Effects of voice-sparing cricotracheal resection on phonation in women

Kristine Tanner; Christopher Dromey; Mark L Berardi; Lisa M Mattei; Jenny L Pierce; Jonathan J Wisco; Eric J Hunter; Marshall E Smith

doi:10.1002/lary.26429

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Effects of voice-sparing cricotracheal resection on phonation in women

Journal article

Peer reviewed

Effects of voice-sparing cricotracheal resection on phonation in women

Kristine Tanner, Christopher Dromey, Mark L Berardi, Lisa M Mattei, Jenny L Pierce, Jonathan J Wisco, Eric J Hunter and Marshall E Smith

The Laryngoscope, Vol.127(9), pp.2085-2092

09/2017

DOI: 10.1002/lary.26429

PMCID: PMC5443709

PMID: 27882558

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Abstract

Individuals with idiopathic subglottic stenosis (SGS) are at risk for voice disorders prior to and following surgical management. This study examined the nature and severity of voice disorders in patients with SGS before and after a revised cricotracheal resection (CTR) procedure designed to minimize adverse effects on voice function. Eleven women with idiopathic SGS provided presurgical and postsurgical audio recordings. Voice Handicap Index (VHI) scores were also collected. Cepstral, signal-to-noise, periodicity, and fundamental frequency (F ) analyses were undertaken for connected speech and sustained vowel samples. Listeners made auditory-perceptual ratings of overall quality and monotonicity. Paired samples statistical analyses revealed that mean F decreased from 215 Hz (standard deviation [SD] = 40 Hz) to 201 Hz (SD = 65 Hz) following surgery. In general, VHI scores decreased after surgery. Voice disorder severity based on the Cepstral Spectral Index of Dysphonia (KayPentax, Montvale, NJ) for sustained vowels decreased (improved) from 41 (SD = 41) to 25 (SD = 21) points; no change was observed for connected speech. Semitone SD (2.2 semitones) did not change from pre- to posttreatment. Auditory-perceptual ratings demonstrated similar results. These preliminary results indicate that this revised CTR procedure is promising in minimizing adverse voice effects while offering a longer-term surgical outcome for SGS. Further research is needed to determine causal factors for pretreatment voice disorders, as well as to optimize treatments in this population. 4. Laryngoscope, 127:2085-2092, 2017.

Adult

Aged

Female

Humans

Laryngeal Muscles - surgery

Laryngostenosis - complications

Laryngostenosis - physiopathology

Laryngostenosis - surgery

Middle Aged

Phonation - physiology

Postoperative Complications - etiology

Postoperative Complications - physiopathology

Postoperative Period

Preoperative Period

Severity of Illness Index

Speech - physiology

Speech Discrimination Tests

Trachea - surgery

Treatment Outcome

Voice - physiology

Voice Disorders - etiology

Voice Disorders - physiopathology

Voice Disorders - surgery

Details

Title: Subtitle: Effects of voice-sparing cricotracheal resection on phonation in women
Creators: Kristine Tanner - Brigham Young University
Christopher Dromey - Brigham Young University
Mark L Berardi - Brigham Young University
Lisa M Mattei - Brigham Young University
Jenny L Pierce - University of Utah
Jonathan J Wisco - Brigham Young University
Eric J Hunter - Michigan State University
Marshall E Smith - University of Utah
Resource Type: Journal article
Publication Details: The Laryngoscope, Vol.127(9), pp.2085-2092
DOI: 10.1002/lary.26429
PMID: 27882558
PMCID: PMC5443709
NLM abbreviation: Laryngoscope
ISSN: 0023-852X
eISSN: 1531-4995
Grant note: R01 DC009616 / NIDCD NIH HHS
Language: English
Date published: 09/2017
Academic Unit: Communication Sciences and Disorders
Record Identifier: 9984446427702771

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14 Times Cited - Web of Science