Pub Date : 2022-01-21DOI: 10.1080/21695717.2022.2028496
Taima Salem, Mayada Elsherif, M. Mourad, Rania Abdou, N. Hamouda
Abstract Background Many research has demonstrated that reading problems, such as dyslexia, can coexist with visual abnormalities. While remediation for phonological impairments in dyslexics is widely acknowledged and practiced, the potential impact of visual deficits, particularly on eye movements and visual perception, is rarely explored. Objective This study looks at the performance of eye movements and visual perception abilities in dyslexic children. Methods A sample of 20 dyslexic children compared to 20 non-dyslexic age-matched children (aged 7–11). Both groups of the study underwent a video-nystagmography test and visual perception test. Results Our study revealed a statistically significant difference between dyslexic and non-dyslexic children in saccade and pursuit tracking tests. There was a statistically significant difference between case and control regarding the visual perception test. Among subgroups of dyslexic children with abnormal eye movements, they displayed visual perception weakness mainly in visual sequencing and discrimination tasks in comparison to dyslexic children with normal eye movements. Conclusion The poor oculomotor function affected dyslexic children in their proper control and leads to sluggish visual attention and poor visual perception. According to the major findings of this study, a routine eye examination should be part of the examination of any child with a learning disability.
{"title":"Eye movements and visual perception in dyslexic children","authors":"Taima Salem, Mayada Elsherif, M. Mourad, Rania Abdou, N. Hamouda","doi":"10.1080/21695717.2022.2028496","DOIUrl":"https://doi.org/10.1080/21695717.2022.2028496","url":null,"abstract":"Abstract Background Many research has demonstrated that reading problems, such as dyslexia, can coexist with visual abnormalities. While remediation for phonological impairments in dyslexics is widely acknowledged and practiced, the potential impact of visual deficits, particularly on eye movements and visual perception, is rarely explored. Objective This study looks at the performance of eye movements and visual perception abilities in dyslexic children. Methods A sample of 20 dyslexic children compared to 20 non-dyslexic age-matched children (aged 7–11). Both groups of the study underwent a video-nystagmography test and visual perception test. Results Our study revealed a statistically significant difference between dyslexic and non-dyslexic children in saccade and pursuit tracking tests. There was a statistically significant difference between case and control regarding the visual perception test. Among subgroups of dyslexic children with abnormal eye movements, they displayed visual perception weakness mainly in visual sequencing and discrimination tasks in comparison to dyslexic children with normal eye movements. Conclusion The poor oculomotor function affected dyslexic children in their proper control and leads to sluggish visual attention and poor visual perception. According to the major findings of this study, a routine eye examination should be part of the examination of any child with a learning disability.","PeriodicalId":43765,"journal":{"name":"Hearing Balance and Communication","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83106590","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}
Pub Date : 2022-01-02DOI: 10.1080/21695717.2022.2033469
M. Farazi, Zahra Hosseini Dastgerdi, Bahareh Khavarghazalani
Abstract Objectives Stuttering is one of the most common speech disorders that has a dynamic and multifactorial nature. The evidences suggest that auditory processing deficit may be involved in stuttering. It is not clear how the auditory system relates to stuttering and which aspect of the auditory processing disorder may be the cause of stuttering. This study aimed at presenting a comprehensive review of the literature to better explain the role of the auditory system and auditory processing disorder in stuttering. Methods We searched the literature in Elsevier, PubMed, Scopus, and Web of knowledge, Google Scholar databases, Clinical trials, and Cochrane database of systematic reviews from 2000, through 2020. Published studies on the role of the auditory system in stuttering were reviewed. Results In articles describing the aetiology of stuttering, auditory processing disorder, particularly temporal processing, has been considered as one of the causes of stuttering. Some researchers considered auditory temporal processing disorder as an intensifying and a sufficient factor for chronic stuttering. According to studies, it seems that auditory temporal processing disorder may affect stuttering by mechanisms such as disturbing the correct auditory feedback to brain speech control centres, instability in neural representations of speech sounds and the occurrence of sensory-motor inconsistencies in the speech control process. Conclusion Based on studies, it can be concluded that auditory processing disorder may be one of the underlying or intensifying factors of stuttering.
