The final keynote panel of the 10th Pan-European Voice Conference (PEVOC) was concerned with the topic 'Voice pedagogy-what do we need?' In this communication the panel discussion is summarized, and the authors provide a deepening discussion on one of the key questions, addressing the roles and tasks of people working with voice students. In particular, a distinction is made between (1) voice building (derived from the German term 'Stimmbildung'), primarily comprising the functional and physiological aspects of singing; (2) coaching, mostly concerned with performance skills; and (3) singing voice rehabilitation. Both public and private educators are encouraged to apply this distinction to their curricula, in order to arrive at more efficient singing teaching and to reduce the risk of vocal injury to the singers concerned.

• Klíčová slova
• Coaching, education, rehabilitation, singing, vocal pedagogy, voice pedagogy, voice research, voice training,
• MeSH
• hlasový trénink * MeSH
• hygiena práce MeSH
• kvalita hlasu * MeSH
• lidé MeSH
• nemoci z povolání diagnóza   etiologie   patofyziologie   prevence a kontrola   MeSH
• poruchy hlasu diagnóza   etiologie   patofyziologie   prevence a kontrola   MeSH
• rizikové faktory MeSH
• vyučování * MeSH
• zaměstnání * MeSH
• zpívání * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• kongresy MeSH

Total laryngectomy has a profound impact on the life of a patient. The loss of the larynx creates a major communication problem that can result in disruption of the patients normal pattern of social interaction. It is for this reason that adaptation to the loss of normal speech has been the focus of research on the rehabilitation of laryngectomized patients. Tracheoesophageal puncture and induction of the voice prosthesis have very well results in rehabilitation of the voice. The long terms clinical results obtained by experience with any of the complication are described. We use 4 types of voice prosthesis (Provox, Blom-Singer, Bivona Colorado and Czech prosthesis). We have very good experiences with system Provox. Our collection of the patients with Provox prostheses are 53 patients after total laryngectomy. All tracheoesophageal punctures were done in second time. Over 85% patients were able to produce satisfying voice. Speech quality was evaluated by Robe scale. 38.9% of them can speak fluently, which corresponds with a category F. Local inflammatory reaction occurred in 28.1% that resulted in extrusion or removal of voice prostheses in 14.2% patients. Use of voice prostheses in rehabilitation of laryngectomized patients occupies a significant place.

• MeSH
• dospělí MeSH
• kvalita hlasu MeSH
• laryngektomie rehabilitace   MeSH
• larynx umělý * MeSH
• lidé středního věku MeSH
• lidé MeSH
• senioři MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH
• práce podpořená grantem MeSH

• MeSH
• dospělí MeSH
• fonace * MeSH
• hlas * MeSH
• laryngektomie metody   rehabilitace   MeSH
• lidé středního věku MeSH
• lidé MeSH
• nádory hrtanu rehabilitace   chirurgie   MeSH
• řeč alaryngální * MeSH
• senioři MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• senioři MeSH
• Publikační typ
• časopisecké články MeSH
• srovnávací studie MeSH

INTRODUCTION: To update the European guidelines for the assessment of voice quality (VQ) in clinical practice. METHODS: Nineteen laryngologists-phoniatricians of the European Laryngological Society (ELS) and the Union of the European Phoniatricians (UEP) participated to a modified Delphi process to propose statements about subjective and objective VQ assessments. Two anonymized voting rounds determined a consensus statement to be acceptable when 80% of experts agreed with a rating of at least 3/4. The statements with ≥ 3/4 score by 60-80% of experts were improved and resubmitted to voting until they were validated or rejected. RESULTS: Of the 90 initial statements, 51 were validated after two voting rounds. A multidimensional set of minimal VQ evaluations was proposed and included: baseline VQ anamnesis (e.g., allergy, medical and surgical history, medication, addiction, singing practice, job, and posture), videolaryngostroboscopy (mucosal wave symmetry, amplitude, morphology, and movements), patient-reported VQ assessment (30- or 10-voice handicap index), perception (Grade, Roughness, Breathiness, Asthenia, and Strain), aerodynamics (maximum phonation time), acoustics (Mean F0, Jitter, Shimmer, and noise-to-harmonic ratio), and clinical instruments associated with voice comorbidities (reflux symptom score, reflux sign assessment, eating-assessment tool-10, and dysphagia handicap index). For perception, aerodynamics and acoustics, experts provided guidelines for the methods of measurement. Some additional VQ evaluations are proposed for voice professionals or patients with some laryngeal diseases. CONCLUSION: The ELS-UEP consensus for VQ assessment provides clinical statements for the baseline and pre- to post-treatment evaluations of VQ and to improve collaborative research by adopting common and validated VQ evaluation approach.

