Açık Kalp Ameliyatı Olan Hastalarda Ses Analizi İle Ses Kalitesinin Değerlendirilmesi

Yıl 2023, , 141 - 147, 30.06.2023

Tolga Onur Badak , Sedat Alagöz

https://doi.org/10.34087/cbusbed.1188998

Öz

Giriş ve Amaç: Bu çalışmada açık kalp ameliyatlarının akustik ses kalitesi ve ses aralığına etkisini bilgisayar destekli analiz yöntemi kullanarak ortaya koymayı amaçladık.

Gereç ve Yöntemler: 2020-2021 yılları arasında kliniğimizde ameliyat edilen 40 hastaya ameliyat öncesi objektif ses analizi yapıldı. Ameliyat sonrası 2. ayda ölçümler tekrarlandı. Sonuçlar istatistiksel olarak karşılaştırıldı.

Bulgular: Ses handikap indeksi-10 (VHI-10) açısından gruplar arasında anlamlı fark yoktu (p>0,050). Temel ​​frekans (F0) değeri ameliyat sonrası dönemde ameliyat öncesi döneme göre istatistiksel olarak anlamlı derecede yüksek bulundu (p=0,042). Gruplar arasında % jitter, shimmer % ve harmonik gürültü oranı (HNR) değerlerinde istatistiksel olarak anlamlı bir fark yoktu.

Sonuç: Açık kalp cerrahisi solunum sistemi üzerinde yıkıcı etkisi olabilen bir ameliyattır. Ses enerjisinin kaynağı olan akciğerlerin etkilenmesi ses kalitesinin de etkileneceğini düşündürür. Bu etkiler genellikle kısa sürede gerilerken bazen kalıcı olabilir. Bu durum daha çok mesleğinde sesini kullanan kişileri etkiler. Bu nedenle her hastaya böyle bir durum hakkında detaylı bilgi verilmeli ve ses bozukluklarına neden olabilecek faktörlerin en aza indirilmesine özen gösterilmelidir.

Anahtar Kelimeler

Ses, Açık Kalp Ameliyatı, Ses kalitesi, Ses Analizi

Evaluation of Voice Quality by Vocal Analysis in Patients Who Underwent Open Heart Surgery

Öz

Objective: In this study, we aimed to reveal the effect of open heart surgeries on acoustic sound quality and vocal range by using computer aided analysis method.

Materials and Methods: Preoperative objective voice analysis was performed on 40 patients who were operated on in our clinic between 2020 and 2021. Measurements were repeated in the 2nd postoperative month. The results were compared statistically.

Results: There was no significant difference between the groups according to the voice handicap index-10 (VHI-10) (p>0.050). The baseline frequency (F0) value was found to be statistically significantly higher in the postoperative period compared to the preoperative period (p=0.042). There was no statistically significant difference between groups in jitter %, shimmer % and harmonic noise ratio (HNR) values.

Conclusion: Open heart surgery is an operation that can have a destructive effect on the respiratory system. The fact that the lungs, which are the source of voice energy, are affected, suggests that the voice quality will also be affected. While these effects usually regress in a short time, they can sometimes be permanent. This condition mostly affects people who use their voice in their profession. Therefore, detailed information about such a situation should be given to each patient and care should be taken to minimize the factors that may cause voice disorders.

Anahtar Kelimeler

Voice, Open heart surgery, Voice Quality, Voice Analysis.