摘要目的口吃是最常见的言语障碍之一，具有动态和多因素的性质。证据表明，听觉加工缺陷可能与口吃有关。目前尚不清楚听觉系统与口吃的关系，以及听觉处理障碍的哪个方面可能是口吃的原因。本研究旨在对相关文献进行综述，以更好地解释听觉系统和听觉加工障碍在口吃中的作用。方法检索2000年至2020年Elsevier、PubMed、Scopus、Web of knowledge、Google Scholar数据库、临床试验和Cochrane系统评价数据库的文献。对已发表的关于听觉系统在口吃中的作用的研究进行了综述。结果在有关口吃病因的文献中，听觉加工障碍，特别是时间加工障碍被认为是口吃的病因之一。一些研究者认为听觉时间加工障碍是慢性口吃的强化和充分因素。研究表明，听觉时间加工障碍可能通过干扰大脑语音控制中心的正确听觉反馈、语音神经表征的不稳定以及语音控制过程中感觉-运动不一致等机制影响口吃。结论根据研究，听觉加工障碍可能是口吃的潜在或加剧因素之一。
{"title":"What is the role of auditory processing in stuttering? A mini review of previous knowledge","authors":"M. Farazi, Zahra Hosseini Dastgerdi, Bahareh Khavarghazalani","doi":"10.1080/21695717.2022.2033469","DOIUrl":"https://doi.org/10.1080/21695717.2022.2033469","url":null,"abstract":"Abstract Objectives Stuttering is one of the most common speech disorders that has a dynamic and multifactorial nature. The evidences suggest that auditory processing deficit may be involved in stuttering. It is not clear how the auditory system relates to stuttering and which aspect of the auditory processing disorder may be the cause of stuttering. This study aimed at presenting a comprehensive review of the literature to better explain the role of the auditory system and auditory processing disorder in stuttering. Methods We searched the literature in Elsevier, PubMed, Scopus, and Web of knowledge, Google Scholar databases, Clinical trials, and Cochrane database of systematic reviews from 2000, through 2020. Published studies on the role of the auditory system in stuttering were reviewed. Results In articles describing the aetiology of stuttering, auditory processing disorder, particularly temporal processing, has been considered as one of the causes of stuttering. Some researchers considered auditory temporal processing disorder as an intensifying and a sufficient factor for chronic stuttering. According to studies, it seems that auditory temporal processing disorder may affect stuttering by mechanisms such as disturbing the correct auditory feedback to brain speech control centres, instability in neural representations of speech sounds and the occurrence of sensory-motor inconsistencies in the speech control process. Conclusion Based on studies, it can be concluded that auditory processing disorder may be one of the underlying or intensifying factors of stuttering.","PeriodicalId":43765,"journal":{"name":"Hearing Balance and Communication","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87251506","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}
Pub Date : 2022-01-02DOI: 10.1080/21695717.2021.1989249
Sharan Narasimhan, R. Rajagopalan, Jeffrey Justin Margret, Gnanaprakash Visvanathan, Chandru Jayasankaran, Kota Rekha, C. Srisailapathy
Abstract Objective This study aims to determine the prevalence of NIHL among rice and flour mill workers exposed to high decibel noise levels at the workplace. Methods One-hundred and seven workers exposed to noise from rice and flour mill machinery and 82 age-matched controls not exposed to noise at the workplace were recruited for the study from the south Indian state of Tamil Nadu. All the mill workers and the controls were evaluated for their hearing thresholds by pure-tone audiometry. Results The characteristic bilateral notch in 4000 Hz was detected in 25% of the mill workers, while the prevalence of the unilateral or bilateral notch was observed in 51%. The high-frequency slope (HFS) involving HL at 4000 and 8000 Hz was observed in 23.36 and 29.92% among the left and right ears of the mill workers, respectively. Years of experience and exposure to noise were strongly associated with a bilateral notch in 4000 Hz (the odds of having the notch increased with increased years of noise exposure). Self-reported HL under-represented the rates of actual HL, indicating perception of the HL was absent till audiometric evaluation revealed the loss. Conclusion Our study demonstrates exposure to high noise levels in this unorganized sector of rice and flour mill workers. Awareness education of NIHL, early detection, and the use of personal hearing protection devices can prevent HL from extending to speech frequencies.
