Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 7.029
Filtrar
1.
Artigo em Chinês | MEDLINE | ID: mdl-32086924

RESUMO

Objective:The aim of this study is to investigate the effect of CO2 laser cordectomy on the voice of early glottic carcinoma. Method:A retrospective analysis of 40 patients who underwent CO2 laser treatment early glottis preoperative clinical data of postoperative laryngeal cancer patients, patients with postoperative recurrence rate, survival rate, and the postoperative complications of patients with preoperative and postoperative laryngoscopy, voice disorders index(voice handicap index, VHI) simplified Chinese version(VHI 13) rating scale, affecting the stability sound quality postoperatively in patients with laryngeal cancer were discussed. Result:All patients underwent voice reexamination 8-97 months after surgery, and the survival rate was 100%, no local recurrence and no obvious postoperative complications. Compared with the healthy control group, there were statistically significant differences in the four indicators F0(fundamental frequency), Jitter(fundamental frequency perturbation), Shimmer(amplitude perturbation) and MPT(maximum pronunciation time), suggesting that CO2 laser surgery resulted in significant changes in acoustic parameters. Jitter and Shimmer indexes in the pre involved combined group were statistically significant different from those in the non involved combined group, suggesting that the sound quality of the pre involved combined group was worse in the postoperative stability period. The VHI score indicated that most patients with early glottic cancer were in severe voice disorder before operation and most were in moderate voice disorder after operation. Compared with the healthy control group, the VHI score and total score of the healthy control group were lower in terms of physiology, psychology and emotion. Compared with the healthy control group, the VHI score and physiology of the early glottic laryngeal cancer patients were lower in the early glottic laryngeal cancer patients before and after surgery, and they were statistically significant. Conclusion:CO2 laser surgery for early glottic cancer, the overall survival rate of patients, low recurrence rate, fewer complications, CO2 laser surgery led to significant changes in acoustic parameters, postoperative sound quality and whether the involvement of pre-associated factors; The total score of VHI and physiological score of early glottic carcinoma patients after CO2 laser operation were better than those before operation.


Assuntos
Neoplasias Laríngeas/cirurgia , Terapia a Laser , Lasers de Gás , Distúrbios da Voz/etiologia , Qualidade da Voz , Dióxido de Carbono , Glote/cirurgia , Humanos , Recidiva Local de Neoplasia , Complicações Pós-Operatórias , Estudos Retrospectivos , Resultado do Tratamento
2.
Medicine (Baltimore) ; 99(1): e18579, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31895805

RESUMO

The aim of this study was to compare major voice indicators in different sub-categories, the outcome of lipoinjection for patients might be refined and some voice prognostic factors could be more particularized in specific sub-groups. This is an observational study, and sub-grouped UVFP patients into 3 categories: male vs female, BMI ≥ 24 vs BMI < 24, Age ≥ 60 vs Age < 60 for more detailed exploring whether sub-categories affected voice diagnostic and prognostic parameters. Patients' voice data is recorded before and after the autologous fat injection laryngoplasty by a multidimensional voice program. Overall, 73 patients' voice performance were improved 12 months later by vocal fold lipoinjection. In the comparison of the male with female revealed female obtained better Jita than male by surgery (Female: 174.50 ±â€Š100.58 Hz; Male: 294.82 ±â€Š253.65 Hz; P < .05). BMI ≥ 24 vs BMI < 24 showed no statistical difference. Patients aged under 60 demonstrated better Highest F0, lowest F0, NHR and ShdB than elder ones 12 months after receiving vocal fold lipoinjection. Thus, Noise-to-harmonics ratio (NHR), voice turbulence index (VTI), and ShdB (Absolute shimmer, dB) may be the major post-operative evaluating markers of patients' age under 60. Voice parameters showed no significant correlation with BMI. Female patients performed lower Jita (Absolute jitter, µsec) than male patients 1 year after receiving treatment. The experimental results in this study showed UVFP patients' gender and age may stand as significant categories on analyzing clinical voice prognostic indicators, ShdB and Jita of autologous injection laryngoplasty.


