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See detailThe Acoustic Voice Quality Index version 03.01 in French and the Voice Handicap Index
Pommée, Timothy; Maryn, Youri; FINCK, Camille ULiege et al

in Journal of Voice (in press)

Summary: Objectives. The Acoustic Voice Quality Index (AVQI) version 03.01 is a tool for quantitative assessment of the overall severity of dysphonia. Its computation includes six acoustic parameters ... [more ▼]

Summary: Objectives. The Acoustic Voice Quality Index (AVQI) version 03.01 is a tool for quantitative assessment of the overall severity of dysphonia. Its computation includes six acoustic parameters, which are all carried out by the freeware Praat. It is based on the recordings of a sustained vowel and a part of a text read aloud. The psychometric qualities of this tool have been confirmed by numerous publications in various languages, including French. However, studies investigating the correlation between tools for objective vocal assessment and voice-related quality of life show inconsistent results. Hence, the aim of this study was to contribute to the debate in measuring the correlations between the AVQI 03.01 score computed on French samples and the Voice Handicap Index. Methods. The data of 78 patients was used, collected during initial vocal assessment and stored in the ENT caseload of the University Hospital of Liège. We measured the Spearman rank-order correlation between the VHI total and sub-scores and the scores computed by the AVQI 03.01 on French samples. Eventually, we measured the correlation between the diagnostic decisions (“normophonia” vs “dysphonia”) of both tools using Cramer’s phi. Results. The Spearman correlation between the AVQI 03.01 score and the total VHI score, when controlling for age, is moderate (rs = .62, p < .0001). The correlations between the AVQI 03.01 score and the functional, emotional and physical sub-scores of the VHI are similarly moderate (rs = .643, .543 and .514, respectively, p <.0001). The correlation between the diagnostic decisions (“normophonia” vs “dysphonia”) by both tools is also moderate (φ = .52, p = .000). Conclusions. This study allows to keep things in perspective: even though AVQI 03.01 scores are moderately correlated with the VHI total and sub-scores, one has to keep in mind that they measure two different things. The AVQI 03.01 assesses the overall voice quality in terms of acoustic parameters, whereas the VHI assesses the multi-determined impact on the patient’s everyday life situations. Both results should thus be equally taken into account, as part of a comprehensive vocal assessment. [less ▲]

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See detailTout ce que vous avez toujours voulu savoir sur les immobilités cordales sans jamais oser le demander !
FINCK, Camille ULiege; Morsomme, Dominique ULiege

Scientific conference (2019, May 16)

En clinique journalière, nous rencontrons fréquemment des patients souffrant de troubles de la mobilité laryngée. La mise au point de ce type de troubles s’avère plus complexe qu’il n’y paraît, ce qui ... [more ▼]

En clinique journalière, nous rencontrons fréquemment des patients souffrant de troubles de la mobilité laryngée. La mise au point de ce type de troubles s’avère plus complexe qu’il n’y paraît, ce qui peut compliquer le choix du traitement qui en découle. Les troubles de la mobilité laryngée peuvent être uni- ou bilatéraux. Leurs origines sont diverses. En effet, les atteintes peuvent être neurogènes, mécaniques, ou encore musculaires et articulaires. Les plaintes des patients varient en fonction du type d’immobilité, de l’étiologie de celle-ci, du temps écoulé depuis l’installation de la pathologie, du sujet lui-même et du contexte communicationnel dans lequel il évolue tant sur le plan professionnel que privé. Les plaintes concernent la qualité vocale et/ou des difficultés respiratoires et/ou des troubles de la déglutition. Les solutions thérapeutiques sont diverses et varient en fonction de l’étiologie, du pronostic, de l’importance du ou des troubles fonctionnels touchant les 3 fonctions laryngées (déglutition, phonation, respiration) : de l’abstention thérapeutique, à l’expectative armée et à la rééducation orthophonique, aux gestes chirurgicaux réputés plus invasifs mais qui doivent pouvoir être proposés rapidement (médialisations par voie externe ou injection, injections de toxine botulinique, cordotomies laser, réinnervation sélective ou non sélective, trachéotomie) L’atelier débutera par un récapitulatif anatomophysiologique de l’innervation et des fonctions laryngées. Les pathologies principales seront ensuite décrites (atteintes neurogènes uni- et bilatérales, atteinte du nerf laryngé supérieur, ankyloses articulaires). Ensuite, nous présenterons quatre vignettes cliniques détaillées incluant l’anamnèse, le mode d’installation du trouble, les vidéo-laryngo-stroboscopies, les échantillons sonores de lecture de texte, les résultats aux diverses mesures du bilan vocal à savoir fréquence fondamentale, niveau de pression sonore, phonétogramme, niveaux de pression sous glottique estimée, et temps maximum phonatoire ainsi que les scores à l’échelle d’auto- évaluation de l’impact psycho-social du trouble. Après chaque vignette, la parole sera donnée au public afin de clarifier l’idée qu’il se fait du diagnostic, la manière dont il interprète la plainte à la lumière des divers résultats, le pronostic de récupération qu’il émet ou non, les types d’examen(s) complémentaire(s) qu’il choisit ainsi que les arguments qu’il développe pour étayer ses choix thérapeutiques. Nous terminerons l’atelier par une discussion plus théorique sur les traitements proposés à l’heure actuelle, à la lumière des récentes publications sur le sujet. Nous porterons une attention particulière aux séances de rééducation logopédique : Quand et dans quels cas les propose-t-on ? Quelle efficacité pouvons-nous en attendre ? [less ▲]