{"title":"Audiometric notch as a sign of noise induced hearing loss (NIHL) among the rice and market flour mill workers in Tamil Nadu, South India","authors":"Sharan Narasimhan, R. Rajagopalan, Jeffrey Justin Margret, Gnanaprakash Visvanathan, Chandru Jayasankaran, Kota Rekha, C. Srisailapathy","doi":"10.1080/21695717.2021.1989249","DOIUrl":"https://doi.org/10.1080/21695717.2021.1989249","url":null,"abstract":"Abstract Objective This study aims to determine the prevalence of NIHL among rice and flour mill workers exposed to high decibel noise levels at the workplace. Methods One-hundred and seven workers exposed to noise from rice and flour mill machinery and 82 age-matched controls not exposed to noise at the workplace were recruited for the study from the south Indian state of Tamil Nadu. All the mill workers and the controls were evaluated for their hearing thresholds by pure-tone audiometry. Results The characteristic bilateral notch in 4000 Hz was detected in 25% of the mill workers, while the prevalence of the unilateral or bilateral notch was observed in 51%. The high-frequency slope (HFS) involving HL at 4000 and 8000 Hz was observed in 23.36 and 29.92% among the left and right ears of the mill workers, respectively. Years of experience and exposure to noise were strongly associated with a bilateral notch in 4000 Hz (the odds of having the notch increased with increased years of noise exposure). Self-reported HL under-represented the rates of actual HL, indicating perception of the HL was absent till audiometric evaluation revealed the loss. Conclusion Our study demonstrates exposure to high noise levels in this unorganized sector of rice and flour mill workers. Awareness education of NIHL, early detection, and the use of personal hearing protection devices can prevent HL from extending to speech frequencies.","PeriodicalId":43765,"journal":{"name":"Hearing Balance and Communication","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88299365","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}
Pub Date : 2022-01-02DOI: 10.1080/21695717.2022.2029091
Bahareh Khavarghazalani, Zahra Hosseini Dastgerdi, N. Gohari, Soheila Khakzand
Abstract Objective Several studies report that a history of recurrent otitis media with effusion (OME) can affect the development of the central auditory system and its processing. The aim of the present study was to determine the effects of recurrent OME on the auditory temporal processing using the Gap-In-Noise (GIN) test in children with a positive history in their first five years. Materials and methods In this study, 12 children between 8 and 10 years old were selected. The control group was matched according to the age of study cohort. The GIN test was conducted to assess temporal processing and the approximate threshold and percentage of correct responses were calculated for all participants. Nonparametric test was used to analyze the data. Result Results of the GIN test showed significant differences between the OME and control group (p < .001). Children with recurrent OME performed worse than the control group in this test. No significant difference was observed between the right and left ear performance in both groups (p > .05). Conclusion The study results indicate that, children with recurrent OME suffer from auditory temporal processing to some degree.
