발성장애 환자에서 주관적 음성검사와 객관적 음성검사의 연관성 연구

박정우; 김보람; 오재환; 강태규; 김동영; 우주현

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자료유형: 학술저널

저자정보: 박정우 (가천대학교 의과대학 길병원 이비인후과학교실) 김보람 (가천대학교 의과대학 길병원 이비인후과학교실) 오재환 (가천대학교 의과대학 길병원 이비인후과학교실) 강태규 (가천대학교 의과대학 길병원 이비인후과학교실) 김동영 (가천대학교 의과대학 길병원 이비인후과학교실) 우주현 (가천대학교 의과대학 길병원 이비인후과학교실)

저널정보: 대한후두음성언어의학회 대한후두음성언어의학회지 대한후두음성언어의학회지 제30권 제2호

발행연도: 2019.1

수록면: 118 - 123 (6page)

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Background and Objectives Voice evaluation is classified into subjective tests such as auditory perception and self-measurement, and objective tests such as acoustic and aerodynamic analysis. When evaluating dysphonia, subjective and objective test results do not always match. The purpose of this study was to analyze the relationship between subjective and objective evaluation in patients with dysphonia and to identify meaningful parameters by disease. Materials and Method The total of 322 patients who visited voice clinic from May 2017 to May 2018 were included in this study. Laryngeal lesions were identified using stroboscopy. Pearson correlation test was performed to analyse correlation between subjective tests including GRBAS scale and voice handicap index, and objective tests including jitter, shimmer, noise to harmonic ratio (NHR), cepstral peak prominence (CPP), maximal phonation time (MPT), mean flow rate, and subglottic pressure. Results In vocal nodule and sulcus vocalis, among GRBAS system, grade and breathiness showed good correlation with CPP, and roughness showed good correlation with jitter or shimmer. In unilateral vocal cord paralysis (UVCP), grade and breathiness showed a very good correlation with CPP, and also good correlation with jitter, shimmer, NHR, and MPT. Also asthenia showed good correlation with CPP and MPT. Vocal polyp has a limited association with other diseases. Conclusion In patients with dysphonia, grade and breathiness showed good correlation with CPP, jitter, and shimmer, and reflect the state of voice change well especially in UVCP, CPP, and MPT.

#음성 #평가 #음향학 #청지각 #연관성

참고문헌 (20)

참고문헌 신청

Dejonckere PH / 2001 / A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical)treatments and evaluating new assessment techniques. Guideline elaborated by the Committee on Phoniatrics of the European Laryngological Society (ELS) / Eur Arch Otorhinolaryngol 258(2):77~82

Maryn Y / 2009 / Acoustic measurement of overall voice quality : a meta-analysis / J Acoust Soc Am 126(5):2619~2634

V Latoszek BB / 2018 / A meta-analysis : acoustic measurement of roughness and breathiness / J Speech Lang Hear Res 61(2):298~323

Woisard V / 2007 / The voice handicap index : correlation between subjective patient response and quantitative assessment of voice / J Voice 21(5):623~631

Hillenbrand J / 1994 / Acoustic correlates of breathy vocal quality / J Speech Hear Res 37(4):769~778

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