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See detailLa voix du syndrome de Kallmann : Little Jimmy Scott (1925-2014)
VALDES SOCIN, Hernan Gonzalo ULiege; FINCK, Camille ULiege

in Tempo Médical (2018)

En 1944, un généticien allemand émigré aux États-Unis, Franz Joseph Kallmann (1897- 1965) , décrit l’association de traits d’hypogonadisme et de déficit d’odorat chez trois familles. Le timbre de la voix ... [more ▼]

En 1944, un généticien allemand émigré aux États-Unis, Franz Joseph Kallmann (1897- 1965) , décrit l’association de traits d’hypogonadisme et de déficit d’odorat chez trois familles. Le timbre de la voix des hommes adultes avec le syndrome de Kallmann, impubères et sans impregnation par de la testostérone, est caractéristiquement aigu. Jimmy Scott est une des célébrités dont on sait qu’il souffrait du syndrome décrit par Franz Kallmann. James Victor Scott est né à Cleveland (USA) le 17 juillet 1925 et il est mort le 12 juin 2014. Des nombreux documentaires ont été produits sur la vie de ce chanteur afroaméricain de jazz et de blues et une biographie lui a été dédiée. Les critiques admiraient sa façon de chanter et sa résilience après une vie d’adversité. Il a été marié cinq fois, mais sa personnalité, imprégnée d’une ambiguïté androgyne, l’exposait parfois à des situations humiliantes. Cependant, cette étonnante voix, aux intonations féminines, était toujours là, pénétrante et claire, triste, sereine mais aussi fragile. "Tout ce dont j’avais besoin était le courage d’être moi-même ", a-t-il révélé à son biographe. "Ce courage a pris toute une vie à se manifester." [less ▲]

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See detailValidation of the Acoustic Voice Quality Index, Version 03.01, in French
Pommée, Timothy; Maryn, Youri; Finck, Camille ULiege et al

in Journal of Voice (2018)

Objectives: The Acoustic Voice Quality Index (AVQI), version 03.01, is a tool for quantitative assessment of the overall severity of dysphonia. It is based on the recordings of a sustained vowel and part ... [more ▼]

