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Normalisation of voice parameters in patients with unilateral vocal fold palsy: is it realistic?

Published online by Cambridge University Press:  03 December 2019

R Kumar ,
N Banumathy ,
P Sharma  and
N K Panda
R Kumar*
Affiliation:
Department of Otolaryngology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
N Banumathy
Affiliation:
Department of Otolaryngology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
P Sharma
Affiliation:
Department of Otolaryngology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
N K Panda
Affiliation:
Department of Otolaryngology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
*
Author for correspondence: Rawish Kumar, Speech and Hearing Unit, Department of Otolaryngology, Postgraduate Institute of Medical Education and Research, Chandigarh, India E-mail: rawishkumar@gmail.com
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Abstract

Background

Disorders of voice can limit an individual's participation and impair social interaction, thus affecting overall quality of life. Perceptual and objective evaluations can provide the clinician with detailed information regarding voice disorders.

Methods

This study comprised 40 subjects aged 34–46 years, 20 of whom (10 male, 10 female) had unilateral vocal fold palsy. Data were obtained for all participants from: the Voice Handicap Index, the grade, roughness, breathiness, asthenia and strain (‘GRBAS’) scale, acoustic voice analysis, electroglottography, and voice range profiles.

Results

The voice evaluations revealed statistically significant (p < 0.05) differences between the controls and study group, both in males and females, pre- and post-therapy.

Conclusion

Despite the normalisation of vocal parameters, acoustic, perceptual and self-rated assessments revealed statistically significant differences after therapy. Hence, acoustic measures, namely electroglottographic perturbation, and voice frequency and intensity range, are recommended prior to termination of therapy.

Keywords

ElectroglottographyVoice Handicap IndexVoice Range Profile
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 12 , December 2019 , pp. 1097 - 1102
Copyright
Copyright © JLO (1984) Limited, 2019

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Footnotes

R Kumar takes responsibility for the integrity of the content of the paper

References

1Ahmad, S, Muzamil, A, Lateef, M.A study of incidence and etiopathology of vocal cord paralysis. Indian J Otolaryngol Head Neck Surg 2002;54:294–6Google ScholarPubMed
2Alvarenga, EHL, Cruz, OLM, Carrara-de-Angelis, E, Fury, CLB, Mourão, LF, Kowalski, LP.Laryngeal Paralysis. Speech-Language Pathology Cancer of the Head and Neck. São Paulo: Lovise Publishing House, 2000;81–8Google Scholar
3Heuer, RJ, Sataloff, RT, Emerich, K, Rulnick, R, Baroody, M, Spiegel, JR et al. Unilateral recurrent laryngeal nerve paralysis: the importance of “preoperative” voice therapy. J Voice 1997;11:88–94CrossRefGoogle ScholarPubMed
4Jacobson, BH, Johnson, A, Grywalski, C, Silbergleit, A, Jacobson, G, Benninger, MS et al. The Voice Handicap Index (VHI): development and validation. Am J Speech Lang Pathol 1997;6:66–70CrossRefGoogle Scholar
5Hirano, M.Clinical Examination of Voice. Disorders of Human Communication. New York: Springer-Verlag, 1981;xiGoogle Scholar
6Mangilli, LD, Amoroso, MRM, Nishimoto, IN, Barros, APB, Carrara-de-Angelis, E.Voice, deglutition and quality of life of patients with unilateral vocal fold mobility change before and after speech therapy. Rev Soc Bras Fonoaudiol 2008;13:103–12CrossRefGoogle Scholar
7Titze, IR, Talkin, DT.A theoretical study of the effects of various laryngeal configurations on the acoustics of phonation. J Acoust Soc Am 1979;66:60–74CrossRefGoogle ScholarPubMed
8Rothenberg, M.Some relations between glottal air flow and vocal fold contact area. ASHA Reports 1988;11:88–96Google Scholar
9Herzel, H, Berry, D, Titze, I, Steinecke, I.Nonlinear dynamics of the voice-signal analysis and biomechanical modeling. Chaos 1995;5:30–4CrossRefGoogle ScholarPubMed
10Titze, IR.Fascinations with the Human Voice. Salt Lake City: National Center for Voice and Speech, 2010;1–58Google Scholar