CoDAS
https://codas.org.br/article/doi/10.1590/2317-1782/20202020128
CoDAS
Artigo Original

Kymographic characteristics of voice in women with Polycystic ovary syndrome

Saranya Blahayil, Dhanshree Rajesh Gunjawate, Radish Kumar Balasubramanium

Downloads: 0
Views: 800

Abstract

Purpose: Polycystic ovary syndrome (PCOS) is heterogenous condition with commonly associated symptoms include irregular menstrual cycle, hirsutism, baldness, adult acne, and weight gain There have been few attempts at profiling the voice characteristics of women with polycystic ovary syndrome. Videokymography enables to detect even subtle variations in vocal fold vibrations. The aim of the present study was to study the videokymographic characteristics among women with PCOS. Methods: A cross-sectional study was carried out among 50 women with and without PCOS diagnosed on ultrasonography. Videokymography was carried out and the characteristics were perceptually analyzed using a vocal fold kymographic rating scale. The analysis of the kymogram was done for the following characteristics; presence of vocal fold vibration,interference of surroundings, Cycle to cycle variability, left-right asymmetry,cycle aberrations and shape of lateral peaks. The kymographic images were obtained for all the participants of both the groups and a subjective consensus evaluation was done by two clinicians. The percentage of participants with the listed kymographic characteristics were tabulated. Chi Square test was also done to decide if there was a significant difference between the two groups for different kymographic features of vocal fold vibration. Results: Six of the 25 women with PCOS were found to have abnormal kymographic features such as surrounding structural interference, presence of cycle to cycle variability and the shape of lateral peaks. Conclusion: Early detection of the vocal abnormalities in individuals with PCOS would help in the vocal rehabilitation especially for professional voice users.

Keywords

Polycystic Ovary Syndrome; Videokymography; Hyperandrogenism; Voice; PCOS

Referências

1. Norman RJ, Dewailly D, Legro RS, Hickey TE. Polycystic ovary syndrome. Lancet. 2007;370(9588):685-97. http://dx.doi.org/10.1016/ S0140-6736(07)61345-2. PMid:17720020.

2. Rotterdam ESHRE/ASRM-Sponsored PCOS Consensus Workshop Group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome. Fertil Steril. 2004;81(1):19-25. http:// dx.doi.org/10.1016/j.fertnstert.2003.10.004. PMid:14711538.

3. Abitbol J, Abitbol P, Abitbol B. Sex hormones and the female voice. J Voice. 1999;13(3):424-46. http://dx.doi.org/10.1016/S0892-1997(99)80048-4. PMid:10498059.

4. Azziz R, editor. The polycystic ovary syndrome: current concepts on pathogenesis and clinical care. Boston: Springer Science & Business Media; 2007. http://dx.doi.org/10.1007/978-0-387-69248-7.

5. Best-Boss A, Sterling WE, Legro RS. Living with P.C.O.S.: polycystic ovary syndrome. Omaha: Addicus Books; 2001.

6. Kadakia S, Carlson D, Sataloff RT. The effect of hormones on the voice. J Sing. 2013;69(5):571-4.

7. Hannoun A, Zreik T, Husseini ST, Mahfoud L, Sibai A, Hamdan AL. Vocal changes in patients with polycystic ovary syndrome. J Voice. 2011;25(4):501- 4. http://dx.doi.org/10.1016/j.jvoice.2009.12.005. PMid:20537860.

8. Gugatschka M, Lichtenwagner S, Schwetz V, Lerchbaum E, Graupp M, Gerstenberger C, et al. Subjective and objective vocal parameters in women with polycystic ovary syndrome. J Voice. 2013;27(1):98-100. http://dx.doi. org/10.1016/j.jvoice.2012.07.007. PMid:23159022.

9. Aydin K, Akbulut S, Demir MG, Demir S, Ozderya A, Temizkan S, et al. Voice characteristics associated with polycystic ovary syndrome. Laryngoscope. 2016;126(9):2067-72. http://dx.doi.org/10.1002/lary.25818. PMid:26700739.

10. Svec J, Sram F, Schutte H. Videokymography in voice disorders: what to look for? Ann Otol Rhinol ogy Laryngol. 2007;116(3):172-80. http:// dx.doi.org/10.1177/000348940711600303.

