مجله جهانی جراحی پلاستیک
مجله جهانی جراحی پلاستیک
سه شنبه 25 اردیبهشت 1403
[Archive]
دوره 12، شماره 3 - ( 1402 )
جلد 12 شماره 3 صفحات 56-44 |
برگشت به فهرست نسخه ها
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Ghaemi H, Grillo R, Alizadeh O, Shirzadeh A, Ejtehadi B, Torkzadeh M et al . What Is the Effect of Maxillary Impaction Orthognathic Surgery on Voice Characteristics? A Quasi-Experimental Study. WJPS 2023; 12 (3) :44-56
URL: http://wjps.ir/article-1-1188-fa.html
URL: http://wjps.ir/article-1-1188-fa.html
What Is the Effect of Maxillary Impaction Orthognathic Surgery on Voice Characteristics? A Quasi-Experimental Study. مجله جهانی جراحی پلاستیک. 1402; 12 (3) :44-56
چکیده: (1042 مشاهده)
Background: Regarding the impact of orthognathic surgery on the airway and voice, this study was carried out to investigate the effects of maxillary impaction surgery on patients' voices through acoustic analysis and articulation assessment.
Methods: This quasi-experimental, before-and-after, double-blind study aimed at examining the effects of maxillary impaction surgery on the voice of orthognathic surgery patients. Before the surgery, a speech therapist conducted acoustic analysis, which included fundament frequency (F0), Jitter, Shimmer, and the harmonic-to-noise ratio (HNR), as well as first, second, and third formants (F1, F2, and F3). The patient's age, sex, degree of maxillary deformity, and impaction were documented in a checklist. Voice analysis was repeated during follow-up appointments at one and six months after the surgery in a blinded manner. The data were statistically analyzed using SPSS 23, and the significance level was set at 0.05.
Results: Twenty two patients (18 females, 4 males) were examined, with ages ranging from 18 to 40 years and an average age of 25.54 years. F2, F3, HNR, and Shimmer demonstrated a significant increase over the investigation period compared to the initial phase of the study (P <0.001 for each). Conversely, the Jitter variable exhibited a significant decrease during the follow-up assessments in comparison to the initial phase of the study (P< 0.001).
Conclusion: Following maxillary impaction surgery, improvements in voice quality were observed compared to the preoperative condition. However, further studies with larger samples are needed to confirm the relevancy.
Methods: This quasi-experimental, before-and-after, double-blind study aimed at examining the effects of maxillary impaction surgery on the voice of orthognathic surgery patients. Before the surgery, a speech therapist conducted acoustic analysis, which included fundament frequency (F0), Jitter, Shimmer, and the harmonic-to-noise ratio (HNR), as well as first, second, and third formants (F1, F2, and F3). The patient's age, sex, degree of maxillary deformity, and impaction were documented in a checklist. Voice analysis was repeated during follow-up appointments at one and six months after the surgery in a blinded manner. The data were statistically analyzed using SPSS 23, and the significance level was set at 0.05.
Results: Twenty two patients (18 females, 4 males) were examined, with ages ranging from 18 to 40 years and an average age of 25.54 years. F2, F3, HNR, and Shimmer demonstrated a significant increase over the investigation period compared to the initial phase of the study (P <0.001 for each). Conversely, the Jitter variable exhibited a significant decrease during the follow-up assessments in comparison to the initial phase of the study (P< 0.001).
Conclusion: Following maxillary impaction surgery, improvements in voice quality were observed compared to the preoperative condition. However, further studies with larger samples are needed to confirm the relevancy.
فهرست منابع
1. 1 Yunusova Y, Weismer G, Westbury John R, Lindstrom Mary J. Articulatory Movements During Vowels in Speakers With Dysarthria and Healthy Controls. J Speech Lang Hear Res 2008 2008/06/01;51(3):596-611. [DOI:10.1044/1092-4388(2008/043)]
2. 2 Johnson K. Acoustic and auditory phonetics 2nd ed. Maiden: Blackwell Publishing 2003.
3. 3 Ghaemi H, Sobhani Rad D, Khodadoost M, Elyasi M, Mardani N. Detecting Normal Values of Nasalance Scores in 7-11- Year-old Boys. JPSR 2015;4(2):76-82.
4. 4 Morteza F, Akbar D, Mina F, Hashem S, Seyed Habibollah K. Determining Normative Nasalization Scores Among Persian-speaking Adults. JMR 2016 07/27;10(4).
