RESUMO
ABSTRACT Purpose: to analyze the self-perception of transgender women's voice handicap in comparison to the voices' gender perception by naïve listeners. Methods: 31 transgender women, who were first submitted to vocal acoustic assessment and had their voices recorded to measure fundamental frequency and standard deviations, were eligible to the study. Next, they answered to the Voice Handicap Index protocol, from which, at the end of data collection, the most suited questions to the daily demands of this population were selected. Subsequently, 50 naïve blindfolded listeners were exposed to the recordings and had to identify the voices as males, females or undefined. Descriptive statistics were applied to speakers' characteristics and the Spearman's correlation coefficient was applied to the protocol scores and the speaker's voice identifications. Results: the mean fundamental frequency found was 172.40 Hz (SD=4.8Hz) and one third of the transgender women reported being satisfied with their voices. A moderate positive significant correlation was found in voices considered as males, and strongly significant and negative in voices considered as females. For the voices considered undefined, however, no significant correlation was found. Conclusion: transgender women's self-perception of voice handicap is directly related to naïve listeners' perception of their voice gender.
RESUMO Objetivo: analisar a autopercepção de desvantagem vocal de mulheres transgêneros em comparação à percepção de gênero das vozes por ouvintes leigos. Métodos: foram eleitas para o estudo 31 mulheres transgêneros. Todas foram submetidas à análise acústica vocal para mensuração da frequência fundamental e desvio padrão. Após, responderam ao protocolo Índice em Desvantagem Vocal, do qual, ao final da coleta de todos os dados, foram selecionadas as questões consideradas mais afeitas às demandas diárias desta população. Subsequentemente, 50 ouvintes leigos foram cegamente expostos às vozes e tiveram de identificar as vozes como sendo masculinas, femininas ou indefinidas. Estatística descritiva foi aplicada para as características das transgêneros e correlação de Spearman para as pontuações do protocolo e a identificação de gênero pelos ouvintes leigos. Resultados: a frequência fundamental média encontrada foi de 172,40 Hz (DP=4,8 Hz) e um terço das transgêneros relatou satisfação com a própria voz. Foi encontrada correlação moderadamente significante e positiva nas vozes consideradas masculinas (rs=0,584; p=0,001) e fortemente significante e negativa nas femininas (rs= -0,605; p<0,001). Não houve correlação significativa com o IDV para as vozes consideradas indefinidas (rs=0,320; p=0,079). Conclusão: a autopercepção de desvantagem vocal em mulheres trans está diretamente relacionada à percepção de gênero por ouvintes leigos.
RESUMO
Harboyan syndrome, defined as congenital corneal dystrophy associated with progressive sensorineural hearing loss, was first described by Harboyan in 1971. It is a hereditary disease manifested by eye lesions consistent with corneal endothelial dystrophy and progressive sensorineural hearing loss. There is bilateral symmetric progressive hearing loss, which may be either dominant or recessive. Objective: To report a case of a patient with a diagnosis of Harboyan syndrome. Case Report: A 25-year-old woman with profound bilateral sensorineural hearing loss, showing poor hearing performance while using a personal sound amplification device, underwent hearing rehabilitation with a cochlear implant. Conclusion: Rehabilitation was imperative in this case. The cochlear implant has proven to be the best therapeutic option, providing the patient with a better quality of life...