Assuntos
Tecido Adiposo/transplante , Laringoplastia/métodos , Complicações Pós-Operatórias/cirurgia , Paralisia das Pregas Vocais/cirurgia , Adulto , Idoso , Feminino , Humanos , Injeções , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , Glândula Tireoide/cirurgia , Transplante Autólogo , Paralisia das Pregas Vocais/etiologia , Qualidade da Voz
3.
J Laryngol Otol ; 134(1): 68-73, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31918788

RESUMO

OBJECTIVE: To determine whether patients would have equivalent or improved outcomes when receiving non-surgical management versus surgical removal for vocal process granulomas. METHODS: A chart review was performed for 53 adults with vocal process granulomas. All patients received baseline anti-reflux treatment consisting of twice-daily proton pump inhibitors and vocal hygiene education. Further treatment approaches were divided into non-surgical (i.e. inhaled corticosteroids, voice therapy, botulinum toxin injections) and surgical groups. Subjective parameters (Voice Handicap Index 10 and Reflux Symptom Index) and outcomes were tabulated and statistically compared. Cause of granuloma was also analysed to determine if this influenced outcomes. RESULTS: Of 53 patients, 47 (89 per cent) experienced reduction in granuloma size, while 37 (70 per cent) experienced complete resolution. The rate of complete granuloma resolution after initial treatment strategy alone was significantly higher in non-surgical compared to surgical patients (67 and 30 per cent, respectively; p = 0.039). No difference in outcome was seen between iatrogenic and idiopathic granulomas. CONCLUSION: Non-surgical patients were more likely to experience initial treatment success than those who underwent surgical removal. Continued emphasis should be placed on conservative treatment options prior to surgery for patients with this condition.


Assuntos
Granuloma/terapia , Laringite/terapia , Inibidores da Bomba de Prótons/uso terapêutico , Prega Vocal/fisiopatologia , Adulto , Idoso , Terapia Combinada , Gerenciamento Clínico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Otorrinolaringológicos , Inibidores da Bomba de Prótons/farmacologia , Resultado do Tratamento , Prega Vocal/efeitos dos fármacos , Qualidade da Voz/efeitos dos fármacos , Treinamento da Voz
4.
Vasc Endovascular Surg ; 54(3): 288-291, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31896319

RESUMO

We present a case of an 87-year-old female with new-onset hoarseness of unclear etiology. Imaging demonstrated a penetrating aortic ulcer (PAU) in the proximal descending thoracic aorta with an associated pseudoaneurysm that enlarged to a depth of 32 mm over 2 years. This patient was diagnosed with hoarseness being secondary to left recurrent laryngeal nerve (LRLN) palsy, a variant of Ortner syndrome. Patient was treated with endovascular stent-grafting successfully covering of the PAU and pseudoaneurysm with zone 3 proximal landing zone. The patient had moderate improvement in hoarseness after 1 year of follow-up. Endovascular repair is indicated for symptomatic patients with PAUs complicated by enlarging pseudoaneurysms or rupture. Endovascular treatment is effective with low procedural morbidity and mortality. In this case, the PAU and associated pseudoaneurysm at the level of the ligamentum arteriosum caused compression on the LRLN, resulting in a nerve palsy and hoarseness. This case highlights the importance of vascular imaging for patients presenting with unclear etiology of hoarseness or other signs of LRLN palsy. Therefore, aortic arch abnormalities, a variant of Ortner syndrome, even though rare, should be on the differential diagnosis of new onset hoarseness.


Assuntos
Falso Aneurisma/complicações , Aneurisma da Aorta Torácica/complicações , Rouquidão/etiologia , Úlcera/complicações , Paralisia das Pregas Vocais/etiologia , Idoso de 80 Anos ou mais , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/cirurgia , Aneurisma da Aorta Torácica/diagnóstico por imagem , Aneurisma da Aorta Torácica/cirurgia , Implante de Prótese Vascular , Procedimentos Endovasculares , Feminino , Rouquidão/diagnóstico , Rouquidão/fisiopatologia , Humanos , Recuperação de Função Fisiológica , Resultado do Tratamento , Úlcera/diagnóstico por imagem , Úlcera/cirurgia , Paralisia das Pregas Vocais/diagnóstico por imagem , Paralisia das Pregas Vocais/fisiopatologia , Qualidade da Voz
5.
HNO ; 68(1): 48-54, 2020 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-31754731