• Klíčová slova
• Assessment, Consensus, Dysphonia, European, Evaluation, Guidelines, Head, Neck, Otolaryngology, Surgery, Voice,
• MeSH
• hlas * MeSH
• kvalita hlasu MeSH
• lidé MeSH
• nemoci laryngu * MeSH
• otorinolaryngologie * MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

OBJECTIVES: To create a voice assistant for patients with upper limb motor impairment during the acute phase of institutional care. To assess its functionality and user-friendliness among patients with high tetraplegia. METHOD: The Hugo voice assistant was developed to enable the use of a telephone, television, medical bed, and other devices through voice commands in Czech without the need for eye contact with the tablet's screen. The screen is utilized only for system setup and to check the functions, which the nursing staff can manage. Following an extensive risk analysis and the establishment of control mechanisms, a pilot study was conducted to monitor the usage of the voice assistant and its advantages and disadvantages. RESULTS: Ten patients with an average age of 45.6 years participated in the study. All completed a questionnaire consisting of 23 questions. Most commonly, they began using the voice assistant within a week of receiving it, averaging 10 to 20 commands per day. The most frequent uses included calling medical staff and contacting loved ones while controlling the television or bed ranked third. Eight patients reported that the assistant had a positive impact on their psychological well-being, highlighting enhanced security and improved self-sufficiency as the most significant benefits. CONCLUSION: The voice assistant is a valuable tool for patients with upper limb movement disorders caused by cervical spinal cord injury during the acute phase of hospitalization. It can help reduce social isolation and enhance psychological well-being following such significant physical and mental trauma.

The voice assistant provides an interface for controlling electronic devices used for communication, information access, and controlling the environment.Using a voice assistant in people with high tetraplegia reduces dependence on the environment and promotes a positive self-perception.In the acute phase following spinal cord injury, the ability to control electronic devices enhances psychological well-being and increases the sense of security.Developing a custom voice assistant for a specific purpose reduces the risk of incorrect commands, complicated settings, and extensive training.

• Klíčová slova
• Voice assistant, acute care, environmental control system, spinal cord injury, tetraplegia,
• Publikační typ
• časopisecké články MeSH

Laryngectomy is the surgical removal of the larynx (voice box), usually performed in patients with advanced stages of throat cancer. The psychosocial impact of losing the voice is significant, affecting a person's professional and social life in a devastating way, and a proportion of this patient group subsequently must overcome depression (22-30%) and social isolation (40%). The profound changes to anatomical structures involved in voicing and articulation, as a result of surgery, radiotherapy or chemotherapy (separately or in combination with one another), introduce challenges faced in speech rehabilitation and voice production that complicate social reintegration and quality of life. After laryngectomy, breathing, voicing, articulation and tongue movement are major components in restoring communication. Regular exercise of the chest, neck and oropharyngeal muscles, in particular, is important in controlling these components and keeping the involved structures supple. It is, however, a difficult task for a speech therapist to keep the patient engaged and motivated to practice these exercises. We have adopted a multidisciplinary approach to explore the use of basic beatboxing techniques to create a wide variety of exercises that are seen as fun and interactive and that maximize the use of the structures important in alaryngeal phonation. We herein report on our empirical work in developing patients' skills, particularly relating to voiced and unvoiced consonants to improve intelligibility. In collaboration with a professional beatboxing performer, we produced instructional online video materials to support patients working on their own and/or with support from speech therapists. Although the present paper is focused predominantly on introducing the structure of the conducted workshops, the rationale for their design and the final public engagement performance, we also include feedback from participants to commence the critical discourse about whether this type of activity could lead to systematic underlying research and robustly assessed interventions in the future. Based on this exploratory work, we conclude that the innovative approach that we employed was found to be engaging, useful, informative and motivating. We conclude by offering our views regarding the limitations of our work and the implications for future empirical research.

