由于担心手术会恶化语音质量,语音疗法已成为跨女性患者语音女性化的主要治疗方法。我们的目的是确定Wendler声门成形术对声音声学测量的影响。
回顾性病例系列。
在一家三级护理中心接受Wendler声门成形术治疗的变性人女性患者。使用KayElemetricsReal-TimePitch进行了术前和术后测量,语音和语音中的发声障碍分析,和多维语音程序。
本研究包括28名患者。基频变化无统计学意义的变化,峰值振幅变化,软发声指数,噪声谐波比,倒谱峰突出,或发音困难的倒谱指数在P<0.05的显著性水平。平均说话基频(SF0)从嗓音治疗后的143Hz增加到手术后的163Hz(P=.0009)。61%的患者的较低范围下降,26%的患者增加。52%的患者的上限值下降,48%的患者增加。
根据声学测量,Wendler声门成形术不会恶化语音质量。尽管大多数患者的平均SF0增加,但对声带范围的影响是可变的,大约一半的患者的音高上限减少,一半的患者的音高上限增加。
4喉镜,131:583-586,2021。
Voice therapy has been the primary treatment for voice feminization in transfemale patients due to concerns that surgery worsens voice quality. We aim to determine the impact of Wendler glottoplasty on acoustic measures of voice.
Retrospective case series.
Transgender female patients treated for vocal feminization with Wendler glottoplasty at a single tertiary care center were identified. Pre- and postoperative measures were taken with the Kay Elemetrics Real-Time Pitch, Analysis of Dysphonia in Speech and Voice, and Multidimensional Voice Program.
Twenty-eight patients were included in this study. There were no statistically significant changes in fundamental frequency variation, peak amplitude variation, soft phonation index, noise-to-harmonics ratio, cepstral peak prominence, or cepstral spectral index of dysphonia at a significance level of P < .05. Average speaking fundamental frequency (SF0) increased from 143 Hz after voice therapy to 163 Hz after surgery (P = .0009). Lower range decreased in 61% and increased in 26% of patients. Upper range decreased in 52% and increased in 48% of patients.
Wendler glottoplasty does not worsen voice quality based on acoustic measures. Although most patients experience an increase in average SF0, effects on vocal range are variable with approximately half of patients experiencing a reduction and half experiencing an increase in upper pitch limit.
4 Laryngoscope, 131:583-586, 2021.