Are the Acoustic Measurements Reliable in the Assessment of Voice Quality? A Methodological Prospective Study

Lechien, Jérôme R.; Huet, Kathy; Finck, Camille; Blecic, Serge; Delvaux, Véronique; Piccaluga, Myriam; Saussez, Sven; Harmegnies, Bernard

doi:10.1016/j.jvoice.2019.08.022

Cited by 13 publications

(12 citation statements)

References 39 publications

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“…Thus, previous reports demonstrated that depending on the time interval over which the acoustic parameters are measured, the clinically demonstrated effect of a treatment/posttreatment course may or may not be statistically demonstrated. 26,27 These data and the discrepancies between our results and those of the literature strengthen the need of standardization of acoustic measurement methods. This point is important for future studies that aim to compare the impact of treatment on voice quality evolution of patients with early glottic cancer.…”

Section: Discussioncontrasting

confidence: 71%

Multidimensional Voice Quality Evaluation After Transoral CO₂ Laser Cordectomy: A Prospective Study

et al. 2020

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Objective: To investigate voice quality changes of patients treated by transoral laser cordectomy (TLC) for early glottic cancer according to the type of cordectomies. Methods: A total of 164 consecutive male patients with an early glottic cancer were prospectively recruited from the Department of Otolaryngology-Head and Neck Surgery of the Georges Pompidou European Hospital. Depending on the tumor characteristics, patients benefited from type I to VI CO 2 cordectomy regarding the European Laryngological Society classification. The following voice quality outcomes were pre-to postoperatively assessed: voice handicap index (VHI), perceptual grade of dysphonia, roughness, breathiness, maximum phonation time, and acoustic parameters. Results: Fifty-five patients with Tis, T1, or T2 vocal fold cancer completed the study (mean age: 61.7 years). Of these patients, 34 and 21 composed group 1 (types I-III TLC) and group 2 (types IV-VI TLC), respectively. Voice handicap index, grade of dysphonia, and breathiness significantly improved from pre-to 3-and 6-month posttreatment in group 1. In group 2, only VHI significantly improved from pre-to 3-and 6-month posttreatment. Acoustic and aerodynamic measurements did not change throughout the postoperative course. Patients with types I to III TLC exhibited better postoperative voice outcomes compared to those treated by types IV to VI TLC. Conclusion: Irrespective to the types of TLC, the subjective voice quality of patients treated by CO 2 laser cordectomy for early glottic cancer significantly improved from pre-to 3-and 6-month posttreatment. The usefulness of aerodynamic and acoustic measurements as postoperative outcomes of voice quality changes remain controversial and require future studies considering multidimensional assessment of voice.

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Section: Discussioncontrasting

confidence: 71%

Multidimensional Voice Quality Evaluation After Transoral CO₂ Laser Cordectomy: A Prospective Study

et al. 2020

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“…Indeed, it has been demonstrated that depending on the selection of the time interval over which the acoustic parameters were measured, the acoustic changes may or may not be statistically demonstrated. 19 The primary limitation of this study was the low number of patients in both groups. However, in comparison with other publications, 12,13,16 the current study is one of the largest focusing on type 1-2 CO 2 TLCs.…”

Section: Discussionmentioning

confidence: 93%

Evolution of Voice Quality in Type 1–2 Transoral CO₂ Laser Cordectomy: A Prospective Comparative Study

et al. 2021

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Objectives/Hypothesis: To compare the 12-month evolution of voice quality outcomes in patients who benefited from types 1-2 transoral CO 2 laser cordectomy (TLC) for an early-stage vocal fold squamous cell carcinoma (VFSCC).Study Design: Prospective uncontrolled study.Methods: Sixty patients with cT1 VFSCC were consecutively recruited from a single medical center. Thirty patients benefited from type 1 TLC, while type 2 TCL was performed in 30 patients. The following voice quality outcomes were evaluated at baseline, 3-, 6-, and 12-month post-TLC: voice handicap index (VHI), GRBAS, speech rate, maximum phonation time (MPT), and acoustic parameters. Voice quality evolution was compared between type 1 and type 2 TLC.Results: Fifty-seven patients completed the evaluations. Type 1 TLC patients reported significant improvements of VHI, grade of dysphonia, and breathiness at 3-, 6-, and 12-month post-TLC. Speech rate and jitter values improved 6-and 12-month post-TLC. A few voice quality outcomes reported 3-or 6-month post-TLC improvements in type 2 TLC group, while VHI, grade of dysphonia improved at 6-and 12-month post-TLC. MPT significantly decreased at 6-and 12-month post-TLC, while there were no acoustic measurement changes in type 2 TLC.Conclusions: The effect of TLC on voice quality may depend on the type of TLC. Type 1 TLC was associated with faster voice quality improvements compared with type 2 TLC. VHI and dysphonia grade were identified as the most relevant tool of voice changes irrespective to the TLC type.

