Effects of Adenotonsillectomy on Acoustic, Perceptual, and Aerodynamic Parameters of Voice

Yıl 2016, Cilt: 43 Sayı: 2, 333 - 338, 01.06.2016

Beyhan Yılmaz Engin Şengül Musa Özbay Salih Bakır

Öz

Objective: In this study, we aimed to investigate the acoustic, perceptual and aerodynamic changes of voice after adenotonsillectomy by using objective methods. Methods: Thirty children, who underwent adenotonsil­lectomy surgery were included. Voice samples were re­corded 1 day before and 1 month after the surgery. Ling­WAVES programme was used as voice analysis program. Mean, maximum and minimum fundamental frequency, Jitter, Shimmer, Glottal to Noise Excitation ratio, Irregular­ity, Noise, Overall Severity, S time, Z time, S/Z ratio, and Maximum Phonation Time parameters were recorded and compared. Results: Shimmer, irregularity, Overall Severity, S/Z Time parameters were significantly lower (p=0.001) and Maximum Phonation Time significantly higher (p=0.001) in the postoperative period than preoperative period. In contrast, no significant differences were observed in the mean fundamental frequency, maximum fundamental fre­quency, minimum fundamental frequency, jitter, Glottal to Noise Excitation, S time and Z time (p>0.05). Conclusion: The changes in some acoustic, aerodynam­ic and perceptual parameters were monitored after ad­enotonsillectomy. Therefore, the families of children who underwent adeotonsillectomy should be warned for any possible changes in voice colors after surgery.

Anahtar Kelimeler

Adenotonsillectomy, acoustic analysis, perceptual analysis, aerodynamic analysis

Adenotonsillektominin Akustik, Algısal ve Aerodinamik Ses Parametrelerine Etkisi

Öz

Amaç: Bu çalışmada, adenotonsillektomi ameliyatının
sesin akustik, algısal ve aerodinamik parametreleri üzerine
olan etkilerinin objektif yöntemler ile araştırılması
amaçlanmıştır.
Yöntemler: Çalışmaya adenotonsillektomi ameliyatı yapılan
30 çocuk hasta katılmıştır. Ses analizleri operasyondan
1 gün önce ve 1 ay sonra olmak üzere 2 kez yapılmıştır.
Ses analiz programı olarak LingWAVES kullanılmıştır.
Ortalama temel frekans, Maksimum temel frekans,
Minimum temel frekans, Jitter, Shimmer, Glottal to Noise
Excitation, S time, Z time, S/Z ratio ve Maximum Phonation
Time parametreleri karşılaştırılmıştır.
Bulgular: Shimmer, irregularity, Overall Severity, S/Z
Time parametrelerinin postoperatif değerleri preoperatif
döneme göre anlamlı olarak daha düşük (p=0,001),
Maximum Phonation Time parametresi ise anlamlı olarak
daha yüksek (p=0,001) izlenmiştir. Buna karşılık Ortalama
temel frekans, Maksimum temel frekans, Minimum
temel frekans, Jitter, Glottal to Noise Excitation, S time,
ve Z time parametrelerinde anlamlı farklılık izlenmemiştir
(p>0,05).
Sonuç: Adenotonsillektomi sonrası bazı akustik, aerodinamik
ve algısal ses parametrelerinde değişiklikler izlenmiştir.
Bu nedenle adenotonsillektomi yapılacak çocukların
aileleri cerrahi sonrası gelişebilecek muhtemel ses
rengi değişikliklerine karşın bilgilendirilmelidirler

Anahtar Kelimeler

Adenotonsillektomi, akustik analiz, algısal analiz, aerodinamik analiz

Kaynakça

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