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Klein-Rodríguez A, Cabo-Varela I, Vázquez-de la Iglesia F, Chiesa-Estomba CM, Mayo-Yáñez M. Comparison of TEVA vs. PRAAT in the Acoustic Characterization of the Tracheoesophageal Voice in Laryngectomized Patients. J Clin Med 2024; 13:3748. [PMID: 38999314 PMCID: PMC11242466 DOI: 10.3390/jcm13133748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2024] [Revised: 06/06/2024] [Accepted: 06/13/2024] [Indexed: 07/14/2024] Open
Abstract
Background: Previous studies have assessed the capability of PRAAT for acoustic voice analysis in total laryngectomized (TL) patients, although this software was designed for acoustic analysis of laryngeal voice. Recently, we have witnessed the development of specialized acoustic analysis software, Tracheoesophageal Voice Analysis (TEVA). This study aims to compare the analysis with both programs in TL patients. Methods: Observational analytical study of 34 TL patients where a quantitative acoustic analysis was performed for stable phonation with vowels [a] and [i] as well as spectrographic characterization using the TEVA and PRAAT software. Results: The Voice Handicap Index (VHI-10) showed a mean score of 11.29 ± 11.16 points, categorized as a moderate handicap. TEVA analysis found lower values in the fundamental frequency vs. PRAAT (p < 0.05). A significant increase in shimmer values was observed with TEVA (>20%). No significant differences were found between spectrographic analysis with TEVA and PRAAT. Conclusions: Tracheoesophageal speech is an alaryngeal voice, characterized by a higher degree of irregularity and noise compared to laryngeal speech. Consequently, it necessitates a more tailored approach using objective assessment tools adapted to these distinct features, like TEVA, that are designed specifically for TL patients. This study provides statistical evidence supporting its reliability and suitability for the evaluation and tracking of tracheoesophageal speakers.
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Affiliation(s)
- Alejandro Klein-Rodríguez
- Otorhinolaryngology-Head and Neck Surgery Department, Complexo Hospitalario Universitario (A Coruña (CHUAC), 15006 A Coruña, Spain
- Otorhinolaryngology-Head and Neck Surgery Research Group, Institute of Biomedical Research of A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), Universidade da Coruña (UDC), 15006 A Coruña, Spain
- Health Sciences Programme, International Center for Doctorate (EIDUDC), Universidade da Coruña (UDC), 15001 A Coruña, Spain
| | - Irma Cabo-Varela
- Otorhinolaryngology-Head and Neck Surgery Department, Complexo Hospitalario Universitario (A Coruña (CHUAC), 15006 A Coruña, Spain
- Otorhinolaryngology-Head and Neck Surgery Research Group, Institute of Biomedical Research of A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), Universidade da Coruña (UDC), 15006 A Coruña, Spain
- Health Sciences Programme, International Center for Doctorate (EIDUDC), Universidade da Coruña (UDC), 15001 A Coruña, Spain
| | - Francisco Vázquez-de la Iglesia
- Otorhinolaryngology-Head and Neck Surgery Department, Complexo Hospitalario Universitario (A Coruña (CHUAC), 15006 A Coruña, Spain
- Otorhinolaryngology-Head and Neck Surgery Research Group, Institute of Biomedical Research of A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), Universidade da Coruña (UDC), 15006 A Coruña, Spain
| | - Carlos M Chiesa-Estomba
- Otorhinolaryngology-Head and Neck Surgery Department, Hospital Universitario Donostia-Biodonostia Research Institute, 20014 Donostia, Spain
| | - Miguel Mayo-Yáñez
- Otorhinolaryngology-Head and Neck Surgery Department, Complexo Hospitalario Universitario (A Coruña (CHUAC), 15006 A Coruña, Spain
- Otorhinolaryngology-Head and Neck Surgery Research Group, Institute of Biomedical Research of A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), Universidade da Coruña (UDC), 15006 A Coruña, Spain
- Otorhinolaryngology-Head and Neck Surgery Department, Hospital San Rafael (HSR), 15006 A Coruña, Spain
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Moreno-Torres I, Berthier ML, Mar Cid MD, Green C, Gutiérrez A, García-Casares N, Froudist Walsh S, Nabrozidis A, Sidorova J, Dávila G, Carnero-Pardo C. Foreign accent syndrome: A multimodal evaluation in the search of neuroscience-driven treatments. Neuropsychologia 2013. [DOI: 10.1016/j.neuropsychologia.2012.11.010] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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Cuenca MH, Barrio MM, Anaya P, Establier C. Acoustic markers of syllabic stress in Spanish excellent oesophageal speakers. CLINICAL LINGUISTICS & PHONETICS 2012; 26:71-85. [PMID: 21728835 DOI: 10.3109/02699206.2011.590919] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The purpose of this investigation is to explore the use by Spanish excellent oesophageal speakers of acoustic cues to mark syllabic stress. The speech material has consisted of five pairs of disyllabic words which only differed in stress position. Total 44 oesophageal and 9 laryngeal speakers were recorded and a computerised designed ad hoc perceptual test was run in order to assess the accurate realisation of stress. The items produced by eight excellent oesophageal speakers with highest accuracy levels in the perception experiment were analysed acoustically with Praat, to be compared with the laryngeal control group. Measures of duration, fundamental frequency, spectral balance and overall intensity were taken for each target vowel and syllable. Results revealed that Spanish excellent oesophageal speakers were able to retain appropriate acoustic relations between stressed and unstressed syllables. Although spectral balance revealed as a strong cue for syllabic stress in the two voicing modes, a different hierarchy of acoustic cues in each voicing mode was found.
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