scholarly journals The voice of patients with laryngeal carcinoma after oncosurgery

2005 ◽  
Vol 13 (2) ◽  
pp. 76-78 ◽  
Author(s):  
Slobodan Mitrovic ◽  
Ljiljana Jovancevic
Keyword(s):  
Acoustic Analysis ◽  
Individual Characteristics ◽  
Secondary Importance ◽  
Laryngeal Function ◽  
Objective Parameter ◽  
Laryngeal Carcinomas ◽  
Before And After ◽  
Quality Of Voice ◽  
The Voice

The voice of patients indicated for surgical procedures in treating of dysphonia is already damaged before the operation. The problem, which exists at the level of glottis patients usually try to solve by compensative mechanisms. The quality of voice after the interventions in larynx depends on the type and width of resection, disturbance of physiological phonation mechanisms, and ability to establish optimal phonation automatism. The damage of laryngeal structure, especially its glottic part and vocal cords as its central part, no matter if they are just fibrous or they are partially or totally absent, leads into the development of substitutive phonation mechanisms. The most frequent substitutive mechanisms are: vestibular, ventricular, and chordoventricular phonation. There are some variations of these phonation mechanisms, which are conditioned not only by applied surgical technique, but as they are also individual characteristics, they can be the consequence of applied rehabilitation methods. The diagnosis of voice condition before and after the oncosurgical procedure is done by: laryngostroboscopy, subjective acoustic analysis of voice, and objective acoustic analysis of voice (sonography or computer analysis of acoustic signal). The most of laryngeal carcinomas appear in glottic region, so the function of phonation imposes itself as the objective parameter to measure the quality of life after the oncosurgery of larynx. That is the reason why according to the priority, it is just behind the principle of "oncologic radicalism". Phonation as the most complex laryngeal function seems to have secondary importance. All known operative techniques, especially partial resections, have the preservation of phonation as their goal.

Impact of speech therapy on the improvement of voice quality in patients with unilateral vocal fold paralysis

2018 ◽  
Vol 7 (4) ◽  
pp. 1-7
Author(s):  
Anna Kuligowska ◽  
Barbara Jamróz ◽  
Joanna Chmielewska ◽  
Katarzyna Jędra ◽  
Tomasz Czernicki ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Speech Therapy ◽  
Acoustic Analysis ◽  
Vocal Tract ◽  
Voice Quality ◽  
Maximum Phonation Time ◽  
Before And After ◽  
Vocal Fold Palsy ◽  
The Voice

Aim of study: Evaluation of the speech therapy on voice quality in patients with unilateral vocal fold palsy. Material and methods: The study group included 11 patients, 8 women and 3 men, in age between 16 to 72 years, with unilateral vocal fold palsy, diagnosed in ENT Department of Warsaw Medical University between 2017-2018. Each person completed questionnaires: the voice disability self-assessment scale (VHI), the voice-based quality of life (VRQoL) scale, the vocal tract discomfort scale (VTD). All questionnaires were completed twice, before and after the voice therapy. In addition, the acoustic analysis of the voice, the assessment of the maximum phonation time and the breathing tract were performed twice in each patient. Each of the patients had a voice rehabilitation consisting of a series of 10 meetings. Results: Statistical analysis of the results of maximum phonation time, the self-assessment of voice disability, the quality of life depending on the voice, discomfort of the vocal tract voice acoustic analysis showed statistically significant differences in the results before and after rehabilitation (p <0.005). In addition, the improvement of the respiratory tract was observed in the majority of patients. Conclusions: Speech therapy significantly affects the voice quality of patients with unilateral laryngeal nerve palsy.

scholarly journals A Comparison of Quality of Life in Adults With Voice Disorders Before and After Voice Therapy

2019 ◽  
Vol 42 (2) ◽  
pp. 30-37
Author(s):  
Tipwaree Aueworakhunanan ◽  
Kalyanee Makarabhirom ◽  
Dechavudh Nityasuddhi
Keyword(s):  
Quality Of Life ◽  
Acoustic Analysis ◽  
Voice Quality ◽  
Voice Disorders ◽  
Voice Handicap Index ◽  
Voice Therapy ◽  
Therapy Program ◽  
Before And After ◽  
The Voice