5. 5 Dehqan A, Ansari H, Bakhtiar M. Objective Voice Analysis of Iranian Speakers with Normal Voices J Voice. 2010 2010/03/01/;24(2):161-7. [DOI:10.1016/j.jvoice.2008.07.005]
6. 6 Dehqan A, Scherer RC. Acoustic Analysis of Voice: Iranian Teachers. J Voice 2013 2013/09/01/;27(5):655.e17-.e21. [DOI:10.1016/j.jvoice.2013.03.003]
7. 7 Emrani E, Ghaemi H, Labafchi A, Samieirad S. The Effect of Bimaxillary Orthognathic Surgery on Voice Characteristics in Skeletal Class 3 Deformity Patients: An Evaluation Using Acoustic Analysis. J Craniofac Surg 2021 Sep 1;32(6):2129-33. [DOI:10.1097/SCS.0000000000007479]
8. 8 Ghaemi H, Emrani E, Labafchi A, Famili K, Hashemzadeh H, Samieirad S. The Effect of Bimaxillary Orthognathic Surgery on Nasalance, Articulation Errors, and Speech Intelligibility in Skeletal Class III Deformity Patients. World J Plast Surg 2021 Jan;10(1):8-14.
9. 9 Van Lierde KM, Schepers S, Timmermans L, Verhoye I, Van Cauwenberge P. The impact of mandibular advancement on articulation, resonance and voice characteristics in Flemish speaking adults: a pilot study. Int J Oral Maxillofac Surg 2006 2006/02/01/;35(2):137-44. [DOI:10.1016/j.ijom.2005.06.011]
10. 10 Hassan T, Naini FB, Gill DS. The Effects of Orthognathic Surgery on Speech: A Review. J Oral Maxillofac Surg 2007 2007/12/01/;65(12):2536-43. [DOI:10.1016/j.joms.2007.05.018]
11. 11 Niemi M, Laaksonen J-P, Peltomäki T, Kurimo J, Aaltonen O, Happonen R-P. Acoustic Comparison of Vowel Sounds Produced Before and After Orthognathic Surgery for Mandibular Advancement. J Oral Maxillofac Surg 2006 2006/06/01/;64(6):910-6. [DOI:10.1016/j.joms.2006.02.009]
12. 12 Ahn J, Kim G, Kim YH, Hong J. Acoustic analysis of vowel sounds before and after orthognathic surgery. J Craniomaxillofac Surg 2015 2015/01/01/;43(1):11-6. [DOI:10.1016/j.jcms.2014.10.002]
13. 13 O'Gara M, Wilson K. The Effects of Maxillofacial Surgery on Speech and Velopharyngeal Function. Clin Plast Surg 2007 2007/07/01/;34(3):395-402. [DOI:10.1016/j.cps.2007.04.001]
14. 14 Kim S-K, Kim J-C, Moon J-B, Lee K-C. Perceptual Speech Assessment after Maxillary Advancement Osteotomy in Patients with a Repaired Cleft Lip and Palate. Arch Plast Surg 2012 05.2012;39(03):198-202. [DOI:10.5999/aps.2012.39.3.198]
15. 15 Hagberg E, Flodin S, Granqvist S, Karsten A, Neovius E, Lohmander A. The Impact of Maxillary Advancement on Consonant Proficiency in Patients With Cleft Lip and Palate, Lay Listeners' Opinion, and Patients' Satisfaction With Speech. Cleft Palate Craniofac J 2019 Apr;56(4):454-61. [DOI:10.1177/1055665618784804]
16. 16 Dalston RM, Vig PS. Effects of orthognathic surgery on speech: A prospective study. Am J Orthod Dentofacial Orthop 1984 1984/10/01/;86(4):291-8. [DOI:10.1016/0002-9416(84)90139-8]
17. 17 Eshghpour M, Mianbandi V, Samieirad S. Intra- and Postoperative Complications of Le Fort I Maxillary Osteotomy. J Craniofac Surg 2018 Nov;29(8):e797-e803. [DOI:10.1097/SCS.0000000000004828]
18. 18 Buchanan EP, Hyman CH. LeFort I Osteotomy. Semin Plast Surg 2013 Aug;27(3):149-54. [DOI:10.1055/s-0033-1357112]
19. 19 Ward EC, McAuliffe M, Holmes SK, Lynham A, Monsour F. Impact of malocclusion and orthognathic reconstruction surgery on resonance and articulatory function: an examination of variability in five cases. Br J Oral Maxillofac Surg 2002 2002/10/01/;40(5):410-7. [DOI:10.1016/S0266-4356(02)00163-8]
20. 20 Mishima K, Moritani N, Nakano H, Matsushita A, Iida S, Ueyama Y. Voice characteristics before versus after mandibular setback surgery in patients with mandibular prognathism using nonlinear dynamics and conventional acoustic analyses. J Craniomaxillofac Surg 2013 2013/12/01/;41(8):706-9. [DOI:10.1016/j.jcms.2012.01.021]