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“…Precisely, Holmes et al reported better values of jitter and some F0 parameters in healthy subjects compared to IPD patients, corroborating our results 19 . Note that these authors measured the acoustic parameters through a different method than our own, which may significantly impact the results of the acoustic analyses 20 …”

Section: Discussionmentioning

confidence: 99%

“…19 Note that these authors measured the acoustic parameters through a different method than our own, which may significantly impact the results of the acoustic analyses. 20 These changes in the vibration process of the vocal cover are still subtle, and they may not be systematically seen in the VLS examination of early-stage IPD patients in comparison with patients with mid-to long history of the disease. 21,22 The lack of sensitivity of the VLS examination in patients with early-stage IPD strengthens the interest of acoustic measurements in the detection of early voice quality disorder.…”

Section: Discussionmentioning

confidence: 99%

Orofacial Strength and Voice Quality as Outcome of Levodopa Challenge Test in Parkinson Disease

et al. 2020

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Objective: To assess the usefulness of orofacial strength and voice quality as assessment of response to levodopa challenge test (LCT) used in the diagnosis of early idiopathic Parkinson disease (IPD). Study Design: Controlled Prospective Study. Methods: From January 2014 to April 2019, patients with early IPD and healthy individuals were recruited and evaluated for clinical findings (Hoehn and Yahr scale; Unified Parkinson's Disease Rating Scale); Voice Handicap Index (VHI); grade of dysphonia, roughness, breathiness, asthenia, and strain and instability (GRBASI); maximal phonation time; phonation quotient; acoustic parameters; and orofacial muscle strength Oral Performance Instrument (IOPI; IOPI Medical, Woodinville, WA, USA) at baseline and 45 minutes after the levodopa intake (LCT). Results: A total of 32 IPD patients and 20 healthy individuals completed the study. Healthy individuals exhibited better VHI, grade of dysphonia, breathiness, asthenia, strain, instability, and acoustic measurements (noise-related, tremor, F0 shortand mid-term and intensity short-term parameters) than healthy subjects. The mean values of muscle strength of lips, cheeks, fundamental frequency (F0), highest F0, and shimmer significantly improved from pre-to post-LCT in IPD patients. Healthy individuals did not exhibit significant changes of orofacial strength and voice quality assessment from pre-to post-LCT. Significant associations were found between clinical, orofacial strength, and some aerodynamic and acoustic measurements. Conclusion: Orofacial strength and acoustic voice quality measurements may be used as objective outcomes of the LCT responsiveness in patients with early IPD.

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Are the Acoustic Measurements Reliable in the Assessment of Voice Quality? A Methodological Prospective Study

Cited by 13 publications

References 39 publications

Multidimensional Voice Quality Evaluation After Transoral CO₂ Laser Cordectomy: A Prospective Study

Multidimensional Voice Quality Evaluation After Transoral CO₂ Laser Cordectomy: A Prospective Study

Evolution of Voice Quality in Type 1–2 Transoral CO₂ Laser Cordectomy: A Prospective Comparative Study

Orofacial Strength and Voice Quality as Outcome of Levodopa Challenge Test in Parkinson Disease

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Are the Acoustic Measurements Reliable in the Assessment of Voice Quality? A Methodological Prospective Study

Cited by 13 publications

References 39 publications

Multidimensional Voice Quality Evaluation After Transoral CO2 Laser Cordectomy: A Prospective Study

Multidimensional Voice Quality Evaluation After Transoral CO2 Laser Cordectomy: A Prospective Study

Evolution of Voice Quality in Type 1–2 Transoral CO2 Laser Cordectomy: A Prospective Comparative Study

Orofacial Strength and Voice Quality as Outcome of Levodopa Challenge Test in Parkinson Disease

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Product

Resources

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Multidimensional Voice Quality Evaluation After Transoral CO₂ Laser Cordectomy: A Prospective Study

Multidimensional Voice Quality Evaluation After Transoral CO₂ Laser Cordectomy: A Prospective Study

Evolution of Voice Quality in Type 1–2 Transoral CO₂ Laser Cordectomy: A Prospective Comparative Study