{"title":"Auditory temporal processinzg in children with history of recurrent otitis media with effusion","authors":"Bahareh Khavarghazalani, Zahra Hosseini Dastgerdi, N. Gohari, Soheila Khakzand","doi":"10.1080/21695717.2022.2029091","DOIUrl":"https://doi.org/10.1080/21695717.2022.2029091","url":null,"abstract":"Abstract Objective Several studies report that a history of recurrent otitis media with effusion (OME) can affect the development of the central auditory system and its processing. The aim of the present study was to determine the effects of recurrent OME on the auditory temporal processing using the Gap-In-Noise (GIN) test in children with a positive history in their first five years. Materials and methods In this study, 12 children between 8 and 10 years old were selected. The control group was matched according to the age of study cohort. The GIN test was conducted to assess temporal processing and the approximate threshold and percentage of correct responses were calculated for all participants. Nonparametric test was used to analyze the data. Result Results of the GIN test showed significant differences between the OME and control group (p < .001). Children with recurrent OME performed worse than the control group in this test. No significant difference was observed between the right and left ear performance in both groups (p > .05). Conclusion The study results indicate that, children with recurrent OME suffer from auditory temporal processing to some degree.","PeriodicalId":43765,"journal":{"name":"Hearing Balance and Communication","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82962964","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}
Pub Date : 2022-01-01Epub Date: 2022-02-02DOI: 10.1080/21695717.2022.2029092
Laurianne Cabrera, Bonnie K Lau
Objectives: The processing of auditory temporal information is important for the extraction of voice pitch, linguistic information, as well as the overall temporal structure of speech. However, many aspects of its early development remain poorly understood. This paper reviews the development of auditory temporal processing during the first year of life when infants are acquiring their native language.
Methods: First, potential mechanisms of neural immaturity are discussed in the context of neurophysiological studies. Next, what is known about infant auditory capabilities is considered with a focus on psychophysical studies involving non-speech stimuli to investigate the perception of temporal fine structure and envelope cues. This is followed by a review of studies involving speech stimuli, including those that present vocoded signals as a method of degrading the spectro-temporal information available to infant listeners.
Results/conclusion: This review suggests that temporal resolution may be well developed in the first postnatal months, but that the ability to use and process the temporal information in an efficient way along the entire auditory pathway is longer to develop. Those findings have crucial implications for the development of language abilities, especially for infants with hearing impairment who are using cochlear implants.
{"title":"The development of auditory temporal processing during the first year of life.","authors":"Laurianne Cabrera, Bonnie K Lau","doi":"10.1080/21695717.2022.2029092","DOIUrl":"https://doi.org/10.1080/21695717.2022.2029092","url":null,"abstract":"<p><strong>Objectives: </strong>The processing of auditory temporal information is important for the extraction of voice pitch, linguistic information, as well as the overall temporal structure of speech. However, many aspects of its early development remain poorly understood. This paper reviews the development of auditory temporal processing during the first year of life when infants are acquiring their native language.</p><p><strong>Methods: </strong>First, potential mechanisms of neural immaturity are discussed in the context of neurophysiological studies. Next, what is known about infant auditory capabilities is considered with a focus on psychophysical studies involving non-speech stimuli to investigate the perception of temporal fine structure and envelope cues. This is followed by a review of studies involving speech stimuli, including those that present vocoded signals as a method of degrading the spectro-temporal information available to infant listeners.</p><p><strong>Results/conclusion: </strong>This review suggests that temporal resolution may be well developed in the first postnatal months, but that the ability to use and process the temporal information in an efficient way along the entire auditory pathway is longer to develop. Those findings have crucial implications for the development of language abilities, especially for infants with hearing impairment who are using cochlear implants.</p>","PeriodicalId":43765,"journal":{"name":"Hearing Balance and Communication","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9473293/pdf/nihms-1816175.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40361179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-08DOI: 10.1080/21695717.2021.2008760
Fereshteh Bagheri, R. Keith, A. Ebadi, Masoumeh Eshaghi, Motahareh Shirzad, A. Ahmadi