Background: Previous studies have documented the effectiveness of voice therapy in terms of voice quality outcomes rather than quality of life outcomes. Objective: To compare the quality of life among patients with voice disorders, before and after voice therapy. Methods: Thirty-six patients with voice disorders who visited the Speech Clinic at Ramathibodi Hospital from March 2013 to January 2015 were enrolled. Thirty minutes per session within 10 weeks period of voice therapy program were used. The voice therapy approaches included direct and indirect therapy. The outcomes of this study were measured using Dr. Speech software version 5 for acoustic analysis and the Voice Handicap Index in Thai version for quality of life. Data was analyzed by descriptive and inferential statistics (Paired t test). Results: The total participants were 36 patients with a mean age of 51.31 years. They were divided to 4 groups according to the causes of voice disorders that were 18 patients for structural cause, 8 patients for functional cause, 6 patients for neurological cause, and 4 patients for inflammatory cause. The results for both voice quality and quality of life after voice therapy improved and showed statistically significant differences (P < .05). The patients with all causes of voice disorders were statistically significant differences in total the Voice Handicap Index scores (P < .05). Moreover the structural causes group exhibited statistically significant differences in all subscales (P < .05) but the others causes groups were not statistically significant differences in emotional subscale for functional causes, physical subscale for neurological causes, and functional subscale for inflammatory cause (P > .05) Conclusions: Voice therapy might be an effective treatment to decrease the severity of voice disorders in role of voice quality and quality of life, especially voice disorders from structural causes.

scholarly journals Objective voice analysis for vocal polyps following microlaryngeal phonosurgery

1970 ◽  
Vol 8 (2) ◽  
pp. 185-189 ◽  
Author(s):  
SiKC Toran ◽  
BK Lal
Keyword(s):  
Acoustic Analysis ◽  
Voice Quality ◽  
Clinical Analysis ◽  
Voice Analysis ◽  
Acoustic Characteristics ◽  
Causative Factors ◽  
Before And After ◽  
Quality Of Voice ◽  
Acoustic Output

Background: Vocal polyps are the products of voice overuse, misuse and abuse as the most common causative factors. Treatment generally advised for them are voice therapy and Microlaryngeal Phonosurgery (MLPS). The improved or changed quality of voice is generally assessed perceptually and can cause intra rater variability. In this study we compared and analysed the acoustic characteristics before and after MLPS. Objective: The purpose of the study was to acoustically determine the changes in voice quality of a group of patients before and after the surgery. Material and methods: The following patients group were studied prior to and in between 3 and 4 weeks of surgery. Altogether there were 23 patients with either unilateral or bilateral vocal polyps. Voice recording and analysis were performed with Dr. Speech acoustic software (Tiger electronics, USA). The parameters analyzed were in terms of perturbation (Jitter and shimmer), harmonic-to-noise ratio (HNR) and fundamental frequency (F0). Results: The results showed that shimmer, HNR and F0 decreased significantly (p<0.05) following MLPS, but jitter though reduced, was not statistically significant (p=0.694). Conclusion: The acoustic output generally improved after MLPS as evidenced by decreased values of all the four acoustic parameters. The study also stress that voice quality can be improved through the phonosurgical procedures. This multidimensional voice analysis can be very helpful in our ability to provide objective clinical analysis of voices with vocal polyps, and following their surgical treatment. Key words: Acoustic analysis; Vocal polyps; Micro-laryngeal phonosurgery DOI: 10.3126/kumj.v8i2.3555 Kathmandu University Medical Journal (2010), Vol. 8, No. 2, Issue 30, 185-189

scholarly journals Multidimensional acoustic analysis of pathological voice

2009 ◽  
Vol 137 (5-6) ◽  
pp. 234-238
Author(s):  
Mirjana Petrovic-Lazic ◽  
Snezana Babac ◽  
Zoran Ivankovic ◽  
Rade Kosanovic
Keyword(s):  
Vocal Fold ◽  
Acoustic Analysis ◽  
Control Group ◽  
Acoustic Parameters ◽  
Vocal Rehabilitation ◽  
Voice Treatment ◽  
Before And After ◽  
The Voice ◽  
Vocal Fold Nodules ◽  
Pathological Voice

