Publications by authors named "Kathy Y Lee"

Introduction: Nasalance is an acoustic representation of perceived nasality with proven clinical and research utility. Its validity is contingent on appropriate speech sample sets and distinct normative databases based on known impact factors such as language and phonetic environment, but little is known about the potential effects of lexical tone on nasalance. Its use in international cross-linguistic studies necessitates definition and added considerations of speech sampling protocol.

View Article and Find Full Text PDF

The Nasometer is a widely used clinical and research tool with diagnosis and outcome measurement utility. The objective of this study was to systematically examine the effect of age and gender on nasalance across the lifespan. A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews (PRISMA 2020).

View Article and Find Full Text PDF

Introduction: This study aimed at exploring the feasibility of applying a computer-based language test to young children aged 2-4 years.

Methods: Thirty-two Cantonese-speaking children, aged 2-4 years, were recruited from local kindergartens. All participants underwent an assessment using both the computer-based and paper-pencil versions of the Macau Cantonese Language Screening Scale for Preschool Children, following a crossover study design.

View Article and Find Full Text PDF

Background: Maxillary hypoplasia is a common skeletal condition in cleft lip and palate (CLP). Maxillary osteotomy is typically used to reposition the maxilla in CLP with maxillary hypoplasia. Previous studies have suggested that vowel articulations are adjusted postsurgically due to altered vocal tract configuration and articulatory reorganization.

View Article and Find Full Text PDF

Background: Voice Handicap Index (VHI) has been used extensively in research and clinical settings. It has been suggested to be used as a diagnostic tool in the literature. However, little is known if it could be applied as a diagnostic tool to the Cantonese-speaking population.

View Article and Find Full Text PDF

Speaking rhythmically, also known as syllable-timed speech (STS), has been known for centuries to be a fluency-inducing condition for people who stutter. Cantonese is a tonal syllable-timed language and it has been shown that, of all languages, Cantonese is the most rhythmic (Mok, 2009). However, it is not known if STS reduces stuttering in Cantonese as it does in English.

View Article and Find Full Text PDF

Objective: This is the first study to investigate the behavioral nature (topography) of stuttering in Cantonese. Cantonese, a Sino-Tibetan language, is both tonal and syllable-timed. Previous studies of stuttering topography have mainly been in Western languages, which are mainly stress-timed.

View Article and Find Full Text PDF

Cantonese is a tone language, in which the variation of the fundamental frequency contour of a syllable can change meaning. There are six different lexical tones in Cantonese. While research with Western languages has shown an association between stuttering and syllabic stress, nothing is known about whether stuttering in Cantonese speakers is associated with one or more of the six lexical tones.

View Article and Find Full Text PDF

Objectives/hypothesis: This study aimed to evaluate the effects of neuromuscular electrical stimulation (NMES) on vocal functions in patients with nasopharyngeal carcinoma following radiation therapy.

Study Design: Prospective, randomized controlled trial.

Methods: One hundred forty newly treated NPC patients were recruited and randomized into NMES or traditional swallowing exercise (TE) group.

View Article and Find Full Text PDF

Purpose: The purpose of this study was to describe an attempt to apply item-response theory (IRT) and the Rasch model to construction of speech-recognition tests. A set of word-recognition test items applicable to children as young as 3 years old-with any level of hearing sensitivity, with or without using hearing devices-was developed.

Method: Test items were constructed through expert consultation and by reference to some established language corpora, validated with 121 participants with various degrees of hearing loss and 255 with typical hearing.

View Article and Find Full Text PDF

MicroRNAs are important negative regulators of protein-coding gene expression and have been studied intensively over the past years. Several measurement platforms have been developed to determine relative miRNA abundance in biological samples using different technologies such as small RNA sequencing, reverse transcription-quantitative PCR (RT-qPCR) and (microarray) hybridization. In this study, we systematically compared 12 commercially available platforms for analysis of microRNA expression.

View Article and Find Full Text PDF

Purpose: This study aimed at investigating (1) tone perception development among typically-developing Cantonese speakers and (2) the hierarchy of tone perception difficulty among the 15 tone contrasts.