Abstract Background Cincinnati Auditory Processing Inventory is used to examine difficulties with listening abilities among adolescents and adult groups and to investigate necessary skills for accurate processing of auditory information. This study aimed to develop the Persian version of the University of Cincinnati Auditory Processing Inventory (P-UCAPI) questionnaire. Methods A methodological and cross-sectional study was conducted on 121 adolescents and adults with normal auditory skills in the age range of 13- to 53-year-old in Babol city in Iran. The translation procedure was preceded according to World Health Organization (WHO). Then, item analysis, face validity, test–retest, and internal consistency were calculated. The descriptive statistics of the total score of the P-UCAPI and its subscales (listening and concentrating, understanding speech, following spoken instruction, attention, educational assistance, and other) were measured. In addition, the performance of males and females on this questionnaire was compared. The level of significance was established at (p<.05). Results A panel including two speech pathologists and one audiologist performed the content validity of the P-UCAPI and reached a consensus on all the items of the questionnaire. To investigate the need for item reduction, a Cronbach’s alpha coefficient did not change with removing of each item so, none of the items were eliminated. The mean value and standard deviation of the participants for the total scores of the P-UCAPI were obtained at 53.04 ± 10.77. The mean values and standard deviations of subscales of the P-UCAPI were: listening and concentrating (13.51 ± 4.89), understanding speech (5.77 ± 1.73), following spoken instruction (5.74±.0), attention (8.70 ± 1.24), education assistance (5.68 ± 1.85), and other (13.98 ± 3.84). Males and females had similar performance on P-UCAPI (p-value=.16) and its subscale including listening and concentrating (p-value=.24), understanding speech (p-value=.60), following spoken instruction (p-value=.77), attention (p-value=.96), education assistance (p-value=.71), and other (p-value=.72). The findings of the item analysis revealed that the value of Cronbach’s alpha coefficient was not obtained higher than .83 after deleting each item. The value of ICC for test–retest reliability of P-UCAPI was .62 ranging from .38 to .85. For the internal consistency, the value of the alpha coefficient value was (α=.82). Conclusion P-UCAPI as a translated instrument with satisfactory values for reliability is appropriate to measure the central processing skills of normal adults in Iran.
{"title":"Translation, validity, and reliability of the Persian version of the University of Cincinnati Auditory Processing Inventory","authors":"Fereshteh Bagheri, R. Keith, A. Ebadi, Masoumeh Eshaghi, Motahareh Shirzad, A. Ahmadi","doi":"10.1080/21695717.2021.2008760","DOIUrl":"https://doi.org/10.1080/21695717.2021.2008760","url":null,"abstract":"Abstract Background Cincinnati Auditory Processing Inventory is used to examine difficulties with listening abilities among adolescents and adult groups and to investigate necessary skills for accurate processing of auditory information. This study aimed to develop the Persian version of the University of Cincinnati Auditory Processing Inventory (P-UCAPI) questionnaire. Methods A methodological and cross-sectional study was conducted on 121 adolescents and adults with normal auditory skills in the age range of 13- to 53-year-old in Babol city in Iran. The translation procedure was preceded according to World Health Organization (WHO). Then, item analysis, face validity, test–retest, and internal consistency were calculated. The descriptive statistics of the total score of the P-UCAPI and its subscales (listening and concentrating, understanding speech, following spoken instruction, attention, educational assistance, and other) were measured. In addition, the performance of males and females on this questionnaire was compared. The level of significance was established at (p<.05). Results A panel including two speech pathologists and one audiologist performed the content validity of the P-UCAPI and reached a consensus on all the items of the questionnaire. To investigate the need for item reduction, a Cronbach’s alpha coefficient did not change with removing of each item so, none of the items were eliminated. The mean value and standard deviation of the participants for the total scores of the P-UCAPI were obtained at 53.04 ± 10.77. The mean values and standard deviations of subscales of the P-UCAPI were: listening and concentrating (13.51 ± 4.89), understanding speech (5.77 ± 1.73), following spoken instruction (5.74±.0), attention (8.70 ± 1.24), education assistance (5.68 ± 1.85), and other (13.98 ± 3.84). Males and females had similar performance on P-UCAPI (p-value=.16) and its subscale including listening and concentrating (p-value=.24), understanding speech (p-value=.60), following spoken instruction (p-value=.77), attention (p-value=.96), education assistance (p-value=.71), and other (p-value=.72). The findings of the item analysis revealed that the value of Cronbach’s alpha coefficient was not obtained higher than .83 after deleting each item. The value of ICC for test–retest reliability of P-UCAPI was .62 ranging from .38 to .85. For the internal consistency, the value of the alpha coefficient value was (α=.82). Conclusion P-UCAPI as a translated instrument with satisfactory values for reliability is appropriate to measure the central processing skills of normal adults in Iran.","PeriodicalId":43765,"journal":{"name":"Hearing Balance and Communication","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72564194","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}