Introduction. There are subjective and objective ways to examine the effects of vocal therapy in voice disorders. The most precise and objective check-up is the use of computer voice analysis. Objective. The aim of the research was to perform a detailed analysis of acoustic structure of the vowel A before and after voice treatment in patients with vocal fold nodules in order to obtain objective verification of the vocal rehabilitation success. Methods. We examined 30 female patients, aged 34.6?6.69 years, with vocal fold nodules. Acoustic parameters of voice were compared with the control group consisting of 21 subjects without voice pathology. In all persons the vowel A was recorded and analyzed before and after a month of vocal therapy. The success of the vocal therapy was tracked using computer analysis of vocal structure. Signal, noise and tremor parameters were processed. Results. Of the analyzed vowel A parameters: STD, PER, JITA, JITT, RAP, vFO, ShdB, SHIM, APQ, VTI, SPI, F0, NHR, FTRI, eleven improved (p<0.05 and p<0.01). Three parameters (F0, NHR, FTRI) changed showing improvement, but the obtained differences were not statistically significant (p>0.05). Conclusion. Based on the obtained results it was concluded that vocal therapy gave satisfactory results, but that it should be continually applied until full stabilization of the voice.

scholarly journals The voice quality of sports coaches

Logopedija ◽  
2018 ◽  
Vol 8 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Anđela Bučević ◽  
Ana Bonetti ◽  
Luka Bonetti
Keyword(s):  
Voice Quality ◽  
Training Session ◽  
Acoustic Method ◽  
Male And Female ◽  
Significant Difference ◽  
Before And After ◽  
Sports Coaches ◽  
The Voice ◽  
Female Coaches

The aim of this research paper was to examine the voice quality of sports coaches using the objective (acoustic) method. A total of 28 sports coaches (mean age 28.58, SD=5.08), from the City of Zagreb participated in this research. Recordings of the phonation of the vowel /a/ before and after one training session were obtained and analyzed using the PRAAT Program. Mean, minimal and maximal values of fundamental frequency, shimmer, jitter and harmonics-to-noise ratio were observed. The statistical analyses showed no statistically significant difference in acoustic voice quality of male and female coaches before and after the training session, or between male and female coaches. However, intra-individual differences among participants were observed, which may be significant in terms of their potential to affect the quality of their voices in the future.

A New Computational Tool for Voice Analysis Based on FFT, Wavelet Transform, and Spectrogram

2009 ◽  
Author(s):  
Nathalee C. de Almeida ◽  
Jannayna D. Barros ◽  
Heliana B. Soares ◽  
Adriano de A. Bresolin ◽  
Ana Maria G. Guerreiro ◽  
...  
Keyword(s):  
Acoustic Analysis ◽  
Voice Quality ◽  
Digital Signal ◽  
Computational Tool ◽  
Voice Analysis ◽  
Non Invasive ◽  
Processing Techniques ◽  
The Voice ◽  
Signal Processing Techniques

Digital signal processing techniques have been used by acoustic analysis to evaluate the voice quality of the patient, due to the simplicity and non-invasive procedures for measurements.

scholarly journals Voice Pathology Identification using Deep Neural Networks

2019 ◽  
Vol 8 (4) ◽  
pp. 7447-7450
Keyword(s):  
Deep Neural Networks ◽  
External Factors ◽  
Mel Frequency Cepstral Coefficients ◽  
Vocal Cords ◽  
Voice Change ◽  
Human Voice ◽  
Quality Of Voice ◽  
The Voice ◽  
Voice Modulation

The human voice construction is a complex biological mechanism capable of Changing pitch and volume. Some Internal or External factors frequently damage the vocal cords and change quality of voice or do some alteration in the voice modulation. The effects are reflected in expression of speech and understanding of information said by the person. So it is important to examine problem at early stages of voice change and overcome from this problem. ML play a major role in identifying whether voice is pathological or normal in nature. Voice features are extracted by Implementing Mel-frequency Cepstral Coefficients (MFCC) method, and examined on the Convolutional Neural Network (CNN) to identify the category of voice.

scholarly journals Acoustic Analysis Before and After Voice Therapy for Laryngeal Pathology

2017 ◽  
Vol 13 (4) ◽  
pp. 323-327 ◽  
Author(s):  
S.S. Chhetri ◽  
R. Gautam
Keyword(s):  
Acoustic Analysis ◽  
Alternative Therapy ◽  
Vocal Folds ◽  
Objective Evaluation ◽  
Voice Therapy ◽  
Good Effect ◽  
Acoustic Parameters ◽  
Significant Difference ◽  
Before And After ◽  
The Voice

