Acoustic assessment of voice signal deformation after partial surgery of the larynx

Objective: The main objective of the present study was to assess the degree of voice signal impairment among patients who had undergone partial surgery of the larynx due to cancer of this organ. Such on evaluation may be helpful in the selection of the optimal surgical technique for the treatment of...

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Veröffentlicht in:Auris, nasus, larynx nasus, larynx, 1999-04, Vol.26 (2), p.183-190
Hauptverfasser: Modrzejewski, Maciej, Olszewski, Eugeniusz, Wszołek, Wiesław, Reroń, Elżbieta, Stręk, Paweł
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container_end_page 190
container_issue 2
container_start_page 183
container_title Auris, nasus, larynx
container_volume 26
creator Modrzejewski, Maciej
Olszewski, Eugeniusz
Wszołek, Wiesław
Reroń, Elżbieta
Stręk, Paweł
description Objective: The main objective of the present study was to assess the degree of voice signal impairment among patients who had undergone partial surgery of the larynx due to cancer of this organ. Such on evaluation may be helpful in the selection of the optimal surgical technique for the treatment of tumors displaying a varying degree of local advancement. Methods: A prospective examination was carried out among 128 patients. Additionally a comparative study of the control group consisting of 36 healthy males was carried out. Acoustic tests were carried out in an echo-free chamber. The temporal changes in the value of acoustic pressure of the uttered text were registered. The ‘distance’ between the normal speech signal and the pathological voice has been established. Results: The values of the fundamental frequency increase together with an increase of the range of resection of anatomical structures. The biggest differences in the value of results describing the distance from the standard were observed after hemilaryngectomy. The shortest distance from the acoustic standard was observed after chordectomy. No significant differences in the degree of voice signal impairment among patients who had undergone extended chordectomy and hemilaryngectomy were observed. Conclusion: The above findings can be of help in arriving at an optimum solution in cases of partial surgery of the larynx. The problem is particularly important in situations where there is the choice between different types of surgery.
doi_str_mv 10.1016/S0385-8146(98)00076-5
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Such on evaluation may be helpful in the selection of the optimal surgical technique for the treatment of tumors displaying a varying degree of local advancement. Methods: A prospective examination was carried out among 128 patients. Additionally a comparative study of the control group consisting of 36 healthy males was carried out. Acoustic tests were carried out in an echo-free chamber. The temporal changes in the value of acoustic pressure of the uttered text were registered. The ‘distance’ between the normal speech signal and the pathological voice has been established. Results: The values of the fundamental frequency increase together with an increase of the range of resection of anatomical structures. The biggest differences in the value of results describing the distance from the standard were observed after hemilaryngectomy. The shortest distance from the acoustic standard was observed after chordectomy. No significant differences in the degree of voice signal impairment among patients who had undergone extended chordectomy and hemilaryngectomy were observed. Conclusion: The above findings can be of help in arriving at an optimum solution in cases of partial surgery of the larynx. 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No significant differences in the degree of voice signal impairment among patients who had undergone extended chordectomy and hemilaryngectomy were observed. Conclusion: The above findings can be of help in arriving at an optimum solution in cases of partial surgery of the larynx. 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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Arytenoid Cartilage - surgery
Cancer of the larynx
Humans
Laryngeal Neoplasms - surgery
Laryngectomy - instrumentation
Male
Middle Aged
Phonetics
Postoperative Complications - diagnosis
Prospective Studies
Reference Values
Signal Processing, Computer-Assisted - instrumentation
Sound Spectrography - instrumentation
Surgical treatment
Vocal Cords - surgery
Voice Disorders - diagnosis
Voice Quality
title Acoustic assessment of voice signal deformation after partial surgery of the larynx
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