Patterns of oral-nasal balance in normal speakers with and without cleft palate

Validity of the Nasometer Measuring the Temporal Characteristics of Nasalization

Objective:

To examine the validity of the Nasometer (KayPENTAX, Lincoln Park, NJ) in measuring the temporal characteristics of nasalization by comparing the Nasometer measures to the measures from an external criterion procedure.

Design:

Speech samples consisted of three rate-controlled nonsense syllables, which varied in their vowel compositions: /izinizi/, /azanaza/, and /uzunuzu/. Acoustic data were recorded simultaneously through the Nasometer and an external criterion procedure (a specialized microphone set that collected acoustic signals separately for the nasal and oral channels). Speech segment durations measured from the two instrumental conditions were compared on the Nasometer display and the Computerized Speech Lab (KayPENTAX, Lincoln Park, NJ) display. Five durational variables were measured: total utterance duration, nasal onset interval, nasal consonant duration, nasal offset interval, and total nasalization duration.

Participants:

Fourteen normal adults who speak American English as their first language participated in the study.

Results:

No significant differences were found between the measures from the Nasometer and those from an external criterion procedure in all the durational variables pertinent to nasalization. Different vowels, however, yielded significantly different patterns in these durational variables, in which the low vowel /a/ context revealed significantly longer total nasalization duration than did the high vowel /i/ and /u/ contexts.

Conclusions:

The results suggest that the Nasometer can be used as a valid tool to measure the temporal characteristics underlying nasalization and confirm significant vowel effects on the temporal patterns of nasalization.

Nasalization Amplitude-Timing Characteristics of Speakers With and Without Cleft Palate

OBJECTIVES

To examine the amplitude-temporal relationships of acoustic nasalization in speakers with a range of nasality and to determine the extent to which each domain independently predicts the speaker's perceived oral-nasal balance.

DESIGN

Rate-controlled speech samples, consisting of /izinizi/, /azanaza/, and /uzunuzu/, were recorded from 18 participants (14 with repaired cleft palate and 4 without cleft palate) using the Nasometer. The mean nasalance of the entire mid-vowel-nasal consonant-vowel (mid-VNV) sequence (amplitude-domain) and the duration of the nasalized segment of the mid-VNV sequence (temporal-domain) were obtained based on nasalance contours.

RESULTS

Strong linear and vowel-dependent relationships were observed between the 2 domains of nasalization (adjusted R² = 71.5%). Both the amplitude- and temporal-domain measures were found to reliably predict the speaker's perceived oral-nasal balance, with better overall model fit and higher classification accuracy rates observed in /izinizi/ and /uzunuzu/ than in /azanaza/. Despite poor specificity, the temporal-domain measure of /azanaza/ was found to have a strong correlation with the participants' Zoo passage nasalance scores (r_s = .897, p < .01), suggesting its potential utility as a severity indicator of perceived nasality.

CONCLUSIONS

With the use of relatively simple speech tasks and measurements representing the amplitude and temporal domains of nasalization, the present study provided practical guidelines for using the Nasometer in assessing patients with oral-nasal resonance imbalance. Findings suggest that both domain measures of nasalization should be examined across different vowel contexts, given that each domain may provide clinically relevant, yet different, information.

Nasalance Changes Following Various Endonasal Surgeries

Introduction There is change in nasalance post endonasal surgery which is not permanent.

Objectives The objective of this study is to evaluate the long-term nasalance changes following different types of endonasal surgeries.

Methods We included in this study patients who underwent sinonasal surgery at the Otorhinolaryngology Department in Zagazig University Hospitals from February 2015 until March 2016. We divided the patients into two groups according to the surgeries they underwent: Group (A) was the FESS group and group (B), the septoturbinoplasty group. We checked nasalance using a nasometer before and after the sinonasal surgery.

Results Nasalance increased at one month after the operation in both groups. However, it returned to nearly original levels within three months postoperatively.

Conclusion FESS, septoplasty, and turbinate surgery may lead to hypernasal speech. This hypernasal speech can be a result of change in the shape and diameter of the resonating vocal tract. Hypernasal speech in these circumstances may be a temporary finding that can decrease with time. Surgeons should inform their patients about the possibility of hypernasality after such types of surgery, especially if they are professional voice users.

Temporal characteristics of nasalization in Persian speaker children with and without cleft palate

OBJECTIVES

The purpose of this study was to measure and compare temporal patterns of nasalization in Persian children with and without cleft palate in three vowel contexts.

METHODS

A Sample of 14 children with repaired cleft palates with or without cleft lip with moderate to severe hyper nasality and 14 children without cleft palate was chosen as subjects. The subjects were chosen from the ages of 4 to 12 years. The nasal onset interval, nasal offset interval and total nasalization duration were obtained from acoustic waveforms and spectrograms in three vowel contexts using Praat Software. For eliminating the effect of different speed of speech in the cleft palate group and control group, the ratio of nasalization duration was calculated.

RESULTS

Total nasalization duration are demonstrated by acoustic signals which shows the total significant different temporal patterns in children with cleft palate and without cleft palate and across the vowel contexts (P<0.000).

CONCLUSIONS

Longer nasalization durations in children with cleft palate in comparison to children without cleft palate show the delayed or deviant temporal patterns in children with cleft palate. The duration of nasalization reflecting temporal patterns of the oral-nasal acoustic impedance in children with cleft palate may have an influence on the perception of hyper nasality.

Nasalance change after sinonasal surgery: analysis of voice after septoturbinoplasty and endoscopic sinus surgery

BACKGROUND

Changes in nasalance caused by resonance change after endonasal surgeries have been reported in prior studies. In clinical practice, although patients often complain of a nasal voice just after surgery, their voices recover over time. The objective of this study was to evaluate the long-term nasalance changes before and after endonasal surgery.

METHODS

Patients who underwent sinonasal surgery at Yeouido St. Mary's Hospital between March 2009 and July 2011 were included in this study. We classified the subjects into three groups according to the surgeries they underwent: group 1, the septoturbinoplasty group; group 2, the endoscopic sinus surgery group; and group 3, the septoturbinoplasty and endoscopic sinus surgery group. We checked acoustic profiles, Grade, Roughness, Breathiness, Asthenia, Strain (GRBAS) scores, and nasalance using a nasometer before and after the sinonasal surgery.

RESULTS

When considering multidimensional voice program results, no observed parameters showed statistically meaningful changes before or after the operation in all three groups. GRBAS scales in all patients changed less than two scales postoperatively. Nasalance increased at 1 month after the operation in all groups. However, it returned to original levels with time: 3 months in group 2 and 6 months in groups 1 and 3.

CONCLUSION

Sinonasal surgery can change the acoustic characteristics of the vocal tract and produce a significant increase in nasality in the early phase. However, after proper healing of the nasal cavity, nasality was observed to become similar to the preoperative level. Therefore, patients, especially voice professionals, do not need to be wary of voice changes after sinonasal surgery.