous Speech ◽  
Female Voice ◽  
Normal Female ◽  
Male Voice ◽  
Perceptual Evaluation ◽  
Average Spectrum ◽  
Before And After ◽  
The Voice ◽  
Male To Female

In this study, we examined changes in the voice quality of a transgender client who had previously undergone male-to-female (MtF) transition. We conducted a longitudinal phonetic analysis after obtaining recordings from our client before and after undergoing laser-assisted voice adjustment (LAVA) surgery. The following acoustic parameters were compared: fundamental frequency (F0) measures, local jitter, shimmer, harmonic to noise ratio, phonation time, and long-term average spectrum. We assumed that the voice would not change significantly as a result of previous hormonal and vocal therapy, and that its timbre would be closer to female values after LAVA surgery. Since the client was on hormone therapy before the surgery, the average values of F0 corresponded to the values of a normal female voice (190.1 Hz), and, after surgery, the voice became significantly higher in phonation (235.6 Hz). Before surgery, the voice was high for a male voice during reading (mean F0 = 150.19 Hz for non-fricative text (NT) and mean F0 = 158.06 Hz for fricative text (FT)). After surgery, the voice exhibited higher F0 values (F0 = 184.72 Hz for NT and F0 = 191.87 Hz for FT). Before surgery, the voice was average high for a male voice during spontaneous speech (F0 = 119.90 Hz), while after surgery the F0 was 161.33 Hz during spontaneous speech, which is somewhat lower than the average pitch values of the female voice, but its timbral quality is more feminine. Since spontaneous speech is very important for comparison vocal timbre, we can conclude that the 42 Hz difference observed is notable. Although the minimal and maximal values of F0 based on phonation were significantly higher after surgery (p < 0.001), the range was limited. The total results of the F0 measures are higher than expected, while the shortened phonation time points to the need for voice therapy. Considering all our results, we can conclude that it is important to discuss a client’s profession before considering LAVA surgery.

Long-Time Average Spectrum of Speech and Voice Analysis

1987 ◽  
Vol 39 (5) ◽  
pp. 221-229 ◽  
Author(s):  
Anders Löfqvist ◽  
Bengt Mandersson
Keyword(s):  
Voice Analysis ◽  
Average Spectrum ◽  
Long Time ◽  
Time Average

Long-time average spectrum in individuals with Parkinson disease1

2014 ◽  
Vol 35 (1) ◽  
pp. 77-88 ◽  
Author(s):  
Lindsey K. Smith ◽  
Alexander M. Goberman
Keyword(s):  
Average Spectrum ◽  
Long Time ◽  
Time Average

Vocal Fold Injection Augmentation for Post-Airway Reconstruction Dysphonia: A Case Series

2021 ◽  
pp. 000348942110125
Author(s):  
Mathieu Bergeron ◽  
John Paul Giliberto ◽  
Meredith E. Tabangin ◽  
Alessandro de Alarcon
Keyword(s):  
Vocal Fold ◽  
Care Center ◽  
Case Series ◽  
Retrospective Chart Review ◽  
Pediatric Care ◽  
Voice Perception ◽  
Perceptual Evaluation ◽  
Airway Reconstruction ◽  
Vocal Fold Injection ◽  
History Of

Objectives: Post airway reconstruction dysphonia (PARD) is common and has a significant effect on the quality of life of patients. Vocal fold injection augmentation (VFIA) is one treatment that can be used to improve glottic insufficiency in some patients. The goal of this study was to characterize the use and outcomes of VFIA for PARD. Methods: Retrospective chart review from January 2007 to July 2018 at a tertiary pediatric care center. Consecutive patients with PARD who underwent VFIA, who had a preoperative voice evaluation and a follow-up evaluation within 3 months after VFIA (fat, carboxymethylcellulose gel, hyaluronic acid). Results: Thirty-four patients (20 female) underwent VFIA. The mean age at the time of the injection was 13.6 years (SD 6.1). Twenty patients (58.8%) had a history of prematurity and a mean of 1.8 open airway surgeries. After injection, 29/34 patients (85.3%) noted a subjective voice improvement. The baseline Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) overall severity score decreased by a mean of 5.7 (SD = 19.6) points, P = .12. Total pediatric Voice Handicap Index (pVHI) improved by 6.0 (SD = 19.5) points, from 57.4 (SD = 20.0) to 51.4 (SD = 17.2), P = .09. Functional pVHI subscore demonstrated a significant improvement, with a decrease of 3.4 (SD = 7.3) points, P = .02. All procedures were performed as an overnight observation and no complication occurred. Conclusion: Patients with PARD represent a complex subset of patients. VFIA is a straightforward intervention that may improve voice perception. Many patients reported subjective improvement despite minimal objective measurement. Further work is warranted to elucidate the role of injection in management of PARD