Pub Date : 2021-12-03DOI: 10.1080/21695717.2021.2020511
C. Grillo, L. Maiolino, A. Borragán Torre, I. La Mantia
Abstract Introduction Almost 150 years after the first surgery, total laryngectomy continues to be the surgery of choice for advanced stage laryngeal tumours as well as for the revision of therapeutic failures of radiotherapy that cannot be resolved with other types of partial procedures. Materials and methods Our study was conducted at the University Hospital of Catania, from 1 January 2010 to 31 December 2020. Voice prosthesis following tracheoesophageal puncture was performed as a primary choice in 13 cases while as a secondary procedure in 29 cases. The use of the oesophageal voice through adequate rehabilitation, on the other hand, was the choice for 15 patients. Results The VrQoL questionnaire revealed significantly better results in both the Socio-Emotional and Functional domains of the group of patients who underwent voice rehabilitation via voice prosthesis after TEP compared to the group rehabilitated via oesophageal voice. The V-RQoL score showed a worsening of the well-being indices among the patients who had tracheoesophageal fistula related disorders at the control compared to the group rehabilitated with the oesophageal voice. Discussion Tracheo-oesophageal puncture (TEP) with voice prosthesis (VP) insertion is currently considered the technique of choice for restoring a voice as close as possible to the pre-laryngectomy. It should also be considered that this type of device also offers excellent performance from a psychological point of view, making this type of intervention the best accepted by patients in terms not only of phoniatric but also of improving the quality of life.
{"title":"Surgical rehabilitation of the voice post total laryngectomy","authors":"C. Grillo, L. Maiolino, A. Borragán Torre, I. La Mantia","doi":"10.1080/21695717.2021.2020511","DOIUrl":"https://doi.org/10.1080/21695717.2021.2020511","url":null,"abstract":"Abstract Introduction Almost 150 years after the first surgery, total laryngectomy continues to be the surgery of choice for advanced stage laryngeal tumours as well as for the revision of therapeutic failures of radiotherapy that cannot be resolved with other types of partial procedures. Materials and methods Our study was conducted at the University Hospital of Catania, from 1 January 2010 to 31 December 2020. Voice prosthesis following tracheoesophageal puncture was performed as a primary choice in 13 cases while as a secondary procedure in 29 cases. The use of the oesophageal voice through adequate rehabilitation, on the other hand, was the choice for 15 patients. Results The VrQoL questionnaire revealed significantly better results in both the Socio-Emotional and Functional domains of the group of patients who underwent voice rehabilitation via voice prosthesis after TEP compared to the group rehabilitated via oesophageal voice. The V-RQoL score showed a worsening of the well-being indices among the patients who had tracheoesophageal fistula related disorders at the control compared to the group rehabilitated with the oesophageal voice. Discussion Tracheo-oesophageal puncture (TEP) with voice prosthesis (VP) insertion is currently considered the technique of choice for restoring a voice as close as possible to the pre-laryngectomy. It should also be considered that this type of device also offers excellent performance from a psychological point of view, making this type of intervention the best accepted by patients in terms not only of phoniatric but also of improving the quality of life.","PeriodicalId":43765,"journal":{"name":"Hearing Balance and Communication","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77576674","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}
Pub Date : 2021-12-03DOI: 10.1080/21695717.2021.2020509
M. Behlau, Glaucya Madazio, Thays Vaiano, Claudia Pacheco, Flávia Badaró
Abstract The human voice is the product of a sophisticated interaction of aerodynamic and myoelastic forces, a perceptual phenomenon that is greatly influenced by vocal behaviour in interpersonal relationships. Vocal problems can be overly complex and can require a team approach, whether for diagnosis or treatment of the patient. This article describes the contribution of the speech-language pathologist, voice specialist SLP-V in the assessment of patients with vocal complaints. A clinical evaluation proposal developed in a 40- to 60-min session is presented. This proposal consists of the following steps: the history of the problem; the patient self-assessment; the auditory perceptual judgement and acoustic analysis; the physical examination; and finally, the correlation of all previously described steps with the medical diagnosis. Part A of this text explores the history of the problem with the focus to determine the influence of the vocal behaviour on the case; the self-assessment of the impact of the voice problem to verify the patient experience in living and coping with dysphonia; and the auditory perceptual judgement to describe the type and degree of vocal deviation. Worldwide published tendencies and specific comments of each step highlight the role of the SLP-V.
