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Cepstral analysis in patients with a vocal fold motility impairment: advantages of the cepstrum over time-based acoustic analysis

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objectives

To determine the usefulness of the smoothed cepstral peak prominence (CPPS) in sustained vowel as objective measure of dysphonia.

Study design

This is a retrospective cohort study. 49 patients presenting a vocal cord motility impairment between 2012 and 2018 were included.

Methods

Classical acoustic parameters, including jitter, shimmer and NHR, as well as the CPPS were obtained for each patient with a vocal cord motility impairment confirmed by means of a fiberoptic laryngoscopy. We calculated the S/E ratio of each patient to establish the glottal efficiency. An independent sample t test and a Pearson correlation test were used to compare data.

Results

Patients presenting a vocal cord motility impairment present abnormal values of the CPPS. Those patients presenting a vocal cord paralysis present lower values of those presenting a vocal cord paresis, with statistically significant difference (P < 0.005). CPPS and the S/E ratio present a moderate negative correlation (− 0.29).

Conclusions

Subjects with a vocal cord motility impairment present abnormal values for CPPS and those values are lower, the greater the motility impairment is. Therefore, CPPS presents as an objective, measurable and reproducible acoustic parameter of dysphonia that will improve the evaluation of patients presenting vocal pathologies.

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Acknowledgements

The authors present no conflict of interest and they do not have to disclosure any financial supporting.

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Authors and Affiliations

  1. Otolaryngology Department, Hospital Universitario de la Princesa, Calle Diego de León 62, 28006, Madrid, Spain

    Beatriz Delgado-Vargas

  2. Otolaryngology Department, Hospital Universitario de Torrejón, Torrejón de Ardoz, Spain

    Leticia Acle-Cervera & Lorena Sánz-López

  3. Otolaryngology Department, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

    Mireya Bonet-Loscertales

  4. Rehabilitation Department, Hospital Universitario de Torrejón, Torrejón de Ardoz, Spain

    Narcisa Pérez-Naranjo & Patricia Fuentes-Navajo

Authors
  1. Beatriz Delgado-Vargas
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  2. Leticia Acle-Cervera
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  3. Lorena Sánz-López
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  4. Mireya Bonet-Loscertales
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  5. Narcisa Pérez-Naranjo
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  6. Patricia Fuentes-Navajo
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Correspondence to Beatriz Delgado-Vargas.

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Delgado-Vargas, B., Acle-Cervera, L., Sánz-López, L. et al. Cepstral analysis in patients with a vocal fold motility impairment: advantages of the cepstrum over time-based acoustic analysis. Eur Arch Otorhinolaryngol 278, 173–179 (2021). https://doi.org/10.1007/s00405-020-06291-2

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  • DOI: https://doi.org/10.1007/s00405-020-06291-2

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