Changes in Nasal Resonance after Functional Endoscopic Sinus Surgery

Jiang, Rong–San; Huang, Hsin‐Yu

doi:10.2500/ajr.2006.20.2882

Cited by 27 publications

(44 citation statements)

References 5 publications

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“…Patients who underwent ESS showed improvement in the perception of their own voice, as reflected in VHI-10 scores, and in nasal resonance. Patients who underwent ESS due to chronic sinusitis and/or nasal polyposis showed a correlation between the increase of the volume of the nasal cavity and the increase of the nasalance score [16]. However, in our study, no correlation was found between the VHI-10 score and the objective measurements.…”

Section: Discussioncontrasting

confidence: 54%

Effects of Nasal Obstruction due to Nasal Polyposis on Nasal Resonance and Voice Perception

Arslan

Polat

Durmaz

et al. 2016

Folia Phoniatr Logop

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Objective: The aim of this study was to use subjective and objective methods to investigate the effects of total or nearly total nasal obstruction due to nasal polyposis on nasal resonance and voice perception. Patients and Methods: A total of 63 nasal polyposis patients (53 men and 10 women), aged between 19 and 72 years (mean age 37.01 ± 13.70), were included in the study. The severity of the nasal obstruction was assessed using a visual analog scale. Nasal resonance and voice perception were evaluated subjectively by the voice handicap index (VHI)-10 questionnaire and objectively by computerized analysis (nasometry) before and after treatment of patients with nasal polyposis. Results: Significant improvement was seen in the nasal obstruction values in all patients (100%; p < 0.001) and in the VHI-10 scores in 62 patients (98%; p < 0.001). Nasalance scores increased in all patients following treatment (100%; p < 0.001). Conclusion: Voice perception is negatively affected by nasal obstruction due to nasal polyposis, and changes in voice perception may arise after the surgery. Before the surgery, informing the patient about potential voice perception changes may be useful for the prevention of legal disputes.

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Section: Discussioncontrasting

confidence: 54%

Effects of Nasal Obstruction due to Nasal Polyposis on Nasal Resonance and Voice Perception

Arslan

Polat

Durmaz

et al. 2016

Folia Phoniatr Logop

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“…Several studies have reported voice changes after sinonasal surgery. In one study, the nasalance score significantly increased after sinus surgery . In another report, sinonasal surgery changed the acoustic characteristics of the vocal tract and produced a significant increase in nasality in the early phase …”

Section: Discussionmentioning

confidence: 94%

“…In one study, the nasalance score significantly increased after sinus surgery. 17,18 In another report, sinonasal surgery changed the acoustic characteristics of the vocal tract and produced a significant increase in nasality in the early phase. 19 Although there are no published works concerning EETSA and its impact on acoustic features of the voice, patients in our clinical practice often complained of hypernasality after the EETSA operation.…”

Section: Discussionmentioning

confidence: 99%

“…Jiang and Huang investigated the influence of functional endoscopic sinus surgery on resonance and volumetric changes and found that after surgery both the nasalance scores and nasal volumes significantly increased. The authors also reported that increased nasalance scores moderately correlated with increased midnasal and postnasal volumes, suggesting that resonance was strongly affected by changes in posterior nasal volume.…”

Section: Discussionmentioning

confidence: 99%

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Hypernasality after using the endoscopic endonasal transsphenoidal approach for skull base tumors

Kim¹,

Shin²,

Kim

et al. 2015

The Laryngoscope

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“…29 It has been utilized in broad clinical and research applications in speakers with cleft lip and palate and other velopharyngeal impairments. 33,34 Thus, nasalance is considered a robust instrumental measurement in the assessment of resonance disorders. 35,36 If CPP is to be used to report outcome after voice therapy and laryngeal surgeries, it is important to know how different vocal tract configurations would affect it.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Nasalance on Cepstral Peak Prominence and Harmonics‐to‐Noise Ratio

et al. 2018

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Objectives/Hypothesis Cepstral peak prominence (CPP) has been reported as a reliable measure of dysphonia and a preferred alternative to harmonics‐to‐noise ratio (HNR). However, CPP has been observed to be sensitive to articulatory variation and vocal intensity. The aim of this study was to examine the impact of nasalance on CPP and HNR of voice signals. It was hypothesized that increased nasalance would be associated with decreased CPP. Study Design Within‐subject correlation design. Methods Thirty vocally healthy female participants were recorded reading and producing a vowel in alternation with a nasal consonant while wearing a nasometer for calculation of nasalance. Recorded vowel, nasalized, and nasal segments of speech were used to calculate CPP using Analysis of Dysphonia in Speech and Voice software, and HNR and vocal intensity using Praat software. Results Significant main effects of conditions were observed for CPP. CPP values decreased significantly when phonation changed from vowel to nasalized vowel and to nasal. There was correlation between CPP and nasalance and between CPP and intensity. HNR was slightly higher in the nasal condition than in vowel. There was a weak correlation between HNR and nasalance. No correlation was found between HNR and intensity. Conclusions CPP is sensitive to changes in vocal tract configuration caused by nasalization as well as intensity, whereas HNR is not. Therefore, CPP may reflect the periodicity in source signal or the filtering effects of vocal tract. Further research is needed to clarify the application and interpretation of CPP in clinical practice. Level of Evidence 4 Laryngoscope, 129:E299–E304, 2019

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Changes in Nasal Resonance after Functional Endoscopic Sinus Surgery

Abstract: This study showed that the FESS effectively increased nasalance scores and nasal volumes in patients with chronic rhinosinusitis, but the increase in nasalance scores did not appear to be achieved largely through the increased nasal volumes.

Cited by 27 publications

References 5 publications

Effects of Nasal Obstruction due to Nasal Polyposis on Nasal Resonance and Voice Perception

Effects of Nasal Obstruction due to Nasal Polyposis on Nasal Resonance and Voice Perception

Hypernasality after using the endoscopic endonasal transsphenoidal approach for skull base tumors

The Impact of Nasalance on Cepstral Peak Prominence and Harmonics‐to‐Noise Ratio

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