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    Wyświetlanie 1-2 z 2
    Tytuł:
    Perceptual and acoustic voice analysis in patients with glottis cancer after endoscopic laser cordectomy
    Autorzy:
    Kosztyła-Hojna, Bożena
    Łuczaj, Jarosław
    Berger, Greta
    Duchnowska, Emilia
    Zdrojkowski, Maciej
    Łobaczuk-Sitnik, Anna
    Biszewska, Jolanta
    Powiązania:
    https://bibliotekanauki.pl/articles/1397318.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    laser cordectomy
    glottis cancer
    voice quality
    voice acoustic analysis
    Opis:
    Introduction: Treatment of glottis cancer, despite oncological safety, should consider postoperative voice quality. CO2 laser endoscopic cordectomy allows radical removal of the tumor while maintaining respiratory, defensive and phonatory functions. The aim: The aim of the study is perceptual and acoustic evaluation of voice in patients after endoscopic CO2 III–Va laser cordectomy due to glottis cancer. Material and method: The study included 30 men after CO2 cordectomy. 13 (43%) patients underwent type III cordectomy, 6 (20%) – type IV; 11 (37%) – type Va. Voice quality has been assessed 6 months after the surgery. Control group included 30 healthy men of the same age. GRBAS scale has been used in perceptual evaluation of voice. Acoustic analysis has been performed using DiagnoScope Specjalista software. Narrowband spectrography and Maximum Phonation Time (MPT) measure has been performed. Results: In study group, voice has been classified as G1R1B0A0S0 after type III cordectomy; as G1R1B1A1S2 in type IV and as G2R1B1A0S3 in type Va. Acoustic evaluation revealed the highest values of F0, Jitter, Shimmer and NHR after Va cordectomy as well as non-harmonic components in narrowband spectrography and reduction of MPT. Conclusions: Postoperative voice quality depends on the type of cordectomy. Perceptual assessment indicates that type IV and Va cordectomy cause intensification of voice disorders. Parameters of acoustic evaluation increase with the extent of the procedure. The presence of non-harmonic components in narrowband spectrography increases with the extent of cordectomy, such as the reduction of MPT. Preservation of anterior commissure influences good voice quality in perceptual and acoustic assessment.
    Źródło:
    Polish Journal of Otolaryngology; 2020, 74, 3; 23-28
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Verbal communication disorders in psychogenic dysphonia
    Autorzy:
    Kosztyła-Hojna, Bożena
    Moskal-Jasińska, Diana
    Kraszewska, Anna
    Łobaczuk-Sitnik, Anna
    Zdrojkowski, Maciej
    Duchnowska, Emilia
    Biszewska, Jolanta
    Powiązania:
    https://bibliotekanauki.pl/articles/1397514.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    psychogenic dysphonia
    respiratory-phonatory-articulation coordination
    speech prosody
    VHI
    voice and speech quality
    Opis:
    Psychogenic dysphonia is defined as disturbances in voice and speech quality with emotional background with lack of organic changes in the larynx. Mental condition has significant impact on the process of producing voice, functioning of respiratoryphonatory- articulation mechanism and speech prosody. The aim of the study was visual, acoustic, perceptual assessment as well as self-assessment of voice and speech quality using subjective and objective methods in patients with psychogenic dysphonia. The study included 50 patients with psychogenic dysphonia diagnosed in the Department of Clinical Fonoaudiology and Logopedics, Medical University of Białystok and treated at the Foniatric Outpatient Clinic, University Hospital in Białystok in 2017–2018. The control group consisted of 30 subjects with euphonic voice. All patients underwent subjective and objective assessment of voice and speech quality. The GRBAS scale, breathing pathway assessment, respiratory-phonatory-articulation analysis, voice and speech intensity evaluation have been performed. Speech prosody has also been examined. Patient selfassessment of voice has been conducted using Voice Handicap Index (VHI). Objective evaluation of larynx included vibrations of vocal folds visualization using High Speed Digital Imaging (HSDI). Acoustic analysis of voice quality has been performed using DiagNova Technologies. The maximum phonation time (MPT) has been determined. Hyperfunctional dysphonia is the most common clinical form of psychogenic dysphonia. Abnormal breathing pathway influence the reduction of MPT and disturbance of respiratory-phonatory-articulation coordination in patients with psychogenic dysphonia. In psychogenic dysphonia intonation and speech rate disorders are observed. Results of voice self-assessment in the majority of examined patients indicates a mild voice disability.
    Źródło:
    Polish Journal of Otolaryngology; 2019, 73, 4; 14-20
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-2 z 2

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