Abstract
Post-lingual deaf adults can develop some vocal abnormalities similar to those developed in pre-lingual deaf individuals. The aim of this work was to study the effect of cochlear implantation followed by post-operative rehabilitation on voice acoustics in post-lingual hearing impaired adults with different durations of hearing loss. The study included 35 post-lingual hearing impaired adults who underwent cochlear implantation. Patients were divided into two groups according to the duration of their hearing loss. Each group was further divided into two subgroups according to whether they received auditory rehabilitation or not. Using the Multi-Dimensional Voice Program (MDVP) parameters, comparisons were made between each subgroup of patients and the normal MDVP Saudi database, and between subgroups of patients. Most of the patients in the two groups reported significant improvement in their MDVP results post-implantation. Further, significantly deviant MDVP parameters were reported in the group of patients with longer duration of hearing loss. Patients who received rehabilitation significantly improved more than those who did not. In conclusion, it appears that cochlear implantation improves the auditory control of voice production in post-lingual deaf adults. Also, it is obvious that cochlear implantation at an early stage of hearing loss gives better results on voice control, especially if augmented with auditory rehabilitation.
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References
Leder SB, Spitzer JB (1990) A perceptual evaluation of the speech of adventitiously deaf adult males. Ear Hear 11:169–175
Ball V, Ison KT (1984) Speech production with electrocochlear stimulation. Br J Audiol 18:251–258
Evans MK, Deliyski DD (2007) Acoustic voice analysis of prelingually deaf adults before and after cochlear implantation. J Voice 21:669–682
Lane H, Webster JW (1991) Speech deterioration in postlingually deafened adults. J Acoust Soc Am 89:859–866
Leder SB, Spitzer JB, Kirchner JC et al (1987) Speaking rate of adventitiously deaf male cochlear implant candidates. J Acoust Soc Am 82:843–846
Leder SB, Spitzer JB, Kirchner JC (1987) Immediate effects of cochlear implantation on voice quality. Arch Otorhinolaryngol 244:93–95
Economou A, Tartter VC, Chute PM et al (1992) Speech changes following reimplantation from a single-channel to a multichannel cochlear implant. J Acoust Soc Am 92:1310–1323
Kirk KI, Edgerton BJ (1983) The effects of cochlear implant use on voice parameters. Otolaryngol Clin North Am 16:281–292
Langereis MC, Bosman AJ, van Olphen AF et al (1998) Effect of cochlear implantation on voice fundamental frequency in post-lingually deafened adults. Audiology 37:219–230
Szyfter W, Pruszewicz A, Woznica B et al (1996) The acoustic analysis of voice in patients with multi-channel cochlear implant. Rev Laryngol Otol Rhinol (Bord) 117:225–227
Perkell J, Lane H, Svirsky M et al (1992) Speech of cochlear implant patients: a longitudinal study of vowel production. J Acoust Soc Am 91:2961–2978
Lane H, Perkell J, Wozniak J et al (1998) The effect of changes in hearing status on speech sound level and speech breathing: a study conducted with cochlear implant users and NF-2 patients. J Acoust Soc Am 104:3059–3069
Kishon-Rabin L, Taitelbaum R, Tobin Y et al (1999) The effect of partially restored hearing on speech production of postlingually deafened adults with multichannel cochlear implants. J Acoust Soc Am 106:2843–2857
Malki KH, Al-Habib SF, Hagr AA et al (2009) Acoustic analysis of normal Saudi adult voices. Saudi Med J 30:1081–1086
Angelocci AA, Kopp GA, Holbrook A (1964) The vowel formants of deaf and normal-hearing eleven- to fourteen-year-old boys. J Speech Hear Disord 29:156–160
Higgins MB, McCleary EA, Carney AE et al (2003) Longitudinal changes in children’s speech and voice physiology after cochlear implantation. Ear Hear 24:48–70
Nickerson R (1975) Characteristics of the speech of deaf pesons. Volta Rev 342–362
Abberton E, Fourcin A (1975) Visual feedback and acquisition of intonation. Academic Press, New York
Hood R, Dixon R (1969) Physical characteristics of speech rhythm of deaf and normal hearing speakers. J Commun Dis 2:20–28
Leder SB, Spitzer JB, Kirchner JC (1987) Speaking fundamental frequency of postlingually profoundly deaf adult men. Ann Otol Rhinol Laryngol 96:322–324
Read T (1989) Improvement in speech production following use of the UCH/RNID cochlear implant. J Laryngol Otol 18:45–49
Leder SB, Spitzer JB, Milner P et al (1987) Voice intensity of prospective cochlear implant candidates and normal hearing adult males. Laryngoscope 97:224–227
Smoorenburg G, Huiskamp T, Langeries M et al (1994) Effects of cochlear implantation on voice quality and speech production. Manz, Wien, pp 374–379
Acknowledgments
This work has been supervised by the Research Chair of Voice and Swallowing Disorders (RCVASD), King Abdulaziz University Hospital, King Saud University, Riyadh, Saudi Arabia.
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The authors of this study verify that this work has not been funded in full or part by any organization and there is no conflict of interest to be reported.
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Hassan, S.M., Malki, K.H., Mesallam, T.A. et al. The effect of cochlear implantation and post-operative rehabilitation on acoustic voice analysis in post-lingual hearing impaired adults. Eur Arch Otorhinolaryngol 268, 1437–1442 (2011). https://doi.org/10.1007/s00405-011-1501-6
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DOI: https://doi.org/10.1007/s00405-011-1501-6