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J Korean Soc Ther Radiol Oncol > Volume 23(1); 2005 > Article
The Journal of the Korean Society for Therapeutic Radiology and Oncology 2005;23(1): 17-21.
Quantitative Analysis of Voice Quality after Radiation Therapy for Stage T1a Glottic Carcinoma
Joon Kyoo Lee, Woong Gi Chung
1Departments of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School, Chonnam National University Hospital, Gwangju, Korea.
2Departments of Radiation Oncology, Chonnam National University Medical School, Chonnam National University Hospital, Gwangju, Korea. wkchung@chonnam.ac.kr
ABSTRACT
PURPOSE:
To evaluate the voices of irradiated patients with early glottic carcinoma and to compare these with the voices of healthy volunteers. MATERIASL AND
METHODS:
The voice samples (sustained vowel) of seventeen male patients who had been irradiated for T1a glottic squamous carcinoma at least 1 year prior to the study were analyzed with objective voice analyzer (acoustic voice analysis, aerodynamic test, and videostroboscopic analysis) and compared with those of a normal group of twenty age- and sex-matched volunteers. Average fundamental frequency, jitter, shimmer, and noise-to-harmonic ratio were obtained for acoustic voice analysis. Maximal phonation time, mean flow rate, intensity, subglottic pressure, glottal resistance, glottal efficiency, and glottal power were obtained for aerodynamic test.
RESULTS:
The irradiated group presented higher values of shimmer in acoustic voice analysis. There was no significant difference between two groups in other parameters.
CONCLUSION:
In this study all the objective voice parameters except shimmer were not significantly different between the irradiated group and the control group. These results suggest that the voice quality is minimally affected by radiation therapy for T1a glottic carcinoma.
Key Words: Voice quality, Radiotherapy, Laryngeal neoplasms, Vocal cords, Speech acoustics
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