Objectives: The Acoustic Voice Quality Index (AVQI), version 03.01, is a tool for quantitative assessment of the overall severity of dysphonia. It is based on the recordings of a sustained vowel and part of a text read aloud. For the Dutch sample, 34 syllables must be read aloud to balance the duration of the two tasks. The first part of this study thus aimed to determine how many syllables of a commonly used text in the French-speaking part of Belgium should be used to achieve the same balance. The psychometric qualities of the AVQI have been confirmed by numerous publications in various languages. However, its validation in French relies on a small cohort of patients, who were not native French speakers. Furthermore, version 03.01 of the AVQI has not yet been validated at all on French samples. Hence, the main aim of this study was to assess the criterion-related concurrent validity and diagnostic accuracy of the AVQI 03.01 applied to a sample of native French speakers. Methods: For the first part of this study, the optimal part of the text to be used for the AVQI was identified, taking into account both its phonemic contents and its time balance with the sustained vowel. For the validation study, 90 recordings from the University Hospital of Liège's ENT caseload database were used, as well as 30 new recordings of normophonic individuals, composing a control group. Four judges assessed the recordings using the G parameter of the GRBAS scale. Once the intra- and inter-rater reliability of the perceptual ratings was confirmed, the AVQI 03.01's criterion validity was assessed on the French sample. The diagnostic accuracy of the AVQI 03.01 in French was measured, and the cut-off score allowing for the greatest diagnostic precision determined. Results: The most appropriate syllable number of the text to be read aloud was found to be 27, in order to balance the time analyzed for both the sustained vowel and the continuous speech. Regarding the validation study, intra-rater reliability was substantial for each of the four vocologists (κmean =.778, P < 0.0001), and inter-rater reliability was high (W =.895, P < 0.0001). The Spearman correlation between the perceptual judgments and the AVQI 03.01 score was strong (rs =.84, P < 0.0001). The receiver operating characteristic-curve parameters indicated that the ideal cut-off score allowing for the highest diagnostic accuracy of the AVQI, version 03.01, applied to a French sample is 2.33, with a sensitivity of 59.8%, a specificity of 100%, an infinite positive likelihood ratio (LR+) and a negative likelihood ratio (LR−) of 0.4. Conclusions: This study confirms the external validity of the AVQI 03.01 when applied on a French 27-syllable sample. The AVQI 03.01 is a robust, ecologically valid objective measure of overall voice quality. The cut-off score to be used is 2.33. However, clinicians should be cautious when the AVQI score is lower than 2.33. The AVQI 03.01 does not yield a sufficiently low negative likelihood ratio to be sure that this score indeed indicates normophonia. Also, taking into account the limitations regarding the perceptual judgements used in this study, a replication study should be carried out in order to confirm the cut-off score. © 2018 Elsevier Ltd [less ▲]

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See detailThe effect of the speech task characteristics on perceptual judgment of mild to moderate dysphonia: a methodological study.
Lechien, Jérôme; Morsomme, Dominique ULiege; Finck, Camille ULiege et al

in Folia Phoniatrica et Logopaedica (2018)

Objective: to study the differences of perceptual ratings of mild and moderate dysphonia related to the speech task, and their impact on intrarater and interrater reliabilities. Patients and Methods ... [more ▼]

Objective: to study the differences of perceptual ratings of mild and moderate dysphonia related to the speech task, and their impact on intrarater and interrater reliabilities. Patients and Methods: Voice recordings of fifteen outpatients with mild or moderate dysphonia related to laryngopharyngeal reflux were presented to 6 female experienced judges blinded to the clinical state of patient recordings. From these, the GRBASI evaluations were performed on connected speech and sustained vowel of the pretreatment voice recordings and absolute agreement, and bot intrarater and interrater reliabilities were assessed. Results: The average GRBASI scores were significantly worse when performed on sustained vowel. Intrarater reliability substantially varied according to the judge and the task. Good interrater reliability was broadly found for the evaluations of all GRBASI components irrespective to the speech task. Concerning agreement, we only found absolute agreement between judges for G and R items assessed on text. Conclusion: Average grade of perceptual voice impairment, intrarater reliability and agreement vary according to the speech task. [less ▲]

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See detailDescription of patients consulting the voice clinic regarding gender, age, occupational status, and diagnosis
Remacle, Angélique ULiege; Petitfils, Cloé; FINCK, Camille ULiege et al

in European Archives of Oto-Rhino-Laryngology (2017), 274(3), 1567-1576

Purpose. To describe the gender, age, occupational status and diagnosis of dysphonic patients. Method. We retrospectively analyzed the medical records of 1079 patients examined at the Voice clinic of the ... [more ▼]

