Influence of a Surgical Mask on Voice Analysis in Dysphonic Patients During the COVID-19 Pandemic

OTO Open. 2024 Jan 16;8(1):e102. doi: 10.1002/oto2.102. eCollection 2024 Jan-Mar.

Abstract

Objective: COVID-19 has radically changed medical practice. The main objective of this study was to assess the impact of surgical mask (SM) on voice quality analyzes in a group of patient with different common benign vocal organic pathologies.

Study design: A cross-over study.

Setting: A group of 20 patients with different organic benign vocal pathologies was recruited from the ENT consultation of the University Hospital of Charleroi in Belgium.

Methods: On the day of the assessment, each subject underwent an endonasal laryngeal videostroboscopy followed by a voice analysis (VA) with and without a new SM. The following parameters were analyzed: fundamental frequency, maximum frequency, range in amplitude and frequency of the voice, jitter and maximum phonatory time.

Results: In this research, we showed that VA can be performed with an SM while not changing the measured vocal parameters. These results also suggest that for the same individual a VA performed before the pandemic without SM could be compared to one with a SM to follow the patient's evolution of his or her voice quality.

Conclusion: The wearing of an SM during VA should always be recommended in case of immunodeficiency, a contagious disease of the patient or during a (new) pandemic.

Keywords: COVID‐19; surgical mask; vocal analysis; voice patients.