11. Qiu Q, Schutte HK. A new generation videokymography for routine clinical vocal fold examination. Laryngoscope. 2006;116(10):1824-8. http://dx.doi. org/10.1097/01.mlg.0000233552.58895.d0. PMid:17003719.

12. Phadke K. Voice evaluation using videokymography. Manipal: Manipal University; 2014.

13. Patel R, Dailey S, Bless D. Comparison of high-speed digital imaging with stroboscopy for laryngeal imaging of glottal disorders. Ann Otol Rhinol Laryngol. 2008;117(6):413-24. http://dx.doi.org/10.1177/000348940811700603. PMid:18646437.

14. Krausert C, Olszewski A, Taylor L, McMurray J, Dailey S, Jiang JJ. mucosal wave measurement and visualization techniques christopher. J Voice. 2011;25(4):395-405. http://dx.doi.org/10.1016/j.jvoice.2010.02.001. PMid:20471798.

15. Raj A, Gupta B, Chowdhury A, Chadha S. A Study of Voice Changes in Various Phases of Menstrual Cycle and in Postmenopausal Women. J Voice. 2010;24(3):363-8. http://dx.doi.org/10.1016/j.jvoice.2008.10.005. PMid:19185458.

16. Voelter C, Kleinsasser N, Joa P, Nowack I, Martínez R, Hagen R, et al. Detection of hormone receptors in the human vocal fold. Eur Arch Otorhinolaryngol. 2008;265(10):1239-44. http://dx.doi.org/10.1007/ s00405-008-0632-x. PMid:18317786.

17. Isshiki N, Tanabe M, Ishizaka K, Broad D. Clinical significance of asymmetrical vocal cord tension. Ann Otol Rhinol Laryngol. 1977;86(1 Pt 1):58-66. http://dx.doi.org/10.1177/000348947708600109. PMid:835973.

18. Haben CM, Kost K, Papagiannis G. Lateral phase mucosal waveaymmetries in the clinical voice laboratory. J Voice. 2003;17(1):3-11. http://dx.doi. org/10.1016/S0892-1997(03)00032-8. PMid:12705814.

19. Maunsell R, Ouaknine M, Giovanni A, Crespo A. Vibratory pattern of vocal folds under tension asymmetry. Otolaryngol Head Neck Surg. 2006;135(3):438-44. http://dx.doi.org/10.1016/j.otohns.2006.05.023. PMid:16949979.

20. Berry DA, Herzel H, Titze IR, Story BH. Bifurcations in excised larynx experiments. J Voice. 1996;10(2):129-38. http://dx.doi.org/10.1016/S0892- 1997(96)80039-7. PMid:8734387.

21. Murugappan S, Khosla S, Casper K, Oren L, Gutmark E. Flow fields and acoustics in a unilateral scarred vocal fold model. Ann Otol Rhinol Laryngol. 2009;118(1):44-50. http://dx.doi.org/10.1177/000348940911800108. PMid:19244963.

22. Steinecke I, Herzel H. Bifurcations in an asymmetric vocal fold model. J Acostical Soc Am. 1995;97(3):1874-84. http://dx.doi.org/10.1121/1.412061. PMid:7699169.

23. Lohscheller J, Doellinger M, McWhorter AJ, Kunduk M. Preliminary study on the quantitative analysis of vocal loading effects on vocal fold dynamics using phonovibrograms. Ann Otol Rhinol Laryngol. 2008;117(7):484-93. http://dx.doi.org/10.1177/000348940811700703. PMid:18700422.

24. Jiang JJ, Titze IR. A methodological study of hemilaryngeal phonation. Laryngoscope. 1993;103(8):872-82.

25. Sundberg J, Högset C. Voice source differences between falsetto and modal registers in counter tenors, tenors and baritones. Logoped Phoniatr Vocol. 2001;26(1):26-36. http://dx.doi.org/10.1080/140154301300109107. PMid:11432412.

26. Abithol J. Hormonal vocal cord cycle in women. J Voice. 1989;352(2):1223- 36.


Submetido em:
04/06/2020

Aceito em:
24/09/2020

60ca14e7a9539545275a7ff3 codas Articles

CoDAS

Share this page
Page Sections