Acoustic Outcomes Comparison Injection Versus Medialization Laryngoplasty

Objectives: To determine whether injection laryngoplasty or medialization thyroplasty is more effective in the treatment of unilateral vocal fold paralysis. Methods: A prospective study of 75 patients with unilateral vocal cord paralysis who underwent autologous fat injection laryngoplasty or medialization laryngoplasty at the First Central Hospital of Mongolia between 15th Nov 2016 and 15th Jan 2020. The data analyzed included patient characteristics and type of intervention, along with the before treatment, 1 and 6 months after treatment voice parameters of electrogIottography and patients\u27 subjective voice assessment. Results: Seventy-five patients were evaluated. The average time from intervention to post-treatment evaluation was 1 and 6 months. Improvements were demonstrated in all voice parameters (Maximum Foniation Time, Jitter, Shimmer, and Harmonic Noise Ratio) in both the injection and the medialization groups. Conclusions: In this study, objective and subjective voice analysis confirmed that injection and medialization laryngoplasty were effective in unilateral vocal cord paralysis. Both of these methods can be used to treat unilateral vocal cord paralysis

Objective Voice Analysis of Mongolian Adults with a Normal Voice Across Age and Gender

Objectives: We aimed to standardize main vocal parameters including fundamental frequency (F0), jitter, shimmer, harmonic-noise ratio (HNR), and smoothed cepstral peak prominence (CPPs) for Mongolian adults with a normal voice across a range of age groups and genders. Methods: A total of 360 voice recordings belonging to adults between 20 and 79 years old were analyzed. An acoustic analysis was performed using the Praat Program with a sustained vowel /a/ or /α/. A one-way analysis of variance and an unpaired t-test were used to measure differences in voice parameters for the age groups and genders. Results: The mean value of F0 was higher in women (254.4 ± 17.9 Hz) compared with men (149.6 ± 15.3 Hz). The average jitter was 0.26% ± 0.12% (W = 0.25 ± 0.13) and the shimmer was 1.95% ± 0.45% (W = 2.01% ± 0.45%). The mean value of HNR was 11.9 ± 1.33 dB (W = 12.1 ± 1.36 dB) and CPPs was 16.3 dB (W = 16.1 dB). Conclusion: The F0 and HNR significantly increased with age for men. The F0 and CPPs decreased, whereas the shimmer and HNR increased with age in women