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Research Article|Articles in Press

How Does Long Term Use of Surgical Face Mask Affect the Voice in Normophonic Subjects?

      Summary

      Objectives

      To assess the effects of the longterm-use of surgical face mask (SFM) on acoustic and auditory-perceptual voice parameters in normophonic subjects without any known risk factor related to voice disorders.

      Materials and Methods

      Of 73 normophonic subjects who were previously included in a couple of studies before the COVID-19 outbreak, 25 people (18 female and 7 male) who were free of any known risk factor related to voice disorders during the outbreak were re-evaluated to assess the long-term effect of SFM on voice by using acoustic (mean F0, Jitter-local, Shimmer-local, Cepstral Peak Prominence (CPP), Noise to Harmonic Ratio (NHR), maximum phonation time (MPT)) and auditory-perceptual (Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V)) parameters and those data found in SFM period were compared with the previous (preSFM) data. MPT and acoustic data were analyzed by PRAAT software.

      Results

      It was seen that the mean F0 value presented a significant increase, while Jitter-local and Intensity values revealed a significant decrease in females after 2 years pass with SFM use (average 22.52 ± 0.18 months).In males, only a significant decrease in Jitter-local was detected.

      Conclusions

      This study is the first longitudinal investigation on the effects of SFM use on acoustic and auditory-perceptual measures of voice. The data in this study, revealed that long-term use of SFM would not appear to be negatively affecting the acoustic parameters of the voice in normophonic subjects (particularly females) without any related risk factors such as tobacco use, reflux, and etc.

      Key Words

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      REFERENCES

      1. World Health Organization. Novel Coronavirus−China. WHO; 2020. Available at: https://www.who.int/csr/don/12-january-2020-novelcoronavirus-china/en/. Accessed April 6, 2020.

      2. Türkiye Cumhuriyeti İçişleri Bakanliği. 81 İl Valiliği'ne Koronavirüs Tedbirleri Konulu Ek Genelge. Available at: https://www.icisleri.gov.tr/81-il-valiligine-koronavirus-tedbirleri-konulu-ek-genelge-gonderildi-08-09-20. Accessed September 8, 2020.

        • Chu DK
        • Akl EA
        • Duda S
        • et al.
        Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis.
        Lancet. 2020; 395: 1973-1987https://doi.org/10.1016/S0140-6736(20)31142-9
        • Matuschek C
        • Moll F
        • Fangerau H
        • et al.
        Face masks: benefits and risks during the COVID-19 crisis.
        Eur J Med Res. 2020; 25: 32https://doi.org/10.1186/s40001-020-00430-5
        • Zangmeister CD
        • Radney JG
        • Vicenzi EP
        • et al.
        Filtration efficiencies of nanoscale aerosol by cloth mask materials used to slow the spread of SARS-CoV-2.
        ACS nano. 2020; 14: 9188-9200https://doi.org/10.1021/acsnano.0c05025
        • Bandaru S
        • Augustine A
        • Lepcha A
        • et al.
        The effects of N95 mask and face shield on speech perception among healthcare workers in the coronavirus disease 2019 pandemic scenario.
        The J Laryngol Otol. 2020; 134: 895-898https://doi.org/10.1017/S0022215120002108
        • Corey RM
        • Jones U
        • Singer AC.
        Acoustic effects of medical, cloth, and transparent face masks on speech signals.
        J Acoust Soc Am. 2020; 148: 2371https://doi.org/10.1121/10.0002279
        • Rahne T
        • Frohlich L
        • Plontke S
        • et al.
        Influence of surgical and N95 face masks on speech perception and listening effort in noise.
        PLoS One. 2021; 16e0253874https://doi.org/10.1371/journal.pone.0253874
        • Shekaraiah S
        • Suresh K.
        Effect of face mask on voice production during COVID-19 pandemic: a systematic review.
        J Voice. 2021; https://doi.org/10.1016/j.jvoice.2021.09.027
        • Magee M
        • Lewis C
        • Noffs G
        • et al.
        Effects of face masks on acoustic analysis and speech perception: implications for peri-pandemic protocols.
        J Acoust Soc Am. 2020; 148: 3562https://doi.org/10.1121/10.0002873
        • Ribeiro VV
        • Dassie-Leite AP
        • Pereira EC
        • et al.
        Effect of wearing a face mask on vocal self-perception during a pandemic.
        J Voice. 2020; 36: 878https://doi.org/10.1016/j.jvoice.2020.09.006
        • Heider CA
        • Alvarez ML
        • Fuentes-Lopez E
        • et al.
        Prevalence of voice disorders in healthcare workers in the universal masking COVID-19 era.
        Laryngoscope. 2021; 131: E1227-E1E33https://doi.org/10.1002/lary.29172
        • Lin Y
        • Cheng L
        • Wang Q
        • et al.
        Effects of medical masks on voice assessment during the COVID-19 pandemic.
        J Voice. 2021; https://doi.org/10.1016/j.jvoice.2021.04.028
        • Cavallaro G
        • Di Nicola V
        • Quaranta N
        • et al.
        Acoustic voice analysis in the COVID-19 era.
        Acta Otorhinolaryngol Ital. 2021; 41: 1-5https://doi.org/10.14639/0392-100X-N1002
        • Nguyen DD
        • McCabe P
        • Thomas D
        • et al.
        Acoustic voice characteristics with and without wearing a facemask.
        Sci Rep. 2021; 11: 5651https://doi.org/10.1038/s41598-021-85130-8
        • Fiorella ML
        • Cavallaro G
        • Di Nicola V
        • et al.
        Voice differences when wearing and not wearing a surgical mask.
        J Voice. 2021; https://doi.org/10.1016/j.jvoice.2021.01.026
        • Onen Ç
        • Mengu G
        • Altinyay S
        • et al.
        Determination of the acoustic properties of Turkish ling six sounds used in speech tests.
        Speech, Lang Hear. 2021; 25: 377-387https://doi.org/10.1080/2050571X.2021.1965820
        • Songur ET
        • Türkcan AK
        • Karadeniz H
        • et al.
        Determination of the voice parameters in adult individuals with rheumatoid arthritis and the relation of voice with depression and inflammation.
        J Voice. 2020; 36: 880https://doi.org/10.1016/j.jvoice.2020.09.014
        • Golac H
        • Atalik G
        • Turkcan AK
        • et al.
        Disease related changes in vocal parameters of patients with type 2 diabetes mellitus.
        Logoped Phoniatr Vocol. 2022; 47: 202-208https://doi.org/10.1080/14015439.2021.1917653
        • Kilic MA
        • Okur E
        • Yildirim I
        • et al.
        Reliability and validity of the Turkish version of the voice handicap index.
        Kulak Burun Bogaz Ihtis Derg. 2008; 18: 139-147
        • Patel RR
        • Awan SN
        • Barkmeier-Kraemer J
        • et al.
        Recommended protocols for instrumental assessment of voice: american speech-language-hearing association expert panel to develop a protocol for instrumental assessment of vocal function.
        Am J Speech Lang Pathol. 2018; 27: 887-905https://doi.org/10.1044/2018_AJSLP-17-0009
        • Dejonckere PH
        • Bradley P
        • Clemente P
        • et al.
        A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. Guideline elaborated by the Committee on Phoniatrics of the European Laryngological Society (ELS).
        Eur Arch Otorhinolaryngol. 2001; 258: 77-82https://doi.org/10.1007/s004050000299
      3. P Boersma DW. Praat: doing phonetics by computer [Computer software version 6.0.36]2017.

