After correction of Ankyloglossia with Deviation of the Epiglottis and Larynx (ADEL), colic babies no longer cry violently and their crying sounds change also.
We compared pre-and post-operative crying of six babies using both subjective evaluation and objective sound analysis.
To measure subjective evaluation, we employed multi-dimensional scaling (MD) . Items used were [Irritable-Calm], [Weak-Strong], [UnclearClear], [Painful-Easy] and [Feeble-Loud] . For objective evaluation we used narrow band spectrogram (NBS), fundamental frequency (FF) and sound wave (SW), by Mac Speech Lab II.
All cries moved from Irritable, Weak, Unclear, Painful and Feeble before operations to Calm, Strong, Clear, Easy and Loud after operations. NBS formed clearer and more constant harmonic configurations after operations. FF was unstable pre-operation but lower and stable after operations. SW was maximum at the start of crying before the operations. Maximum SW was observed from 0. 2 to 0.4 seconds after the start of postoperative crying.
We concluded that our impression of [Painful-Easy] depended on a constant harmonic configuration, on stability of FF and on the shape of SW. [Weak-Strong] depended on the energy of NBS. [Unclear-Clear] depended on balance of harmonics. [Irritable-Calm] relied on homogeneity of the harmonic configuration and on stability of FF. Neither spectrogram nor SW was capable of revealing the psychological impression for [Feeble-Loud] .
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