N Fakhry, Th Legou, A Gallucci, F Cheynet, A Giovanni
{"title":"[Presentation of a prototype dynamic palatography for measuring the downforce of the tongue on the palate in the swallowing time].","authors":"N Fakhry, Th Legou, A Gallucci, F Cheynet, A Giovanni","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The position of the tongue and the forces which it exerts on its dental and osseous environment would be responsible for a certain degree of dysmorphosis. However there is not tool usable in clinic which makes it possible to check the reality of the forces exerted by the tongue on the palate. We developed a prototype made up of an artificial palate in rigid resin including of pressure sensors and we report the feasibility of a study on healthy subjects. The sensors allow indeed of following dynamic visible differences between various \"maneuvers\" during the swallowing of a water mouthful. The tool will be now adapted for a clinical study comparing of the subjects with and without lingual dysfunction</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"134 3","pages":"139-44"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32461745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M Robert, J Mauclair, E Lannadere, F Tankéré, G Lamas, P Gatignol
{"title":"[Acoustic analysis of the articulatory disorders of patients affected by peripheral facial paralysis].","authors":"M Robert, J Mauclair, E Lannadere, F Tankéré, G Lamas, P Gatignol","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The study of joint disorders in facial paralysis is an important element of support to guide rehabilitation.</p><p><strong>Material: </strong>The material used for the registration of the database is a digital recorder Zoom H4N (way format, sample rate 44,100 Hz, 16 bit quantization). The microphone used is a Shure Beta 58, super cardioid. All recordings are made in a specific room.</p><p><strong>Methods: </strong>The annotation of the corpus is done using Praat software and its plug-in EasyAlign order to achieve alignment phonetics.</p><p><strong>Results: </strong>High frequency power ratio (HPR) is a good indicator of the setting in motion of the articulators as the number of explosions of bilabial phoneme was significantly related to the motor of the face and lips, and the score at dynamometer. The VOT was significantly shorter in patients with grade IV and V-VI than in control subjects. The results highlight a significant difference between the values of F3for the vowels /i/ and /y/, depending on the severity of the damage. There is even, for the most severe grades, there are a hundred Hertz difference between F3 of /i/ and that of /y/, which means that these two vowels becomes impossible to discriminate.</p><p><strong>Conclusions: </strong>If these functional disorders are much discomfort for patients, however, these are not speaking of articulatory disorder in the strict sense, according to the definition of Borel Maisonny. We must therefore focus more specifically to the acoustic analysis of speech in order to check for spectral indices likely to identify these disorders.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"134 1","pages":"3-11"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32087397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The sound intensity after cordectomy of type II-III].","authors":"L Wallet","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this paper is to compare the intensity of the French oral vowels of 10 patients after cordectomies of types II or III with a group of 10 healthy subjects. This surgery removes the mucosa, the ligament and a part of the vocal muscle of the touched vocal fold, which causes a less efficient closure and a vibratory asymmetry. Consequently, glottal leaks associated with a difficult preservation of the subglottic pressure (PSG) can appear. The intensity is mainly bound to the strength of adduction of the vocal folds and to the management of the PSG. In these conditions, the quality of the control of this parameter by our patients may be altered.</p><p><strong>Methods: </strong>The intensity (in dB) was measured on three vowels [a, i, u] produced in an isolated context (n= 60). This parameter was also measured on this same vowels surounded by stop consonants, which results in logatomes of type CV1.CV2.CVC3 (n= 360).</p><p><strong>Results: </strong>We show particularly that the surgery does not alter the parameter of the intensity. The differences between patients and control subjects for isolated productions result from compensatory strategies. We also highlight an increase of the intensity in voiced context for both groups.</p><p><strong>Conclusions: </strong>The patients treated by cordectomies of types II-III keep a powerful sound. The intrinsic characteristics of the intensity of the vowels are maintained after this surgery.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"134 1","pages":"43-7"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32086864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The benefit of phoniatricians and ENT surgeons working together?","authors":"M A Faure, R Pérouse, B Coulombeau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>These 3 clinical cases relate dysphonia and dystonia with female speaking and singing performers whose medical care was messy and involving several physicians. A close collaboration between phoniatricians and phonosurgeons brought effective solutions to these cases.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"134 1","pages":"57-9"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32086866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M Robert, J Mauclair, E Lannadere, F Tankéré, G Lamas, P Gatignol
{"title":"[Prosodic analysis of speech of patient affected by peripheral facial paralysis].","authors":"M Robert, J Mauclair, E Lannadere, F Tankéré, G Lamas, P Gatignol","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of study of prosody in facial palsy is to assess the intensity of pathology in suprasegmental viewpoint in order to establish a proper rehabilitation.</p><p><strong>Methods: </strong>Patients were recorded during a reading and spontaneous speech test and a prosodic observation of speech spectrogram provided by Praat software.</p><p><strong>Results: </strong>The Accentual Groups lowering and significant dysprosodics elements (adverse effects and breaking balance) and a larger amount of disfluencies showed that the prosody of patients with facial palsy is altered because they need to swallow their saliva intentionally. Then, the decrease of Mean Length of Utterance (MLU) and the opinion of the jury highlight a decrease in desire to communicate and a loss of speech informativeness.</p><p><strong>Conclusions: </strong>In patients with severe facial palsy, there is an impact of swallowing disorder (caused by salivary stasis) on the prosody of speech, with variations in the position of intonations boundaries and the intensity of prosodic marking. This also creates impact on fluency and on the perception of the message by the listener.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"134 1","pages":"13-9"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32087398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[From intelligibility to comprehension, which measurement in practice?].","authors":"V Woisard, R Espesser, A Ghio, D Duez","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>The modelling of the tests assessing speech disorders in touch with the international classification of the functioning implies a reflection on measurement tools. The access to the sense of the message from decoding of the signal to the action infers at the interlocutor's justifies various methods. The objective of this work is to demonstrate the limit of the usual tests of intelligibility.