Cepstral Analysis of Voice in Patients With Temporomandibular Disorders.

IF 1.3 4区 医学 Q3 OTORHINOLARYNGOLOGY
Parizad Jamshidpour, Negin Moradi, Shahrokh Raiesian, Mohammad Jafar Shaterzadeh Yazdi, Majid Soltani, Maryam Seyedtabib, Mahdis Masoudrad, Mandana Nourbakhsh
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Abstract

Objectives: This study aimed to assess the voice quality of patients with temporomandibular disorders (TMDs) compared with healthy subjects using cepstral analysis and investigate the relationship between the TMD severity and the values of cepstral analysis.

Methods: Subjects who met the inclusion criteria completed a general health questionnaire and the Fonseca Anamnestic Index. Patients who had TMDs with FAI were subjected to an examination based on the Diagnostic Criteria for Temporomandibular Disorders. The final sample included 65 subjects, 31 TMDs patients (with a mean age ± standard deviation of 36.64 ± 13.67 years), and 34 healthy individuals in the control group (with a mean age ± standard deviation of 30.35 ± 7.78 years). Cepstral Peak Prominence (CPP) and Smoothened Cepstral Peak Prominence (CPPS) of a sustained vowel and connected speech were computed using Praat software.

Results: TMD patients indicated lower cepstral values and lower voice quality compared to the control group. Significant differences were found between TMD and control groups for all cepstral parameters (P < .001) and cepstral measurements showed a moderate to strong negative correlation with TMD severity (P < .001, rho = -0.57 to -0.88).

Conclusion: The outcomes of the present study indicate that cepstral analysis can accurately distinguish the reduced voice quality of TMD patients from normal voice.

颞下颌关节紊乱患者嗓音的倒频谱分析
研究目的本研究旨在利用头频谱分析法评估颞下颌关节紊乱症(TMD)患者与健康受试者的嗓音质量,并研究 TMD 严重程度与头频谱分析值之间的关系:符合纳入标准的受试者填写了一份普通健康问卷和丰塞卡家访指数。根据颞下颌关节紊乱诊断标准,对患有 TMD 并伴有 FAI 的患者进行了检查。最终样本包括 65 名受试者,其中 TMDs 患者 31 人(平均年龄(标准差)为 36.64 ± 13.67 岁),对照组健康人 34 人(平均年龄(标准差)为 30.35 ± 7.78 岁)。使用 Praat 软件计算了持续元音和连接语音的epstral Peak Prominence (CPP) 和 Smoothened Cepstral Peak Prominence (CPPS):与对照组相比,TMD 患者的epstral值较低,语音质量也较差。TMD 组和对照组在所有epstral参数上均存在显著差异(P P -0.57 至 -0.88):本研究结果表明,epstral 分析可准确区分 TMD 患者与正常嗓音之间的嗓音质量差异。
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来源期刊
CiteScore
3.10
自引率
7.10%
发文量
171
审稿时长
4-8 weeks
期刊介绍: The Annals of Otology, Rhinology & Laryngology publishes original manuscripts of clinical and research importance in otolaryngology–head and neck medicine and surgery, otology, neurotology, bronchoesophagology, laryngology, rhinology, head and neck oncology and surgery, plastic and reconstructive surgery, pediatric otolaryngology, audiology, and speech pathology. In-depth studies (supplements), papers of historical interest, and reviews of computer software and applications in otolaryngology are also published, as well as imaging, pathology, and clinicopathology studies, book reviews, and letters to the editor. AOR is the official journal of the American Broncho-Esophagological Association.
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