Literature DB >> 26894098

Spectral Analysis of Hypernasality in Cleft Palate Children: A Pre-Post Surgery Comparison.

Thejaswi Dodderi1, Manjunath Narra2, Sneha Mareen Varghese3, Dessai Teja Deepak4.   

Abstract

INTRODUCTION: Change in resonance is the most commonly experienced speech problems in children diagnosed with cleft lip and palate. The degree of nasality during normal speech production is maintained by the changes in velopharyngeal port. These variations in speech signal are reported to be successfully captured using acoustical tools like spectral analysis. AIM: The present study investigated to note voice low tone to high tone ratio (VLHR) values for phonation samples of individuals with cleft palate before and after surgery.
MATERIALS AND METHODS: Thirty children with congenital cleft of palate within 8 to 15 years of age participated in the study. Three trials of sustained vowels (/a/,/i/ and /u/) were recorded at their comfortable pitch and loudness level in a noise free room using a hand held dynamic microphone. Praat software that utilized Hillenbrand algorithm was used to extract the VLHR values for samples recorded before and after recovery from the surgery.
RESULTS: Statistical analysis revealed significant decrease in VLHR values after surgery in comparison to before the surgery. Analysis of Variance revealed statistical significant difference at 95% confidence level.
CONCLUSION: It is concluded that VLHR parameter could be used as an index to measure nasality and can be included in the routine tool assessment protocol.

Entities:  

Keywords:  High frequency power; Low frequency power; Perceptual analysis; Vowels

Year:  2016        PMID: 26894098      PMCID: PMC4740626          DOI: 10.7860/JCDR/2016/15389.7055

Source DB:  PubMed          Journal:  J Clin Diagn Res        ISSN: 0973-709X


  11 in total

Review 1.  Acoustic studies of dysarthric speech: methods, progress, and potential.

Authors:  R D Kent; G Weismer; J F Kent; H K Vorperian; J R Duffy
Journal:  J Commun Disord       Date:  1999 May-Jun       Impact factor: 2.288

2.  The effect of vowels on nasalance scores.

Authors:  K E Lewis; T Watterson; T Quint
Journal:  Cleft Palate Craniofac J       Date:  2000-11

3.  The relationship between spectral characteristics and perceived hypernasality in children.

Authors:  R Kataoka; D W Warren; D J Zajac; R Mayo; R W Lutz
Journal:  J Acoust Soc Am       Date:  2001-05       Impact factor: 1.840

4.  Voice low tone to high tone ratio--a new index for nasal airway assessment.

Authors:  Guoshe Lee; Cheryl C H Yang; Terry B J Kuo
Journal:  Chin J Physiol       Date:  2003-09-30       Impact factor: 1.764

5.  Voice low tone to high tone ratio: a potential quantitative index for vowel [a:] and its nasalization.

Authors:  Guo-She Lee; Ching-Ping Wang; Cheryl C H Yang; Terry B J Kuo
Journal:  IEEE Trans Biomed Eng       Date:  2006-07       Impact factor: 4.538

6.  Universal parameters for reporting speech outcomes in individuals with cleft palate.

Authors:  Gunilla Henningsson; David P Kuehn; Debbie Sell; Triona Sweeney; Judith E Trost-Cardamone; Tara L Whitehill
Journal:  Cleft Palate Craniofac J       Date:  2008-01

7.  Voice low tone to high tone ratio, nasalance, and nasality ratings in connected speech of native Mandarin speakers: a pilot study.

Authors:  Yun-Jeng Tsai; Ching-Ping Wang; Guo-She Lee
Journal:  Cleft Palate Craniofac J       Date:  2011-07-08

8.  Nasalance scores in noncleft individuals: why not zero?

Authors:  C E Gildersleeve-Neumann; R M Dalston
Journal:  Cleft Palate Craniofac J       Date:  2001-03

9.  Estimation of transpalatal nasalance during production of voiced stop consonants by noncleft speakers using an oral-nasal mask.

Authors:  Emily L Bundy; David J Zajac
Journal:  Cleft Palate Craniofac J       Date:  2006-11

10.  Perceptual evaluation of hypernasality compared to HONC measures: the role of experience.

Authors:  Elizabeth Laczi; Joan E Sussman; Elaine T Stathopoulos; Jessica Huber
Journal:  Cleft Palate Craniofac J       Date:  2005-03
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