Muslih Imam, Herawati Sri, Pawarti Dwi Retno
Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine Universitas Airlangga - Dr Soetomo General Hospital, Surabaya, Indonesia.
Indian J Otolaryngol Head Neck Surg. 2019 Oct;71(Suppl 1):482-488. doi: 10.1007/s12070-018-1363-y. Epub 2018 Apr 18.
Benign vocal cord lesion is a benign mass formed in vocal cord in form of vocul nodule, vocal cord polyp, vocal cord cyst and vocal cord granuloma. Voice handicap index (VHI) is one of subjective voice analyses. This study aimed to analyse correlation between VHI score and praat voice analysis in benign vocal cord lesion before and after microscopic laryngeal surgery. This study was carried out from November 2009 to December 2010 at Outpatient Unit of Otorhinolaryngology, Head and Neck Surgery and Integrated Oncology Center of Dr. Soetomo General Hospital, Surabaya, Indonesia. Pearson's correlation test found a negative correlation between total VHI score with base frequency and harmonic-to-noise ratio (HNR) (r = - 0.186, = 0.689; r = - 0.650, = 0.114). On the other hand, there was a positive correlation between total VHI score with jitter and shimmer (r = 0.812, = 0.027; r = 0.638, = 0.123). It could be inferred that base frequency, shimmer and HNR after surgery had no significant correlation ( > 0.05), while VHI total score significantly correlated with jitter after surgery ( < 0.05). We found no correlation between VHI score and Praat voice analysis in patients with benign vocal cord lesion before and after surgery, except correlation between VHI functional subscale with HNR and VHI total score with jitter.
良性声带病变是指在声带形成的良性肿物,包括声带小结、声带息肉、声带囊肿和声带肉芽肿。嗓音障碍指数(VHI)是主观嗓音分析方法之一。本研究旨在分析显微喉镜手术前后良性声带病变患者的VHI评分与Praat嗓音分析之间的相关性。本研究于2009年11月至2010年12月在印度尼西亚泗水苏托莫综合医院耳鼻喉头颈外科门诊及综合肿瘤中心开展。Pearson相关性检验发现,VHI总分与基频及谐波噪声比(HNR)呈负相关(r = -0.186,P = 0.689;r = -0.650,P = 0.114)。另一方面,VHI总分与抖动和闪烁呈正相关(r = 0.812,P = 0.027;r = 0.638,P = 0.123)。可以推断,术后基频、闪烁和HNR之间无显著相关性(P>0.05),而VHI总分与术后抖动显著相关(P<0.05)。我们发现,除VHI功能亚量表与HNR以及VHI总分与抖动之间存在相关性外,良性声带病变患者手术前后的VHI评分与Praat嗓音分析之间无相关性。