Parálisis vocal, logopedia y análisis acústico. Estudio de resultados de 43 pacientes

  1. Miguel Alberto Rodríguez Pérez
  2. José Francisco Delgado Álvarez
  3. Carmen Castillo Requena
  4. Francisco Sabido Martín
  5. Eulalia Porras Alonso
  6. Carmen Salom Coveñas
Aldizkaria:
Revista de logopedia, foniatría y audiología

ISSN: 0214-4603

Argitalpen urtea: 2019

Alea: 39

Zenbakia: 4

Orrialdeak: 162-172

Mota: Artikulua

DOI: 10.1016/J.RLFA.2019.05.004 DIALNET GOOGLE SCHOLAR

Beste argitalpen batzuk: Revista de logopedia, foniatría y audiología

Laburpena

Introduction and objectives A voice disorder exists when there is a change in pitch, volume and/or emission quality that, together, affects oral communication. Currently, literature related to vocal impairment highlights the importance of a healthy voice to achieve social and occupational requirements. Besides, voice is a basic professional tool for a third of active working population. It was our intention to study the evolution of patients diagnosed of vocal paralysis with subjective measurements and also acoustic analysis variations before and after speech therapy. Methods In this study, 43 patients were included and underwent an instrumental examination and interview, with complete endoscopic otolaryngologic examination, as also subjective punctuations and damage and satisfaction standard scores filling out. Further statistic study shows results and conclusions are inferred.Results Vocal cord palsy has been brought about more frequently in the left side, in women, at an age around 50, and after thyroid surgery. Significant improvement in measurements were observed in jitter, shimmer, GRABS, Maximum Phonation Time (MPT) and Voice Handicap Index (VHI). Best correlating parameters are jitter, shimmer and MPT /e/ and /s/. It stands out a high positive correlation between VHI, and as for negative, the one between shimmer and Harmonics-Noise-Ratio (HNR) is flashy. Conclusions We find speech therapy very effective in early rehabilitation, before surgery is considered. It would be desirable to shorten delays in specialized medical care diagnosis and therapy onset. It is our believe that a better and wider communication between ENT specialists and speech and language specialists would improve results and prognosis.

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