Potential Effects of Rhinoplasty on Voice in Professional Voice Users

• Published in: Aesthetic plastic surgery Vol. 45; no. 5; pp. 2280 - 2286
• Main Authors: Bakhshaee, Mehdi, Jahanian, Masoumeh, Khazaeni, Kamran, Sobhani, Davood, Mashhadi, Leila, Rasoulian, Bashir
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.10.2021; Springer Nature B.V
• Subjects: Acoustics; Investigations; Larynx; Medicine; Medicine & Public Health; Nose; Occupations; Original Article; Otorhinolaryngology; Physiology; Plastic Surgery; Quality of life; Questionnaires; Rhinoplasty; Singers; Sound; Speech; Nasometer; Rhinoplasty; CSL parameters; Nasality; VHI
• ISSN: 0364-216X; 1432-5241
• DOI: 10.1007/s00266-021-02250-2

Background and Aim Surgical procedures involving the manipulation of the airway structure have the potential to affect the quality of voice by changing the resonance properties. Regarding this, the present study was conducted to investigate the effect of rhinoplasty on the voice of professional voice users. Methods and Materials This cohort study was conducted on 30 professional voice users. For the purpose of the study, the patients completed the Voice Handicap Index (VHI). In addition, they were subjected to voice analysis that included the measurement of nasality in speech production (i.e., nasalance), using the nasometer II. Computerized speech lab was also utilized to examine vowels /e/ and /a/, each of which was sustained for 5 sec by the participants. Results The mean VHI scores were 8.5 ± 1.98 and 7.36 ± 1.71 before and after the surgery, respectively, indicating no significant difference between the two investigated stages ( Z  = − 0.53, P  = 0.59). However, there was a significant difference between the patients with and without preoperative obstruction in terms of the VHI score (χ 2  = 11.06, P  = 0.004). With regard to orality, it had the mean values of 16.86 ± 7.45 and 15.22 ± 7.37 before and after the surgery, respectively. Furthermore, the mean values of nasality at the pre- and post-operation stages were 59.42 ± 6.04 and 56.28 ± 10.07, respectively. The comparison between the pre- and post-surgical orality and nasality revealed no significant difference ( t  = 1.226, P  = 0.23 and t  = 0.93, P  = 0.36, respectively). Conclusion Although rhinoplasty is supposed to affect voice and vocal resonation, the induced changes are not problematic for the professional voice users. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .