Speech recognition and speech audiometry parameters in evaluation of aural rehabilitation progress in cochlear implant patients. Review paper.

<b>Introduction:</b> Speech audiometry is well established and frequently used test in audiology as well as in cochlear implant recipient's performance evaluation. Expanding indications for cochlear implantation forces use of more refined methods of both assessment and prognosis of outcome of aural rehabilitation. Variability of speech intelligibility tests and materials require standardized protocol facilitating outcome comparison.<b>Aim:</b> Aim of this review paper is analysis of usage of speech audiometry and other speech intelligibility tests and its results reporting in patients with cochlear implant in Poland and in the World.<b>Materials and methods:</b> Protocols of many different domestic and foreign health centers where compared, showing many methodological differences. Selection of literature for analysis was made according to PRISMA algorithm recommendations. Twenty research papers were chosen for review process.<b>Discussion:</b> In many papers we found lack of data regarding methodology of performed tests. Many authors indicate difficulties in comparing results, especially if publication lacks basic technical information. Despite that if right method is applied, results can be compared. In literature only one level of material presentation in test is prevalent. Speech audiometry is significant in exploring connections between multiple pre-op and post-op prognostic aspects of cochlear implantation.<b>Conclusions:</b> Because of variability in presentation and reporting of CI patients outcomes, consensus is needed in area of system facilitating comparison of research results. This may provide simple solution for accurate analysis and choosing right set of data. Schematic of presentation of audiological data in authors health center was proposed as example.

[Qualitative analysis of voice and speech in patients with cochlear implant-- preliminary results]. / Analiza jakosci glosu i mowy u pacjentów z implantem slimakowym--doniesienie wstepne.

UNLABELLED: Verbal communication depends on a good function of voice and speech organs. Cochlear implant system (CI) is the most advanced treatment method in receptive deafness in patients of all age groups. THE AIM OF THE STUDY: To analyze the voice and speech before and after CI adjusted for time of onset of deafness (pre- and postlingual). MATERIAL AND METHODS: 14 patients with postlingual (group I) and prelingual deafness (group II) deriving no benefit from hearing aids. In both groups laryngeal stroboscopy, voice, hearing and speech quality and quality of life were evaluated before and after CI. Results. Dysphonia was noted--hyperfunctional in group I and hypofunctional in group II. CI improved voice, speech and hearing quality in both groups, with the most significant amelioration of acoustic indices of voice in group II. Quality of life improved in both groups. CONCLUSIONS: CI improves quality of voice, speech and hearing in adults with pre- and postlingual deafness. Patients in group I made faster progress following CI than group II. CI had significant positive impact on quality of life in both groups.

[Rehabilitation of voice at paralytic dysphonia--case report]. / Rehabilitacja foniatryczno-logopedyczna glosu w dysfonii porazennej--opis przypadku.

Paralytic dysphonia is a voice disorder created as a result of neurogenic injury of the neuromuscular larynx organ, owing to the laryngeal nerves paralysis or paresis. It is of the most serious voice producing larynx organ lesions. The paper presents the case of 53-year-old patient with a total neurogenic traumatic left vocal cord paralysis. The usefulness of an early phoniatric and logopedic rehabilitation by means of breathing and kinetic exercises, mechanotherapy and a vocalistic and phonetic method in order to obtain the improvement of the quality of voice in paralytic dysphonia was analysed. The complex subjective and objective foniatric assessment of the voice quality before and after the rehabilitation indicated the usefulness of applied methods and the improvement of all parameters of the voice quality in the analyzed case.

[Influence of treatment of inhaled corticosteroids on the function of the larynx in asthmatic patients]. / Wplyw glikokortykosteroidów wziewnych na czynnosc fonacyjna krtani u chorych na astme.

UNLABELLED: The objective of the study was to examine influence of inhaled glycocorticosteroids on phoniatric function of the larynx in patients suffering from asthma. MATERIAL AND METHODS: Thirty minutes after the administration and long-term therapy effect of the inhaled glycocorticosteroids on local condition of the phoniatric organ was assessed in 15 patients with recently diagnosed bronchial asthma. The diagnostics of asthma included: subjective and objective examination, prick tests, spirometry, total IgE and histamine test for bronchial hyperactivity. Evaluation of voice function was implemented subjectively and objectively with use of videolaryngostroboscopy (VLSS). Acoustic assessment of voice was also performed. RESULTS: Administration of glycocorticosteroids as inhaled discs resulted in incidents of cough, mouth and throat dryness, sensation of polydipsia and skin inflammation around the mouth. Occasionally, hoarseness and discomfort in the larynx area were noted. On long-term administration, dysphonia, hoarseness and voice fatigue due to dysfunction of innermost larynx muscles, particularly vocal fold adductors. After 30 minutes of the glycocorticosteroid administration in patients with recently diagnosed asthma, irritation of the pharynx and larynx mucosa was recorded. CONCLUSION: The long-term treatment with inhaled glycocorticosteroids resulted in myopathy of proper muscles of the larynx.