Voice Quality After Supracricoid Laryngectomy and Total Laryngectomy With Insertion of Voice Prosthesis

Torrejano, Gabriela; Guimarães, Isabel

doi:10.1016/j.jvoice.2007.08.005

Cited by 26 publications

(28 citation statements)

References 14 publications

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“…2 and 3 middle part). This circle illustrates the high interdependency of these five categories and is concordant with the literature [9,36]. One of the main topics in rehabilitation is the restoration of voice (b310) what gives the patient the possibility to communicate with his environment.…”

Section: Discussionsupporting

confidence: 82%

See 1 more Smart Citation

Graphical modeling can be used to illustrate associations between variables describing functioning in head and neck cancer patients

Becker

Strobl²,

Cieza³

et al. 2011

Journal of Clinical Epidemiology

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Section: Discussionsupporting

confidence: 82%

“…Surgical procedures to the larynx can impair breathing and voice production [8,9]. Furthermore, extensive surgical procedures to the head and neck region can cause disfiguring changes to the appearance of a patient [10].…”

Section: Introductionmentioning

confidence: 99%

Graphical modeling can be used to illustrate associations between variables describing functioning in head and neck cancer patients

Becker

Strobl²,

Cieza³

et al. 2011

Journal of Clinical Epidemiology

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“…The rating scale GRBAS [5] , with ratings of grade of aberrant voice quality, roughness, breathiness, asthenicity and strain on a fourpoint scale, has been widely used in studies of various laryngeal voice disorders. In later years, GRBAS has also been used for perceptual assessments in studies of partially and totally laryngectomized speakers [6][7][8] . The results of these studies have shown that not all GRBAS parameters seem to be reproducible and reliable for TE speech.…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies of laryngectomee speech have focused on the mentioned acoustical measurements, and on acoustical differences and similarities that might exist between TE speech, esophageal speech, and laryngeal speech [17,18] . Recent studies of TE speech have combined acoustical analyses with perceptual assessment of voice and/or speech intelligibility [6][7][8][19][20][21] .…”

Section: Introductionmentioning

confidence: 99%

Speech and Voice after Laryngectomy: Perceptual and Acoustical Analyses of Tracheoesophageal Speech Related to Voice Handicap Index

Lundström

Hammarberg²

2010

Folia Phoniatr Logop

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Objective: To perform perceptual and acoustical analyses of tracheoesophageal (TE) speech and relate these analyses to self-reported voice handicap. Methods: Recordings of 35 TE speakers were perceptually assessed by 5 speech-language pathologists. Acoustical analyses were made of voice aspects and temporal speech aspects. Self-assessments of voice were made with the Voice Handicap Index (VHI). Results: Perceptual assessment of TE speech showed significant correlations between overall degree of deviation and low speaking rate, deviant articulation, monotonous intonation, roughness and low pitch. The overall degree of deviation correlated significantly with acoustical measurements of speaking rate, articulation rate, and phrase length. Significant correlations were also found between assessed pitch and measured fundamental frequency, between assessed speaking rate and measured number of words per minute, and between assessed phrase length and measured number of syllables per breath. Self-assessments of VHI were significantly correlated with voice intensity and temporal speech aspects such as total reading time, phrase length, and percent pause time. No significant correlations were found between perceptual assessment and VHI degree. Conclusion: The listeners’ ratings of overall degree of deviation in TE speech showed relations to both voice quality and temporal aspects in speech. The TE speakers’ voice handicap degree were mainly related to changes in temporal aspects of speech.

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“…GRBAS applicability in voice area is broad and involves all kinds of voice disturbances, independent of etiology (8)(9)(10)(11)(12)(13)(14)(15) . It is a simple and fast evaluation method proposing the observation of five parameters: G (grade) -overall dysphonia grade; R -roughness, represented by hoarseness and harshness; B -breathiness; A -asthenia; S -strain.…”

Section: Introductionmentioning

confidence: 99%

Impacto de treinamento auditivo na avaliação perceptivo-auditiva da voz realizada por estudantes de Fonoaudiologia

Silva

Simões-Zenari

Nemr

2012

J. Soc. Bras. Fonoaudiol.

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OBJETIVO: Analisar o impacto de treino auditivo na avaliação perceptivo-auditiva da voz realizada por estudantes de Fonoaudiologia. MÉTODOS: Durante dois semestres, 17 estudantes que cursavam disciplinas teóricas de fonação (Fonação/Distúrbios da Fonação) analisaram amostras de vozes alteradas e não alteradas (selecionadas para este estudo), por meio da escala GRBAS. Todos receberam treinamento auditivo durante um total de nove encontros semanais, com cerca de 15 minutos de duração cada. Em cada encontro foi apresentado um parâmetro, por meio de vozes diferentes da amostra avaliada, com predominância no aspecto treinado. A avaliação das amostras por meio da escala foi realizada pré e pós o treinamento e em outros quatro momentos ao longo dos encontros. As avaliações dos alunos foram comparadas com uma avaliação de juízas, realizada previamente por três fonoaudiólogos, especialistas em voz. Para verificar a efetividade do treinamento foi usado o teste de Friedman e Índice de Concordância Kappa. RESULTADOS: O índice de acertos dos alunos no momento pré-treinamento foi considerado entre regular e bom. Observou-se manutenção do número de acertos ao longo das avaliações realizadas, para a maioria dos parâmetros da escala. No momento pós-treinamento observou-se melhora na análise da astenia, parâmetro enfatizado a partir das dificuldades apresentadas pelos alunos. Houve diminuição dos acertos no parâmetro rugosidade após este ter sido trabalhado de maneira segmentada em rouquidão e aspereza, e associado a diferentes diagnósticos e parâmetros acústicos. CONCLUSÃO: O treino auditivo potencializa as habilidades iniciais dos alunos, refinando-as para realização da avaliação, além de nortear ajustes em dinâmicas das disciplinas.

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Voice Quality After Supracricoid Laryngectomy and Total Laryngectomy With Insertion of Voice Prosthesis

Cited by 26 publications

References 14 publications

Graphical modeling can be used to illustrate associations between variables describing functioning in head and neck cancer patients

Graphical modeling can be used to illustrate associations between variables describing functioning in head and neck cancer patients

Speech and Voice after Laryngectomy: Perceptual and Acoustical Analyses of Tracheoesophageal Speech Related to Voice Handicap Index

Impacto de treinamento auditivo na avaliação perceptivo-auditiva da voz realizada por estudantes de Fonoaudiologia

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