Analysis of voice quality parameters in patients with vestibular voice
Journal Title: Otolaryngologia Polska - Year 2019, Vol 73, Issue 3
Abstract
Abstract Vestibular voice includes participation of larynx structures which are absent in physiological process. Vestibular phonation may be desired when vocal folds are damaged as in paralytic dysphonia, or undesired in marginal hyperfunction. Vestibular voice may result from psychogenic dysphonia – phononeurosis. The aim of the study is perceptive evaluation of vestibular voice, objective larynx visualization, acoustic and aerodynamic examination. The study included 40 patients: 20 with vestibular voice, 20 with euphonic voice. Voice quality has been evaluated using perceptual GRBAS scale. Endoscopic and stroboscopic larynx examination used Endo-STROB-EL-Xion GmbH with visual tract. High-Speed Digital Imaging (HSDI) and High Speed (HS) camera registered true vocal folds vibrations. Acoustic evaluation of voice with DiagnoScope Specjalista, DiagNova Technologies included analysis of F0, Jitter, Shimmer, NHR, nonharmonic components. MPT has been analyzed. In examined group, hoarseness (95%), roughness (75%) and voice strain (55%) have been recorded. Endoscopy revealed edema of vestibular folds with dilation of vessels covering glottis. Stroboscopy and HSDI confirmed coexistence of hyperfunctional (95%) or paralytic (5%) dysphonia. Acoustic assessment revealed increase in Jitter, Shimmer, NHR and decrease in F0 and MPT. The vestibular voice is observed most frequently in women with hyperfunctional dysphonia (phononeuroses) or in paralytic dysphonia. Visualization techniques confirm the coexistence of vestibular folds hypertrophy and edema with vibration disorders. In the perceptual assessment, vestibular voice was hoarse, rough and strained. Acoustic examination showed increase of Jitter, Shimmer, NHR, presence of nonharmonic components and decrease of F0 and MPT. <br/><br/>
Authors and Affiliations
Bożena Kosztyła-Hojna, Anna Łobaczuk-Sitnik, Maciej Zdrojkowski, Emilia Duchnowska, Diana Moskal-Jasińska, Jolanta Biszewska
Keywords
Related Articles
- EP ID EP518276
- DOI 10.5604/01.3001.0012.8373
- Views 69
- Downloads 0
Usefulness of high-speed digital imaging (HSDI) in the diagnosis of oedematous – hypertrophic changes of the larynx in people using voice occupationally
<br/><b>Introduction</b>. The aim of the study is the evaluation of the usefulness of High-Speed Digital Imaging (HSDI) in the diagnosis of organic dysphonia in a form of oedematous-hypertrophic changes of vocal fold muc...
The Zone-Based Approach for Selection of Tympanoplasty Technique
SUMMARY At the outset of surgery, the extent of a tympanic membrane defect is judged including any additional loss of area that may result from disease extirpation or removal of the mucocutaneous junction. There are, thr...
Expression of transcription nuclear factor NFκB in laryngeal carcinoma tumor cells – correlation with IL-10 expression by blood mononuclear cells and clinicomorphological features
Purpose: Transcription nuclear factor NFκB (p65-p50/RelA) is an activator of transcription process and regulates the apoptosis, cell cycle, proliferation, secretion of cytokines, angiogenic and growth factors by initiati...
Regulacje molekularne procesu niszczenia kości w zapaleniu perlakowym ucha
Bone destruction in chronic otitis media with cholesteatoma is a common phenomenon. Expanding growth of cholesteatoma in the middle ear causes ischemia of the mucosa and bones with granulation tissue production.The aim o...
Morfologia głośni i charakterystyka percepcyjno-akustyczna głosu i mowy u chorych na reumatoidalne zapalenie stawów
<a href=# onclick=document.zmienLangEN.submit()>Streszczenie dost&#281;pne w j&#281;zyku angielskim!</a>