Akil Ferit, Yollu Umur, Ozturk Ozcan, Yener Murat
Otorhinolaryngology Department, Istanbul University Cerrahpasa Medical School, Istanbul, Turkey.
Otorhinolaryngology Clinic, Gumushane Public Hospital, Gumushane, Turkey.
Clin Exp Otorhinolaryngol. 2017 Sep;10(3):278-282. doi: 10.21053/ceo.2015.01900. Epub 2016 Jul 27.
To compare voice parameters in subjects with different hearing level.
The evaluation consisted of Multi-Dimensional Voice Program (MDVP) and electroglottography. Group 1 consisted of normal hearing subjects which is bilateral average hearing better than 25 decibels (dB) whereas group 2 consisted of patients who have bilateral average hearing between the 25 and 60 dB and group 3 consisted of patients who have bilateral average hearing between the 60 and 90 dB. The evaluations were performed on males and females separately.
In female subjects, fundamental frequency (F0), absolute jitter, %jitter and soft phonation index (SPI) were significantly different between the group 1 and group 2. Also, we detected significant difference on maximum phonation time (MPT), fundamental frequency, absolute jitter and %jitter, and variable F0 (vF0) values between group 1 and group 3. Male subjects demonstrated significant difference between the group 1 and group 2 in MPT, absolute jitter, %jitter, vF0, and SPI parameters. Between the group 3 and group 1; differences in absolute jitter, %jitter, shimmer, %shimmer, vF0, and SPI were also significant.
This study concluded that even mild to moderate hearing losses may affect voice patterns in adults and also females and males react differently to hearing loss in some parameters.
比较不同听力水平受试者的嗓音参数。
评估包括多维度嗓音程序(MDVP)和电声门图。第1组由听力正常的受试者组成,其双侧平均听力优于25分贝(dB);第2组由双侧平均听力在25至60 dB之间的患者组成;第3组由双侧平均听力在60至90 dB之间的患者组成。评估分别在男性和女性中进行。
在女性受试者中,第1组和第2组之间的基频(F0)、绝对抖动、抖动百分比和软起音指数(SPI)有显著差异。此外,我们还检测到第1组和第3组之间在最长发声时间(MPT)、基频、绝对抖动和抖动百分比以及F0变量(vF0)值方面存在显著差异。男性受试者在第1组和第2组之间的MPT、绝对抖动、抖动百分比、vF0和SPI参数上表现出显著差异。在第3组和第1组之间,绝对抖动、抖动百分比、谐波音、谐波音百分比、vF0和SPI的差异也很显著。
本研究得出结论,即使是轻度至中度听力损失也可能影响成年人的嗓音模式,而且女性和男性在某些参数上对听力损失的反应不同。