Purpose. To describe the gender, age, occupational status and diagnosis of dysphonic patients. Method. We retrospectively analyzed the medical records of 1079 patients examined at the Voice clinic of the University hospital of Liège in French-speaking Belgium. Results. Overall, seven out of 10 patients who attended the voice clinic for dysphonia were females. The patients’ ages ranged from 4 to 93 (mean=43.5). Females predominantly consulted at the age of 54 and males at the age of 9. Regarding the occupational status, workers represented more than half of our patients (53%), while 11.2% were unemployed, 15.4% were students, and 19.9% were retired. Regarding the diagnoses of the 1079 patients, nodules were the most common pathologies (n=182, 16.9% of the patients), prevailing in females (n=142, 18.8% of the females), encountered in 16.8% of the workers and 42.8% of the students consulting the voice clinic. Following nodules, laryngeal mobility disorders were diagnosed in 16.4% of the patients (n=177), mainly females (n=115), and was the most frequent diagnosis in retirees (n=75, 34.9%). Conclusions. The majority of the patients consulting the voice clinic for dysphonia were adult females, in their workforce, diagnosed with vocal nodules. The identification of the patients’ characteristics and diagnoses is important to develop treatments and prevention of dysphonia, estimate their costs, and allow comparisons across referral centers. [less ▲]

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See detailVoice outcomes of laryngopharyngeal reflux treatment: a systematic review of 1483 patients
Lechien, J. R.; Finck, Camille ULiege; COSTA DE ARAUJO, Pedro ULiege et al

in European Archives of Oto-Rhino-Laryngology (2017), 274(1), 1-23

The aim of this study is to explore voice quality modifications in laryngopharyngeal reflux (LPR) disease and to understand better the pathophysiological mechanisms underlying the development of ... [more ▼]

The aim of this study is to explore voice quality modifications in laryngopharyngeal reflux (LPR) disease and to understand better the pathophysiological mechanisms underlying the development of communicative disability. Biological Abstracts, BioMed Central, Cochrane database, PubMed and Scopus were assessed for subject headings using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) recommendations. Relevant studies published between January 1990 and December 2015 describing the evaluation of voice quality in LPR disease were retrieved. Issues of clinical relevance, such as LPR diagnosis method, treatment efficacy and outcomes, were evaluated for each study. We determined the grade of recommendation for each publication according to the Oxford Centre for Evidence-Based Medicine evidence levels. The search identified 145 publications, of which 25 studies met the inclusion criteria for a total of 1483 LPR patients. Data were extracted by 2 independent physicians who identified 16 trials with a IIb evidence level, 7 trials with a IIa evidence level and 2 RCTs with a Ib evidence level where 4 patient-based instruments and 5 clinician-based instruments were used. The main voice assessment outcomes reported were hoarseness assessments by physicians or patients, followed by acoustic parameters; 15 and 14 articles, respectively, demonstrated significant improvements in subjective and objective voice assessments after treatment. The methodology used to measure acoustic parameters (i.e. sustained vowel duration, the sample portion choice for measurement, etc.) varied from one study to another. The majority of studies indicated that voice quality assessments (especially acoustic parameters) remain an interesting outcome to measure the effectiveness of treatment, but further studies using standardised and transparent methodology to measure acoustic parameters are necessary to confirm the place of each tool in the LPR disease evaluation. [less ▲]

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See detailLong-Term Results of 18 Fat Injections in Unilateral Vocal Fold Paralysis
PAGANO, Rémi ULiege; Morsomme, Dominique ULiege; CAMBY, Séverine ULiege et al

in Journal of Voice (2016)

Summary: Objective. The purposes of this study were to assess the long-term efficacy of medialization laryngo- plasty via injection of autologous fat in patients with unilateral laryngeal paralysis, and ... [more ▼]

Summary: Objective. The purposes of this study were to assess the long-term efficacy of medialization laryngo- plasty via injection of autologous fat in patients with unilateral laryngeal paralysis, and to discuss the results based on the volume of fat injected and the size of the initial glottic gap. Study design. This was a retrospective study with clinical reevaluation of 18 patients treated for unilateral laryn- geal paralysis at Liège University Hospital between April 1, 2011, and December 1, 2014. Method. The voice examination included subjective scales (GRBAS and the Voice Handicap Index), a report on acous- tic and aerodynamic voice parameters, and laryngostroboscopic assessment of glottic closure and mucosal wave (T0: preoperative; T1: immediate postoperative; T2: >1 year). Results. The median follow-up duration was 19 months. We observed a significant improvement in maximum pho- nation time; mean flow rate; jitter; the Voice Handicap Index; the G, R, B, and A subscales of the GRBAS-I; and glottic closure at T1. These parameters remained stable over time, without any significant difference except for shimmer and glottic closure between T1 and T2. Regardless of the volume of fat injected and the magnitude of the initial glottic gap, we did not see any significant difference from one assessment time to another. Conclusion. Medialization laryngoplasty by means of the injection of autologous fat is a safe, effective surgical tech- nique for patients with unilateral laryngeal paralysis regardless of the size of the initial glottic gap. The results are maintained longer than 1 year, and no evidence of significant resorption of the fat was found in our study over a period of 12–58 months. The volume of fat injected does not seem to affect the functional results. Key Words: Glottic insufficiency–Glottic closure–Glottic gap–Laryngeal paralysis–Vocal fold paralysis–Laryngoplasty– Autologous fat–Fat injection. [less ▲]

