Voice Assessment in Patients With Obstructive Sleep Apnea Syndrome After Transoral Robotic Surgery

doi:10.3389/fsurg.2021.647792

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/23929

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/23929

Title:	Voice Assessment in Patients With Obstructive Sleep Apnea Syndrome After Transoral Robotic Surgery
Authors:	Huang, HH;Tsao, CH;Wei, JCC
Keywords:	transoral robotic surgery;multi-dimensional voice program;real time pitch program;voice handicap index-10;pitch;semitone
Date:	2021
Issue Date:	2022-08-05T09:45:08Z (UTC)
Publisher:	FRONTIERS MEDIA SA
ISSN:	2296-875X
Abstract:	Objectives: Removal of part of the tongue base, in combination with uvulopharyngopalatoplasty via transoral robotic surgery (TORS), for treating obstructive sleep apnea syndrome (OSAS) results in enlargement of the oropharynx and hypopharynx and change in the size of the resonance chamber. These procedures may also alter the laryngeal-hyoid bone complex, which is linked to vocal fold tension. Thus, there is the potential for change in phonation and pitch after surgery. Study Design: Prospective, nonrandomized, institutional board-approved study. Methods: From January to August 2018, 15 patients with OSAS receiving TORS underwent voice and pitch sampling. The multi-dimensional voice program (MDVP) was applied to the evaluation of preoperative sound parameters. Highest pitch and lowest pitch were obtained with real-time pitch software, with pitch synchronized to electronic organ or tuner. Subjects also completed the Voice Handicap Index-10 scale (VHI-10), to assess their subjective perception and to detect factors affecting the VHI-10 score. The relevant parameters were analyzed again 3 months after the operation. Results: There was an increase in VHI-10 score 3 months after operation that did not reach statistical significance. There were also no significant differences in sound parameters. Increases in highest pitch (353.18 Hz shift to 387.99 Hz), highest semitone (F-5(#) shift to F-5(#)), lowest pitch (117.45 Hz shift to 131.42 Hz), and lowest semitone (C3 shift to C3) did not reach statistical significance. The increase in the lowest semitone was significantly related to change in VHI-10 score (r = -0.808, P = 0.028). Conclusion: Patients with OSA undergoing TORS showed a negative correlation coefficient over 0.8 with change in VHI-10 score. That is, increase in the lowest semitone after operation correlated with increase in VHI-10 score which may cause perceive changes in subjective pronunciation.
URI:	http://dx.doi.org/10.3389/fsurg.2021.647792 https://www.webofscience.com/wos/woscc/full-record/WOS:000635289400001 https://ir.csmu.edu.tw:8080/handle/310902500/23929
Relation:	FRONTIERS IN SURGERY ,2021,v8
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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