Effects of Tonsillectomy on Speech Spectrum

Changes in the speech spectrum of vowels and consonants before and after tonsillectomy were investigated to find out the impact of the operation on speech quality. Speech recordings obtained from patients were analyzed using the Kay Elemetrics, Multi-Dimensional Voice Processing (MDVP Advanced) software. Examination of the time-course changes after the operation revealed that certain speech parameters changed. These changes were mainly F3 (formant center frequency) and B3 (formant bandwidth) for the vowel /o/ and a slight decrease in B1 and B2 for the vowel /a/. The noise-to-harmonic ratio (NHR) also decreased slightly, suggesting less nasalized vowels. It was also observed that the fricative, glottal consonant /h/ has been affected. The larger the tonsil had been, the more changes were seen in the speech spectrum. The changes in the speech characteristics (except F3 and B3 for the vowel /o/) tended to recover, suggesting an involvement of auditory feedback and/or replacement of a new soft tissue with the tonsils. Although the changes were minimal and, therefore, have little effect on the extracted acoustic parameters, they cannot be disregarded for those relying on their voice for professional reasons, that is, singers, professional speakers, and so forth.