Advertisement
Research Article| Volume 33, ISSUE 5, P803.e15-803.e21, September 2019

Comparison Study of Vocal Attack Time in Patients With Cleft Palate With and Without Glottal Stop in Mandarin

  • Zhen Ren
    Affiliations
    Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China
    Search for articles by this author
  • Xia Zhou
    Affiliations
    Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China
    Search for articles by this author
  • Lian Ma
    Correspondence
    Address correspondence and reprint requests to Lian Ma, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, 22 Zhongguancun Avenue South, Haidian District, Beijing 100081, China.
    Affiliations
    Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China
    Search for articles by this author
  • Jiangping Kong
    Correspondence
    Address correspondence and reprint requests to Jiangping Kong Department of Chinese Language and Literature, Center for Chinese Linguistics, Peking University. No. 5 Yiheyuan Road, Haidian District, Beijing, China.
    Affiliations
    Department of Chinese Language and Literature, Center for Chinese Linguistics, Peking University, Beijing, China
    Search for articles by this author

      Summary

      Glottal stop (GS) is a typical compensatory articulation, which has a great impact on speech intelligibility in patients with cleft palate. It is usually detected by perceptual analysis. The aim of this study is to investigate the utility of vocal attack time (VAT) values in patients with cleft palate with and without GS, when unaspirated monosyllables are articulated in Mandarin, by using electroglottography. Unaspirated monosyllables /pa/ /pi/ /pu/ /ta/ /ti/ /tu/ /ka/ /ki/ /ku/ with tone one were analyzed. A total of 575 tokens were obtained from 42 patients with cleft palate, divided into a GS category (n = 312 tokens) and a nonglottal stop (NGS) category (n = 263 tokens), as assessed perceptually by three judges. Sound pressure and electroglottography recordings were also obtained from these tokens. The time lag of the cross-correlation function was used to gain VAT values. The results showed that the mean VAT values of tokens from the GS category (−0.25 ms) was significantly shorter than that of tokens in the NGS category (3.19 ms) (t = 7.326, P < 0.001). The results also showed that there was no significant difference in VAT values between the different combined monosyllables both in GS and in NGS group. The conclusion that can be drawn from this study is that the VAT value was sensitively decreased in cleft palate Mandarin speakers with GS comparing to those without GS.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Voice
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Stengelhofen J.
        Nature and causes of communication difficulties.
        in: Stengelhofen J. Cleft Palate: Nature and Remediation of Communication Problems. Churchill Livingstone, Edinburgh1989: 1-30
        • Prathanee B.
        • Pumnum T.
        • Seepuaham C.
        • et al.
        Five-year speech and language outcomes in children with cleft lip-palate.
        J Craniomaxillofac Surg. 2016; 44: 1553-1560
        • Kummer A.W.
        Anatomy and physiology: the orofacial structures and velopharyngeal valve, cleft palate and craniofacial anomalies, the effects on speech and resonance.
        in: Cleft Palate and Craniofacial Anomalies: The Effects on Speech and Resonance. Singular, San Diego, CA2001
        • Warren D.W.
        Compensatory speech behaviors in individuals with cleft palate: a regulation/control phenomenon?.
        Cleft Palate J. 1986; 23: 251-260
        • Sell D.
        • Harding A.
        • Grunwell P.
        A screening assessment of cleft palate speech (Great Ormond Street Speech Assessment).
        Int J Lang Commun Disord. 1994; 29: 1
        • Konst E.M.
        • Rietveld T.
        • Peters H.F.
        • et al.
        Use of a perceptual evaluation instrument to assess the effects of infant orthopedics on the speech of toddlers with cleft lip and palate.
        Cleft Palate Craniofac J. 2003; 40: 597
        • Kuehn D.P.
        • Moller K.T.
        Speech and language issues in the cleft palate population: the state of the art.
        Cleft Palate Craniofac J. 2000; 37: 348
        • Whitehill T.L.
        Assessing intelligibility in speakers with cleft palate: a critical review of the literature.
        Cleft Palate Craniofac J. 2002; 39: 50-58
        • Kent R.D.
        Hearing and believing: some limits to the auditory-perceptual assessment of speech and voice disorders.
        Am J Speech Lang Pathol. 1996; 5: 7-23
        • Howard S.
        Compensatory articulatory behaviours in adolescents with cleft palate: comparing the perceptual and instrumental evidence.
