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Acoustic evaluation of Isshiki type III thyroplasty for treatment of mutational voice disorders

Published online by Cambridge University Press:  29 June 2007

Guo-Dong Li
Affiliation:
Liaoning Voice Center, Department of Otolaryngology, 2nd Affiliated Hospital, China Medical University, Shenyang, P.R., China
Liancai Mu*
Affiliation:
Grabscheid Voice Center, Department of Otolaryngology, The Mount Sinai Medical Center, New York, N.Y., USA.
Shilin Yang
Affiliation:
Liaoning Voice Center, Department of Otolaryngology, 2nd Affiliated Hospital, China Medical University, Shenyang, P.R., China
*
Address for correspondence: Liancai Mu, M.D., Ph.D., Department of Otolaryngology, Box 1189, The Mount Sinai Medical Center, New York, NY 10029-6574, USA. Fax: (212) 831-3700

Abstract

The goal of this study was to determine if there are acoustical differences between pre- and post-surgical voices and to evaluate the effectiveness of Isshiki type III thyroplasty in 11 male patients with mutational voice disorders. Acoustic measures were obtained both pre- and post-operatively. A comparison of pre-and post-operative fundamental frequency (Fo), voice frequencies, and vocal intensity obtained from a sustained vowel /i/ during different phonatory tasks was made. The results from the present study demonstrated that after operation the voice frequencies were significantly decreased (p<0.05). The vocal intensity tended to reduce slightly as the voice frequency lowered. However, there were no statistically significant differences in the pre- and post-operative measures of vocal intensity (p>0.5). The preoperative high pitched voices of all the male patients were lowered up to the normal value by the type III thyroplasty.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1999

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References

Anderson, V. (1954) Training the Speaking Voice. Oxford University Press, New York.Google Scholar
Aronson, A. E. (1990) Clinical Voice Disorders: An Interdisciplinary Approach. 3rd Edition. Thieme Inc., New York, pp 241257.Google Scholar
Dedo, D. D., Dedo, H. H. (1980) Vocal cord paralysis. In Otolaryngology. 2nd Edition. W. B. Saunders, Philadelphia, pp 24492503.Google Scholar
Furukawa, M. (1967) Study on phonation mechanism with excised larynx. Practica Otologica (Kyoto) 60: 145181.Google Scholar
Greene, M., Mathieson, L. (1992) The Voice and Its Disorders. Singular Publishing Group, San Diego.Google Scholar
Hirano, M., Ohara, J., Vennard, W. (1969) The function of laryngeal muscles in regulating fundamental frequency and intensity of phonation. Journal of Speech and Hearing Research 12: 616628.CrossRefGoogle ScholarPubMed
Isshiki, N., Morita, H., Okamura, H., Hiramoto, M. (1974) Thyroplasty as a new phonosurgical technique. Acta Oto-Laryngologica (Stockholm) 78: 451457.CrossRefGoogle ScholarPubMed
Isshiki, N., Taira, T., Tanabe, M. (1983) Surgical alteration of the vocal pitch. Journal of Oto-Laryngology 12: 335340.Google Scholar
Isshiki, N., Taira, T., Tanabe, M. (1988) Surgical treatment for vocal pitch disorders. In Vocal Fold Physiology. Vol. 2, (Fujimura, O., ed.) Raven Press, New York, pp 449457.Google Scholar
Klatt, D. H., Klatt, L. C. (1990) Analysis, synthesis and perception of voice quality variations among female and male talkers. Journal of the Acoustical Society of America 87: 820857.CrossRefGoogle ScholarPubMed
Levin, H. L., Tucker, H. M. (1985) Surgical management of the paralyzed larynx. In Surgery of the Larynx W. B. Saunders, Philadelphia, pp 117134.Google Scholar
Linke, C. E. (1973) A study of pitch characteristics of females and their relationship to vocal effectiveness. Folia Phoniatrica 25: 173185.Google Scholar
Monsen, R. B., Engebretson, A. M. (1977) Study of variations in the male and female glottal wave. Journal of the Acoustical Society of America 62: 981993.CrossRefGoogle ScholarPubMed
Saxman, J., Burk, K. (1967) Speaking fundamental frequency characteristics of middle-aged females. Folia Phoniatrica 19: 167172.CrossRefGoogle ScholarPubMed
Slavit, D. H., Maragos, N. E., Lipton, R. J. (1990) Physiologic assessment of Isshiki type III thyroplasty. Laryngoscope 100: 844848.CrossRefGoogle ScholarPubMed
Stoicheff, M. (1981) Speaking fundamental frequency characteristics of nonsmoking female adults. Journal of Speech and Hearing Research 24: 437441.Google Scholar
Tanaka, S., Tanabe, M. (1986) Glottal adjustment for regulating vocal intensity: An experimental study. Acta Oto-Laryngologica (Stockholm) 102: 315324.CrossRefGoogle ScholarPubMed
Tucker, H. M. (1985) Anterior commissure laryngoplasty for adjustment of vocal fold tension. Annals of Otology, Rhinology and Laryngology 94: 547549.Google Scholar
Tucker, H. M. (1989) Laryngeal framework surgery in the management of spasmodic dysphonia: A preliminary report. Annals of Otology, Rhinology and Laryngology 98: 5254.CrossRefGoogle ScholarPubMed
van den Berg, J. W. (1959) Results of experiments with human larynxes. Practica Oto-rhino-laryngologica 21: 425450.Google Scholar
Yang, S., Hu, L., Han, Z. (1986) Spectral analysis of the human voice and its clinical applications. Chinese Journal of Otorhinolaryngology 21: 275278.Google Scholar
Yang, S., Mu, L. (1989) An investigation of the third formant of /a/ in prepubertal children. Journal of Voice 3: 321323.CrossRefGoogle Scholar