RESUMO

BACKGROUND: In clinical routine, vocal fatigue is a common symptom in patients with dysphonia. OBJECTIVE: The aim of this study was to conduct a transcultural translation of the Vocal Fatigue Index (VFI), a standardized subjective questionnaire. Furthermore, pretesting and prevalidation were performed in 20 subjects, with comparison to the Voice Handicap Index (VHI­9i) and the Vocal Tract Discomfort Scale (VTD). MATERIALS AND METHODS: The translation, content review, and pretest of the German Vocal Fatigue Index (VFI-D) was divided into four sections: 1. transcultural translation, 2. expert voting on comprehensibility, 3. test of comprehensibility through cognitive interviews in 15 participants, 4. pretest of the VFI­D with cross validation compared to VHI­9i and VTD in 20 subjects. This process corresponds to current standards for transcultural translation and adaptation of questionnaires. RESULTS: According to expert voting and cognitive testing, the VFI­D is correct and comprehensible (intercoder reliability κ = 0.66). The factor analysis revealed three distinguishable parts: VFI­D part 1 correlates strongly with VHI­9i and VTD, VFI­D part 2 with VTD only (rho ≈ 0.800 each), and VFI­D part 3 correlates only weakly with VHI­9i and VTD (rho ≈ 0.585). Thus, convergence and divergence validity are proven. CONCLUSION: The first German version of the VFI­D might be a base for further research on symptoms, causes, and treatment options in vocal fatigue. Particularly patients in voice-intensive professions may benefit.


Assuntos
Disfonia , Distúrbios da Voz , Qualidade da Voz , Disfonia/complicações , Disfonia/diagnóstico , Humanos , Reprodutibilidade dos Testes , Índice de Gravidade de Doença , Inquéritos e Questionários , Distúrbios da Voz/etiologia
7.
Codas ; 32(1): e20180233, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31851210

RESUMO

PURPOSE: To characterize and to compare the perception of vocal fatigue in professors at the beginning and at the end of the school year. METHODS: Observational, analytical, prospective cohort study was carried out. A total of 115 professors participated with a mean age of 40 years old, 71 women and 44 men, employees of 28 higher education institutions in the south and southeast regions of Brazil. All answered to the Vocal Fatigue Index (VFI) at the beginning (February or March) and at the end (October or November) of the Brazilian school year. The VFI results for both assessed moments were statistically compared (p<0.05). RESULTS: The professors' mean scores obtained in the factors of tiredness of voice and avoidance of voice use (p<0.001) and improvement of symptoms with rest (p=0.001) increased at the end of the school year. CONCLUSION: Professors reported higher perception of vocal fatigue at the end of the school year, which influenced the avoidance of voice use and improvement of symptoms with the rest.


Assuntos
Doenças Profissionais/diagnóstico , Distúrbios da Voz/diagnóstico , Qualidade da Voz , Adulto , Brasil , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Saúde do Trabalhador , Estudos Prospectivos , Professores Escolares , Instituições Acadêmicas , Autoimagem , Inquéritos e Questionários
8.
Codas ; 32(2): e20180242, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31855224

RESUMO

PURPOSE: To identify the parameters that influences the decision of singing teachers to seek speech-language pathology (SLP) assistance for their students. METHODS: The study sample comprised 48 popular-music singing teachers, male and female, aged 37.96 years on average. The participants responded to a 10 closed-question questionnaire prepared by the researchers via the SurveyMonkey platform. The questions referred to the reasons why singing teachers seek SLP assistance, as well as to the knowledge of these teachers regarding chronic hoarseness as a risk symptom to identify other lesions in the larynx. RESULTS: Singing teachers seek SLP assistance for their students in the presence of hoarseness complaints and impaired speech sound articulation. The singing teachers assessed did not consider vocal tiredness complaint as a determining factor for referral to SLP evaluation. Most study participants were not aware that a hoarseness complaint for over 15 days can be indicative of larynx tumor. There was no influence of the variables age and time of professional experience in the referral to SLP assistance. CONCLUSION: Most of the singing teachers who participated in this study sought SLP assistance for their students when they presented hoarseness complaints and impaired speech sound articulation.