{"title":"Voice evaluation – contribution of the speech-language pathologist voice specialist – SLP-V: part A. History of the problem and vocal behaviour data, self-assessment and auditory perceptual judgement","authors":"M. Behlau, Glaucya Madazio, Thays Vaiano, Claudia Pacheco, Flávia Badaró","doi":"10.1080/21695717.2021.2020509","DOIUrl":"https://doi.org/10.1080/21695717.2021.2020509","url":null,"abstract":"Abstract The human voice is the product of a sophisticated interaction of aerodynamic and myoelastic forces, a perceptual phenomenon that is greatly influenced by vocal behaviour in interpersonal relationships. Vocal problems can be overly complex and can require a team approach, whether for diagnosis or treatment of the patient. This article describes the contribution of the speech-language pathologist, voice specialist SLP-V in the assessment of patients with vocal complaints. A clinical evaluation proposal developed in a 40- to 60-min session is presented. This proposal consists of the following steps: the history of the problem; the patient self-assessment; the auditory perceptual judgement and acoustic analysis; the physical examination; and finally, the correlation of all previously described steps with the medical diagnosis. Part A of this text explores the history of the problem with the focus to determine the influence of the vocal behaviour on the case; the self-assessment of the impact of the voice problem to verify the patient experience in living and coping with dysphonia; and the auditory perceptual judgement to describe the type and degree of vocal deviation. Worldwide published tendencies and specific comments of each step highlight the role of the SLP-V.","PeriodicalId":43765,"journal":{"name":"Hearing Balance and Communication","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74524443","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}
Pub Date : 2021-12-03DOI: 10.1080/21695717.2021.2017731
A. Martini, Davide Brotto, S. Hatzopoulos
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Pub Date : 2021-12-03DOI: 10.1080/21695717.2021.2020510
E. Trecca, Ciro Lucio Vigliaroli, Brandon Kim, Vincenza Galeano, Francesca Cavalluzzo, Alessandra Rossato, Deniis Curatolo, M. Cassano, Francesco Longo
As demonstrated in the editorial by Martini A [1], technological advancements profoundly impacting the fields of Audiology and Phoniatrics had been developing over the past few years. With the challenges posed by the Coronavirus disease 2019 (COVID-19) pandemic, even greater novel demands have arisen [2]. Consequently, eHealth (i.e. mobile health, telehealth) has rapidly evolved and offered effective solutions for previously unmet patient needs during these unprecedented times. It is anticipated that as this technology improves, it will become more prevalent, reducing costs for health systems and expanding access to rural or distant areas [3]. The needs for this are great. In Italy alone, for example, approximately 2,000,000 patients require speech therapy for the treatment of speech and swallow disorders each year. Speech Therapy is a field that will likely benefit from the use