Effects of Septoplasty on Speech and Voice

Koç, Bülent; Ercan, Ibrahim; Koçak, İsmail; Tadihan, Elcin; Turgut, Suat

doi:10.1016/j.jvoice.2013.09.008

Cited by 23 publications

(25 citation statements)

References 23 publications

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“…Ozbal et al [5] have reported a new study investigating effect of septoplasty on voice and speech in a 20-patient group. They did voice analysis preoperative and postoperative 1st and 3rd months and determined septoplasty has no effect on voice and speech [5].…”

Section: Discussionmentioning

confidence: 99%

“…They did voice analysis preoperative and postoperative 1st and 3rd months and determined septoplasty has no effect on voice and speech [5]. But this study has no control group.…”

Section: Discussionmentioning

confidence: 99%

“…According to a study reported by Behlau et al [4], patients with unnatural speech are evaluated as less attractive and less intelligent than people with normal speech and this apprehension can affect social life and life quality of these patients. Nasal obstruction may play an important role in the feature of voice [5]. There are not many reports about acoustic features of the voice after septoplasty procedure.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effect of Septoplasty on Voice Quality: A Prospective-Controlled Trial

Güleç

Külahlı

Şahin

et al. 2016

Clin Exp Otorhinolaryngol

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Objectives.The purpose is to investigate effect of septoplasty and widened nasal patency on voice quality.Methods.Fifty patients who undergone septoplasty were included in the study. Thirty-three people who had similar age and distribution were enrolled as control group. Before and 1 and 3 months after surgery, anterior rhinomanometry, voice analysis by Multi-Dimensional Voice Program, and spectrographic analysis were performed to patients. The recordings of /a/ vowel were used to evaluate average fundamental frequency (F0), jitter percent, and shimmer percent. In spectrographic analyses, F3–F4 values for the vowels /i, e, a, o, and u/, nasal formant frequencies of the consonants /m/ and /n/ in the word /mini/, and 4 formant frequencies (F1, F2, F3, and F4) for nasalized /i/ vowel following a nasal consonant /n/ in the word /mini/ were compared. The differences in nasal resonance were evaluated. All patients were asked whether change in their voices after the surgery. Preoperative and postoperative voice parameters and anterior rhinomanometry results were compared separately with the control group as well as in the patient group itself.Results.Preoperative total nasal resistance (TNR) values of patients were higher than the control group (P=0.001). TNR values of patients measured one day before surgery and after surgery in the 1st and 3rd months were different and these differences were significant statistically (P=0.001). There was no significant difference between the voice analysis parameters in preoperative, postoperative 1st, and 3rd months. As a result of their subjective reviews, 12 patients (36%) noted their voices were better than before surgery and 20 patients (61%) noted no change before and after surgery.Conclusion.Providing widened nasal cavity has no effect on voice quality.

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Section: Discussionmentioning

confidence: 99%

“…They did voice analysis preoperative and postoperative 1st and 3rd months and determined septoplasty has no effect on voice and speech [5]. But this study has no control group.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Septoplasty on Voice Quality: A Prospective-Controlled Trial

Güleç

Külahlı

Şahin

et al. 2016

Clin Exp Otorhinolaryngol

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“…Poor follow up and high dropout rate prevented the study from performing acoustical analysis after 3 months. In addition, literature suggests no statistically significant change in acoustical analysis even after 3 months post-septoplasty [25]. On the continuum, literature using questionnaires evidences that individual with DNS to commonly report reduced respiratory control [26].…”

Section: Discussionmentioning

confidence: 99%

“…On the continuum, literature using questionnaires evidences that individual with DNS to commonly report reduced respiratory control [26]. Having such respiratory deficit contributes to automatic changes in the laryngeal and supra-glottic resonatory system [25]. Such physiological changes are expected to have variations in the fundamental frequency which indirectly can alter the harmonics of the voice leading to decreased cepstral values [27].…”

Section: Discussionmentioning

confidence: 99%

Effect of Septoplasty on Cepstral Analysis of Voice

Thejaswi

Alfred

D’Souza

2015

Indian J Otolaryngol Head Neck Surg

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Resonance change is a common clinical symptom in individuals with deviated nasal septum. Often this anatomical deficit is surgically treated by septoplasty. Therefore monitoring resonance changes using acoustical tools is vital. Hence, the study investigated cepstral measure differences in subjects with deviated nasal septum compared to normals. A case-control study design involving 20 subjects within 18-40 years divided into Group I of 10 subjects with deviated nasal septum (DNS) and Group II of 10 normal subjects participated. All the subjects sustained nasalized vowel /ã/ at 10 cm mouth-microphone distance for minimum of 5 seconds. For Group I, voice sample was recorded in 2 conditions, 2 days pre-septoplasty and 1 month post-septoplasty. Cepstral peak prominence (CPP) and smooth cepstral peak prominence (CPPS) values was extracted using the Hillenbrand algorithm. Mean values revealed increased CPP and CPPS measure post-septoplasty when compared to pre-septoplasty. ANOVA showed statistically significant difference only for CPPS at p = 0.00. The higher cepstral values of post-septoplasty is due to widened nasal passage that leads to increased nasal volume, decreased acoustic damping and increased nasal patency. These changes in supraglottic chambers will result in a better acoustic space for good resonance. However, the CPPS values were not similar to normal subjects because of scarring or incomplete recovery of the outer mucosal layer of the nasal tract. Thus, we can conclude that cepstral analysis is a sensitive tool to detect resonance changes in the nasal patency.

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