Method: Two-hundred typically-developing children aged 3-10 and a group of 25 normal hearing adults were recruited. They were tested on a pool of 75-item calibrated recorded speech signals.

View Article and Find Full Text PDF

This study investigated the Cantonese tone production ability of children with hearing impairment studying in mainstream schools. The participants were 87 Cantonese-speaking children with mild-to-profound degrees of hearing loss aged 5.92-13.

View Article and Find Full Text PDF

Objective/hypothesis: The objective of this study was to determine whether different types of voice samples affect rater reliability and which type of sample can be rated most reliably, with particular reference to two types of connected speech-passage reading and conversational speech.

Study Design: Prospective reliability study.

Methods: One hundred fifty voice samples from 40 speakers were presented to 14 speech pathologists experienced in managing voice disorders.

View Article and Find Full Text PDF

Background: There is a paucity of knowledge on dysphagia in patients with nasopharyngeal carcinoma postradiotherapy (NPC post-RT). The purpose of this study was to establish silent aspiration occurrence, safe bolus consistency, and their relationship with swallowing physiology in patients with dysphagic NPC post-RT.

Methods: Eighty-five patients with dysphagic NPC post-RT were assessed across 4 bolus consistencies.

View Article and Find Full Text PDF

Objectives/hypothesis: Group therapy has frequently been adopted as a service delivery model for providing voice therapy. However, currently no literature has focused on understanding the underlying processes that are unique to group therapy, which contribute to treatment success. This study aimed at investigating the role of group climate in voice group therapy.

View Article and Find Full Text PDF

Objective: In tone languages such as Cantonese, a change in tone denotes a change in lexical meaning. The present study investigates the functional benefit of hearing devices in assisting tone perception among children with profound hearing impairment.

Subjects: Fifty-two children with profound hearing loss were categorized into two groups based on their primary type of hearing device - a hearing aid group and cochlear implant group.

View Article and Find Full Text PDF

Objectives: This study investigated the effects of implant experience and age at implantation on the Cantonese tone production of children with cochlear implants. The study also examined whether there was a particular age at which children were more responsive to acquiring tones.

Methods: The study included 45 children who had received unilateral cochlear implants at a mean age of 65.

View Article and Find Full Text PDF

Objectives/hypothesis: To assess the contribution of laryngopharyngeal sensory deficits and impaired pharyngeal motor function to aspiration in patients irradiated for nasopharyngeal carcinoma.

Study Design: A retrospective study at a tertiary referral university teaching hospital.

Methods: One hundred consecutive patients who underwent radiotherapy for nasopharyngeal carcinoma referred to a dysphagia clinic underwent sensory testing of their laryngopharynx and endoscopic evaluation of their swallowing.

View Article and Find Full Text PDF

Background: Cochlear implants are a standard treatment option for the profoundly deaf, but have only recently become a treatment option in China. Chinese is a tonal language, and a change in the lexical tone almost always changes the meaning of a word.

Methods: A critical review of the strategies for improving the outcome of cochlear implantation in Chinese speakers was made.

View Article and Find Full Text PDF

The goal of this study was to examine tonal language perception in adults with cochlear implants who are native speakers of Cantonese. Ten adult subjects were implanted with HiRes 90K devices and participated in the study. Baseline data were obtained with standard HiRes and compared with HiRes 120.

View Article and Find Full Text PDF

Objectives: In this study we investigated the benefit of using hearing aids for Cantonese tone perception among children with various degrees of hearing impairment.

Methods: Forty-eight children with moderate to profound hearing loss were investigated. They were required to perform a lexical tone perception test with recorded test stimuli presented at 65 dB in soundproof booths.

View Article and Find Full Text PDF

Objective: To evaluate the effect of age at implantation by assessment of speech perception in cochlear implant users with bilateral congenital deafness.

Design: A retrospective cohort analysis of 60 cochlear implant users (age at implantation, 1.01 to 22.

View Article and Find Full Text PDF