Abstract:
To verify the auditory-vocal perceptual modifications after surgical intervention and voice therapy. Case report of man is 32 years old, with the right vocal fold paralysis due to traumatic brain injury by a firearm, subjected thyroplasty type I and six sessions of therapy. Auditory perceptual voice evaluation of spontaneous speech by RASATI scale and aspects: pitch and resonance, performed before and after surgery and after voice therapy. The audios were analyzed by three speech therapists with experience in voice and analyzes were considered together to determine the judgment prevalent in each parameter. The voice therapy consisted of: method of overarticulation, lip constriction and cardinal points with the tongue. After surgery, there was improvement in breathiness (moderate degree became discrete), asthenia (discreet became normal), tension (moderate became discrete) and pitch (discreet became normal); worsening of hoarseness aspect (discreet became moderate) and there were no modifications in the instability (remained moderate), hypernasal resonance (remained intense), roughness (normal). After voice therapy, showed improvement in the hoarseness (moderate became normal) and instability (moderate became discrete). Other aspects showed no modifications. The thyroplasty type I, improved the auditory-vocal perceptual aspects of breathiness, asthenia, tension and pitch and worsened hoarseness without influencing the instability and resonance, and the voice therapy improved aspects of hoarseness and instability. Thus, it is emphasized the importance of voice therapy after laryngeal surgeries.
Keywords:
Dysphonia; Voice Disorders; Speech, Language and Hearing Sciences; Voice
