ABSTRACT
The aim of the present investigation was to evaluate the acoustic parameters, perceptual estimation, and self-estimation of voice before, 1 month after, and 6 years after surgical removal of a vocal fold polyp. Subjects were five male patients who came to the Phoniatric Clinic because of breathiness. For all patients, a polyp of one vocal fold was diagnosed. The operation was performed using cold instruments based on the principles of contemporary phonosurgery aiming maximally at preserving the phonatory bridge of the vocal fold. The subjects were recorded in a sound-proof booth three times: before surgery, 1 month post-, and 6 years post-operation. The patients read a short tale and they pronounced a sustained vowel /a/. The following variables were measured: clinical (the distance of the polyp from the anterior commissure, the width of the polyp base and the size of the polyp), and acoustic (F0, jitter, shimmer, harmonic-to-noise ratio, voice turbulence index, degree of voice breaks, and long-term average spectrum). Acoustic variables were measured using the program Praat, while the estimation of voice quality was completed using the GRBAS scale and self-estimation questionnaire of the voice quality, which were answered by the patients. The results showed significant improvement in the variables investigated and improved patients satisfaction with their vocal health after the surgery.
Subject(s)
Polyps/surgery , Speech Acoustics , Vocal Cords/pathology , Vocal Cords/surgery , Voice Quality , Child , Dysphonia/etiology , Dysphonia/surgery , Follow-Up Studies , Humans , Laryngeal Diseases/surgery , Laryngeal Neoplasms/pathology , Laryngeal Neoplasms/surgery , Longitudinal Studies , Male , Patient Satisfaction , Polyps/pathology , Self-Assessment , Surveys and Questionnaires , Time Factors , Vocal Cord Paralysis/etiology , Vocal Cord Paralysis/surgery , Voice Disorders/etiology , Voice Disorders/surgery , Voice TrainingABSTRACT
The aim of the investigation is to compare voice and speech quality in alaryngeal patients using esophageal speech (ESOP, eight subjects), electroacoustical speech aid (EACA, six subjects) and tracheoesophageal voice prosthesis (TEVP, three subjects). The subjects reading a short story were recorded in the sound-proof booth and the speech samples were acoustically analysed. Speech sound production was judged by 15 students of phonetics. The following variables were considered: (1) voice quality: fo, jitter, shimmer and harmonic-to-noise ratio, (2) speech sound production: number of recognized VCV syllables, and (3) temporal organization of speech: duration of the phonetic block, number of syllables in the phonetic block, rate of speech, rate of articulation and number of syllables in the longest phonetic block. The results showed that nearly normal air-stream source (lungs) in speech production of speakers with tracheoesophageal prosthesis significantly contributed to the speech timing and speech intelligibility of the alaryngeal speakers.
