ADENOİD VE TONSİL CERRAHİSİ YAPİLAN HASTALARDA SES PARAMETRELERİNDEKİ DEĞİŞİKLİKLER Changes of Voice Parameters in Patients Who Underwent Adenoid and Tonsil Surgery
Abstract
ÖZET
Amaç: Ses ve sesini kullanarak iletişim kurabilmesi, insanoğlunu diğer tüm canlılardan ayıran en önemli özelliklerinden
biridir. Bu çalışmanın amacı, adenoidektomi ve adenotonsillektomi ameliyatı yapılan hastalarda
ameliyat öncesi ve sonrası ses analizlerinin yapılarak adenoid ve tonsil hipertrofisinin ses özellikleri üzerine
etkilerinin incelenmesidir.
Gereç ve Yöntem: Çalışmaya adenoidektomi ameliyatı endikasyonu konulmuş yaşları 8 ile 17 arasında 15
hasta ve adenotonsillektomi ameliyatı endikasyonu konulmuş yaşları 8 ile 24 arasında 15 hasta olmak üzere
toplam 30 hasta dahil edilmiştir. Hastalara ait akustik veriler operasyondan bir gün önce ve operasyondan 3
hafta sonra aynı hekim tarafından ve sabit ortam koşullarında ses korumalı bir odada kaydedildi. Ses kayıtlarına
ait akustik parametreler Praat yzılımı kullanılarak kişisel bir bilgisayarda değerlendirildi.
Bulgular: Çalışma grubundaki tüm hastalar (n=30) ve kız hastalar zamana göre tüm ses kayıtları analiz edildiğinde
preoperatif ve postoperatif ses parametrelerindeki değişiklikler istatistiksel olarak anlamlıdır (p<0,05).
Erkek hastaların (n=10) preoperatif ve postoperatif ses parametrelerindeki değişiklikler analiz edildiğinde
sadece ses şiddetinde azalma istatistiksel olarak anlamlı bulundu (p<0,05).
Sonuç: Adenoidektomi ve adenotonsillektomi olan hastalarda vokal rezonansın değişmesi ile akustik analiz
parametrelerinde değişiklik olabileceğini ve objektif veriler olarak kullanılabileceğini göstermektedir. Akustik
analiz parametrelerinden hangisinin adenoidektomi ve adenotonsillektomi hastalarında daha spesifik
olabileceğine dair daha kapsamlı çalışmalara ihtiyaç vardır.
Anahtar Sözcük: Adenoidektomi; Tonsillektomi; Ses analizi.
ABSTRACT
Aim: The ability to communicate using voice is one of the most important characteristics that distinguishes
human beings from all other living things. The aim of this study is to investigate the effects of adenoid and
tonsil hypertrophy on voice characteristics by performing pre- and postoperative sound analysis in patients
undergoing adenoidectomy and adenotonsillectomy.
Material and Method: A total of 30 patients were included in the study. 15 patients age between 8 and 17
that were indicated adenoidectomy surgery and 15 patients ages between 8 and 24 that were indicated
adenotonsillectomy surgery were included in the study. Acoustic data of the patients were recorded in a
sound protected room by the same physician one day before the operation and 3 weeks after the operation.
The acoustic parameters of the sound recordings were evaluated on a personal computer using the Praat
software.
Results: When all the patients in the study group (n = 30) and all female patients were analyzed according to
the time, changes in the preoperative and postoperative sound parameters were statistically significant (p
<0.05). When changes in preoperative and postoperative sound parameters of male patients (n = 10) were
analyzed, only the decrease in volume was found statistically significant.
Conclusion: In patients with adenoidectomy and adenotonsillectomy, changes in vocal resonance may
indicate changes in acoustic analysis parameters and be used as objective data. More extensive studies
are needed to determine which acoustic analysis parameters may be more specific in adenoidectomy and
adenotonsillectomy patients.
Key Words: Adenoidectomy; Tonsillectomy; Voice analysis.
