Treatment algorithm for patients with puberphonia
Küçük Resim Yok
Tarih
2008
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
OBJECTIVES: We evaluated the results of treatment for puberphonia and aimed to develop a treatment algorithm for patients with puberphonia. PATIENTS AND METHODS: Sixteen male patients (mean age 21.5 years; range 16 to 34 years) with puberphonia underwent voice therapy (3-10 sessions). Perceptual and acoustic analyses of vocal quality were performed in 12 patients. Perceptual analysis included the Voice Handicap Index (VHI) and videolaryngostroboscopy (VLS) and acoustic evaluations included F0 (fundamental frequency), jitter, shimmer, and NNE (normalized noise energy). RESULTS: Following voice therapy, all scores of the VHI showed significant improvements (p=0.001). There was a significant improvement in vibratory pattern and mucosal wave of vocal cords in VLS evaluation (p=0.004 and p=0.002, respectively). Among acoustic parameters, only the mean F0 showed a significant change from 246 Hz to 134 Hz after treatment (p=0.001). Stabilization of F0 could not be achieved in two patients, one of whom underwent type III thyroplasty. CONCLUSION: The main difficulties encountered in the treatment of puberphonia include stabilization of the attained F0 and widening the frequency range. Implementation of the treatment algorithm through a step-by-step approach provides an objective way of assessing the disease and its management.
Açıklama
Anahtar Kelimeler
adolescent, adult, algorithm, article, dysphonia, human, male, pathophysiology, physiology, puberty, speech rehabilitation, speech therapy, vocal cord, voice, Adolescent, Adult, Algorithms, Humans, Male, Puberty, Speech Therapy, Vocal Cords, Voice, Voice Disorders, Voice Training, Young Adult
Kaynak
Kulak burun bo?az ihtisas dergisi : KBB = Journal of ear, nose, and throat
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
18
Sayı
6
