Cirugía de feminización de voz con técnica glotoplastia de Wendler en Barranquilla, Colombia. Voice feminization surgery with Wendler glottoplasty technique in Barranquilla, Colombia.

2018 ◽  
Vol 45 (4) ◽  
pp. 247-253 ◽  
Author(s):  
Antonio J. Ballestas ◽  
Samir A. Ballestas ◽  
Rocio Cuello
Keyword(s):  
Fundamental Frequency ◽  
Speech Therapy ◽  
Vocal Cords ◽  
Maximum Phonation Time ◽  
Study Materials ◽  
Before And After ◽  
Upper Face ◽  
Expert Surgeon ◽  
Frequency Maximum ◽  
Male To Female

Introducción: La glotoplastia de Wendler es la técnica que en la actualidad ofrece mejores resultados entre los diferentes tipos de cirugías para la feminización de la voz. Objetivo: Describir nuestra experiencia con la Glotoplastia de Wendler durante el proceso de feminización de la voz de mujeres transgénero. Diseño: Pseudoexperimental (antes-después) Materiales y Métodos: 36 pacientes transexuales en proceso de transformación de hombre a mujer se sometieron a cirugía y rehabilitación con terapias de voz con el equipo de VOICEFEM - Voice Feminization Colombia. La técnica utilizada consiste en la creación de una sinequia de las cuerdas vocales (CCVV) previa desepitelización de la cara interna del tercio anterior de las mismas, 2 puntos de sutura con Vicryl 4/0 y vaporización con electrocauterio en la región lateral de la cara superior de las CCVV y utilización de goma biológica en la sinequia creada. La medición de la frecuencia fundamental, el tiempo máximo de fonación, y la realización del cuestionario TSEQ, se llevaron a cabo antes y después de la cirugía. Resultados: Se obtuvo un aumento de la Frecuencia fundamental promedio de 112Hz(P<0.05) a los 6 meses posteriores al procedimiento quirúrgico y una disminución de cerca de 30 puntos en los resultados del cuestionario TSEQ. Conclusión: La glotoplastia de Wendler, llevada a cabo por cirujanos con experiencia en este campo, ofrece resultados favorables con aumentos significativos de la frecuencia fundamental a mediano plazo y debe estar necesariamente asociada al manejo postquirúrgico con terapias de voz, para obtener el desenlace óptimo esperado.Introduction: Wendler’s Glottoplasty is the technique that offers the best resultsamong the different types of voice feminization surgeries. Male to Female Transgender patients have in this technique the last step for their successful transformation. Objective: To describe our experience in carrying out Wendler’s glottoplasty during the process of feminization of the voice of transgender women. Design: Pseudoexperimental (before-after) study. Materials and methods: In 36 Male to Female Transgender patients, Wendler’s glottoplasty was conducted by VOICEFEM - Voice Feminization Colombia’s team, with further speech therapy rehabilitation. This technique consists of the creation of a synechia of the vocal cords which is carried out after the de-epithelization of the vocal cords on the inner face of its anterior third, 2 stitches with Vicryl 4/0 and vaporization with electrocautery in the lateral region of vocal cords upper face, and the use of biological glue in the created synechia. The measurement of the Fundamental Frequency, Maximum Phonation time, and the completion of the TSEQ questionnaire were carried out before and after the surgery. Results: There was an increase of 112 Hz in the average of Fundamental Frequency(P<0.05) 6 months after the surgery, and a decrease of approximately 30 points in the TSEQ questionnaire results. Conclusion: Wendler’s Glottoplasty conducted by an expert surgeon, provides positive results with a significant increase for fundamental frequency in the medium term, and it is imperative to do also voice therapy rehabilitation posterior to the procedure in order to obtain the expected optimal outcome.

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.

Vocal quality of patients treated for laryngeal tuberculosis, before and after speech therapy

2010 ◽  
Vol 124 (11) ◽  
pp. 1153-1157 ◽  
Author(s):  
A C Nunes Ruas ◽  
V Cavalcanti Rolla ◽  
M H de Araújo-Melo ◽  
J Soares Moreira ◽  
C M Valete-Rosalino
Keyword(s):  
Statistical Analysis ◽  
Speech Therapy ◽  
Acoustic Analysis ◽  
Tuberculosis Patients ◽  
Maximum Phonation Time ◽  
Before And After ◽  
Vocal Quality ◽  
Very High ◽  
Laryngeal Tuberculosis

