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Voice function following Han's uvulopalatopharyngoplasty

Published online by Cambridge University Press:  26 August 2011

D Han
Affiliation:
Department of Otorhinolaryngology–Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, and Key Laboratory of Otorhinolaryngology Head and Neck Surgery, Ministry of Education, Beijing, China
W Xu*
Affiliation:
Department of Otorhinolaryngology–Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, and Key Laboratory of Otorhinolaryngology Head and Neck Surgery, Ministry of Education, Beijing, China
R Hu
Affiliation:
Department of Otorhinolaryngology–Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, and Key Laboratory of Otorhinolaryngology Head and Neck Surgery, Ministry of Education, Beijing, China
L Zhang
Affiliation:
Department of Otorhinolaryngology–Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, and Key Laboratory of Otorhinolaryngology Head and Neck Surgery, Ministry of Education, Beijing, China
*
Address for correspondence: Dr Wen Xu, Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, 1 Dongjiaominxiang, Beijing 100730, China Fax: +86 10 65288441 E-mail: [email protected]

Abstract

Objective:

To investigate voice function following Han's uvulopalatopharyngoplasty.

Patients and methods:

Acoustic and articulatory function was examined by acoustic analysis and by formant frequency and bandwidth analysis, before and after Han's uvulopalatopharyngoplasty, in 56 patients with obstructive sleep apnoea hypopnoea syndrome.

Results:

These patients' normalised noise energy was higher than normal, and improved post-operatively. Their pre-operative F1, F2, and F3 formant frequencies and B1 and B2 formant bandwidths were significantly lower than those of normal controls; however, one month after surgery their F1 and F2 frequencies were markedly higher.

Conclusion:

The acoustic and articulatory characteristics of obstructive sleep apnoea hypopnoea syndrome patients differed from those of normal subjects. After Han's uvulopalatopharyngoplasty, obstructive factors in the oropharynx were relieved, allowing oropharyngeal cavity expansion and a gradual increase in formant frequency to within the normal range. Patients' vocal quality improved and their resonator and articulator functions were protected and enhanced.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2011

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References

1Han, D, Ye, J, Lin, Z, Wang, J, Wang, J, Zhang, Y. Revised uvulopalatopharyngoplasty with uvula preservation and its clinical study. ORL J Otorhinolaryngol Relat Spec 2005;67:213–19CrossRefGoogle ScholarPubMed
2Delattre, P. The physiological interpretation of sound spectrogram. PMLA 1951;66:864–75Google Scholar
3Fujita, S, Conway, W, Zorick, F, Roth, T. Surgical correction of anatomic abnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg 1981;89:923–34CrossRefGoogle Scholar
4Kezirian, EJ, Weaver, EM, Yueh, B, Deyo, RA, Khuri, SF, Daley, J et al. Incidence of serious complications after uvulopalatopharyngoplasty. Laryngoscope 2004;114:450–3CrossRefGoogle ScholarPubMed
5Friedman, M, Ibrahim, HZ, Vidyasagar, R, Pomeranz, J, Joseph, NJ. Z-palatoplasty (ZPP): a technique for patients without tonsils. Otolaryngol Head Neck Surg 2004;131:89100CrossRefGoogle ScholarPubMed
6Friedman, M, Duggal, P, Joseph, NJ. Revision uvulopalatoplasty by Z-palatoplasty. Otolaryngol Head Neck Surg 2007;136:638–43CrossRefGoogle ScholarPubMed
7Coleman, RF, Sly, DE. Preoperative and postoperative voice analysis of uvulopalatopharyngoplasty patients. Arch Otolaryngol Head Neck Surg 1991;117:1345–9CrossRefGoogle ScholarPubMed
8Rihkanen, H, Soini, I. Changes in voice characteristics after uvulopalatopharyngoplasty. Eur Arch Otorhinolaryngol 1992;249:322–4CrossRefGoogle ScholarPubMed
9Nakai, K, Sakakura, A, Takahashi, H, Sadaoka, T, Kakitsuba, N. Articulation after uvulopalatopharyngoplasty. Eur Arch Otorhinolaryngol 1996;253:417–20CrossRefGoogle ScholarPubMed
10Murry, T, Bone, RC. Acoustic characteristics of speech following uvulopalatopharyngoplasty. Laryngoscope 1989;99:1217–19CrossRefGoogle ScholarPubMed