We propose in this study an acoustic analysis called objective, based on physical measurements, to extract the acoustic characteristics of the voice of patients with Unilateral Laryngeal Paralysis. Our experiments were made at the Otorhinolaryngology service of the hospital of Bab El Oued. Algiers. (Algeria). In this work, an acoustic analysis of the vocal signal is based on measurements of the instability of the amplitude and frequency of the vibrations of the vocal cords. The results obtained are compared with those of a group of reference of subjects who normally speak. The study of the results obtained by the acoustic analysis of the pathological voice during the rehabilitation phase shows a strong correlation of the acoustic parameters between the pathological voice and the reference one. The exclusive use of hearing to evaluate the effect of voice rehabilitation in the Algerian hospital environment remains insufficient. It is important to correlate the perceptual information with the interpreted acoustic measurements, in a manner to be able to develop a therapeutic project appropriate to the patient’s expectations and difficulties.

In this study, we propose a method based on Recurrent Neural Networks, to objectively evaluate the process of rehabilitation of the pathological voice, in an Algerian clinical environment. We choose Unilateral Laryngeal Paralysis as the pathology of the voice. In this paper, we used a Deep Learning system of pathological voice detection by Long Short Term Memory neural model (LSTM). As the dysphony studied in our work concerns essentially the laryngeal vibration, we choose the acoustic parameters based on the instability of the frequency and the amplitude of the laryngeal vibration: Jitter and Shimmer, Noise parameters and Cepstraux MFCC coefficients (Mel Frequency Cepstral Coefficients). A pathological voice detection rate of 88.65% shows important results brought by the rehabilitation technique adopted in Algerian clinical setting. The exclusive and abusive use of hearing to evaluate the effect of speech rehabilitation in the Algerian hospital environment remains insufficient. It is important to correlate perceptual data with objective methods based on detection and classification methods by introducing relevant acoustic parameters, for an effective and objective management of vocal pathology assessment.

A reliable perceptive analysis implying several sessions of listening turns out to be consuming in time and in human resources, and therefore not allowing a regular use in clinical practice. At the level of the Ear, Nose and Throat (ENT) services the rehabilitative speech therapist is in charge of estimating by listening to the quality of the voice, which entraines a non reliable perceptive evaluation compared with the one that will be proposed in this work. In this study, objective instrumental approaches based on physical measures has been proposed. These approaches allowing the analysis and estimation of the acoustic characteristics of the voice of the patients having a total laryngectomy. The results are compared with those obtained in a healthy vocal speaker. The outcomes indicate that objective evaluations can provide a homogeneous database for a better interpretation of articulators and vocal dysfunctions.