</p><p><strong>Material and method: </strong>A population of 10 subjects presenting a speech disorder secondary to a Head and Neck cancer and 2 subjects controls recorded a corpus of 80 syllables developed with the most frequent 16 French consonants and 5 vowels. The test of intelligibility consisted of a task of identification of consonants by a jury of 11 listeners.</p><p><strong>Results: </strong>About is the method used to estimate the informative value of the consonants tested, the uvular consonant /r/ and the nasal In/, /m/ are very well perceived. The weighting by the rate of confusion makes tipped over the position of labiodentales If/, /v/ and that of / p/. The just perception of the sound/p/ would be underestimated while sounds /v/ and /f/ would be overestimated. Sounds /g/, /k/, /j/ remain the least well received. This observation results probably from the profile of distortions produced by the selection of the population and probably from the frequency of the syllables containing these consonants in the french language for the sample of the corpus.</p><p><strong>Conclusion: </strong>The rate of confusion appears as a fundamental element, inciting to look for more relevant methods of analysis of the results of the tests of intelligibility.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"134 1","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32087400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cochlear implantation in older patients: outcomes and comparisons.","authors":"A Rafferty, L Tapper, D Strachan, C Raine","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>A review of adults receiving cochlear implants (Cls) at the Yorkshire Cochlear Implant Service (YCIS) was performed to assess whether age affects use or outcomes.</p><p><strong>Methods: </strong>A retrospective analysis of all patients over the age of 50 implanted and habilitated at the YCIS was undertaken. Outcome measures included quality of life (QoL) questionnaires and speech perception tests: CUNY sentences and BKB sentences. Comparisons were made between patients implanted age 50 to 59 (A), 60 to 69 (B) and 70 and over (C). Patients with English as a second language and those implanted for less than 9 months were excluded. Data was analysed using a repeated measure regression model.</p><p><strong>Results: </strong>80 adults were included; A, 31; B, 29; C, 20. Significant improvements were seen in speech perception scores in all groups from pre-implant to 3 months. No statistically significant difference was found between the 3 groups in any outcome measure. QoL scores overall showed increased independence and greater participation in social activities with all patients feeling their implant had been successful.</p><p><strong>Discussion: </strong>Increased life expectancy and availability of cochlear implants (Cls) has led to greater numbers of older patients being eligible for implantation. Our results show improved speech perception and QoL outcomes in all groups. The lack of statistically significant differences between age groups supports the benefits of Cls in the older population. Older age should not be a discriminating factor in candidacy for cochlear implantation and referral of older patients to implant centres should be encouraged.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"134 3","pages":"119-24"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32461741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bullet in the pharynx: endoscopic management.","authors":"B M N Saeed","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Gunshot wounds of the neck are diagnostically and therapeutically challenging cases and treatment should be individualized and multidisciplinary. We present an unusual case of bullet injury to the neck. A fourteen year old male patient sustained an accidental bullet injury to the submental area of the neck, with no serious injuries to the vital structures. The bullet was found close to the epiglottis, embedded in the pharynx between the base of the tongue and the lower pole of the left tonsil. The patient underwent successful endoscopic removal with no serious postoperative complications. In this paper, this case is discussed, its presentation and management, together with literature review.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"134 3","pages":"153-6"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32463174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B Vairel, V Woisard, G De Bonnecaze, E Uro-Coste, S Vergez
{"title":"A case of laryngeal sialolipoma: pathology in focus.","authors":"B Vairel, V Woisard, G De Bonnecaze, E Uro-Coste, S Vergez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We are reporting a rare case of laryngeal sialolipoma in a 66-year-old male affected by Parkinson's disease. He was evaluated for dysarthria and swallowing disorders during which a swelling of the left ventricular fold, was always present and enlarged over a span of six months. Surgical removal of the left ventricular fold was performed. Microscopic examination, showed a circumscribed mass with organoid seromucous glands surrounded by numerous mature adipocytes, separated from the parenchyma and fatty tissue by dense fibrous tissue. This mass fulfilled the diagnostic criteria of sialolipoma. Sialolipomas can develop in a variety of sites in which there is both adipose and salivary gland tissue. To our knowledge, this is the first case of sialolipoma arising in the larynx.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"134 3","pages":"165-7"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32463177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Social consequence of a dysphonic voice, design and validation of a questionnaire and first results].","authors":"J Revis, C Robieux, A Ghio, A Giovanni","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In our society, based on communication, dysphonia becomes a handicap that could be responsible of work discrimination. Actually, several commercial services are provided by phone only, and voice quality is mandatory for the employees. This work aim was to determine the social picture relayed by dysphonia. Our hypothesis was that dysphonia sounds pejorative compared to normal voice. 40 voice samples (30 dysphonic and 10 normal) were presented randomly to a perceptual jury of 20 naïve listener. The task was for each of them to fill a questionnaire, designed specifically to describe the speaker's look and personality. 20 items were evaluated, divided into 4 categories: health, temperament, appearance, and way of life. The results showed significant differences between normal subjects and dysphonic patients. For instance, the pathological voices were depicted as more tired, introverted, sloppy than normal voices, and less trustable. No significant differences were found according to the severity of voice disorders. This work is presently continued. It allowed to validate our questionnaire and has offers great perspectives on patient's management and voice therapy.</p>","PeriodicalId":76469,"journal":{"name":"Revue de laryngologie - otologie - rhinologie","volume":"134 1","pages":"35-41"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32087401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}