성대 용종 환자의 후두미세수술 전후 음성 평가에서 OperaVOX™와 Multi-Dimensional Voice Program 간의 신뢰도 연구
Reliability of OperaVOX<sup>TM</sup> against Multi-Dimensional Voice Program to Assess Voice Quality before and after Laryngeal Microsurgery in Patient with Vocal Polyp
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Background and Objectives OperaVOXTM (Oxford Wave Research Ltd.) is a portable voice analysis software package designed for use with iOS devices. As a relatively cheap, portable and easily accessible form of acoustic analysis, OperaVOXTM may be more clinically useful than laboratory- based software in many situations. The aim of this study was to evaluate the agreement between OperaVOXTM and Multi-Dimensional Voice Program (MDVP; Computerized Speech Lab) to assess voice quality before and after laryngeal microsurgery in patient with vocal polyp. Materials and Method Twenty patients who had undergone laryngeal microsurgery for vocal polyp were enrolled in this study. Preoperative and postoperative voices were assessed by acoustic analysis using MDVP and OperaVOXTM. A five-seconds recording of vowel /a/ was used to measure fundamental frequency (F0), jitter, shimmer and noise-to-harmonic ratio (NHR). Results Several acoustic parameters of MDVP and OperaVOXTM related to short-term variability showed significant improvement. While pre-operative value of F0, jitter, shimmer, NHR was 155.75 Hz (male: 125.37 Hz, female: 183.37 Hz), 2.20%, 6.28%, 0.16, post-operative values of these parameter was 164.34 Hz (male: 129.42 Hz, female: 199.26 Hz), 2.15%, 5.18%, 0.14 Hz in MDVP. While pre-operative value of F0, jitter, shimmer, NHR was 168.26 Hz (male: 135.16 Hz, female: 201.37 Hz), 2.27%, 6.95%, 0.26, post-operative values of these parameters was 162.72 Hz (male: 128.267 Hz, female: 197.18 Hz), 1.71%, 5.36%, 0.20 in OperaVOXTM. There was high intersoftware agreement for F0, jitter, shimmer with intraclass correlation coefficient. Conclusion Our results showed that the short-term variability of acoustic parameters in both MDVP and OperaVOXTM were useful for the objective assessment of voice quality in patients who received laryngeal microsurgery. OperaVOXTM is comparable to MDVP and has high intersoftware reliability with MDVP in measuring the F0, jitter, and shimmer.
Abstract
Background and Objectives OperaVOXTM (Oxford Wave Research Ltd.) is a portable voice analysis software package designed for use with iOS devices. As a relatively cheap, portable and easily accessible form of acoustic analysis, OperaVOXTM may be more clinically useful than laboratory- based software in many situations. The aim of this study was to evaluate the agreement between OperaVOXTM and Multi-Dimensional Voice Program (MDVP; Computerized Speech Lab) to assess voice quality before and after laryngeal microsurgery in patient with vocal polyp. Materials and Method Twenty patients who had undergone laryngeal microsurgery for vocal polyp were enrolled in this study. Preoperative and postoperative voices were assessed by acoustic analysis using MDVP and OperaVOXTM. A five-seconds recording of vowel /a/ was used to measure fundamental frequency (F0), jitter, shimmer and noise-to-harmonic ratio (NHR). Results Several acoustic parameters of MDVP and OperaVOXTM related to short-term variability showed significant improvement. While pre-operative value of F0, jitter, shimmer, NHR was 155.75 Hz (male: 125.37 Hz, female: 183.37 Hz), 2.20%, 6.28%, 0.16, post-operative values of these parameter was 164.34 Hz (male: 129.42 Hz, female: 199.26 Hz), 2.15%, 5.18%, 0.14 Hz in MDVP. While pre-operative value of F0, jitter, shimmer, NHR was 168.26 Hz (male: 135.16 Hz, female: 201.37 Hz), 2.27%, 6.95%, 0.26, post-operative values of these parameters was 162.72 Hz (male: 128.267 Hz, female: 197.18 Hz), 1.71%, 5.36%, 0.20 in OperaVOXTM. There was high intersoftware agreement for F0, jitter, shimmer with intraclass correlation coefficient. Conclusion Our results showed that the short-term variability of acoustic parameters in both MDVP and OperaVOXTM were useful for the objective assessment of voice quality in patients who received laryngeal microsurgery. OperaVOXTM is comparable to MDVP and has high intersoftware reliability with MDVP in measuring the F0, jitter, and shimmer.
참고문헌 (15)
- 김재옥, "평가자의 청지각적 음성평가와 대상자의 주관적 음성평가 비교", Communication Sciences and Disorders, 14(2), pp.223~235 (2009), 한국언어청각임상학회
- Rubin AD, "Laryngeal hyperfunction during whispering : reality or myth", J Voice, 20(1), pp.121~127 (2006)
- Yu P, "Objective voice analysis for dysphonic patients : a multiparametric protocol including acoustic and aerodynamic measurements", J Voice, 15(4), pp.529~542 (2001)
- 진성민, "음향 음성학적 검사의 개요", 대한이비인후-두경부외과학회지, 47(10), pp.943~949 (2004), 대한이비인후과학회
- Maryn Y, "Acoustic measurement of overall voice quality : a meta-analysis", J Acoust Soc Am, 126(5), pp.2619~2634 (2009)
- Siau RTK, "Is OperaVOX a clinically useful tool for the assessment of voice in a general ENT clinic", BMC Ear Nose Throat Disord, 17, pp.4~ (2017)
- Hah JH, "Evaluation of the prevalence of and factors associated with laryngeal diseases among the general population", Laryngoscope, 125(11), pp.2536~2542 (2015)
- Byeon HK, "Treatment of hemorrhagic vocal polyps by pulsed dye laser-assisted laryngomicrosurgery", Biomed Res Int, 2015, pp.820654~ (2015)
- Oğuz H, "Comparison of results in two acoustic analysis programs : Praat and MDVP", Turk J Med Sci, 41(5), pp.835~841 (2011)
- 심상용, "성대결절 음성 중증도에 따른 MDVP와 Praat 프로그램 별 파라미터 차이", 말소리와 음성과학, 6(2), pp.107~114 (2014), 한국음성학회[DOI]
- 유재연, 정옥란, 장태엽, 고도흥, "MDVP와 Praat, Dr. Speech간의 음향학적 측정치에 관한 상관연구", 음성과학, 10(3), pp.29~36 (2003), 한국음성과학회
- Vogel AP, "Comparability of modern recording devices for speech analysis : smartphone, landline, laptop, and hard disc recorder", Folia Phoniatr Logop, 66(6), pp.244~250 (2014)
- Carding PN, "Measuring voice outcomes : state of the science review", J Laryngol Otol, 123(8), pp.823~829 (2009)
- Brockmann-Bauser M, "Routine acoustic voice analysis : time to think again", Curr Opin Otolaryngol Head Neck Surg, 19(3), pp.165~170 (2011)
- 왕종환, "성대 양성 병변 환자의 후두 미세 수술 전후 음성장애지수와음성음향학적 분석 통한 결과 비교", 대한이비인후-두경부외과학회지, 48(3), pp.380~386 (2005), 대한이비인후과학회