Although patients who have undergone surgery for chronic sinusitis
commonly note a change in their speech quality, a comprehensive review of
the medical, speech and acoustic literature failed to identify specific studies
addressing the effects of sinus surgery on speech. The aim of the present studyis
to determine the effects of functional-endoscopic sinus surgery FESS on
speech and to correlate these changes if present with the type o_f surgery.
This study was conducted on thirty patients and ten control subjects,
patients were subjected to C.T. examination, objective assessment of speech by
nasomctcr (6200. kay elementrics) and by Aerodynamics studies (PERCI) and
subjective assessment byr ten point visual analog scale (VASS) lor degree of
nasal obstruction, dcuree of patient satisfaction and speech changes. These
were done preoperative and one month postoperative all patients were operated
upon by FESS and in half of them partial inferior turbinectomy was done also.
Results: There is highly significant difference between preoperative and
postoperative nasalance in comparison to control group. There is significant
changes in cases with mild pathology and highly significant changes in patients
with severe pathology also there is significant changes after FESS plus the
turbineciomy. There was non significant changes according to age and sex.
Conclusion: We should inform patients especially professional voice
users about these possible effects of FESS on speech quality. |