        Clin Linguist Phon. 2004; 18: 313-340
        • Fabre P.
        Un procédé électrique percutané d'inscription de l'accolement glottique au cours de la phonation: glottographie de haute fréquence.
        Bull Acad Nat Méd. 1957; 141: 66-69
        • Taptapova S.L.
        • Ermakova J.
        [Electroglottography studies in patients with congenital cleft palate].
        Rev Laryngol Otol Rhinol (Bord). 1979; 100: 177-181
        • Hamming K.K.
        • Finkelstein M.
        • Sidman J.D.
        Hoarseness in children with cleft palate.
        Otolaryngol Head Neck Surg. 2009; 140: 902-906
        • Robison J.G.
        • Otteson T.D.
        Prevalence of hoarseness in the cleft palate population.
        Arch Otolaryngol Head Neck Surg. 2011; 137: 74-77
        • Zajac D.J.
        • Linville R.N.
        Voice perturbations of children with perceived nasality and hoarseness.
        Cleft Palate J. 1989; 26: 226
        • Garellek M.
        Voice quality strengthening and glottalization.
        J Phon. 2014; 45: 106-113
        • Pak M.
        How allomorphic is English article allomorphy?.
        Glossa. 2016; 1: 20
        • Solé M.-J.
        Articulatory adjustments in initial voiced stops in Spanish, French and English.
        J Phon. 2018; 66: 217-241
        • Shen X.R.
        The acoustic performances of glottal stop.
        Stud Lang Linguist. 2010; : 35-39
        • Baken R.J.
        • Orlikoff R.F.
        Estimating vocal fold adduction time from EGG and acoustic records.
        in: Programme and Abstract Book: 24th IALP Congress. Vol. 15. 1998 (Amsterdam)
        • Orlikoff R.F.
        • Deliyski D.D.
        • Baken R.J.
        • et al.
        Validation of a glottographic measure of vocal attack.
        J Voice. 2009; 23: 164-168
        • Roark R.M.
        • Watson B.C.
        • Baken R.J.
        A figure of merit for vocal attack time measurement.
        J Voice. 2012; 26: 8-11
        • Watson B.C.
        • Baken R.J.
        • Roark R.M.
        • et al.
        Effect of fundamental frequency at voice onset on vocal attack time.
        J Voice. 2013; 27: 273-277
        • Watson B.C.
        • Baken R.J.
        • Roark R.M.
        Effect of voice onset type on vocal attack time.
        J Voice. 2016; 30: 11-14
        • Ma E.P.
        • Baken R.J.
        • Roark R.M.
        • et al.
        Effect of tones on vocal attack time in Cantonese speakers.
        J Voice. 2012; 26: 670.e1
        • Lee T.-Y.T.
        The effects of vocal intensity on vocal attack time (VAT).
        (Pokfulam, Hong Kong: The University of Hong Kong)2010 (李芷茵)
        • Tam K.-C.B.
        Effects of straw phonation on vocal attack time in Cantonese speakers.
        (Pokfulam, Hong Kong: The University of Hong Kong)2013 (譚家駿)
        • Zhang R.
        • Baken R.J.
        • Kong J.
        Vocal attack time of different pitch levels and vowels in Mandarin.
        J Voice. 2015; 29: 542-547
        • Kong J.
        • Zhang R.
        VAT of the lexical tones in Mandarin Chinese.
        J Chin Linguist. 2017; 45: 275-289
        • Roark R.M.
        • Watson B.C.
        • Baken R.J.
        Measures of vocal attack time for healthy young adults.
        J Voice. 2012; 26: 12-17
        • Paal S.
        • Reulbach U.
        • Strobel-Schwarthoff K.
        • et al.
        Evaluation of speech disorders in children with cleft lip and palate.
        J Orofac Orthop. 2005; 66: 270-278
        • Dowden P.A.
        The effects of listener training on the speech intelligibility of severely dysarthric individuals.
        1992: 2814
        • Hikita R.
        • Miyamoto J.J.
        • Ono T.
        • et al.
        Activation patterns in the auditory association area involved in glottal stop perception.
        J Oral Biosci. 2013; 55: 34-39
        • Chen R.
        • Ma L.
        • Zhu H.
        The phonological characteristics and correction of glottal stop after cleft palate surgery.
        Chinese Journal of Stomatology. 2002; 37: 191-193
        • Jiang C.
        • Whitehill T.L.
        • McPherson B.
        • et al.
        Consonant accuracy in Mandarin-speaking children with repaired cleft palate.
        Int J Pediatr Otorhinolaryngol. 2015; 79: 2270-2276
        • Moore P.
        Motion picture studies of the vocal folds and vocal attack.
        J Speech Disord. 1938; 3: 235-238
        • Hirose H.
        • Gay T.
        Laryngeal control in vocal attack.
        Folia Phoniatr Logop. 1973; 25: 203-213
        • Cerom J.L.
        • Macedo Cde C.
        • Feniman M.R.
        Can peripheral hearing justify the speech disorders in children with operated cleft palate?.
        Int Arch Otorhinolaryngol. 2014; 18: 27-35