Abstract:Objetivo comparar a autoavaliação vocal e a avaliação perceptivo-auditiva da voz em mulheres com doença tireoidiana. Métodos o estudo foi realizado com 40 pacientes do sexo feminino, idade média de 49,50±10,40 anos, utilizando a escala analógica-visual (EAV) para realizar a autoavaliação vocal e a análise perceptivo-auditiva pelo fonoaudiólogo. A paciente considerou a emissão habitual do dia a dia na sua autoavaliação e para a análise fonoaudiológica da voz foram gravadas amostras da contagem de 1 a 20. A … Show more
“…Some of the most common symptoms in patients after thyroidectomy are roughness, shortness of breath, vocal fatigue and lack of confidence in communication [14]. The voice quality of 350 patients who underwent total thyroidectomy was evaluated by speech therapists, showed that all patients had changes in vocal cord strain and muscular activity of the larynx thereby resulting in a low voice, while patients who did not suffer from such nerve damage showed no changes in voice quality [12].…”
Section: Discussionmentioning
confidence: 99%
“…The study shows that these voice-related symptoms in this particular population have a frequency ranging from 9% to 38%. Symptoms include roughness, shortness of breath, vocal fatigue and lack of confidence in communication [14].…”
Objectives: The present study aimed to determine the voice outcomes before and after the administration of voice therapy in patients who suffered an injury to the recurrent laryngeal nerve after undergoing thyroidectomy.
Methods:The sample consisted of 26 patients (2 males and 24 females) aged between 18 and 80 years (m=55±12) who experienced injury to the recurrent laryngeal nerve following thyroidectomy that was used to treat a thyroid gland disease. Subjective and objective parameters of the voice of the patients as well as its aerodynamic aspects were assessed upon the completion of the surgical procedure and before and after the implementation of voice therapy. Objective voice analysis was performed with the help of computer software viz. "Speech Training for Windows, Version 4.00 -Dr. Speech "and" EZ Voice Plus (TM) v. 2.0;" while GRBAS scale was used for subjective voice assessment. The subjects were followed for two years. The data so collected during this period was analyzed by implementing descriptive statistical parameters, Chi-square test, t-test and Wilcoxon test.
Results:Patients with an injury to the recurrent laryngeal nerve were found to have voice alterations in all vocal parameters of subjective voice assessment conducted using the GRBAS Scale. These alterations ranged from moderate to severe degree, which provided a high degree of roughness in the voice. Objective voice assessment parameter analysis showed a decrease in voice pitch, increase in shimmer, decrease in noise-to-harmonics ratio, decrease in maximum phonation time and a decrease in voiceless percentage. Overall, it was observed that there were significant differences in all parameters of subjective and objective voice assessment, before and after vocal therapy, except for variables regarding the noise-to-harmonics ratio and aerodynamic variable of the S/Z ratio, although, the results on these vocal parameters were better after voice therapy.
“…Some of the most common symptoms in patients after thyroidectomy are roughness, shortness of breath, vocal fatigue and lack of confidence in communication [14]. The voice quality of 350 patients who underwent total thyroidectomy was evaluated by speech therapists, showed that all patients had changes in vocal cord strain and muscular activity of the larynx thereby resulting in a low voice, while patients who did not suffer from such nerve damage showed no changes in voice quality [12].…”
Section: Discussionmentioning
confidence: 99%
“…The study shows that these voice-related symptoms in this particular population have a frequency ranging from 9% to 38%. Symptoms include roughness, shortness of breath, vocal fatigue and lack of confidence in communication [14].…”
Objectives: The present study aimed to determine the voice outcomes before and after the administration of voice therapy in patients who suffered an injury to the recurrent laryngeal nerve after undergoing thyroidectomy.
Methods:The sample consisted of 26 patients (2 males and 24 females) aged between 18 and 80 years (m=55±12) who experienced injury to the recurrent laryngeal nerve following thyroidectomy that was used to treat a thyroid gland disease. Subjective and objective parameters of the voice of the patients as well as its aerodynamic aspects were assessed upon the completion of the surgical procedure and before and after the implementation of voice therapy. Objective voice analysis was performed with the help of computer software viz. "Speech Training for Windows, Version 4.00 -Dr. Speech "and" EZ Voice Plus (TM) v. 2.0;" while GRBAS scale was used for subjective voice assessment. The subjects were followed for two years. The data so collected during this period was analyzed by implementing descriptive statistical parameters, Chi-square test, t-test and Wilcoxon test.
Results:Patients with an injury to the recurrent laryngeal nerve were found to have voice alterations in all vocal parameters of subjective voice assessment conducted using the GRBAS Scale. These alterations ranged from moderate to severe degree, which provided a high degree of roughness in the voice. Objective voice assessment parameter analysis showed a decrease in voice pitch, increase in shimmer, decrease in noise-to-harmonics ratio, decrease in maximum phonation time and a decrease in voiceless percentage. Overall, it was observed that there were significant differences in all parameters of subjective and objective voice assessment, before and after vocal therapy, except for variables regarding the noise-to-harmonics ratio and aerodynamic variable of the S/Z ratio, although, the results on these vocal parameters were better after voice therapy.
“…In addition, a self-report visual analogue scale (VAS) is used in several fields to measure the perception of individuals about certain events, such as pain and voice quality (33). The VAS is regarded as reliable and easy to apply (34). Some experts consider this scale for laryngectomized people, but the question involved depends on the type of question it refers to in its application.…”
“…A voz desempenha um papel fundamental no processo de construção dessa nova identidade, seja na autoaceitação ou na receptividade social (4) e, a autoimagem, mensurada por meio de instrumentos que auxiliam a percepção do sujeito quanto à sua voz, faz parte deste processo (5) . É essencial, portanto, incluir a perspectiva do indivíduo, quando se avaliam os resultados dos procedimentos executados, seja a terapia vocal, cirurgia ou tratamento medicamentoso (6) .…”
RESUMO Objetivo Analisar o impacto da voz na qualidade de vida de pessoas transgênero (ou trans) e relacionar com a autopercepção vocal e a identidade de gênero. Métodos Foram incluídos 27 indivíduos com idades entre 18 e 49 anos, usuários e usuárias do Ambulatório Trans de Sergipe: – “Portas abertas - Saúde integral das pessoas trans: cuidar e acolher”, da Universidade Federal de Sergipe. Após anamnese, foram aplicados os instrumentos de Qualidade de Vida em Voz (QVV), o Transgender Voice Questionnaire (TVQMtF) e o Índice de Triagem para Distúrbio de Voz (ITDV). Foi observado maior número de homens trans (63,0%), em relação ao de mulheres trans (37,0%). A média de idade foi de 26,7 anos (±9,1) e 96,3% dos sujeitos possuíam uma queixa específica de voz. Resultados O QVV apresentou um valor médio de 26,1 pontos para o escore total, o ITDV de 3,9 e o TVQMtF de 70,6, não havendo relação significativa entre os resultados e a identidade de gênero e a idade. Foi observada relação significativa entre o QVV e o TVQMtF. Conclusão Observou-se uma baixa qualidade de vida em voz nas pessoas trans. Desta forma, quanto maior a percepção de suas alterações vocais, pior a sua qualidade de vida, independente do gênero com o qual se identificam (feminino ou masculino) e de possíveis distúrbios vocais.
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