scholarly journals Temperature distribution analysis of different technologies of PV modules using infrared thermography

2018 ◽  
Vol 49 ◽  
pp. 00044 ◽  
Author(s):  
Slawomir Gulkowski ◽  
Natalia Zytkowska ◽  
Piotr Dragan
Keyword(s):  
Temperature Distribution ◽  
Infrared Thermography ◽  
Power Production ◽  
Distribution Analysis ◽  
Copper Indium Gallium Diselenide ◽  
Pv Systems ◽  
Copper Indium ◽  
Long Time ◽  
High Level ◽  
Continuous Power

Photovoltaic systems are designed to operate for a very long time according to the modules’ warranty that guarantees at least of 80% of the nominal power production after 20 years of use. In order to assure the continuous power production with a high level for a long time, thermographic analysis should be performed to detect incipient anomalies in individual modules and junction boxes. This safe, convenient and noncontact method allows carrying out the inspection for working system without any contact with live wiring and without disconnecting the PV systems. Temperature distribution of the module surface can reveal many different types of anomalies, i.e. hot spots caused by local shading, microcracking or cell breakage. This paper shows the results of the infrared thermography analysis of the operating PV systems consisting of different technological modules: polycrystalline silicon (pc-Si), copper indium gallium diselenide (CIGS) and cadmium telluride (CdTe). The average working temperature of each different kind of technological module as well as overheated areas were investigated in this study. Temperature of the MC4 connectors was also analysed.

scholarly journals Characteristics of voice and personality of patients with vocal fold immobility

CoDAS ◽  
2015 ◽  
Vol 27 (2) ◽  
pp. 178-185 ◽  
Author(s):  
Anna Alice Figueirêdo de Almeida ◽  
Luana Ramos Fernandes ◽  
Elma Heitmann Mares Azevedo ◽  
Renata Serrano de Andrade Pinheiro ◽  
Leonardo Wanderley Lopes
Keyword(s):  
Risk Factors ◽  
Vocal Fold ◽  
Speech Therapy ◽  
Personality Characteristics ◽  
Voice Disorder ◽  
Moderate Intensity ◽  
Screening Protocol ◽  
Vocal Fold Immobility ◽  
Realization Factors ◽  
The Voice

Purpose: To examine the voice and personality characteristics of patients diagnosed with organic dysphonia secondary to vocal fold immobility. Methods: The study comprised patients of both genders, attending the Clinic School of Speech Therapy of the Federal University of Paraíba, with otorhinolaryngological diagnosis of vocal fold immobility and speech therapy diagnosis of dysphonia. The self-assessment of voice was measured through a Vocal Screening Protocol and Voice Symptoms Scale (VoiSS), the voice was collected for auditory-perceptive evaluation, and the Factorial Personality Battery (FPB) was used. Descriptive statistical analysis was performed to determine the frequency, mean, and standard deviation of the studied variables. Results: Eight patients participated in the study, of both genders, with average age of 40.4±16.9 years. The more frequent risk factors were the personal ones (4.7±2.1). In the VoiSS, the patients presented a higher average in the limitation score (34.1±15.7). From the auditory-perceptive evaluation, moderate intensity of vocal deviation was obtained, with predominant vocal roughness (57.7±25.2). In the FPB, the patients had an average higher than the cutoff scores in neuroticism (3.8±1.4) and accomplishment (5.2±1.0). Conclusion: The predominant vocal parameter was roughness. The patients referred to a few risk factors that compromise the vocal behavior and presented the neuroticism and realization factors as a highlight in their personality. Thus, individuals with vocal fold immobility show personality characteristics that may be a reflection of their voice disorder, not a factor that determines their dysphonia.

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