Assuntos
Canto , Distúrbios da Voz/diagnóstico , Qualidade da Voz , Adulto , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Percepção da Fala , Patologia da Fala e Linguagem , Estudantes , Inquéritos e Questionários , Distúrbios da Voz/terapia
9.
Support Care Cancer ; 28(1): 131-140, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30993449

RESUMO

OBJECTIVES: To investigate among patients treated with a total laryngectomy (TL) (1) Internet-use and Internet use to search for information on health and cancer (content); (2) which patients are most likely to use the Internet in general, for health-related and cancer-related purposes; (3) which other types of eHealth (community, communication, care) are used; and (4) preferences towards future use. METHODS: Patient members of the Dutch TL patient society were asked to complete a questionnaire on Internet use, health-related and cancer-related Internet use, types of eHealth, preferences towards future use, socio-demographics, clinical factors, and quality of life (QOL). Factors associated with Internet use and health-related and cancer-related Internet use were investigated using stepwise logistic regression analysis. RESULTS: In total, 279 TL patients participated, of whom 68% used the Internet. Of these, 63% used the Internet to search for information on health and 49% on cancer. Younger and higher educated TL patients and those with better QOL used the Internet more often. Patients with worse QOL searched more often for health-related information. Younger patients and those with shorter time since TL searched more often for cancer-related information. The current use of eHealth for communication, community, and care purposes among Internet users was limited (range, 2 to 15%). Many were interested in using these types of eHealth in the future (range, 21 to 72%). CONCLUSION: The majority used the Internet, especially to search for information on health and cancer, but only few for communication, community, or care purposes. Many were interested in future use.


Assuntos
Comportamento de Busca de Informação , Internet/estatística & dados numéricos , Neoplasias Laríngeas , Laringectomia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Comunicação , Estudos Transversais , Feminino , Humanos , Neoplasias Laríngeas/epidemiologia , Neoplasias Laríngeas/psicologia , Neoplasias Laríngeas/terapia , Laringectomia/reabilitação , Laringectomia/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Qualidade de Vida , Apoio Social , Inquéritos e Questionários , Telemedicina/estatística & dados numéricos , Qualidade da Voz
10.
Codas ; 31(6): e20180117, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31800878

RESUMO

PURPOSE: To investigate the immediate effect of phonation into silicone tube on self-assessment and vocal quality of gospel singers. METHODS: The sample was composed of 40 gospel singers without vocal complaint, males and females, from 18 to 40 years. The singers performed semi-occluded vocal tract exercise in LaxVox® silicone tube. The end of the tube was submerged in water (2cm depth), for three minutes. Before and after exercise, voice recording was performed for perceptive-auditory evaluation, and only after exercise, the voice and comfort phonation self-assessments (CSA) were performed. The descriptive and inferential statistical analysis were performed. RESULTS: All participants reported improvement in voice. In addition, a significant higher proportion of them indicated phonation comfort improvement after exercise. According to the perceptive-auditory evaluation, there was no difference in the comparison of the proportions of pre- and post-exercise perceptive-auditory evaluation categories in gospel singers. CONCLUSION: The phonation exercise into a silicone tube caused an immediate positive effect on gospel singers' voice and comfort phonation self-assessments. There was no significant difference in the perceptive-auditory evaluation before and after phonation into silicone tube in gospel singers.


Assuntos
Fonação , Treinamento da Voz , Voz/fisiologia , Acústica , Adolescente , Adulto , Feminino , Humanos , Masculino , Estudos Prospectivos , Autoavaliação , Silicones , Canto , Qualidade da Voz , Adulto Jovem
11.
Codas ; 31(6): e20180296, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31800882

RESUMO

PURPOSE: To investigate the reliability in auditory-perceptual assessment of hypernasality of the Borg centiMax scale and the influence of the speech material on the reliability of two scales. METHODS: Four experienced speech-language pathologists rated hypernasality of 80 audio recordings of patients with repaired cleft palate (40 single-word string and 40 sentences) using the 5-point ordinal scale and the Borg centiMax scale. Intra and inter-rater reliability were calculated for both scales and for both types of speech samples. The comparison between the agreement coefficients of the two speech samples was calculated using the Z test and between the scales was calculated by Spearman correlation coefficient, considering as significant p<0.05. RESULTS: A very high and statistically significant correlation was found between the Borg centiMax scale and the ordinal scale for both speech samples. Intra- and inter-rater reliability was higher for Borg scale as compared to ordinal scale. Good to excellent intra-rater reliability was found for Borg scale for both speech samples. Poor to excellent intra-rater reliability was found for ordinal scale for both stimuli. Higher inter-rater reliability was demonstrated for Borg scale than ordinal scale for both speech samples. There was a significant difference between the single words string and sentences for intra- and inter-rater reliability using Borg scale, and for inter-rater reliability using ordinal scale. CONCLUSION: The Borg centiMax scale showed better intra and inter-rater reliability. Additionally, the speech material comprising of single words string showed better reliability in most of the comparisons for both scales.


