Perceptual and Acoustic Assessment of Voice Pathology and the Efficacy of Endolaryngeal Phonomicrosurgery

Values for acoustic voice measurements were obtained from 88 normal individuals and 98 pathological cases of mass lesions of vocal fold and 50 cases of unilateral vocal fold paralysis. Overall, all items reflecting perturbations of pitch and amplitude as well as glottal noise were significantly higher in the groups of patients compared with the normal group. The measurement of normalized noise energy (NNE) was found to be an optimum parameter for discrimination of normal/abnormal voices. The voices of patients with vocal fold nodules and vocal fold polyps were analyzed before endolaryngeal phonomicrosurgery (EPM) and 2 weeks after. Statistically significant (p < 0.01) improvement was achieved both in perceptual and acoustic analysis. EPM resulted in a significant decrease of mean jitter, shimmer, and NNE. Clinically, these measures provided documentable and measurable evidence of vocal function and were helpful for comparing patients with normal speakers. They also were useful for a thorough documentation of patient's voice pathology and for evaluation of the presurgical and postsurgical voice status.     

Irregularity of vocal period and amplitude: A first approach to the fractal analysis of voice

Fractal geometry, a relatively young branch of mathematics, offers new ways of evaluating the irregularity of the physiologic and acoustic aspects of speech. The validity and reliability of a box-counting method for estimating the fractal dimension (D_F) of the period and amplitude of vocal signals were demonstrated, and the method was applied to sustained vowels produced by four men and four women. Mean D_F of the fundamental period was 1.46; D_F of the amplitude records averaged a slightly, but significantly, higher 1.54. The potential of D_F as a research and clinical tool is considered.