Int Arch Otorhinolaryngol 2016; 20(02): 156-162
DOI: 10.1055/s-0035-1569144
Original Research
Thieme Publicações Ltda Rio de Janeiro, Brazil

Effect of Vocal Fry on Voice and on Velopharyngeal Sphincter

Vanessa Santos Elias
1   Departamento de Fonoaudiologia, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
,
Carla Aparecida Cielo
1   Departamento de Fonoaudiologia, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
,
Geraldo Pereira Jotz
2   Departamento de Ciências Morfológica, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
,
Mara Keli Christmann
1   Departamento de Fonoaudiologia, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
3   Professor, Speech Therapy, Instituto Superior e Centro Educacional Luterano Bom Jesus (IELUSC), Joinville, SC, Brazil
› Author Affiliations
Further Information

Publication History

04 May 2015

22 September 2015

Publication Date:
15 December 2015 (online)

Abstract

Introduction It is known that the basal sound promotes shortening and adduction of the vocal folds and leaves the mucosa looser. However there are few studies that address the supralaryngeal physiological findings obtained using the technique.

Objective To check the effectiveness of using vocal fry on the voice and velopharingeal port closure of five adult subjects, whose cleft palate has been corrected with surgery.

Methods Case study with five subjects who underwent otolaryngology examination by means of nasopharyngoscopy for imaging and measurement of the region of velopharyngeal port closure before and after using the vocal fry technique for three minutes. During the exam, the subjects sustained the isolated vowel /a:/ in their usual pitch and loudness. The emission of the vowel /a:/ was also used for perceptual analysis and spectrographic evaluation of their voices.

Results Four subjects had an improvement in the region of velopharyngeal port closure; the results of the spectrographic evaluation were indicative of decreased hypernasality, and the results of the auditory-perceptual analysis suggested improved overall vocal quality, adequacy of loudness, decreased hypernasality, improvement of type of voice and decreased hoarseness.

Conclusion This study showed a positive effect of vocal fry on voice and greater velopharyngeal port closure.

 
  • References

  • 1 Lima MRF, Leal FB, Araújo SVS, Matos EF, Ninno CQMSD, Britto ATBO. Intensive speech therapy in patients operated for cleft lip and palate: case report. Rev Soc Bras Fonoaudiol 2007; 12: 240-246
  • 2 Conterno G, Cielo CA, Elias VS. Fissura palatina reparada: fechamento velofaríngeo antes e durante o som basal. Braz J Otorhinolaryngol 2010; 76 (2) 185-192
  • 3 Conterno G, Cielo CA, Elias VS. Características vocais acústicas do som basal em homens com fissura pós-forame reparada. Rev CEFAC. 2011; 13: 171-181
  • 4 Paniagua LM, Signorini AV, Costa SS, Collares MVM, Dornelles S. Velopharyngeal dysfunction: a systematic review of major instrumental and auditory-perceptual assessments. Int Arch Otorhinolaryngol 2013; 17 (3) 251-256
  • 5 Wagreich P. The role of the speech-language pathologist in maximizing the results of instrumental assessment of velopharyngeal function. Plast Surg Nurs 2014; 34 (2) 72-74
  • 6 Kummer AW. Speech evaluation for patients with cleft palate. Clin Plast Surg 2014; 41 (2) 241-251
  • 7 Jiang M, Yang Z, Feng B, You M, Wang H. The effect of sound intensity on velopharyngeal function in normal individuals. J Voice 2015; 29 (1) 44-52
  • 8 Sedano R, Rodríguez JG, Morovic CG, Pizarro O, Alarcón J, Salgado E. Fisura labial y/o palatina en un centro de derivación de malformaciones congénitas. Rev Chil Ultrason 2007; 10: 4-10
  • 9 Mishima K, Nakano H, Matsumura T, Moritani N, Iida S, Ueyama Y. Nonlinear dynamic analysis of vowels in cleft palate children with or without hypernasality. Int J Otolaryngol 2012; 1: 1-4
  • 10 Bispo NHM, Whitaker ME, Aferri HC, Neves JDA, Dutka JdeC, Pegoraro-Krook MI. Speech therapy for compensatory articulations and velopharyngeal function: a case report. J Appl Oral Sci 2011; 19 (6) 679-684
  • 11 Netto BCA, Cervante O. Comparative study among cleft patients with velopharyngeal insufficiency treated with speech therapy and pharyngoplasty. Rev Bras Cir Plást. 2011; 26: 631-638
  • 12 Priester GH, Goorhuis-Brouwer SM. Speech and language development in toddlers with and without cleft palate. Int J Pediatr Otorhinolaryngol 2008; 72 (6) 801-806
  • 13 Villafuerte-Gonzalez R, Valadez-Jimenez VM, Hernandez-Lopez X, Ysunza PA. Acoustic analysis of voice in children with cleft palate and velopharyngeal insufficiency. Int J Pediatr Otorhinolaryngol 2015; 79 (7) 1073-1076
  • 14 Wolk L, Abdelli-Beruh NB, Slavin D. Habitual use of vocal fry in young adult female speakers. J Voice 2012; 26 (3) e111-e116
  • 15 Cielo CA, Elias VS, Christmann MK, Conterno G. Evidencia cientifica sobre o som basal em pacientes com fissura palatina pós forame reparada cirurgicamente. In: Pró-fono. Terapia fooaudiológica baseada em evidências. 2013, p. 441–60.
  • 16 Cielo CA, Brum DM, Bolzan GP, Finger LS. Evidencia científica sobre a técnica de som basal. In: Pró-fono. Terapia fooaudiológica baseada em evidências. 2013, p. 371–88.
  • 17 Bolzan GP, Cielo CA, Brum DM. Efeitos do som basal em fendas glóticas. Rev CEFAC 2008; 10 (2) 218-225
  • 18 Brum DM, Cielo CA, Finger LS, Manfrin JA. Considerações sobre modificações vocais e laríngeas ocasionadas pelo som basal em mulheres sem queixa vocal. Rev Soc Bras Fonoaudiol. 2010; 15 (2) 282-288
  • 19 Paniagua LM, Signorini AV, Costa SS, Collares MVM, Dornelles S. Comparison of videonasoendoscopy and auditory-perceptual evaluation of speech in individuals with cleft lip/palate. Int Arch Otorhinolaryngol 2013; 17 (3) 265-273
  • 20 Behlau M (Org.) Voz: o livro do especialista. Rio de Janeiro: Revinter; 2008
  • 21 Carrara E. Análise comparativa da configuração laríngea, perceptual auditiva e espectrográfica acústica da qualidade vocal pré e pós emissão vocal em registro basal. [Monografia]. São Paulo (SP): Universidade Federal de São Paulo; 1991
  • 22 Valentim AF, Côrtes NG, Gama ACC. Análise espectrográfica da voz: efeito do treinamento visual na confiabilidade da avaliação. Rev Soc Bras Fonoaudiol 2010; 15 (3) 335-342
  • 23 Elias VS, Cielo CA, Knak IS, Faller GJ. Efeito do som basal em um caso de deficiência velofaríngea leve. In: XII Congresso Brasileiro de Fonoaudiologia, II Congresso Sul Brasileiro de Fonoaudiologia, 2004, Foz do Iguaçu. Anais. Foz do Iguaçu: Sociedade Brasileira de Fonoaudiologia, 2004
  • 24 Souza MCQ. Características espectrais da nasalidade [dissertação]. São Carlos(SP): Universidade de São Paulo: São Carlos. Programa de Pós-Graduação Interunidades em Bioengenharia; 2003