Assuntos
Distúrbios da Fala/diagnóstico , Medida da Produção da Fala/instrumentação , Qualidade da Voz , Fissura Palatina/fisiopatologia , Humanos , Reprodutibilidade dos Testes , Distúrbios da Fala/classificação , Distúrbios da Fala/etiologia , Insuficiência Velofaríngea/fisiopatologia , Distúrbios da Voz/fisiopatologia
12.
Int. arch. otorhinolaryngol. (Impr.) ; 23(4): 384-388, Out.-Dez. 2019. tab
Artigo em Inglês | LILACS | ID: biblio-1024143

RESUMO

Introduction: The understanding of normal vocal production is essential to guide any voice professional as it is fundamental to understand the effects of the posterior glottal gap on the vocal quality. Objective: The aim of the present study was to verify the association between glottic closure, acoustic parameters, and some characteristics of the videolaryngostroboscopy of young women without vocal complaints nor laryngeal disorders. Methods: This is a cross-sectional study with 56 women between 20 and 30 years old who underwent videolaryngostroboscopy. The acoustic parameters of the vowel /a:/ were analyzed using the Praat software, Release 4.6.10 (Paul Boersman and David Weenik, Amsterdam, Netherlands). Statistical Analysis: The chi-squared, Fischer, and Kruskall-Wallis tests were applied, with 5% significance. Results: Significant occurrence of posterior glottal gap (85.71%, p < 0.001), of normal vocal folds vibration amplitude (82.14%, p < 0.001), and of absence of significant constriction of the laryngeal vestibule (98.21%, p < 0.001); no significant association of the glottic closure with the vocal acoustic parameters; no significant association of glottic closure, vocal folds vibration amplitude, and constriction of the laryngeal vestibule. Conclusion: There was a predominance of posterior glottal gap, normal vocal folds vibration amplitude, and absence of laryngeal vestibule constriction, and no relation with the acoustic parameters, suggesting that the posterior glottal gap did not generate impact on the vocal production of the young adult women studied (AU)


Assuntos
Humanos , Feminino , Adulto , Voz/fisiologia , Glote/fisiologia , Acústica da Fala , Prega Vocal/fisiologia , Qualidade da Voz/fisiologia , Estudos Transversais , Laringoscopia/métodos , Laringe/fisiologia
13.
Int. arch. otorhinolaryngol. (Impr.) ; 23(4): 445-450, Out.-Dez. 2019. tab
Artigo em Inglês | LILACS | ID: biblio-1024455

RESUMO

Introduction: For the singer, the voice is a medium used to express feelings that capture the listener. Every singing style has specific demands, and a vocal alteration may prevent the singer from meeting them. Objective: To compare the singing style, the vocal habits, and the general health data of professional singers. Methods: Cross-sectional, quantitative and retrospective study of a survey database. Data on the singing style, the vocal habits, and the health conditions and history of 57 professional singers, 31 female singers and 26 male singers, aged from 19 to 57 years old (average of 32 years old), from a mid-sized town were analyzed. Results: There was a prevalence of female (54 ± 2%) popular singers (91 ± 2%), in the adult age (51 ± 2%), nonsmokers (89 ± 2%), nonusers of alcohol (77 ± 2%), with respiratory problems (53 ± 2%), mainly rhinitis (23 ± 2%), and without other health problems. There was a significant use of alcohol in males ( p = 0.010); among the alcohol users, there was a significant presence of respiratory problems ( p = 0.046), of pharyngitis/tonsillitis ( p = 0.003), and of gastroesophageal reflux (GER) ( p = 0.043); there was a significant presence of GER in subjects reporting endocrine problems ( p = 0.023), of gastritis ( p = 0.023), and of pharyngitis/tonsillitis ( p = 0.030). Conclusion: There was a predominance of adult professional popular female singers, with complaints of respiratory issues (with a higher prevalence of rhinitis), without other general health issues, of nonsmokers, and of nonusers of alcohol (AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Qualidade da Voz , Saúde do Trabalhador , Canto , Doenças Respiratórias , Gastropatias , Consumo de Bebidas Alcoólicas , Estudos Transversais , Uso de Tabaco
14.
Codas ; 31(6): e20180241, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31751443