of Telepractice, especially in the treatment of voice disorders, speech and language impediments, learning disabilities, facial nerve palsy, neurogenic and post-surgical dysphagia, and cochlear implant (CI) candidacy and speech perception outcomes. Voice disorders include heterogeneous pathologies often amenable to speech therapy. Examples include singing voice disorders, muscle tension dysphonia, benign laryngeal lesions (i.e. nodules, polyps), vocal fold paresis, and, sometimes, spasmodic dysphonia. All of these disorders require an integrated strategy and consistent exercise. The COVID-19 pandemic highlighted the necessity of maintaining treatment continuity to keep patients motivated while at home, while limiting their visits to the hospital and, therefore, the risk of contagion exposure. A hybrid telepractice approach, namely ‘speech teletherapy’, has been fundamental in helping our patients complete the rehabilitation process through weekly treatment sessions, consequently reducing the risk of relapse or worsening clinical status [4]. In Tables 1 and 2, we would like to introduce our proposal for the management of voice disorders via a telepractice model at our research hospital, Casa Sollievo della Sofferenza in San Giovanni Rotondo, Italy. The hybrid protocol includes ten individual sessions of laryngeal and respiratory exercises, both in an outpatient and virtual setting. Both adults and paediatric patients could benefit from this innovative approach when conducted by an appropriately trained speech therapist. During the first and fifth sessions, which are held at the clinic, a video of the treatment is recorded so that patients can correctly perform the exercises while at home. Additionally, the speech therapists communicate via phone or e-mail between all sessions to provide support and obtain validated questionnaire data both for clinical and research purposes. Although this protocol was established in the singular context of the COVID-19 pandemic, it presents several long-term advantages. Firstly, it allows support for patients in distant or underserved geogr
正如Martini A[1]的社论所表明的那样，在过去的几年里，技术进步深刻地影响了听力学和语音病学领域。随着2019冠状病毒病(COVID-19)大流行带来的挑战，出现了更大的新需求[2]。因此，电子保健(即移动保健、远程保健)迅速发展，并在这个前所未有的时期为以前未得到满足的患者需求提供了有效的解决方案。预计随着这项技术的改进，它将变得更加普遍，从而降低卫生系统的成本，并扩大农村或偏远地区的可及性[3]。这方面的需求是巨大的。例如，仅在意大利，每年就有大约200万患者需要言语治疗来治疗言语和吞咽障碍。语言治疗是一个可能受益于远程练习的领域，特别是在治疗语音障碍、言语和语言障碍、学习障碍、面神经麻痹、神经源性和术后吞咽困难、人工耳蜗(CI)候选和语言感知结果方面。语音障碍包括多种多样的病理，通常可通过言语治疗。例如唱歌声音障碍、肌肉紧张性发声障碍、良性喉部病变(如结节、息肉)、声带轻瘫，有时还有痉挛性发声障碍。所有这些疾病都需要一个综合的策略和持续的锻炼。COVID-19大流行凸显了保持治疗连续性的必要性，以使患者在家中保持动力，同时限制他们去医院的次数，从而减少接触传染病的风险。一种混合远程治疗方法，即“语音远程治疗”，在帮助我们的患者通过每周一次的治疗完成康复过程中发挥了重要作用，从而降低了复发或临床状况恶化的风险[4]。在表1和表2中，我们将介绍我们在意大利圣乔瓦尼罗通多的研究医院Casa Sollievo della Sofferenza通过远程诊疗模式管理语音障碍的建议。混合方案包括十个单独会议喉和呼吸练习，在门诊和虚拟设置。成人和儿童患者都可以受益于这种创新的方法，如果由适当训练的言语治疗师进行。在诊所举行的第一次和第五次疗程中，会录制治疗视频，以便患者在家也能正确地进行练习。此外，语言治疗师在所有会议之间通过电话或电子邮件进行沟通，以提供支持并获得临床和研究目的的有效问卷数据。虽然该议定书是在2019冠状病毒病大流行的单一背景下制定的，但它具有若干长期优势。首先，它可以为偏远或服务不足地区的患者提供支持。其次，它可以在三级转诊中心和地方初级保健机构之间建立一个网络，在这些机构中为没有家庭远程保健能力的人提供远程保健服务，从而有可能扩大治疗选择并降低卫生系统的成本。最后，视频、录音电话咨询、电子同意流程和整体技术改进可能允许使用一个
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