The Effect of Adenotonsillectomy on Korean Children's Voice

박근형; 권순복; 고태경; 구수권; 이상훈; 이호병; 지창록

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자료유형: 학술저널

저자정보: 박근형 권순복 고태경 구수권 이상훈 이호병 지창록

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제62권 제11호

발행연도: 2019.1

수록면: 637 - 641 (5page)

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Background and Objectives Adenotonsillectomy is a commonly performed surgical procedurecarried out by otolaryngologists for children. Anatomical changes to the vocal tractoccur after the surgery and may alter the patient’s voice. This study evaluated the effects ofadenotonsillectomy on the voice in Korean children. Subjects and Method A total of 20 children who underwent adenotonsillectomy were enrolled. The speech of patients was recorded before and at one month of the surgery and acousticfeatures, especially the formant frequency, were analyzed. Perceptual analysis was alsocarried out and the Pediatric Voice Handicap Index (PVHI) questionnaire was used to assesssubjective changes in the children’s voice and the effects of these changes on social functions. Results Acoustic analysis revealed significant decreases in the vowel /i/ in the second formant,compact-diffuse, and grave-acute features of the voice (p=0.026, 0.022, and 0.031, respectively). A significant decrease was also observed in the intensity of the voice for the vowel/u/ (p=0.025). Perceptual analysis revealed that 86.6% of patients’ voice recordings had postoperativechanges. The mean preoperative PVHI score was 2.70±3.37, which decreased to1.65±2.21 (p=0.011) after the surgery. Conclusion The results suggest that adenotonsillectomy affects Korean children’s voicesboth acoustically and perceptually

참고문헌 (22)

참고문헌 신청

Salami A / 2008 / The impact of tonsillectomy with or without adenoidectomy on speech and voice / Int J Pediatr Otorhinolaryngol 72(9):1377~1384

Fant G / 1960 / Acoustic theory of speech production: With calculations based on X-ray studies of Russian articulations / Mouton :15~26

Mora R / 2007 / Effects of adenotonsillectomy on speech spectrum in children / Int J Pediatr Otorhinolaryngol 71(8):1299~1304

Mora R / 2009 / Effects of tonsillectomy on speech and voice / J Voice 23(5):614~618

Tuzuner A / 2014 / Nasalance scores in pediatric patients after adenoidectomy / Int J Pediatr Otorhinolaryngol 78(4):610~613

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