RESUMO

PURPOSE: To analyze the acoustic-articulatory configuration of vowels in women with vocal nodules and with healthy voice. METHODS: Twelve women with vocal nodules (EG) and twelve vocally health women (CG) participated of this study. All women recorded vehicle phrases with the vowels /a/, /i/, and /u/ in stress position, preceded and followed by the occlusive consonant /p/: "Digo papa baixinho", "Digo pipa baixinho", and "Digo pupa baixinho". Subsequently, the first three formants (F1, F2, and F3) were extracted from these vowel targets. RESULTS: Between the two groups studied, F1 measures differed for vowels /a/ and /u/, and F2 measures differed for the vowel /a/. Women with vocal nodules showed lower values for these measures compared to vocally healthy women. Patients with vocal nodules showed a smaller interval in F1 and F2 values between vowels /a/, /i/, and /u/ compared to vocally healthy women. CONCLUSION: Women with vocal nodules show lower F1 and F2 values and lower range of motion of the articulators during vowel production compared to vocally healthy women.


Assuntos
Acústica da Fala , Prega Vocal/fisiopatologia , Qualidade da Voz , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Estudos Transversais , Feminino , Humanos , Doenças da Laringe/fisiopatologia , Pessoa de Meia-Idade , Fonética , Medida da Produção da Fala/métodos
15.
Bratisl Lek Listy ; 120(11): 864-866, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31747769

RESUMO

AIM: The aim of the work was to evaluate the voice quality of 10 adult patients after thyroplasty type I using a silicone block. Preoperatively patients suffered from unilateral vocal fold paralysis. MATERIAL AND METHODS: We evaluated selected preoperative and postoperative patient findings (RBH according to Wendler classification, videolaryngostroboscopy and maximum phonation time MPT). The evaluation was performed by a phoniatrician and clinical speech therapist, using patient medical records and the Lingwaves and Glottis Analysis Tools (GAT) programs. RESULTS: Preoperatively we identified R1B1H1 - R3B3H3, postoperatively R0B0H0 - R3B3H2. In six cases the paralysed vocal cord was preoperatively in a paramedian position, twice in intermediate position and twice in a lateral position. In the case of 6 patients presbyphonic changes were present. Motility of the healthy vocal cord was within the norm. Postoperatively, the paretic vocal cord was medialised. We assessed the MPT value: preoperatively 3‒10 seconds, postoperatively 9‒17 seconds. Postoperatively we measured jitter (%), shimmer (%) and closing quotient values. In comparison with healthy subjects (Inwald et al. 2011), jitter and shimmer values were higher and closing quotient values after thyroplasty type I close to normal values (Tab.1). CONCLUSIONS: The postoperative voice quality was significantly better in comparison with the preoperative state; though, it never achieved the parameters of a normal voice. We confirmed the significant contribution of TPL I for the patients´ quality of life through partial rehabilitation of their voices.


Assuntos
Laringoplastia , Silicones , Paralisia das Pregas Vocais/cirurgia , Qualidade da Voz , Adulto , Humanos , Qualidade de Vida , Resultado do Tratamento
16.
Codas ; 31(5): e20180319, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31691747

RESUMO

PURPOSE: To gather information about vocal health and hygiene, voice symptoms, and voice handicap from drama students with and without vocal complaints. METHODS: A total of 57 drama students participated of this study. They were divided into two groups: no vocal complaints group (NCG), with 39 students; and with vocal complaints group (WCG), with 18 students. The participants answered to three self-assessment protocols: 1. Vocal Health and Hygiene Questionnaire (VHHQ), 2. Voice Symptom Scale (VoiSS); and 3. Voice Handicap Index (VHI-10). RESULTS: No difference was observed between groups related to the knowledge of vocal health and hygiene. The drama students from the WCG presented higher scores, more voice symptoms in all subscales of the VoiSS, and more voice handicap, e.g,higher VHI-10 scores than the NCG. The more knowledge on vocal health and hygiene (VHHQ total score) was followed by less voice symptoms, which represents lower scores in the VoiSS total score and, in emotional domain, and it was only perceived voice handicap (VHI-10 total score) in the NCG. CONCLUSION: There was no difference in knowledge of vocal health and hygiene among drama students with and without vocal complaints. However, drama students with vocal complaints presented more voice symptoms and reported greater perception of voice handicap, which was negatively correlated with knowledge of vocal health and hygiene.