AbstractObjectives:To evaluate dysphonia in patients treated for laryngeal tuberculosis, and to assess the effect of speech therapy on patients' vocal quality.Materials and methods:Seven of 23 patients with a confirmed diagnosis of laryngeal tuberculosis, treated at the Evandro Chagas Institute of Clinical Research, Oswaldo Cruz Foundation, underwent speech therapy for six months. These seven patients were evaluated by videolaryngoscopy and vocal acoustic analysis, before, during and after a course of speech therapy.Results:The 23 patients with laryngeal tuberculosis comprised five women and 18 men, with ages ranging from 25 to 83 years (mean 41.3 years). Dysphonia was present in 91.3 per cent of these laryngeal tuberculosis patients, being present as the first symptom in 82.6 per cent. In laryngeal tuberculosis patients with dysphonia, laryngeal tuberculosis treatment resulted in dysphonia resolution in only 15.8 per cent. After speech therapy, dysphonia patients had better vocal quality, as demonstrated by statistical analysis of jitter, shimmer, fundamental frequency variability, maximum phonation time, and the ratio between maximum phonation time for voiceless and voiced fricative sounds.Conclusions:Following treatment of laryngeal tuberculosis, the incidence of dysphonia was very high. Speech therapy improved patients' vocal quality.

scholarly journals Effect of speech therapy and pharmacological treatment in prosody of parkinsonians

2015 ◽  
Vol 73 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Luciana Lemos de Azevedo ◽  
Irene Soares de Souza ◽  
Patrícia Marques de Oliveira ◽  
Francisco Cardoso
Keyword(s):  
Parkinson’S Disease ◽  
Drug Treatment ◽  
Fundamental Frequency ◽  
Pharmacological Treatment ◽  
Speech Therapy ◽  
Idiopathic Parkinson’S Disease ◽  
Speech Impairment ◽  
Medication Treatment ◽  
Idiopathic Parkinson's Disease ◽  
Before And After

ObjectiveParkinsonian patients usually present speech impairment. The aim of this study was to verify the influence of levodopa and of the adapted Lee Silverman Vocal Treatment® method on prosodic parameters employed by parkinsonian patients.MethodTen patients with idiopathic Parkinson's disease using levodopa underwent recording of utterances produced in four stages: expressing attitudes of certainty and doubt and declarative and interrogative modalities. The sentences were recorded under the effect of levodopa (on), without the effect of levodopa (off); before and after speech therapy during the on and off periods.ResultsThe speech therapy and its association with drug treatment promoted the improvement of prosodic parameters: increase of fundamental frequency measures, reduction of measures of duration and greater intensity.ConclusionThe association of speech therapy to medication treatment is of great value in improving the communication of parkinsonian patients.

scholarly journals Transgender man voice therapy: a case report

2020 ◽  
Vol 9 (9) ◽  
pp. e774997367
Author(s):  
Sabrina Silva dos Santos ◽  
Carla Aparecida Cielo
Keyword(s):  
Case Report ◽  
Fundamental Frequency ◽  
Speech Therapy ◽  
Hormonal Treatment ◽  
Voice Therapy ◽  
Male Voice ◽  
Maximum Phonation Time ◽  
Speech Evaluation ◽  
Therapy Sessions ◽  
The Voice

Introduction: Hormone therapy reduces the vocal fundamental frequency of transgender men, but the evidence suggests that it does not modify other female communication characteristics, what may result in insufficient male communication patterns. Objective: To describe the voice therapy and its results on the voice of a 35-year-old transgender man. Methods: His main complaints were voice incompatible with his gender and vocal oscillation after hormonal treatment, started eight months prior to the study. Based on the speech evaluation, a therapeutic planning was elaborated aiming at developing: descending pitch at the end of sentences; decreasing vowel prolongation; "chest resonance"; decreasing pitch variation; costodiaphragmatic breathing; vocal projection and quality; maximum phonation time and pauses; decrease and stabilize fundamental frequency; adjust the resonance; decrease pitch and increase loudness; decrease the tension on the labial commissures; and develop male aspects of speech and language. Ten voice therapy sessions were held once a week, lasting 45 minutes each. Results: After voice therapy, there was decreased pitch variation during speech, increased pauses, focusing on the interlocutor, and “chest resonance”; this developed descending pitch at the end of sentences, decreasing vowel prolongation, and pitch variation, as an exercise to stimulate male voice markers and vocal stability. Even after the hormone-induced vocal changes, he still had complaints about his voice, which improved with the aid of voice therapy. Conclusion: Speech therapy provided the development of male vocal markers in his voice. It became compatible with his gender and allowed him to be recognized as a man by his voice, and to be pleased with it.