• Klíčová slova
• beatboxing, head and neck cancer, laryngectomy, throat cancer, voice rehabilitation,
• Publikační typ
• časopisecké články MeSH

OBJECTIVES: Unilateral vocal fold palsy independently of etiology results in glottic insufficiency leading to unfavorable short or long-term impact on voice quality. Our aim was to evaluate the effect of injection laryngoplasty using Radiesse® Voice and thyroplasty type I on glottic closure, voice quality and aerodynamics by comparing preoperative, short- and long-term results. MATERIALS AND METHODS: Data of 32 consent patients were reviewed between 2012 and 2023. All patients underwent either injection laryngoplasty (14 patients) or thyroplasty type I (18 patients) under local anesthesia. Maximum phonation time, glottic closure based on videolaryngostroboscopy, VHI-30 values and GRBAS scale were recorded prior, short-term (3 month) and long-term (12 months) after procedures for statistical comparison. Friedman test, Mann-Whitney test and Wilcoxon signed rank tests were used for statistical analysis. RESULTS: In injection laryngoplasty group, we found significant improvement in maximum phonation time (p = 0.002), grade of hoarseness (p = 0.002) and breathiness (p = 0.000) when comparing results before and short-term after procedure. In thyroplasty type I group we saw significant improvement of maximum phonation time (p = 0.000), glottic insufficiency (p = 0.000), all three VHI-30 components (p = 0.000), as well as grade of hoarseness, breathiness (both p = 0.000) and roughness (p = 0.011) of GRBAS scale when comparing voice outcome before and short-term after procedure. There was no significant difference in voice outcome results neither between short and long-term results nor between the two groups in any parameter. CONCLUSION: These results demonstrate both short and long-term efficiency of injection laryngoplasty and thyroplasty type I in the improvement of voice quality and glottic closure.

• Klíčová slova
• glottic closure, injection laryngoplasty, thyroplasty type I, unilateral vocal fold palsy, voice quality,
• MeSH
• chrapot komplikace   chirurgie   MeSH
• glottis chirurgie   MeSH
• laryngoplastika * škodlivé účinky   metody   MeSH
• lidé MeSH
• ochrnutí hlasivek * chirurgie   etiologie   MeSH
• retrospektivní studie MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

• MeSH
• elektronika MeSH
• hlas * MeSH
• laryngektomie MeSH
• lidé MeSH
• protézy a implantáty * MeSH
• rehabilitace * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

BACKGROUND: The purpose of this study was to show our comparison of the quality of voice obtained after superficial transoral endoscopic cordectomies (types I, II, and III) according to the European Laryngological Society classification versus the more extended cordectomy (types IV and V) among patients with glottic precancerous lesions or early glottic cancer. METHODS: Sixty-two patients underwent vocal assessment after cordectomy (types I-V) for dysplasia, Tis, T1a, T1b, and T2 lesions. RESULTS: Cordectomy (types I-III) had good vocal outcomes. Cordectomy (types IV-V) showed less favorable outcomes, p < .005 in common parameters of voice range profile and symmetry in stroboscopy after cordectomy (types IV-V), with significant voice handicap index. Recurrences were found in 4 patients with T1b and T2 cancer. Two cases were managed by a higher type of cordectomy, and the other 2 by total laryngectomy. CONCLUSION: Effect of transoral laser microsurgery on quality of voice depends on the type of cordectomy and the site of the lesion.

• Klíčová slova
• cordectomy, glottic cancer, larynx, precancerous lesion, voice analysis,
• MeSH
• časná diagnóza MeSH
• dospělí MeSH
• glottis patologie   MeSH
• hlasové řasy patologie   MeSH
• kvalita hlasu * MeSH
• laryngektomie * MeSH
• laryngoskopie * metody   MeSH
• laserová terapie * metody   MeSH
• lidé středního věku MeSH
• lidé MeSH
• lokální recidiva nádoru patologie   chirurgie   MeSH
• nádory hrtanu patologie   chirurgie   MeSH
• retrospektivní studie MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• spinocelulární karcinom patologie   chirurgie   MeSH
• stroboskopie MeSH
• výsledek terapie MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• srovnávací studie MeSH

• MeSH
• dítě MeSH
• lidé MeSH
• mentální retardace rehabilitace   MeSH
• mladiství MeSH
• poruchy hlasu rehabilitace   MeSH
• poruchy řeči rehabilitace   MeSH
• rehabilitace pracovní MeSH
• rehabilitace sluchově postižených MeSH
• rehabilitace * MeSH
• služby zdravotní péče o dítě * MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Československo MeSH