References
- 1. Sataloff R, Spiegel JR. Care of the professional voice. Otolaryngol Clin North Am 1991; 24:1093-124 2. Dejonckere P. Perceptual and labarotory assesment of dysphonia. Otolaryngol Clin North Am 2000; 33 (4):731-50 3. Isshiki N. Vocal mechanics as the basis for phonosurgery4. Alan D, Kornblut A: Non neoplastic diseases of the tonsils and adenoids. In, Paparella M, Shumrick D. A, Gluckman J. L, Meyerhof WL. Otorhinolaryngology. W. B. Sounders Company; Vol. 3 1991;2129-147 5. Sataloff R. The Human Voice. Scientific American 1992; 267 (6):108-15. 6. Bilgehan H: A grubu streptokokların oluşturdukları lokalize enfeksiyonlar. Klinik Mikrobioloji. Barış Yayınları; 1990;219-22 7. Bilgehan H: BoIaz, Nazofarenks ve Burun Enfeksiyonlarının Mikrobiolojik incelemesi. Klinik Mikrobiyolojik Tanı. Barış Yayınları;2.baskı. 1995:329-35 8. Dursun, G. Karamürsel, A., Sati, I. Ses kısıklıgının ses spektrografisi ile objektif degerlendirilmesi. Kulak Burun Bogaz ve Bas Boyun Cerrahisi Dergisi. 2003; 11: 92-98 9. Uloza V. Effects on voice by endolaryngeal microsurgery. Eur Arch Otorhinolaryngol. 1999;256:312-315. 10. Subtelny JD, Koepp-Baker H. The significance of adenoid tissue in velopharyngeal function. Plast Reconst Surg. 1956;17:235-250. 11. Shprintzen RJ, Sher AE, Croft CB. Hypernasal Speech caused by tonsillar hypertrophy. İnt J Pediatr Otolaryngol. 1987;14 (1):45-56 12. W.P. Potsic, Assessment and treatment of adenotonsillar hypertrophy in children, Am. J. Otolaryngol. 13 (1992):259-64. 13. Witzel MA, Rich RH, Margal- Bacal F, Cox C. Velopharyngeal insufficiency after adenoidectomy: an 8 year review. İnt J Pediatr Otolaryngol. 1986;11 (1):15-20 14. Fernandes DB, Grobbelaar AO, Hudson DA, Lentin R. Velophryngeal incompetence after adenotonsillectomy in non cleft patient. Br J Oral Maxxillofac Surg. 1996;34 (5):364-67 15. Oguz H, Tunc T, Safak MA, Inan L, Kargin S, Demirci M, Objective Voice Changes in Nondysphonic Parkinson's Disease Patients, J Otolaryngol. 2006 Oct;35 (5):349-54 16. Baken RT. Vocal fundamental frequency. In Baken RT. Clinical Measurement of Speech and Voice. Boston: Collage –Hill Press;1987:125-96. 17. Subramaniam V, Kumar P. Impact of tonsillectomy with or without adenoidectomy on the acoustic parameters of the voice. Arch Otolaryngol Head Neck Surg. 2009;135 (10):966-69. 18. Parsa V, Jamieson DG. Identification of pathological voices using glottal voice measures. J Speech Lang Hear Res. 2000;43 (2):469-85. 19. Ilk HG, Eroğul O, Satar B, Özkaptan Y. Effects of tonsillectomy on speech spectrum. J Voice. 2002;16 (4):580-86. 20. Mora R, Crippa B, Dellepiane M, Jankowska B. Effects of adenotonsillectomy on speechspectrum in children. Int J Pediatr Otorhinolaryngol (2007) 71, 1299-304. 21. Deal RE, Emanuel FW. Some wave forn and spectral features of vowel roughness. J Speech Hear Res. 1978;21 (2):250-64. 22. Mersomme D, Jamart J, Wery C, et all. Comparison between the GIRBAS scale and the acoustic and aerodynamic measures provided by EVA for the assesment of dysphonia following unilateral vocal fold paralysis. Folia Phoniatr Logop 2001; 53:317-25.. Laryngoscope. 1998;108 (12):1761-6
Abstract
References
