Blog Archives

Endoscopic and Stroboscopic Presentation of the Larynx in Male-to-Female Transsexual Persons

Conclusions
MFT speakers who reported a “passing” feminine voice had glottal gap configurations more similar to anatomic females than males and tended toward more open phase closure ratios, perhaps consistent with breathy or soft voice production. Indications of vocal hyperfunction were present for all participants either by self-report or on the laryngeal examination.

from the Journal of Voice

Expressiveness on the radio: Speech-Language Pathology practices in question

CONCLUSION: The term oral expressiveness is not generally used by the subjects interviewed, due to the fact that its concept is new to them. The term comprises the conveyance of emotions and intention by the speaker. The following aspects were considered to interfere on oral expressiveness: listeners’ judgment; adequacy of the speech to the context; style of the radio station; and textual content of the message, evidencing the dynamics between subjective and social. More theoretical studies in Linguistics may subsidize less conceptually diverse practices when considering speech-language interventions.

from Revista de Sociedade Brasileira de Fonoaudiologia

Laryngeal tuberculosis: proposal of Speech-Language Pathology intervention in voice disorders following pharmacological treatment

Tuberculosis is a disease that has been present throughout history. In the XIX century the agent that causes the disease was discovered and named mycobacterium tuberculosis. Laryngeal tuberculosis is one of the possible complications from pulmonary tuberculosis, and the most common symptom is hoarseness, as a result of the healing process of ulcerative laryngeal lesions. The purpose of this study was to verify the effectiveness of speech-language therapy in a case of voice disorder following anti-tuberculosis drug treatment. The methodology used was the case study of the patient J.O.B.S, 39 years old, male, hotel receptionist with an eight-hour workday, former smoker, who had hoarseness, tiredness and dyspnea during speech as main complaints. Speech-language therapy sessions started after Speech-Language Pathology and otolaryngological evaluations, with the aims to reduce the laryngeal tension during phonation, induce supraglottic vocal fold separation, help the smooth movement of the vocal folds, install abdominal breathing, and improve pneumophonic coordination. After 12 sessions, several vocal parameters improved, including decrease of vocal tension during speech, use of abdominal breathing, improvement of pneumophonic coordination, loudness increase, and reduction of the abrupt vocal attack, which reflected in vocal emissions with less effort and more socially accepted. In spite of the limitations caused by the healing of the ulcerative lesions, speech-language therapy was important in this case study, and the patient was satisfied with the results obtained, which had positive influences on his oral communication and social life.

from Revista de Sociedade Brasileira de Fonoaudiologia

Maximum Phonation Time in Healthy Older Adults

Conclusions
MPTs were longer in this group of older adults than previously reported and did not vary significantly with age or gender. Additionally, across a single short sampling session, measurements were relatively stable across three trials of MPTs.

from the Journal of Voice

Voice, swallowing, and quality of life after total laryngectomy—Results of the west of Scotland laryngectomy audit†

Radiotherapy has a highly significant and detrimental effect on voice and swallowing outcome after total laryngectomy. Surgical voice restoration confers significant benefit in terms of self-reported voice outcome. These findings have implications for patients with advanced laryngeal cancer considering laryngectomy and organ preservation. © 2011 Wiley Periodicals, Inc. Head Neck, 2011

from Head and Neck

Voice Analysis of Postlingually Deaf Adults Pre- and Postcochlear Implantation

Conclusions
The patients in our sample showed changes in overall severity, strain, loudness, and instability values, and reductions in F0 and its variability. On comparing the variation of results between the groups, we were able to prove in our study that implant recipients postlingually deaf adults (experimental group), without specific vocal rehabilitation, differed from nonrecipients (control group) in loudness and F0 variability sustained vowel /a/ in male participants.

from the Journal of Voice

Communication changes in Parkinson’s disease

This article offers an overview of changes to speech and voice that arise in PD and the impact these underlying changes have on speech naturalness, intelligibility and participation in social life. Assessment and treatment are not a focus, but lessons for these areas are drawn from the description of the nature of overall changes.

from Revista de Logopedia, Foniatría y Audiología

Quality of the Voice Literature: What is There and What is Missing

There are strengths in the voice literature with increasing focus on levels of evidence. Areas of deficit are: publishing negative studies, publishing risk-benefit assessment, well-structured accurate abstracts, studies in children, voice function in laryngeal stenosis and in laryngeal cancer, clinical implications of basic science voice research, worldwide diversity, appropriate advertising, humor, and thoughtful letters to the editor. There are areas that appear to be excessive: self-citations and redundant case series.

from the Journal of Voice

Prevalence of arytenoid asymmetry in relation to vocal symptoms

The prevalence of arytenoid asymmetry during adduction is common. The presence of vocal symptoms such as hoarseness, breathiness, inability to project the voice and straining does not generally seem to correlate with the prevalence of arytenoid asymmetry. However, subjects with vocal fatigue are more likely to have cuneiform asymmetry.

from the Journal of Laryngology and Otology

Combined Modality Treatment of Adductor Spasmodic Dysphonia

Results and Conclusions
Significant effects were observed on perceived quality of life and acoustic variables for all participants, over time. Participants who received voice therapy after BTX-A injection did not experience longer injection effect duration or significantly greater improvements in V-RQOL or acoustic variables than participants in BTX-A only or BTX-A plus sham therapy groups. Additionally, perceptual ratings of voice quality improved for all participants in response to BTX-A injection. For participants in this investigation, undertaking voice therapy did not appear to exert significant beneficial effects on the variables of interest.

from the Journal of Voice

Outcomes of surgery for laryngotracheal stenosis—The parents perspective

This study has given us a unique insight into the concerns of parents who have children with laryngotracheal stenosis. It has also allowed us to evaluate our post-operative results from a qualitative perspective through the eyes of the parents.

from the International Journal of Pediatric Otorhinolaryngology

Outcomes of surgery for laryngotracheal stenosis—The parents perspective

This study has given us a unique insight into the concerns of parents who have children with laryngotracheal stenosis. It has also allowed us to evaluate our post-operative results from a qualitative perspective through the eyes of the parents.

from the International Journal of Pediatric Otorhinolaryngology

Maximum phonation time of vowels in adult women with vocal nodules*

for the group of adult women with vocal nodules, the MPT values were reduced and positively correlated; the MPT of vowel /a/ presented a lower value when compared to the other investigated vowels.

from Pró-Fono Revista de Atualização Científica

Outcomes of early infancy laryngeal reconstruction on health- and voice-related quality of life

This study adds to the knowledge on the long-term effects of laryngeal split on children through assessment of their HRQoL and PVRQoL. The study subjects’ lower PVOS scores and findings of perceptual assessment point to the effect of cotton plasty on VRQoL and voice.

from the International Journal of Pediatric Otorhinolaryngology

Analysis of vocal characteristics and psychological aspects in individuals with obsessive-compulsive disorder

CONCLUSION: It was possible to understand the perception of individuals with OCD regarding their own voices, and the deviations in vocal emissions. Thus, the speech-language pathologist can obtain information that allows the improvement in the quality of life of these individuals through speech-language pathology intervention, also aiming at interdisciplinarity.

from Revista de Sociedade Brasileira de Fonoaudiologia