Assuntos
Drama , Distúrbios da Voz/diagnóstico , Qualidade da Voz , Adolescente , Adulto , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Autoavaliação , Estudantes , Inquéritos e Questionários , Distúrbios da Voz/fisiopatologia , Adulto Jovem
17.
Artigo em Chinês | MEDLINE | ID: mdl-31623048

RESUMO

Objective:To evaluate the influence of voice disorders on children's quality of life through the parental version of pediatric voice-related quality of life(pVRQOL). Method:Three hundred and eighty-six children from August 2017 to December 2018 were enrolled in this study. A total of 214 parents of children had voice disorders(dysphonic group), and 172 parents of children were without voice disorders(control group). Both groups were filled out the questionnaire containing the parental version of pVRQOL. Result:① The most common disease in children with voice disorder was vocal fold nodule, and boys were more susceptible to voice disorder than girls(71.5%, 28.5%); ②In dysphonic group, the scores of total(91.40±8.63, 97.94±4.23), physiology and function(87.55±10.98, 96.99±6.10), social emotion(98.86 ±3.29, 99.73±1.08) were lower than those in control group(P<0.01); ③In dysphonic group, there was a correlation between the parents' overall evaluation of the children's voice quality and the three dimensions of the parental version of pVRQOL(total: r=-0.398, P<0.01, physical function: r=-0.448, P<0.01, social-emotion: r=-0.125, P<0.05). Conclusion:Voice disorders could cause a negative impact on children's voice related quality of life. pVRQOL could be applied to assess the voice-related quality of life in children with voice disorders.


Assuntos
Qualidade de Vida , Distúrbios da Voz , Criança , Feminino , Humanos , Masculino , Pais , Inquéritos e Questionários , Voz , Qualidade da Voz
18.
Acta otorrinolaringol. esp ; 70(5): 251-257, sept.-oct. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-186367

RESUMO

Introducción y objetivos: La inadecuada retroalimentación auditiva en los niños con hipoacusia prelocutiva altera la articulación de consonantes y vocales. El propósito de esta investigación es comparar la producción de vocales en niños hipoacúsicos hispanohablantes con implante coclear o adaptación audioprotésica con niños normooyentes por medio del análisis acústico de las frecuencias formánticas y el espacio vocal. Método: Un total de 56 niños con hipoacusia prelocutiva (25 con implante coclear y 31 con audífonos) y 47 niños normooyentes participaron en el estudio. Los 2 primeros formantes (F1 y F2) de las 5 vocales del idioma español se midieron utilizando el programa Praat. Para analizar las diferencias entre los 3 grupos se aplicó el método ANOVA de análisis de la varianza y el test de Scheffé. También se calculó el área del espacio vocal. Resultados: El valor medio del F1 en todas las vocales no mostró diferencias significativas en los 3 grupos de niños. Para las vocales /i/, /o/ y /u/ el valor medio del F2 fue significativamente diferente entre los 2 grupos de niños hipoacúsicos y el grupo de niños normooyentes. Conclusión: Ambos grupos de niños con hipoacusia prelocutiva tienden a presentar sutiles desviaciones en la articulación de las vocales que pueden ser analizadas mediante un programa de análisis acústico


Introduction and objectives: Inadequate auditory feedback in prelingually deaf children alters the articulation of consonants and vowels. The purpose of this investigation was to compare vowel production in Spanish-speaking deaf children with cochlear implantation, and with hearing-aids with normal-hearing children by means of acoustic analysis of formant frequencies and vowel space. Methods: A total of 56 prelingually deaf children (25 with cochlear implants and 31 wearing hearing-aids) and 47 normal-hearing children participated. The first 2 formants (F1 and F2) of the five Spanish vowels were measured using Praat software. One-way analysis of variance (ANOVA) and post hoc Scheffé test were applied to analyze the differences between the 3 groups. The surface area of the vowel space was also calculated. Results: The mean value of F1 in all vowels was not significantly different between the 3 groups. For vowels /i/, /o/ and /u/, the mean value of F2 was significantly different between the 2 groups of deaf children and their normal-hearing peers. Conclusion: Both prelingually hearing-impaired groups tended toward subtle deviations in the articulation of vowels that could be analyzed using an objective acoustic analysis programme