        • Barkmeier J
        • Verdolini K
        • Kempster G.
        Report of the Consensus Conference on Auditory-Perceptual Evaluation of Voice.
        In Annual Convention of the American Speech-Language-Hearing Association, Atlanta, GA2002
      4. Özcebe E, Aydinli FE, Tiğrak TK, et al. Reliability and validity of the Turkish version of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V). J Voice. 2019;33:382. https://doi.org/10.1016/j.jvoice.2017.11.013. e1–e10.

        • Goldin A
        • Weinstein B
        • Shiman N.
        How do medical masks degrade speech perception.
        Hearing review. 2020; 27: 8-9
        • Gillespie AI
        • Fanucchi A
        • Gartner-Schmidt J
        • et al.
        Phonation with a variably occluded facemask: effects of task duration.
        J Voice. 2022; 36: 183-193https://doi.org/10.1016/j.jvoice.2020.05.011
        • Titze IR.
        Voice training and therapy with a semi-occluded vocal tract: rationale and scientific underpinnings.
        J Speech Lang Hear Res. 2006; 49: 448-459https://doi.org/10.1044/1092-4388(2006/035
        • Frisancho K
        • Salfate L
        • Lizana K
        • et al.
        Immediate effects of the semi-occluded ventilation mask on subjects diagnosed with functional dysphonia and subjects with normal voices.
        J Voice. 2020; 34: 398-409https://doi.org/10.1016/j.jvoice.2018.10.004
        • Guzman M
        • Calvache C
        • Pacheco F
        • et al.
        A voice rehabilitation protocol with the semioccluded ventilation mask in subjects with symptoms of vocal fatigue and phonatory effort.
        J Voice. 2023; 37: 60-67https://doi.org/10.1016/j.jvoice.2020.10.011
        • Awan SN
        • Gartner-Schmidt JL
        • Timmons LK
        • et al.
        Effects of a variably occluded face mask on the aerodynamic and acoustic characteristics of connected speech in patients with and without voice disorders.
        J Voice. 2019; 33 (e1- e10): 809https://doi.org/10.1016/j.jvoice.2018.03.002
        • Cielo CA
        • Lima JPdM
        • Christmann MK
        • et al.
        Semioccluded vocal tract exercises: literature review.
        Revista CEFAC. 2013; 15: 1679-1689https://doi.org/10.1590/S1516-18462013005000041
        • Pozzali I
        • Pizzorni N
        • Ruggeri A
        • et al.
        Effectiveness of Semi-Occluded Vocal Tract Exercises (SOVTEs) in patients with dysphonia: a systematic review and meta-analysis.
        J Voice. 2021; https://doi.org/10.1016/j.jvoice.2021.06.009
        • Fadel CB
        • Dassie-Leite AP
        • Santos RS
        • et al.
        Immediate effects of the semi-occluded vocal tract exercise with LaxVox® tube in singers.
        Codas. 2016; 28: 618-624https://doi.org/10.1590/2317-1782/20162015168
        • Brockmann M
        • Drinnan MJ
        • Storck C
        • et al.
        Reliable jitter and shimmer measurements in voice clinics: the relevance of vowel, gender, vocal intensity, and fundamental frequency effects in a typical clinical task.
        J Voice. 2011; 25: 44-53https://doi.org/10.1016/j.jvoice.2009.07.002
        • Brockmann-Bauser M
        • Bohlender JE
        • Mehta DD.
        Acoustic perturbation measures improve with increasing vocal intensity in individuals with and without voice disorders.
        J Voice. 2018; 32: 162-168https://doi.org/10.1016/j.jvoice.2017.04.008
        • Behrman A.
        Speech and Voice Science.
        Fourth ed. Plural publishing, San Diego,CA2021
        • Göksel A
        • Kerslake C.
        Turkish: A Comprehensive Grammar.
        First ed. Routledge, Oxon2005