Usefulness of Cepstral Peak Prominence (CPP) in Unilateral Vocal Fold Paralysis Dysphonia Evaluation

일측성 성대마비 환자 평가에서 Cepstral Peak Prominence의 유용성

  • Lee, Chang-Yoon (Department of Otorhinolaryngology, Dongnam Institute of Radiological & Medical Sciences) ;
  • Jeong, Hee Seok (Pusan National University Yangsan Hospital) ;
  • Son, Hee Young (Department of Otorhinolaryngology, Dongnam Institute of Radiological & Medical Sciences)
  • 이창윤 (동남권원자력의학원 이비인후과학교실) ;
  • 정희석 (양산부산대학교병원 영상의학과) ;
  • 손희영 (동남권원자력의학원 이비인후과학교실)
  • Received : 2017.05.12
  • Accepted : 2017.06.07
  • Published : 2017.12.30

Abstract

Background and Objectives : The purpose of this study was to compare the usefulness of Cepstral peak prominence (CPP) with parameter of Multiple Dimensional Voice Program (MDVP) in evaluating unilateral vocal fold paraylsis patients with subjective voice impairment. Materials and Methods : From July 2014 to August 2016, 37 patients with unilateral vocal fold paralysis who had been diagnosed with unilateral vocal fold paralysis and had received two or more voice tests before and after the diagnosis were evaluated for maximum phonation time (MPT), MDVP and CPP. Respectively. Voice tests were performed with short vowel /a/ and paragraph reading. Results : The CPP-a (CPP with vowel /a/) and CPP-s (CPP with paragraph reading) of the Cepstrum were statistically negatively correlated with G, R, B, and A before the voice therapy. Jitter, Shimmer, and NHR of MDVP were positively correlated with G, R, B. Jitter, Shimmer, and NHR of the MDVP were significantly correlated with the Cepstrum index. G, B, A and CPP-a and CPP-s showed a statistically significant negative correlation and a somewhat higher correlation coefficient between 0.5 and 0.78. On the other hand, in MDVP index, there was a positive correlation with G and B only with Jitter of 0.4. Conclusion : CPP can be an important evaluation tool in the evaluation of speech in the unilateral vocal cord paralysis when speech energy changes or the cycle is not constant during speech.

Keywords

References

  1. Fraile R, Godino-Llorente JI. Cepstral peak prominence: A comprehensive analysis. J Biomedical Signal Processing and Control March 2014(22):1-24.
  2. Heman-Ackah YD, Michael DD, Goding GS Jr. The relationship between cepstral peak prominence and selected parameters of dysphonia. J Voice 2002;1(16):20-7. https://doi.org/10.1016/S0892-1997(02)00067-X
  3. Park MC, Mun MK, Lee SH, Jin SM. Clinical usefulness of cepstral analysis in dysphonia evaluation. Korean J Otorhinolaryngol-Head Neck Surg 2013;56(9):574-8. https://doi.org/10.3342/kjorl-hns.2013.56.9.574
  4. Kim TH, Choi JI, Lee SH, JIn SM. Comparison of vowel and text-based cepstral analysis in dysphonia evaluation. J Korean Logo Phon 2015;26(2):117-21. https://doi.org/10.22469/jkslp.2015.26.2.117
  5. Eadie TL, Baylor CR. The effect of perceptual training on inexperienced listeners' judgments of dysphonic voice. J Voice 2006(20): 527-44. https://doi.org/10.1016/j.jvoice.2005.08.007