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See detailSait-on pourquoi la voix des garçons mue?
Finck, Camille ULiege

Article for general public (2015)

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See detailworkshop:laryngoscopy hands on station
Finck, Camille ULiege

Conference (2015, September 17)

training of a group of 20 endocrine surgeons to correctly perform a laryngeal examination in fibroscopy. Live examination of a patient suffering of laryngeal paralysis

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See detailPriniples of Voice production
Finck, Camille ULiege

Conference (2015, September 17)

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See detailL'atteinte de la branche externe du nerf laryngé supérieur: les conséquences fonctionnelles
Finck, Camille ULiege

Conference (2015, June 19)

description détaillée des signes d'atteinte post thyroïdectomie du nerf laryngé supérieur, atteinte très invalidante , souvent méconnue et sans possibilité thérapeutique efficace. cette atteinte conduit à ... [more ▼]

description détaillée des signes d'atteinte post thyroïdectomie du nerf laryngé supérieur, atteinte très invalidante , souvent méconnue et sans possibilité thérapeutique efficace. cette atteinte conduit à une perte complète de la voix chantée. [less ▲]

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See detailLes paralysies récurrentielles chez l'adulte
Finck, Camille ULiege

Conference (2015, June 05)

diagnostic et prise en charge thérapeutique des paralysies laryngées

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See detailWhat is the professional profile of patients in phoniatrics?
Remacle, Angélique ULiege; Petitfils, Cloé; LEJEUNE, LIONEL ULiege et al

Conference (2015, April 10)

Objective. Research has paid increased attention to occupational voice disorders. This study describes the occupational status of patients examined in the Department of Otorhinolaryngology at Liège ... [more ▼]

Objective. Research has paid increased attention to occupational voice disorders. This study describes the occupational status of patients examined in the Department of Otorhinolaryngology at Liège University Hospital (Belgium) from 2009 to 2013. Study design. Retrospective study. Methods. The sex, age, diagnosis and occupational status were identified for 1,079 patients who were examined for a voice problem (754 women and 325 men; ages 4 to 93). The diagnosis was established using videolaryngostroboscopy. For patients who were employed, we identified (1) the numerically most frequent professionals, and (2) the professionals most at risk of consulting for their voice, based on the distribution of these professions among all workers living in French-speaking Belgium. Results. 11% of patients were unemployed, 15% were students, 20% were retired, and 54% were workers. In decreasing order of frequency, the most commonly seen professionals were teachers, office workers, artists (singers, actors, and musicians), storekeepers and marketing representatives, managers, domestic workers, and laborers. Regarding their distribution in the working population, the workers at greatest risk of consulting were artists, music teachers, counselors, sports coaches, psychologists, switchboard operators, journalists, and teachers. Nodules are the most common pathologies, encountered in 16.8% of the workers and 42.8% of the students who consulted the Department of Otorhinolaryngology for dysphonia. Conclusion. Prevention is needed both for the professions that seek medical help in the largest numbers (teachers) and for those that are at highest risk of consulting (artistic professions). In addition, teachers must be informed of the need to seek help as soon as voice problems appear. Level of evidence: 2b [less ▲]

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See detailEstimated Subglottic Pressure Evaluation, Evolution in 152 Dysphonic Patients
Morsomme, Dominique ULiege; Finck, Camille ULiege; Larrouy-Maestri, Pauline ULiege

Conference (2015, April 08)