Aerodynamic and Acoustic Voice Measures Before and After an Acute Public Speaking Stressor

2020 ◽  
Vol 63 (10) ◽  
pp. 3311-3325
Author(s):  
Brittany L. Perrine ◽  
Ronald C. Scherer
Keyword(s):  
Fundamental Frequency ◽  
Salivary Cortisol ◽  
Public Speaking ◽  
Stress System ◽  
Before And After ◽  
Subglottal Pressure ◽  
Response To Stress ◽  
System Activation ◽  
Speaking Fundamental Frequency ◽  
Pituitary Adrenal Axis

Purpose The goal of this study was to determine if differences in stress system activation lead to changes in speaking fundamental frequency, average oral airflow, and estimated subglottal pressure before and after an acute, psychosocial stressor. Method Eighteen vocally healthy adult females experienced the Trier Social Stress Test (TSST) to activate the hypothalamic–pituitary–adrenal axis. The TSST includes public speaking and performing mental arithmetic in front of an audience. At seven time points, three before the stressor and four after the stressor, the participants produced /pa/ repetitions, read the Rainbow Passage, and provided a saliva sample. Measures included (a) salivary cortisol level, (b) oral airflow, (c) estimated subglottal pressure, and (d) speaking fundamental frequency from the second sentence of the Rainbow Passage. Results Ten of the 18 participants experienced a hypothalamic–pituitary–adrenal axis response to stress as indicated by a 2.5-nmol/L increase in salivary cortisol from before the TSST to after the TSST. Those who experienced a response to stress had a significantly higher speaking fundamental frequency before and immediately after the stressor than later after the stressor. No other variable varied significantly due to the stressor. Conclusions This study suggests that the idiosyncratic and inconsistent voice changes reported in the literature may be explained by differences in stress system activation. In addition, laryngeal aerodynamic measures appear resilient to changes due to acute stress. Further work is needed to examine the influence of other stress systems and if these findings hold for dysphonic individuals.

scholarly journals Cognitive Vocal Program applied to individuals with signals presbylarynx: preliminary results

CoDAS ◽  
2014 ◽  
Vol 26 (6) ◽  
pp. 503-508 ◽  
Author(s):  
Katia Nemr ◽  
Glaucia Verena Sampaio de Souza ◽  
Marcia Simões-Zenari ◽  
Domingos Hiroshi Tsuji ◽  
Adriana Hachiya ◽  
...  
Keyword(s):  
High Speed ◽  
Vocal Production ◽  
Maximum Phonation Time ◽  
Preliminary Results ◽  
Perceptual Evaluation ◽  
Articulatory Movements ◽  
Before And After ◽  
Screening Protocol ◽  
Program Intervention ◽  
Vocal Quality

PURPOSE: To propose and verify the feasibility of a vocal program intervention in patients with presbylarynx signs with or without vocal complaints. METHOD: Among 20 elder participants of the current research, 3 female patients with median age of 67 years were chosen for the pilot study. Laryngological examination, vocal recording with CAPE-V (Consensus Auditory-Perceptual Evaluation of Voice) protocol, and Screening Protocol of Risk of Dysphonia (SPRD) were conducted before and after the program intervention. They joined the Cognitive Vocal Program for presbyphonia based on the genetic epistemology by Jean Piaget associated with vocal techniques based on scientific literature. This program is structured with six sessions and each one of them is focused in different aspects of vocal production. RESULTS: After the program intervention, some aspects such as loudness, coordination between breathing and speaking, accuracy in articulatory movements, jitter, and harmonics-to-noise ratio improved with parameters within the expected range for the age group. Three female participants were observed for better vocal quality, higher fundamental frequency, and better maximum phonation time. In two cases, tension related to loudness elevation and better scores on SPRD was observed. Using by high-speed laryngeal image, we also observed reduction of presbylarynx signs, and remarkable improvement in glottis closure competence and mucosal wave movement of the patients with and without vocal complaints. CONCLUSION: The preliminary results suggest encouraging prospects for the proposal with improvement in the aspects analyzed. This program was well designed and did not require any further adjustments.

scholarly journals The pitch of babies’ cries predicts their voice pitch at age 5

2018 ◽  
Vol 14 (7) ◽  
pp. 20180065 ◽  
Author(s):  
Florence Levrero ◽  
Nicolas Mathevon ◽  
Katarzyna Pisanski ◽  
Erik Gustafsson ◽  
David Reby
Keyword(s):  
Longitudinal Study ◽  
Individual Differences ◽  
Fundamental Frequency ◽  
Ring Finger ◽  
Small Sample ◽  
Voice Pitch ◽  
Same Sex ◽  
Before And After ◽  
Longitudinal Study Design ◽  
The Right

