Comparative Study on the Acoustic Analysis of Voice in Auditory Brainstem Implantees, Cochlear Implantees, and Normal Hearing Children

Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):645-652. doi: 10.1007/s12070-023-04236-9. Epub 2023 Sep 26.

Abstract

The aim of the study was to compare the acoustic characteristics of voice between Auditory Brainstem Implantees, Cochlear Implantees and normal hearing children. Voice parameters such as fundamental frequency, formant frequencies, perturbation measures, and harmonic to noise ratio were measured in a total of 30 children out of which 10 were Auditory Brainstem Implantees, 10 were Cochlear Implantees and 10 were normal hearing children. Parametric and nonparametric statistics were done to establish the nature of significance between the three groups. Overall deviancies were seen in the implanted group for all acoustic parameters. However abnormal deviations were seen in individuals with Auditory Brainstem Implants indicating the deficit in the feedback loop impacting the voice characteristics. The deviancy in feedback could attribute to the poor performance in ABI and CI. The CI performed comparatively better when compared to the ABI group indicating a slight feedback loop due to the type of Implant. However, there needs to be additional evidence supporting this and there is a need to carry out the same study using a larger sample size and a longitudinal design.

Keywords: Acoustic analysis; Acoustic measurements; Auditory feedback; Implantation; Phonation; Voice.