Background: Estimated subglottic pressure (ESGP) is part of the aerodynamic measurements included in the vocal profile. It is an indication of vocal effort. Speyer reports an improvement of the ESGP score ... [more ▼]

Background: Estimated subglottic pressure (ESGP) is part of the aerodynamic measurements included in the vocal profile. It is an indication of vocal effort. Speyer reports an improvement of the ESGP score after voice treatment. Nevertheless, few studies used ESGP to evaluate voice efficiency treatment. Objectives: The purpose is to examine the ESGP twice, at the first (T1) and the last consultation (T2) . We observe the ESGP values according to voice pathology. We also examine the relationships between ESGP, SPL(Sound pressure level) and DSI (Discorder severity index) . Method: The study includes 130 patients (M:31/W:99), which suffer from 4 different pathologies as immobility (N: 54), oedema (N:23), nodules (N:24) and polyp (N:29). Each patient’s file consists of VLS, acoustic, aerodynamic and perceptual measures. The ESGP was collected through the Phonatory Aerodynamic System Model 6600 (KayPentax). Patients produced 3 sequences of / ipipi / at low (IL), conversational (IC) and high (IH) intensity. Patients were grouped according to the ENT’s diagnosis. We compare our values to those of Zraick et al (2012) which studied ESGP on a healthy group. Results: At T2, for the all patients, at minimum and conversational intensity the ESGP scores decrease singificantly, even if those scores were higher than for the healthy group. We observe a negative correlation between ESGP and SPL at low and conversational intensity. At T1, the higher is the ESGP score, the lower is the SPL score. At T2, the higher is the ESGP score, the higher is the SPL score. At T1, a negative correlation is observed between ESGP and DSI for 2 groups of patients (immobility and polyp) only at minimum intensity. The higher is the ESGP, the lower is SPL. At T2, only for the group immobility, the negative correlation persists. Conclusion: This study highlights the importance of considering the ESGP as a parameter of efficiency. High ESGP is mainly connected with patients who suffer from pathology. The patient who suffer from immobility seems to present a specific profile which could help the clinician to better understand their vocal behavior. Recommendation: This study highlights the pertinence of considering the ESGP as a parameter of vocal treatment efficiency. [less ▲]

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See detailLes pathologies vocales sous les flashes de la vdiéstroboscopie
Finck, Camille ULiege

Conference (2014, October 22)

description des principales pathologies cordales bénignes observées en vidéostroboscopie

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See detailEvaluation de la pression sous glottique estimée (PSGE) en fonction de la pathologie vocale: étude sur 418 patients.
Morsomme, Dominique ULiege; Chareix, Hélène; Finck, Camille ULiege et al

Conference (2014, October 13)

Objectif: Notre but est d'analyser la pression sous-glottique estimée (PSGE) en fonction de la pathologie vocale, du genre et du niveau de pression sonore. Nous observons également les corrélations entre ... [more ▼]

Objectif: Notre but est d'analyser la pression sous-glottique estimée (PSGE) en fonction de la pathologie vocale, du genre et du niveau de pression sonore. Nous observons également les corrélations entre la PSGE, le Voice Handicap Index (VHI) et le Dysphonia Severity Index (DSI). Méthode: 418 patients (118 H, 300 F) ont réalisé un bilan vocal (VLS, mesures acoustiques, aérodynamiques, VHI). La PSGE est collectée à l’aide du Phonatory Aerodynamic System Model 6600 (KayPentax). Les patients ont produit 3 séries de /ipipi/ à 3 niveaux de pressions sonores (conversationnel, faible et fort). Résultats: A intensité forte, les hommes ont un niveau de PSGE supérieur à celui des femmes. A intensité faible, le groupe « atrophie » montre des scores plus faibles que le groupe « nodules » et à intensité forte plus faibles que le groupe « polype ». A intensité conversationnelle, le groupe « examen normal » montre des scores plus faibles que les groupes « nodules », « polypes » et « œdème de Reinke ». A intensité faible, la même différence est observée avec en plus les groupes « kystes » et « cicatrices ». Nous observons une corrélation positive entre la PSGE et le VHI à intensité faible et négative à intensité forte. A intensité conversationnelle et faible, nous observons une corrélation négative entre le DSI et la PSGE. Quel que soit le niveau d’intensité, nous n’observons pas de corrélation pour le groupe « kyste ». Conclusion: Cette étude met en évidence l’intérêt de la PSGE. Une PSGE élevée est principalement observée chez les patients avec lésion sur le plan glottique. La corrélation entre PSGE et niveau de pression sonore varie en fonction de la pathologie. La mesure de PSGE peut aider le clinicien à mieux comprendre le comportement vocal du patient en lien avec sa pathologie. [less ▲]