- 1. Sataloff R, Spiegel JR. Care of the professional voice. Otolaryngol Clin North Am 1991; 24:1093-124 2. Dejonckere P. Perceptual and labarotory assesment of dysphonia. Otolaryngol Clin North Am 2000; 33 (4):731-50 3. Isshiki N. Vocal mechanics as the basis for phonosurgery4. Alan D, Kornblut A: Non neoplastic diseases of the tonsils and adenoids. In, Paparella M, Shumrick D. A, Gluckman J. L, Meyerhof WL. Otorhinolaryngology. W. B. Sounders Company; Vol. 3 1991;2129-147 5. Sataloff R. The Human Voice. Scientific American 1992; 267 (6):108-15. 6. Bilgehan H: A grubu streptokokların oluşturdukları lokalize enfeksiyonlar. Klinik Mikrobioloji. Barış Yayınları; 1990;219-22 7. Bilgehan H: BoIaz, Nazofarenks ve Burun Enfeksiyonlarının Mikrobiolojik incelemesi. Klinik Mikrobiyolojik Tanı. Barış Yayınları;2.baskı. 1995:329-35 8. Dursun, G. Karamürsel, A., Sati, I. Ses kısıklıgının ses spektrografisi ile objektif degerlendirilmesi. Kulak Burun Bogaz ve Bas Boyun Cerrahisi Dergisi. 2003; 11: 92-98 9. Uloza V. Effects on voice by endolaryngeal microsurgery. Eur Arch Otorhinolaryngol. 1999;256:312-315. 10. Subtelny JD, Koepp-Baker H. The significance of adenoid tissue in velopharyngeal function. Plast Reconst Surg. 1956;17:235-250. 11. Shprintzen RJ, Sher AE, Croft CB. Hypernasal Speech caused by tonsillar hypertrophy. İnt J Pediatr Otolaryngol. 1987;14 (1):45-56 12. W.P. Potsic, Assessment and treatment of adenotonsillar hypertrophy in children, Am. J. Otolaryngol. 13 (1992):259-64. 13. Witzel MA, Rich RH, Margal- Bacal F, Cox C. Velopharyngeal insufficiency after adenoidectomy: an 8 year review. İnt J Pediatr Otolaryngol. 1986;11 (1):15-20 14. Fernandes DB, Grobbelaar AO, Hudson DA, Lentin R. Velophryngeal incompetence after adenotonsillectomy in non cleft patient. Br J Oral Maxxillofac Surg. 1996;34 (5):364-67 15. Oguz H, Tunc T, Safak MA, Inan L, Kargin S, Demirci M, Objective Voice Changes in Nondysphonic Parkinson's Disease Patients, J Otolaryngol. 2006 Oct;35 (5):349-54 16. Baken RT. Vocal fundamental frequency. In Baken RT. Clinical Measurement of Speech and Voice. Boston: Collage –Hill Press;1987:125-96. 17. Subramaniam V, Kumar P. Impact of tonsillectomy with or without adenoidectomy on the acoustic parameters of the voice. Arch Otolaryngol Head Neck Surg. 2009;135 (10):966-69. 18. Parsa V, Jamieson DG. Identification of pathological voices using glottal voice measures. J Speech Lang Hear Res. 2000;43 (2):469-85. 19. Ilk HG, Eroğul O, Satar B, Özkaptan Y. Effects of tonsillectomy on speech spectrum. J Voice. 2002;16 (4):580-86. 20. Mora R, Crippa B, Dellepiane M, Jankowska B. Effects of adenotonsillectomy on speechspectrum in children. Int J Pediatr Otorhinolaryngol (2007) 71, 1299-304. 21. Deal RE, Emanuel FW. Some wave forn and spectral features of vowel roughness. J Speech Hear Res. 1978;21 (2):250-64. 22. Mersomme D, Jamart J, Wery C, et all. Comparison between the GIRBAS scale and the acoustic and aerodynamic measures provided by EVA for the assesment of dysphonia following unilateral vocal fold paralysis. Folia Phoniatr Logop 2001; 53:317-25.. Laryngoscope. 1998;108 (12):1761-6
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 27, 2019 |
| Published in Issue | Year 2019 Volume: 9 Issue: 4 |