21. 21 Valling LD. Speech, velopharyngeal function, and hearing before and after orthognathic surgery. J Oral Maxillofac Surg 1990 1990/12/01/;48(12):1274-81. [DOI:10.1016/0278-2391(90)90481-G]
22. 22 Sahoo NK, Roy ID, Kulkarni V. Mandibular setback and its effects on speech. Oral Maxillofac Surg Cases 2019 2019/03/01/;5(1):100079. [DOI:10.1016/j.omsc.2018.10.001]
23. 23 Pourdanesh F, Sharifi R, Mohebbi A, Jamilian A. Effects of maxillary advancement and impaction on nasal airway function. Int J Oral Maxillofac Surg 2012 2012/11/01/;41(11):1350-2. [DOI:10.1016/j.ijom.2012.03.024]
24. 24 Alaluusua S, Harjunpää R, Turunen L, Geneid A, Leikola J, Heliövaara A. The effect of maxillary advancement on articulation of alveolar consonants in cleft patients. J Craniomaxillofac Surg 2020 2020/05/01/;48(5):472-6. [DOI:10.1016/j.jcms.2020.02.002]
25. 25 Jorge TM, Brasolotto AG, Gonçales ES, Filho HN, Berretin-Felix G. Influence of orthognathic surgery on voice fundamental frequency. J Craniofac Surg 2009 Jan;20(1):161-4. [DOI:10.1097/SCS.0b013e3181945a64]
26. 26 Obwegeser HL. Surgical correction of small or retrodisplaced maxillae the "Dish-face" deformity. Plast Reconstr Surg 1969;43(4). [DOI:10.1097/00006534-196904000-00003]
27. 27 Lye KW. Effect of orthognathic surgery on the posterior airway space (PAS). Ann Acad Med Singap 2008 Aug;37(8):677-82. [DOI:10.47102/annals-acadmedsg.V37N8p677]
28. 28 Muto T, Yamazaki A, Takeda S, et al. Relationship between the pharyngeal airway space and craniofacial morphology, taking into account head posture. Int J Oral Maxillofac Surg 2006 2006/02/01/;35(2):132-6. [DOI:10.1016/j.ijom.2005.04.022]
29. 29 dos Santos Canellas JV, Barros HLM, Medeiros PJDA, Ritto FG. Sleep-disordered breathing following mandibular setback: a systematic review of the literature. Sleep Breath 2016 2016/03/01;20(1):387-94. [DOI:10.1007/s11325-015-1274-z]
30. 30 Bijankhan M, Nourbakhsh M. Voice onset time in Persian initial and intervocalic stop production. J Int Phon Assoc 2009;39(3):335-64. [DOI:10.1017/S0025100309990168]
31. 31 Lee ASY, Whitehill TL, Ciocca V, Samman N. Acoustic and perceptual analysis of the sibilant sound /s/ before and after orthognathic surgery. J Oral Maxillofac Surg 2002 2002/04/01/;60(4):364-72. [DOI:10.1053/joms.2002.31221]
32. 32 Chua HDP, Whitehill TL, Samman N, Cheung LK. Maxillary distraction versus orthognathic surgery in cleft lip and palate patients: effects on speech and velopharyngeal function. Int J Oral Maxillofac Surg 2010 2010/07/01/;39(7):633-40. [DOI:10.1016/j.ijom.2010.03.011]
33. 33 Ha Y-C, Han SJ. A 3-Dimensional Analysis of Nasal Cavity Volume After Maxillary Le Fort I Osteotomy. J Oral Maxillofac Surg 2018 2018/06/01/;76(6):1344.e1-.e7. [DOI:10.1016/j.joms.2017.12.033]
34. 34 Haarmann S, Budihardja AS, Wolff KD, Wangerin K. Changes in acoustic airway profiles and nasal airway resistance after Le Fort I osteotomy and functional rhinosurgery: A prospective study. Int J Oral Maxillofac Surg 2009 2009/04/01/;38(4):321-5. [DOI:10.1016/j.ijom.2009.01.006]
35. 35 Turvey TA, Hall DJ, Warren DW. Alterations in nasal airway resistance following superior repositioning of the maxilla. Am J Orthod Dentofacial Orthop 1984 1984/02/01/;85(2):109-14. [DOI:10.1016/0002-9416(84)90002-2]
36. 36 Ghoreishian M, Gheisari R. The Effect of Maxillary Multidirectional Movement on Nasal Respiration. J Oral Maxillofac Surg 2009 2009/10/01/;67(10):2283-6. [DOI:10.1016/j.joms.2009.04.064]
37. 37 Erbe M, Lehotay M, Göde U, Wigand ME, Neukam FW. Nasal airway changes after Le Fort I-impaction and advancement: anatomical and functional findings. Int J Oral Maxillofac Surg 2001 2001/04/01/;30(2):123-9. [DOI:10.1054/ijom.2000.0001]
| بازنشر اطلاعات | |
 |
این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است. |
