Acta Otorrinolaringol Esp. 2012;63(5):364---369
www.elsevier.es/otorrino
ORIGINAL ARTICLE
The Use of the Mobile Voice Laboratory in the Operating Room
During Type I Thyroplasty With Gore-Tex
®,
Marco Guzman,
a,b,*
Crystal Coleman,
c
Adam D. Rubin,
d,e
Joseph Belanger,
f
Cristina Jackson-Menaldi
d,g
a
Lakeshore Professional Voice Center and Department of Otolaryngology, School of Medicine, Wayne State University, Detroit,
MI, USA
b
Professor at School of Communication Sciences, University of Chile, Santiago, Chile
c
Otolaryngology/Facial Plastic Surgery Resident, POH Regional Medical Center, Pontiac, MI, USA
d
Lakeshore Ear, Nose and Throat Center, Lakeshore Professional Voice Center, St. Clair Shores, MI, USA
e
Department of Otolaryngology-HNS, University of Michigan Medical Center, Ann Arbor, MI, USA
f
Otolaryngology Lakeshore Ear, Nose and Throat Center, Lakeshore Professional Voice Center, St. Clair Shores, MI, USA
g
School of Medicine, Wayne State University, Detroit, MI, USA
Received 29 February 2012; accepted 7 March 2012
KEYWORDS
Spectrogram;
Mobile voice
laboratory;
Unilateral vocal fold
paralysis;
Type I thyroplasty
Abstract
Introduction and objective: The purposes of this study are to demonstrate the use of the mobile
voice lab in type I thyroplasty with Gore-Tex
®
using analysis of spectrogram and fundamental
frequency in the operating room, and also to show how to do this procedure.
Methods: Voice samples were recorded in the operating room immediately before and during
type I thyroplasty. Six-week postoperative samples were also taken in the voice laboratory.
Fundamental frequency and spectral analysis were analyzed. Spectrograms were evaluated by
a blind panel of 4 judges on a 100 mm visual analogue scale. All three time points were compared
and statistical analysis performed. Pre and postoperative V-RQOL scores were also compared.
Results: Significant improvement in spectrogram ratings were seen between before and during
(P < .001), and before and after voice samples (P < .017). There was no significant difference
between during and after scores, suggesting the persistence of the intraoperative improve-
ment in this measure. Changes in fundamental frequency were not statistically significant,
although fundamental frequency tended to increase in women and decrease in men after type
I thyroplasty. Mean V-RQOL scores improved from 48.08 to 85.08 (P < .001).
Conclusions: The mobile voice laboratory may be useful during type I thyroplasty with Gore-
Tex
®
. It offers an opportunity for the surgeon and voice pathologist to continue to collaborate
in the treatment of patients with unilateral vocal fold paralysis.
© 2012 Elsevier España, S.L. All rights reserved.
Please cite this article as: Guzman M, et al. Uso del laboratorio móvil de voz en la sala de operaciones durante tiroplastia tipo I con
Gore-Tex
®
. Acta Otorrinolaringol Esp. 2012;63:364---9.
Work presented at the 39th Annual Symposium of the Voice Foundation, on June 5th, 2010, Philadelphia, PA, USA.
*
Corresponding author.
E-mail address: guzmanvoz@gmail.com (M. Guzman).
2173-5735/$ – see front matter © 2012 Elsevier España, S.L. All rights reserved.
Document downloaded from http://www.elsevier.es, day 30/06/2016. This copy is for personal use. Any transmission of this document by any media or format is strictly prohibited.