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Transtornos da Articulação/etiologia , Implantes Cocleares , Auxiliares de Audição , Perda Auditiva/complicações , Pessoas com Deficiência Auditiva , Fonética , Transtornos da Articulação/fisiopatologia , Retroalimentação Sensorial , Perda Auditiva/fisiopatologia , Perda Auditiva/reabilitação , Acústica da Fala , Medida da Produção da Fala , Qualidade da Voz
19.
Codas ; 31(4): e20180143, 2019 Sep 12.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31531555

RESUMO

PURPOSE: To verify the effects of vocal warm-up (VWU) and vocal cool-down (VCD) strategies on teachers. METHODS: A quasi-experimental exploratory blind-evaluator study with control group that included teachers from a public secondary school. Teachers assigned to the experimental group (EG) performed VW prior to classes and VCD after classes. Teachers in the control group (CG) did not perform VWU and simply got voice rest after classes. Intergroup (EG vs. CG) and intragroup (pre-test versus post-test) comparisons were drawn from an auditory-perceptual evaluation, acoustic analysis, and self-reported discomfort. The mean acoustic and discomfort indicators and the percentage of improvement or worsening of vocal quality were calculated with a statistically significance level of p<0.05. RESULTS: EG and CG did not differ from each other in the intergroup analysis. The intragroup analysis showed that VWU improved voice quality and decreased the degree of body-related discomfort. VCD decreased both the fundamental frequency (f0) and the degree of discomfort, particularly in relation to the voice aspects. Vocal rest did not show any statistical difference. CONCLUSION: VWU showed positive effects on the auditory-perceptual evaluation and self-reported discomfort (body). VCD impacted f0 and self-reported discomfort (voice). Due to the exploratory nature of the research, the statistical power was not enough to demonstrate a difference in the comparison between EG and CG. However, the results indicate a potential for protecting teachers' voice and may be incorporated into daily work settings. Further controlled studies with random samples and greater numbers of participants should be conducted to confirm these results.


Assuntos
Doenças Profissionais/prevenção & controle , Patologia da Fala e Linguagem/métodos , Distúrbios da Voz/prevenção & controle , Treinamento da Voz , Adulto , Brasil , Método Duplo-Cego , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Setor Público , Professores Escolares , Autoavaliação , Medida da Produção da Fala , Inquéritos e Questionários , Qualidade da Voz
20.
Artigo em Chinês | MEDLINE | ID: mdl-31550760

RESUMO

Objective: To investigate the value of acoustic parameters in the voice therapy for patients with unilateral vocal cord paralysis (UVCP). Methods: From May 2015 to April 2018, 51 patients with UVCP and 59 healthy controls in Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Central Hospital, were involved in this research retrospectively. The UVCP patients were diagnosed with stroboscopic laryngoscopy. The minimum glottal area (MGA) was calculated by KIPS software when the people were pronouncing/i:/. The fundamental frequency (F0), Jitter, Shimmer and NHR were detected by CSL4500 multiple acoustic voice analyzer. Results: MGA of UVCP patients was much higher than that of healthy control (male: 433.68±64.52 vs. 294.41±51.82, t=9.23, P=0.000; female: 498.80±73.42 vs. 302.03±76.54, t=13.21, P=0.000), which meaned vocal cord insufficiency.After voice therapy, MGA reduced significantly (male: 288.48±55.09, female: 258.22±57.17, t=24.41 and 31.22, P=0.000 vs. pre-therapy). MGA of untreated patients decreased in varying degrees. Compared with the voice therapy group, the MGA decreased in a significantly lower extent (24.25±22.91 vs. 188.31±54.37, t=8.97, P=0.000). The F0, Jitter, Shimmer and NHR raised significantly in UVCP patients group (P=0.000 vs. healthy control group), and they were reduced by voice therapy (all P<0.05). Each of the four acoustic parameters was relative with MGA, r=0.551, 0.867, 0.853 and 0.875 in turn, P=0.001, 0.000, 0.000, and 0.000. Conclusion: MGA and acoustic parameters can reflect the acoustic features of UVCP patients, which are useful tools in the UVCP assessment and voice therapy.


Assuntos
Acústica , Paralisia das Pregas Vocais , Feminino , Humanos , Laringoscopia , Masculino , Estudos Retrospectivos , Resultado do Tratamento , Paralisia das Pregas Vocais/diagnóstico , Paralisia das Pregas Vocais/terapia , Prega Vocal/patologia , Qualidade da Voz , Treinamento da Voz
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA