Acoustic analysis and video-stroboscopic evaluation of voice disorders
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20231464Keywords:
Videostrobodcopy, Acoustic analysis, Voice, DysphoniaAbstract
Background: The presence of pathologies of vocal folds cause significant changes in their normal vibratory patterns, which impact the resulting voice. Accurate and early diagnosis is needed for proper and timely management of the underlying vocal cord pathology. Diagnostic assessment in dysphonic patients should comprise both clinical aspects and voice-related problems experienced by the patients in their daily life. A combination of video-stroboscopy, acoustic analysis and Voice handicap index (VHI) helps in detailed evaluation of vocal cord abnormalities.
Methods: This was a prospective, observational study. A total of 134 patients with voice disorders were included in the study. The VHI-10 questionnaire was filled by the patients. Acoustic analysis of their voice samples and Video-stroboscopic evaluation of their larynx was done.
Results: A VHI-10 score of >11 was noted in 102 patients. Fundamental frequency, jitter and shimmer were significantly related to the type of lesion. All the video-stroboscopic parameters were significantly related with the vocal cord lesions.
Conclusions: Acoustic analysis along with video-stroboscopy serve as a better diagnostic tool for quantification and categorisation of vocal cord pathologies. VHI-10 helps in assessing the limitations/the impact on quality of life (QOL) (caused by the various vocal cord pathology).
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References
Stevens KN. Acoustic Phonetics. Anatomy and Physiology of Speech Production. Cambridge, MA: MIT Press; 2000: 1-55.
Titze IR. The Myoelatic Aerodynamic Theory of Phonation. Iowa City: National Center for Voice and Speech; 2006.
Sataloff RT. G. Paul Moore Lecture. Rational thought: the impact of voice science upon voice care. J Voice. 1995;9(3):215-34.
Rosen CA. Stroboscopy as a research instrument: development of a perceptual evaluation tool. Laryngoscope. 2005;115(3):423-8.
Korovin GS, Rubin JS. Introduction to the laboratorydiagnosis of vocal disorders. In: Rubin JS, Sataloff RT, Korovin GS, eds. Diagnosis and treatment of voicedisorders. 2nd ed. Australia: Thomson Delmar Learning; 2003: 183-189.
Murry T, Rosen CA. Outcome measurements and quality of life in voice disorders. Otolaryngol Clin North Am. 2000;33(4):905-16.
Scott S, Robinson K, Wilson JA, Mackenzie K. Patient-reported problems associated with dysphonia. Clin Otolaryngol Allied Sci. 1997;22(1):37-40.
Wilson JA, Webb A, Carding PN, Steen IN, MacKenzie K, Deary IJ. The Voice Symptom Scale (VoiSS) and the Vocal Handicap Index (VHI): a comparison of structure and content. Clin Otolaryngol Allied Sci. 2004;29(2):169-74.
Deary IJ, Webb A, Mackenzie K, Wilson JA, Carding PN. Short, self-report voice symptom scales: psychometric characteristics of the voice handicap index-10 and the vocal performance questionnaire. Otolaryngol Head Neck Surg. 2004;131(3):232-5.
Jacobson 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;6:66-7.
Rosen CA, Lee AS, Osborne J, Zullo T, Murry T. Development and validation of the voice handicap index-10. Laryngoscope. 2004;114(9):1549-56.
Poburka BJ. A new stroboscopy rating form. J Voice. 1999;13(3):403-13.
Dejonckere PH, Bradley P, Clemente P, Cornut G, Crevier-Buchman L, Friedrich G, et al. A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. Guideline elaborated by the Committee on Phoniatrics of the European Laryngological Society (ELS). Eur Arch Otorhinolaryngol. 2001;258(2):77-82.
Zhukhovitskaya A, Battaglia D, Khosla SM, Murry T, Sulica L. Gender and age in benign vocal fold lesions. The Laryngoscope. 2015;125(1):191-6.
Chan TC, Fortuna MC, Enriquez PS. Demographic Profile and Risk Factors of Patients with Benign Vocal Fold Lesions Diagnosed through Laryngeal Videoendoscopy and Stroboscopy. Philippine Journal of otolaryngology-head and neck Surgery. 2017;32(1):27-9.
Banjara H, Mungutwar V, Singh D, Gupta A, Singh S. Demographic and videostroboscopic assessment of vocal pathologies. Indian J Otolaryngol Head Neck Surg. 2012;64(2):150-7.
Milovanovic J, Vukasinovic M, Jotic A, Vlajinac H, Milovanovic A, Pavlovic B, et al. Relationship between socio-demographic characteristics and vocal fold nodules, polyps and oedema. Acta Otorhinolaryngol Ital. 2018;38(5):424-30.
Lopes LW, da Silva JD, Simões LB, Evangelista DDS, Silva POC, Almeida AA, et al. Relationship Between Acoustic Measurements and Self-evaluation in Patients With Voice Disorders. J Voice. 2017;31(1):119.e1-119.e10.
Dehqan A, Yadegari F, Scherer RC, Dabirmoghadam P. Correlation of VHI-30 to Acoustic Measurements Across Three Common Voice Disorders. J Voice. 2017;31(1):34-40.
Shohet JA, Courey MS, Scott MA, Ossoff RH. Value of videostroboscopic parameters in differentiating true vocal fold cysts from polyps. Laryngoscope. 1996;106(1 Pt 1):19-26.
Hirano M. Morphological structure of the vocal cord as a vibrator and its variations. Folia Phoniatr (Basel). 1974;26(2):89-94.
Lopes LW, Batista Simões L, Delfino da Silva J, da Silva Evangelista D, et al. Accuracy of Acoustic Analysis Measurements in the Evaluation of Patients With Different Laryngeal Diagnoses. J Voice. 2017;31(3):382.e15-382.e26.
Teixeira JP, Fernandes PO. Acoustic analysis of vocal dysphonia. procedia computer science. 2015;64:466-73.
