Allerjik rinitin tıbbi tedavileri sonrası objektif ve subjektif ses değişikliklerinin karşılaştırılması

Year 2019, Volume: 44 Issue: 3, 1102 - 1109, 30.09.2019

Sanem Okşan Erkan , Birgül Tuhanioğlu , Talih Özdaş , Zeynel Abidin Erkan Kemal Tüzün Güzin Özden , Özgül Akın Şenkal

https://doi.org/10.17826/cumj.522250

Cited By: 1

Abstract

Amaç: Bu çalışmada allerjik rinittte farklı tedavilerin ses kalitesine olan etkisini araştırılması amaçlanmıştır. Bu nedenle allerjik rinit hastalarında farklı tedavilerinde, tedavi öncesi ve tedavi sonrası objektif ve sübjektif ses parametrelerini karşılaştırılmıştır.

Gereç ve Yöntem: 1.grupta intranasal steroid sprey, 2.grupta intranasal steroid sprey+oral antihistaminik tedavisi verdik. Objektif analizde Praat analiz sisteminde  temel frekans(F0), shimmer%, jitter%, ses-harmoni oranı(NHR)  ortalama değerlerini ;  sübjektif ses analizinde total nasal semptom skoru(TNSS) ve ses handikap indeksi(VHI) skorlarını  karşılaştırılmıştır. .

Bulgular: Grup 1'de F0 hariç her iki grupta da tedavi sonrası tüm ses parametreleri gelişti. 2. grupta tedaviden sonra F0 değerleri tedaviden öncekilerden anlamlı derecede yüksekti; 1. gruptaki F0 değerleri daha yüksekti ancak anlamlı değildi. Subjektif parametreler ile F0,% jitter,% shimmer ve NHR değerleri dahil objektif parametreler arasında grup 1 ve grup 2 arasında anlamlı fark yoktu.

Sonuç: Allerjik rinit tedavisinde hem intranasal steroid sprey hem de intranasal steroid sprey+oral antihistaminik  kullanımı ile ses kalitesi artmaktadır. Ancak kombine tedavi ile objektif ve sübjektif ses analizlerinde anlamlı farklılık saptanmamıştır. 

Keywords

Allerjik rinit, ses analizi

Comparison of objective and subjective voice change parameters after medical treatments in allergic rhinitis

Abstract

Purpose: In the present study, we aimed to investigate the efficacy of different treatments on voice quality in allergic rhinitis. Thus we compared the objective and subjective voice parameters of patients with allergic rhinitis before and after treatment groups. 

Materials and Methods: Patiens treated with intranasal steroid sprey is the 1. group, intranasal steroid spray+oral antihistamine is the 2. group. The objective ( fundamental frequency(F0) ,shimmer%, jitter%, noise to harmonics ratio (NHR) and subjective (total nasal symptom score(TNSS), voice-handicap index(VHI ) )  voice analysis were compared .

Results: All voice parameters were improved after treatment in both groups except F0 in group 1. F0 values after treatment in the 2. group was significantly higher than before treatment; F0 values  in the 1. group was higher but it was insignificant. There was no significant difference between the subjective parameters and objective parameters including F0, jitter%, shimmer% and NHR values between group 1 and group 2. 

Conclusion: We found that voice quality improved with intranasal steroid sprey treatment, and also with the addition of oral antihistamine to intranasal steroid in allergic rhinitis. However, no significant difference was detected in voice analysis with this combined treatment in the subjective and objective evaluation .

Keywords

Allergic rhinitis, voice analysis, voice quality

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