The importance of voice analysis in evaluating the effectiveness of reflux treatment

Yıl 2016, Cilt: 26 Sayı: 4, 207 - 212, 10.09.2016

Ayşegül Batıoğlu Karaaltın Ömer Necati Develioğlu Özge Tarhan Mehmet Külekçi

Öz

Objectives: This study aims to investigate the effects of reflux treatment in voice disorders in laryngopharyngeal reflux LPR patients using acoustic analyses and the relationship between scoring systems. Patients and Methods: A total of 84 LPR patients 18 males, 66 females; mean age 43.1±11.3 years; range 18 to 73 years were evaluated using reflux symptom index RSI , reflux findings score RFS , videolaryngostroboscopic examination, and acoustic analysis with Dr. Speech 4 before LPR treatment and at the first and third months after treatment. Results: Maximum phonation time, fundamental frequency F0 , jitter, and shimmer scores did not show any statistically significant alteration at the posttreatment period according to pretreatment scores p>0.05 . However, the alteration in Harmonics-to-Noise ratio and Signals-to-Noise ratio scores were statistically significant p=0.017 and p=0.003, respectively . Reflux symptom index results showed significant positive correlation with F0 at the pretreatment, and at posttreatment first and third month evaluations Spearman's rank correlation coefficient [rho]=0.246, p=0.024; rho=0.300, p=0.006; rho=0.305, p=0.005, respectively . Conclusion: The relationship between the parameters of acoustic analysis and RSI and RFS values seems to be controversial for diagnosis and follow-up of LPR patients, requiring further investigations.

Anahtar Kelimeler

Laryngopharyngeal reflux, reflux scoring system, voice analysis

Reflü tedavisinin etkililiğinin değerlendirilmesinde ses analizinin önemi

Öz

Amaç: Bu çalışmada akustik analizler kullanılarak larengofarengeal reflü LPR hastalarındaki ses bozukluklarında reflü tedavisinin etkileri ve skorlama sistemleri arasındaki ilişki araştırıldı.Hastalar ve Yöntemler: Toplam 84 LPR hastası 18 erkek, 66 kadın; ort. yaş 43.1±11.3 yıl; dağılım 18-73 yıl reflü semptom indeksi RSİ , reflü bulgu skoru RBS , videolaringostroboskopik inceleme ve Dr. Speech 4 ile akustik analiz kullanılarak LPR tedavisi öncesinde ve tedavi sonrası birinci ve üçüncü ayda değerlendirildi.Bulgular: Maksimum fonasyon zamanı, temel frekans F0 , jitter ve shimmer skorları tedavi öncesi skorlara göre tedavi sonrası dönemde istatistiksel olarak anlamlı değişiklik göstermedi p>0.05 . Fakat harmonik gürültü oranı ve sinyal gürültü oranı skorlarındaki değişiklik istatistiksel olarak anlamlı idi sırasıyla p=0.017 ve p=0.003 . Reflü semptom indeksi bulguları tedavi öncesi ve tedavi sonrası birinci ve üçüncü ay değerlendirmelerinde F0 ile anlamlı pozitif ilişki gösterdi sırasıyla Spearman’ın sıralama korelasyon katsayısı [rho]=0.246, p=0.024; rho=0.300, p=0.006; rho=0.305, p=0.005 .Sonuç: Akustik analiz parametreleri ve RSİ ve RBS değerleri arasındaki ilişki LPR hastalarının tanısı ve takibi için tartışmalı gözükmekte ve ileri araştırmalar gerektirmektedir

Anahtar Kelimeler

Larengofarengeal reflü, reflü skorlama sistemi, ses analizi

Kaynakça

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