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See detailQuel est le profil professionnel des patients consultant en phoniatrie?
REMACLE, Angélique ULiege; Petitfils, Cloé; LEJEUNE, LIONEL ULiege et al

Conference (2014, October 13)

Nous avons analysé les dossiers de 1079 patients (754 femmes et 325 hommes) qui se sont présentés au CHU de Liège entre 2009 et 2013 pour une plainte vocale. Chez ces patients, nous avons répertorié 121 ... [more ▼]

Nous avons analysé les dossiers de 1079 patients (754 femmes et 325 hommes) qui se sont présentés au CHU de Liège entre 2009 et 2013 pour une plainte vocale. Chez ces patients, nous avons répertorié 121 personnes sans profession (11%), 166 étudiants (16%), 215 retraités (20%), et 577 travailleurs (53%). Parmi ces 577 travailleurs, il y avait notamment 129 enseignants, 55 employés de bureau, 50 chanteurs, comédiens et musiciens, 41 commerçants, 39 managers, 37 aides ménagères et 35 ouvriers. Objectif : Pour les travailleurs, nous avons tenté d’établir le degré d’exposition aux troubles de la voix selon la profession exercée en fonction de leur représentation dans la partie francophone de la Belgique (Wallonie). Notre objectif était de cibler les travailleurs les plus à risque de consulter un spécialiste de la voix. Méthode : Nous avons estimé la proportion de ces travailleurs par profession en calculant le rapport entre leur nombre en consultation phoniatrique et leur nombre parmi les travailleurs wallons. Résultats : Les travailleurs qui consultent le plus pour un problème de voix et qui sont donc le plus à risque sont, par ordre décroissant : les chanteurs, comédiens et musiciens (3.3% ont consulté), suivis par les professeurs de musique (1.5%), les animateurs (0.45%), les entraineurs sportifs (0.29%), les psychologues (0.20%), les journalistes et standardistes (0.17%), et les enseignants (0.14). En conclusion, cette étude montre que les travailleurs qui consultent le plus en phoniatrie ne représentent pas nécessairement le groupe professionnel le plus à risque. [less ▲]

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See detailImpact of vocal load on breathiness: Perceptual evaluation
Remacle, Angélique ULiege; Schoentgen, Jean; FINCK, Camille ULiege et al

in Logopedics, Phoniatrics, Vocology (2014), 39(3), 139-146

Objectives: To evaluate the impact on voice of 2 hours of continuous oral reading. Methods: Fifty normophonic women underwent two sessions of voice loading in which the required intensity level varied: 60 ... [more ▼]

Objectives: To evaluate the impact on voice of 2 hours of continuous oral reading. Methods: Fifty normophonic women underwent two sessions of voice loading in which the required intensity level varied: 60-65 dB(A) for the first session, and 70-75 dB(A) for the second session. Ten expert judges evaluated the breathiness of one sentence recorded before and after each loading session. Pairs of stimuli were presented randomly to the judges, who were asked to designate the breathiest sample. Results: A significant decrease in breathiness was observed following both sessions, suggesting an improvement of voice subsequent to loading. When comparing the two intensity levels, no difference was found for breathiness after vocal loading. [less ▲]

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See detailORL et implications en dentisterie
Finck, Camille ULiege

Conference (2014, September 26)

présentation montrant l'intrication des pathologies ORL et des pathologies dentaires: depuis les troubles de la croissance du massif facial sur encombrement oro-pharyngé jusqu'au syndrome ... [more ▼]

présentation montrant l'intrication des pathologies ORL et des pathologies dentaires: depuis les troubles de la croissance du massif facial sur encombrement oro-pharyngé jusqu'au syndrome algodysfonctionnel de l'articulation temporomandibulaire, les sinusites d'origine dentaire.Description des pathologies les plus fréquentes de la muqueuse buccale. [less ▲]

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