Speech Outcome regarding Overall Intelligibility, Articulation, Resonance and Voice in Flemish Children a Year after Pharyngeal Flap Surgery

Lierde, Kristiane M. Van; Bonte, Katrien; Baudonck, Nele; Cauwenberge, Paul Van; Leenheer, Els De

doi:10.1159/000151242

Cited by 11 publications

(9 citation statements)

References 38 publications

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“…Dentro desse último grupo está o protocolo proposto por Bzoch (2004a) SEAGLE et al, 2002;VAN LIERDE et al, 2004;VAN LIERDE et al, 2008;TUNA et al, 2010;WILLIAMS et al, 2011;VAN LIERDE et al, 2011). , 1994;LOHMANDER et al, 1997;DOTEVALL et al, 2002;VAN LIERDE et al, 2002;BRIGGS;LEE, 2003;VAN LIERDE et al, 2003;MORRIS;DEMARK, 2004;PAAL et al, 2005;MIGUEL;TRINDADE, 2007;PENIDO et al, 2007;SWEENEY;SELL, 2008;VOGEL et al, 2009 , 1994;LOHMANDER et al, 1997;DOTEVALL et al, 2002).…”

Section: àS Demais Colegas De Trabalho Toda Equipe Competente Do Cenunclassified

Concordância entre testes perceptivo-auditivos e nasofaringoscopia no diagnóstico da disfunção velofaríngea

Lima¹

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Dedico este trabalho a meus pais, meus maiores benfeitores nessa vida. Por terem sempre me incentivado ao estudo e apoiado minhas escolhas. Certamente sem esse patrocínio positivo amorosamente infinito, eu não chegaria até aqui. Por nunca medirem esforços para me ajudar, em todos os sentidos que um ser humano possa ser ajudado. Por, ao me ensinarem, terem feito essencialmente por meio do exemplo, deixando sua marca em meu coração, alma e intelecto. Por terem o dom de sempre me estimular, incentivando a sair da zona de conforto. Por sempre acreditarem em mim e no que eu era capaz, apostando no meu potencial de ser, estar e lutar nesse mundo. Por sempre torcerem com sinceridade pelas minhas vitórias, por serem gentis nas minhas derrotas, por serem justos nos meus tropeços. Por, mesmo nas maiores distâncias, se fazerem presentes em minha vida. Por simplesmente ser o que são, guerreiros, trabalhadores, honestos, amados e bondosos, me fazendo ter fé e esperança na vida e num presente e futuro bons. Meu porto seguro são vocês!!!!! Aos meus queridos e amados Carlos Augusto e Maria Raimunda, pessoas nobres, guerreiras, batalhadoras, grandes exemplos. "Eu não acredito na existência de botões, alavancas, recursos afins, que façam as dores mais abissais desaparecerem, nos tempos mais devastadores, por pura mágica. Mas eu acredito na fé, na vontade essencial de transformação, no gesto aliado à vontade, e, especialmente, no amor que recebemos, nas temporadas difíceis, de quem não desiste da gente."

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Section: àS Demais Colegas De Trabalho Toda Equipe Competente Do Cenunclassified

Concordância entre testes perceptivo-auditivos e nasofaringoscopia no diagnóstico da disfunção velofaríngea

Lima¹

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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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“…There were 5 reports analyzing10 or fewer cases21–25. It is unclear how a recommendation or endorsement for a particular approach or a report of success can be determined with so small a sample.…”

Section: Introductionmentioning

confidence: 99%

Velopharyngeal insufficiency: diagnosis and management

Shprintzen¹,

Marrinan

2009

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of Review-Journal articles relevant to the diagnosis and treatment of velopharyngeal insufficiency (VPI) were reviewed. All articles ascertained by PubMed search were included.Recent Findings-Articles reported on the application of magnetic resonance scanning, reliability tests of the International Working Group diagnostic protocol, the use of nasometry, and techniques designed to assess the function of the velopharyngeal mechanism. Treatment papers focused on outcomes in small samples of cases and complication rates from pharyngeal flap. One paper discussed ineffective speech therapy procedures.Summary-There were relatively few papers this past year. Those that were published were hindered by small and heterogeneous sample sizes, and occasionally by inappropriate methods for assessing outcomes. None of the findings will have a major impact on the current state-of-the-art for diagnosis of VPI. The speech therapy paper has a very important message that should be taken to heart by all clinicians involved in the management of children with clefts and craniofacial disorders.

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Speech Outcome regarding Overall Intelligibility, Articulation, Resonance and Voice in Flemish Children a Year after Pharyngeal Flap Surgery

Cited by 11 publications

References 38 publications

Concordância entre testes perceptivo-auditivos e nasofaringoscopia no diagnóstico da disfunção velofaríngea

Concordância entre testes perceptivo-auditivos e nasofaringoscopia no diagnóstico da disfunção velofaríngea

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

Velopharyngeal insufficiency: diagnosis and management

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