Kaynakça

• 1. Hamdan, A.L, Sibai A, Rameh C, et al., Short-term effects of endotracheal intubation on voice, Journal of Voice, 2007, 21, 762–768. doi: 10.1016/j.jvoice.2006.06.003. Epub 2006 Aug 14. PMID: 16905292.
• 2. Byeon, H, The Risk Factors Related to Voice Disorder in Teachers: A Systematic Review and Meta-Analysis, International Journal of Environmental Research and Public Health, 2019, 16(19), 3675. doi: 10.3390/ijerph16193675. PMID: 31574928; PMCID: PMC6801660.
• 3. Oz, B.S, Iyem, H, Akay, H.T, et al., Preservation of pleural integrity during coronary artery bypass surgery affects respiratory functions and postoperative pain: a prospective study, Canadian Respiratory Journal, 2006, 13(3), 145-149. doi: 10.1155/2006/682575. PMID: 16642229; PMCID: PMC2539018.
• 4. DeVita, M.A, Robinson, L.R, Rehder, J, et al., Incidence and natural history of phrenic neuropathy occurring during open heart surgery, Chest, 1993, 103(3), 850–856. doi: 10.1378/chest.103.3.850. PMID: 8449080.
• 5. Hamdan, A.L, Moukarbel, R.V, Farhat, F, et al., Vocal cord paralysis after open-heart surgery, European Journal of Cardiothoracic Surgery, 2002, 21(4), 671–674. doi: 10.1016/s1010-7940(02)00019-2. PMID: 11932166.
• 6. Shafei, H, el-Kholy, A, Azmy, S, et al., Vocal cord dysfunction after cardiac surgery: an overlooked complication, European Journal of Cardiothoracic Surgery, 1997, 11(3), 564–566. doi: 10.1016/s1010-7940(96)01068-8. PMID: 9105825.
• 7. Inada, T, Fujise, K, Shingu, K, Hoarseness after cardiac surgery, Journal of Cardiovascular Surgery (Torino), 1998, 39(4), 455–459. PMID: 9788791.
• 8. Paltura, C, Yuceant, G.A, The effect of short term endotracheal intubation on voice quality and range, Journal of Contemporary Medicine, 2018, 8(1), 26–28. doi:10.16899/gopctd.345070
• 9. Badak, T.O, Iskesen, A.I, Evaluation of the effects of coronary artery surgery on pulmonary functions by pulmonary function test, Celal Bayar University Journal of Institute of Health Sciences, 2021, 8(2), 331–336. doi: 10.34087/cbusbed. 856434
• 10. Kuran, G, Cavus, G, Vocal quality assessment of patients with pituitary adenomas operated via endoscopic and microscopic approaches, Turkish Neurosurgery, 2020, 30(1), 38–42. doi: 10.5137/1019-5149.JTN.25810-19.3. PMID: 31099886.
• 11. Akin Şenkal, Ö, Çiyiltepe, M, Effects of voice therapy in school-age children, Journal of Voice, 2013, 27(6), 787.e19–25. doi: 10.1016/j.jvoice.2013.06.007. Epub 2013 Sep 3. PMID: 24012115.
• 12. Subramaniam, V, Kumar, P, Impact of tonsillectomy with or without adenoidectomy on the acoustic parameters of the voice: a comparative study, Archives Otolaryngology Head and Neck Surgery, 2009, 135(10), 966–969. doi: 10.1001/archoto.2009.136. PMID: 19841332.
• 13. Lang, B.H, Wong, C.K, Ma, E.P, A systematic review and meta-analysis on acoustic voice parameters after uncomplicated thyroidectomy, Laryngoscope, 2016, 126(2), 528–537. doi: 10.1002/lary.25452. Epub 2015 Jul 7. PMID: 26152841.
• 14. Ng, M.L, Wong, R.K, Wei, W.I, et al., Acoustic changes in Chinese patients with cancer-related unilateral vocal fold paralysis after medialization thyroplasty, Contemporary Issues In Communication Science And Disorders, 2008, 35, 17–24. doi:10.1044/CICSD_35_S_17
• 15. American Thoracic Society; European Respiratory Society. American Thoracic Society/European Respiratory Society statement: standards for the diagnosis and management of individuals with alpha-1 antitrypsin deficiency, American Journal of Respiratory and Critical Care Medicine, 2003, 168(7), 818–900. doi: 10.1164/rccm.168.7.818. PMID: 14522813.
• 16. King, R.C, Reece, T.B, Hurst, J.L, et al., Minimally invasive coronary artery bypass grafting decreases hospital stay and cost, Annals of Surgery, 1997, 225(6), 805–809. doi: 10.1097/00000658-199706000-00018. PMID: 9230821; PMCID: PMC1190894.