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Updated: Jan 28, 2026

Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
Effect of Functional Endoscopic Sinus Surgery on Voice and Speech Recognition
Estefanía Hernández-García1, Laureano Moro-Velázquez2, Ramón González-Herranz1
1Department of Otorhinolaryngology, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, Madrid, Spain.
Functional Endoscopic Sinus Surgery (FESS) impacts voice acoustics, decreasing fundamental frequency and increasing speaker recognition errors. These changes affect voice quality and biometric identification systems post-surgery.
Area of Science:
- Otolaryngology
- Speech Science
- Biometrics
Background:
- Chronic rhinosinusitis and nasal polyposis are commonly treated with Functional Endoscopic Sinus Surgery (FESS).
- Voice and speech alterations can occur post-FESS, potentially impacting speaker identification systems.
Purpose of the Study:
- To evaluate the influence of FESS on voice acoustic parameters.
- To assess the implications of these vocal changes on speaker identification and verification systems.
Main Methods:
- Prospective study comparing FESS patients with a control group.
- Voice recordings analyzed for acoustic parameters (e.g., fundamental frequency) and GRBAS scale.
- Speaker identification accuracy measured using machine learning and equal error rate (EER).
- Data collected pre-surgery, 2 weeks post-surgery, and 3 months post-surgery.
Main Results:
- Significant changes in Grade, Roughness, Breathiness, Asthenia, and Strain (GRBAS) observed post-FESS.
- A significant decrease in fundamental frequency (F0) was noted in the FESS group compared to controls.
- The equal error rate (EER) for speaker identification was higher in patients who underwent FESS.
Conclusions:
- FESS leads to a decrease in fundamental frequency (F0) and alterations in the vocal tract.
- These vocal changes result in increased error rates for speaker recognition systems in FESS patients.
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