Background Voice problems caused by pathologies in vocal folds are well known. Some types of laryngeal pathologies have certain acoustic characteristics. Objective evaluation helps characterize the voice and voice problems providing supporting evidences, severity of disorders. It helps assess the response to the treatment and measures the outcomes.Objective The objective of the study is to determine the effectiveness of the voice therapy and quantify the results objectively by voice parameters.Method Study includes 61 patients who presented with different types of laryngeal pathologies. Acoustic analyses and voice assessment was done with Dr. Speech ver 4 (Tiger DRS Inc.). Acoustic parameters including fundamental frequency, jitters, shimmers, Harmonic to noise ratio (HNR), Normalized noise energy (NNE) were analyzed before and after voice therapy.Result Bilateral vocal nodules were the most common pathologies comprising 44.26%. All acoustic parameters showed a significant difference after the therapy (p<0.05) except for NNE. Dysphonia due to vocal fold polyp showed no improvement even after voice therapy (p>0.05).Conclusion Acoustic analysis provides an objective, recordable data regarding the voice parameters and its pathologies. Though, few pathology require alternative therapy rather than voice therapy, overall it has a good effect on glottic closure. As the voice therapy can improve the different indices of voice, it can be viewed as imperative part of treatment and to monitor progression.

Acoustic analysis of tracheo-oesophageal versus oesophageal speech

1994 ◽  
Vol 108 (4) ◽  
pp. 325-328 ◽  
Author(s):  
F. Debruyne ◽  
P. Delaere ◽  
J. Wouters ◽  
P. Uwents
Keyword(s):  
Frequency Spectrum ◽  
Fundamental Frequency ◽  
Acoustic Analysis ◽  
Respiratory Drive ◽  
Spectral Slope ◽  
Acoustic Parameters ◽  
Vocal Quality ◽  
Vibratory Pattern ◽  
The Voice

AbstractIn order to evaluate the vocal quality of tracheo-oesophageal and oesophageal speech, several objective acoustic parameters were measured in the acoustic waveform (fundamental frequency, waveform perturbation) and in the frequency spectrum (harmonic prominence, spectral slope). Twelve patients using tracheo-oesophageal speech (with the Provox® valve) and 12 patients using oesophageal speech for at least two months, participated.The main results were that tracheo-oesophageal voices more often showed a detectable fundamental frequency, and that this fundamental frequency was fairly stable; there was also a tendency to more clearly defined harmonics in tracheo-oesophageal speech. This suggests a more regular vibratory pattern in the pharyngo-oesophageal segment, due to the more efficient respiratory drive in tracheo-oesophageal speech. So, a better quality of the voice can be expected, in addition to the longer phonation time and higher maximal intensity.

The influence of kinesiotaping on the loosening of the laryngeal muscles in hyperfunctional dysphones

2018 ◽  
Vol 72 (6) ◽  
pp. 1-5
Author(s):  
Karina Wilhelmsen ◽  
Agata Szkiełkowska ◽  
Iwona Zając - Ratajczak
Keyword(s):  
Treatment Process ◽  
Positive Impact ◽  
Muscle Tone ◽  
Thyroid Cartilage ◽  
Self Evaluation ◽  
Functional Dysphonia ◽  
Before And After ◽  
Effect Of Therapy ◽  
The Voice

Introduction: Hyperfunctional dysfunction is one of the most common functional dysphonia, cha-racterized by voice insufficiency with excessive tightening of the muscles inside and outside the larynx during phonation. To make the treatment process more effective, new ways of rehabilitation are constantly being sought and developed. The aim of this work is to evaluate the effectiveness of laryngotaping - an innovative method of taping around the larynx and neck muscles. Material and method: 10 patients with diagnosed hyperfunctional dysphonia participated in the study. Using the kinesiotaping principles, for 7 days, the suprahyoid and infrahyoid muscles, ster-nocleidomastoid muscles as well as the thyroid cartilage were taped. Before and after the therapy, the patients completed the VHI voice self-evaluation questionnaire. The evaluation of the larynx according to the L. Mathienson scale was also assessed palpation. Results: Analyzing the results of the VHI questionnaire and evaluation of palpation evaluation of the larynx before and after the therapy, statistically significant differences were observed. The results on average decreased by half, which is the desired effect of therapy. Discussion: The results confirm the positive impact of kinesiotaping around the larynx. However, more research is needed on a larger group of patients to fully evaluate the therapeutic effect. Conclusions: 1. Laryngotaping is an effective way to normalize muscle tone, and thus to improve the quality of the voice. 2. The presented studies require continuation, however, positive reception of the introduced therapy by patients encourages further research on a larger group of patients.

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