title: Mutational falsetto: intervention outcomes in 45 patients.
abstract: OBJECTIVE
  The aim of this study was to evaluate the outcomes of therapeutic intervention in patients with mutational falsetto, by applying perceptual and acoustic analysis before and after voice therapy.
  
  
  METHODS
  Forty-five consecutive patients with mutational falsetto were studied retrospectively. Acoustic analysis (i.e. fundamental frequency, jitter, shimmer, and formants one, two and three) was performed using the Multi-Dimensional Voice Program. Perceptual voice analyses were performed, including graded severity-roughness-breathiness-aesthenicity-strain assessment.
  
  
  RESULTS
  Subjects' fundamental frequency, voice formants one, two and three, jitter, and shimmer were greater before than after treatment. There were statistically significant differences between pre- and post-treatment average values for fundamental frequency, jitter and shimmer. There were also statistically significant differences between pre- and post-treatment average values for formants one and two. These results were maintained after six months of follow up, and there was no significant difference between results at three- and six-month follow up. According to perceptual evaluation, each subject's voice had altered from mutational falsetto to chest voice by completion of the intervention. Thus, all of the patients successfully lowered their modal speaking voice to an appropriate level.
  
  
  CONCLUSIONS
  In the light of objective evaluations, and by applying the study treatment protocol, these results suggest that normal voice can be maintained after intervention, at six months' follow up.
authors.affiliation: Department of Otolaryngology, Ankara Numune Training and Research Hospital, Turkey. mdagli@hotmail.com
authors.forename: M
authors.initials: M
authors.lastname: Dagli
authors.forename: I
authors.initials: I
authors.lastname: Sati
authors.forename: A
authors.initials: A
authors.lastname: Acar
authors.forename: R E
authors.initials: RE
authors.lastname: Stone
authors.forename: G
authors.initials: G
authors.lastname: Dursun
authors.forename: A
authors.initials: A
authors.lastname: Eryilmaz
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007830:Larynx / Q000648:ultrastructure; D008297:Male; D010699:Phonation; D011627:Puberty / Q000523:psychology; D012189:Retrospective Studies; D013061:Speech Acoustics; D013068:Speech Production Measurement / Q000379:methods* / Q000523:psychology; D013070:Speech Therapy / Q000379:methods* / Q000523:psychology; D016896:Treatment Outcome; D014832:Voice Disorders / Q000628:therapy*; D014833:Voice Quality