AUC Philologica (Acta Universitatis Carolinae Philologica) is an academic journal published by Charles University. It publishes scholarly articles in a large number of disciplines (English, German, Greek and Latin, Oriental, Romance and Slavonic studies, as well as in phonetics and translation studies), both on linguistic and on literary and cultural topics. Apart from articles it publishes reviews of new academic books or special issues of academic journals.
The journal is indexed in CEEOL, DOAJ, EBSCO, and ERIH PLUS.
AUC PHILOLOGICA, Vol 2025 No 3 (2025), 33–42
ArticlePerceptual evaluation of the effect of external radiotherapy in the neck area on changes of voice and the voice quality of Czech patients
DOI: https://doi.org/10.14712/24646830.2025.19
published online: 26. 01. 2026
abstract
This research is focused on changes of voice and the voice quality before radiotherapy treatment and in time of one year after external radiotherapy (RT) in the neck area of Czech patients and to compare measurement for different subgroups of patients (by age, gender, surgical resection, aphonia, etc.). The perceptual test was performed on 16 patients undergoing external radiotherapy in the neck area and the changes of voice and the voice quality compared at before RT and 1, 6 and 12 months after RT. 2 clinicians and 1 trained voice specialist evaluated GIRBAS parameters of the voice quality and 96 lay listeners evaluated the scope of change of voice. The results of perceptual tests of lay listeners point to the difference of change in voice is the most pronounced in patients who had aphonia during the RT. Of the GIRBAS parameters, instability and roughness changed the most after RT treatment.
keywords: changes of voice; voice quality; perceptual test; GIRBAS parameters; radiotherapy treatment; Czech patients
references (18)
1. Bagherzadeh, S., Shahbazi-Gahrouei, D., Torabinezhad, F., Rabi Mahdavi, S., & Salmanian, S. (2022). The effects of (chemo) radiation therapy on the voice and quality of life in patients with non-laryngeal head and neck cancers: a subjective and objective assessment. International Journal of Radiation Research, 20(2), 397-402. CrossRef
2. Bibby, J. R., Cotton, S. M., Perry, A., & Corry, J. F. (2007). Voice outcomes after radiotherapy treatment for early glottic cancer: Assessment using multidimensional tools. Head & Neck, 30(5), 600-610. CrossRef
3. Dršata, J., Vokurka, J., Čelakovský, P., Hudíková, M., Růžička, J., & Kordač, P. (2008). Přehled foniatrických možností úpravy hlasu po onkologické léčbě nádorů oblasti hlavy a krku. Onkologie, 2(2), 91-93.
4. Fung, K., & Yoo, J. (2001). Effects of head and neck radiation therapy on vocal function. The Journal of otolaryngology, 30(3), 133-139. CrossRef
5. Karnell, M. P., Melton, S. D., Childes, J. M., Coleman, T. C., Dailey, S. A., & Hoffman, H. T. (2007). Reliability of clinician-based (GRBAS and CAPE-V) and patient-based (V-RQOL and IPVI) documentation of voice disorders. Journal of Voice, 21(5), 576-590. CrossRef
6. Krejčí, D., Mužík, J., & Dušek, L. (2022). Novotvary 2019-2021 ČR - Cancer incidence 2019-2021 in the Czech Republic. Ústav zdravotnických informací a statistiky ČR.
7. Lazarus, C. L. (2009). Effects of chemoradiotherapy on voice and swallowing. Current Opinion in Otolaryngology & Head and Neck Surgery, 17(3), 172-178. CrossRef
8. Mei-jia, Z., Ji-wei, M., Xiang-ru, C., Xin, Z., & Chong, F. (2018). Effect of voice rehabilitation training on the patients with laryngeal cancer after radiotherapy. Medicine, 29, 97-100. CrossRef
9. Mekiš, J., Strojan, P., Mekiš, D., & Hočevar Boltežar, I. (2022). Change in Voice Quality after Radiotherapy for Early Glottic Cancer. Cancers 2022, 14(12), 2993. CrossRef
10. Olivares, A., Comini, L., Di Pietro, D. A., Vezzadini, G., Luisa, A., Boccali, E., Boccola, S., & Vitacca M. (2023). Perceptual and qualitative voice alterations detected by GIRBAS in patients with Parkinson's disease: Is there a relation with lung function and oxygenation. Aging Clinical and Experimental Research, 35, 633-638. CrossRef
11. R Core Team (2024). R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing, Vienna, Austria. URL https://www.R-project.org.
12. Sievert, C. (2020). Interactive Web-Based Data Visualization with R, plotly, and shiny. Chapman and Hall/CRC Florida. CrossRef
13. Stoet, G. (2017). PsyToolkit: A novel web-based method for running online questionnaires and reaction-time experiments. Teaching of Psychology, 44(1), 24-31. CrossRef
14. Šiupšinskienė, N., Vaitkus, S., Grėbliauskaitė, M., Engelmanaitė, L., & Šumskienė, J. (2008). Quality of life and voice in patients treated for early laryngeal cancer. Medicina, 44(4), 288-295. CrossRef
15. Tuomi, L., Andréll, P., & Finizia, C. (2014). Effects of voice rehabilitation after radiation therapy for laryngeal cancer: A randomized controlled study. International Journal of Radiation Oncology, Biology & Physics, 89(5), 964-972. CrossRef
16. Uloza, V., Saferis, V., & Uloziene, I. (2005). Perceptual and acoustic assessment of voice pathology and the efficacy of endolaryngeal phonomicrosurgery. Journal of Voice, 19(1), 138-145. CrossRef
17. Wickham, H., Averick, M., Bryan, J., Chang, W., McGowan, L. D., François, R., Grolemund, G., Hayes, A., Henry, L., Hester, J., Kuhn, M., Pedersen, T. L., Miller, E., Bache, S. M., Müller, K., Ooms, J., Robinson, D., Seidel, D. P., Spinu, V., Takahashi, K., Vaughan, D., Wilke, C., Woo, K., & Yutani, H. (2019). Welcome to the tidyverse. Journal of Open Source Software, 4(43), 1686. CrossRef
18. Yamauchi, E. J., Imaizumi, S., Maruyama, H., & Haji, T. (2010). Perceptual evaluation of pathological voice quality: a comparative analysis between the RASATI and GRBASI scales. Logopedics Phoniatrics Vocology, 35(3), 121-8. CrossRef

Perceptual evaluation of the effect of external radiotherapy in the neck area on changes of voice and the voice quality of Czech patients is licensed under a Creative Commons Attribution 4.0 International License.
230 x 157 mm
periodicity: 3 x per year
print price: 150 czk
ISSN: 0567-8269
E-ISSN: 2464-6830