Voice pitch (fundamental frequency, F 0 ) is a key dimension of our voice that varies between sexes after puberty, and also among individuals of the same sex both before and after puberty. While a recent longitudinal study indicates that inter-individual differences in voice pitch remain stable in men during adulthood and may even be determined before puberty (Fouquet et al. 2016 R. Soc. open sci. 3 , 160395. ( doi:10.1098/rsos.160395 )), whether these differences emerge in infancy remains unknown. Here, using a longitudinal study design, we investigate the hypothesis that inter-individual differences in F 0 are already present in the cries of pre-verbal babies. While based on a small sample ( n = 15), our results indicate that the F 0 of babies' cries at 4 months of age may predict the F 0 of their speech utterances at 5 years of age, explaining 41% of the inter-individual variance in voice pitch at that age in our sample. We also found that the right-hand ratio of the length of their index to ring finger (2D : 4D digit ratio), which has been proposed to constitute an index of prenatal testosterone exposure, was positively correlated with F 0 at both 4 months and 5 years of age. These findings suggest that a substantial proportion of between-individual differences in voice pitch, which convey important biosocial information about speakers, may partly originate in utero and thus already be present soon after birth.

Do Flexible Silicone Tubes Immersed in Water Combined With Vocalise Improve the Immediate Effect on Voice?

2021 ◽  
pp. 1-28
Author(s):  
Nathália Suellen Valeriano Cardoso ◽  
Jonia Alves Lucena ◽  
Zulina Souza de Lira ◽  
Silvio José de Vasconcelos ◽  
Leonardo Wanderley Lopes ◽  
...  
Keyword(s):  
Acoustic Measurements ◽  
Post Intervention ◽  
Silicone Tube ◽  
Maximum Phonation Time ◽  
Range Profile ◽  
Before And After ◽  
Quasi Experimental ◽  
Vocal Effort ◽  
Cepstral Peak Prominence ◽  
Voice Range

Purpose: This study aimed to analyze the immediate effect on a singer's voice of a flexible silicone tube immersed in water combined with ascending and descending vocalise scales compared with ascending and descending vocalise scales alone. Method: A pre- and post-intervention quasi-experimental study was conducted. Thirty adult singers between 18 and 45 years old with no laryngeal disorders performed the two techniques for 3 min each on different days. Acoustic measurements of frequency, jitter, shimmer, glottal-to-noise excitation ratio, noise, smoothed cepstral peak prominence (CPPS), maximum phonation time (MPT), voice range profile, and self-perceived vocal effort (Borg Category Ratio 10-BR Scale adapted for vocal effort) were assessed before and after performing the techniques. Results: The results indicated an increase in singers' CPPS and MPT values and a decrease in shimmer and noise when performing with a flexible silicone tube immersed in water combined with vocalise. The singers reported a perception of decreased vocal effort after both methods. However, the diminished perceived vocal effort became more pronounced with the tube phonation technique combined with vocalise. Conclusions: Phonation in tubes combined with vocalise improved the vocal acoustic parameters (including cepstral measurements), increased MPT, and diminished perceived vocal effort. Although using vocalise alone diminished perceived vocal effort, this decrease was more pronounced in the tube phonation technique combined with vocalise.

scholarly journals Effects of Vocal Training on Students’ Voices in a Professional Drama School

OTO Open ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 2473974X1986638
Author(s):  
Jacob I. Tower ◽  
Lynn Acton ◽  
Jessica Wolf ◽  
Walton Wilson ◽  
Nwanmegha Young
Keyword(s):  
Fundamental Frequency ◽  
Aerodynamic Characteristics ◽  
Voice Handicap Index ◽  
First Year ◽  
Medical Facility ◽  
Acoustic Measures ◽  
Vocal Training ◽  
Before And After ◽  
Changes Over Time ◽  
Over Time

Objective The purpose of this study was to investigate the effect of vocal training on acoustic and aerodynamic characteristics of student actors’ voices. Study Design Prospective cohort study. Setting Tertiary medical facility speech and swallow center. Subjects and Methods Acoustic, aerodynamic, and Voice Handicap Index–10 measures were collected from 14 first-year graduate-level drama students before and after a standard vocal training program and analyzed for changes over time. Results Among the aerodynamic measures that were collected, mean expiratory airflow was significantly reduced after vocal training. Among the acoustic measures that were collected, mean fundamental frequency was significantly increased after vocal training. On average, Voice Handicap Index–10 scores were unchanged after vocal training. Conclusion The cohort of drama students undergoing vocal training demonstrated improvements in voice aerodynamics, which indicate enhanced glottal efficiency after training. The present study also found an increased average fundamental frequency among the actors during sustained voicing and no changes in jitter and shimmer despite frequent performance.

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