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Gómez-López L, Torres B, Bergé R, Aguirre O, Luis M, Sala-Blanch X. Ultrasound measurement of anatomical parameters of the upper airway in adults. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2018; 65:495-503. [PMID: 30031540 DOI: 10.1016/j.redar.2018.05.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2018] [Revised: 05/28/2018] [Accepted: 05/30/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND Most of the works on ultrasound airway anatomy are limited to a morphological description. A study was conducted in order to provide an objective normal range of measurements. MATERIALS AND METHODS Observational study to describe the ultrasound characteristics of the upper airway in adults without clinical difficult airway criteria, compared to cadaver dissection anatomical models. RESULTS The study included 45 volunteers (27 men and 18 women), and 3fresh cadavers. The quality of the examination was very good/good in 93% of the cases. MEASUREMENTS tracheal diameter (1.3±0.3cm), vocal cord (1.6±0.5cm), cricothyroid membrane (0.94±0.32cm), cricotracheal membrane (0.3±0.09cm), thickness of the muscles in the floor of the mouth (MFM) (1.5±0.26cm), sub-mandibular subcutaneous fat plus MFM (2.11±0.34cm), hyoid-mandible distance (5.35±0.69cm), palate-floor of the mouth distance (4.92±0.5cm), palate-anterior border of the mandible (5.51±0.7cm), and palate-pharynx angle (114±14). Observed differences: Males had a larger tracheal diameter than females (M: 1.4±0.3 vs. F: 1.2±0.2cm, p=0.014). Subject height showed a significant correlation with the tracheal diameter (R: 0.501, p<0.001), as well as the length of the vocal cord (R: 0.363, p=0.016), the thickness of MFM (R=0.299, p=0.046) as well as the hyoid-mandible (R: 0.556; p<0.001) and palate-mandible distances (R: 0.362; p=0.015). CONCLUSIONS Ultrasound allows the anatomy of upper airway to be evaluated, as well as to calculate distances between the anatomical structures. The study defines these distances in adult volunteers without clinical difficult airway criteria.
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Harper S, Lee S, Goldstein L, Byrd D. Simultaneous electromagnetic articulography and electroglottography data acquisition of natural speech. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2018; 144:EL380. [PMID: 30522297 PMCID: PMC6219895 DOI: 10.1121/1.5066349] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2018] [Revised: 09/17/2018] [Accepted: 10/10/2018] [Indexed: 06/09/2023]
Abstract
This paper reports on the concurrent use of electroglottography (EGG) and electromagnetic articulography (EMA) in the acquisition of EMA trajectory data for running speech. Static and dynamic intersensor distances, standard deviations, and coefficients of variation associated with inter-sample distances were compared in two conditions: with and without EGG present. Results indicate that measurement discrepancies between the two conditions are within the EMA system's measurement uncertainty. Therefore, potential electromagnetic interference from EGG does not seem to cause differences of practical importance on EMA trajectory behaviors, suggesting that simultaneous EMA and EGG data acquisition is a viable laboratory procedure for speech research.
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Kwon JH, Shin YH, Gil NS, Yeo H, Jeong JS. Analysis of the functionally-narrowest portion of the pediatric upper airway in sedated children. Medicine (Baltimore) 2018; 97:e11365. [PMID: 29979422 PMCID: PMC6076178 DOI: 10.1097/md.0000000000011365] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Abstract
The narrowest portions of the pediatric larynx are the glottis and subglottic region. However, the pliable and paralyzed subglottic region, acting like a curtain, is no resistance when passing an endotracheal tube. Therefore, the 'functionally' portion of the pediatric upper airway, which may be the most vulnerable to damage during intubation, is the unyielding portion below the cricoid cartilage. We investigated the functionally-narrowest portion below the cricoid cartilage.Computed tomography (CT) was performed under deep sedation. CT images were used for measurement of dimensions and cross-sectional area (CSA) of the larynx at the level of the cricoid, subcricoid, and trachea. We analyzed the anteriorposterior (AP) diameter, transverse diameter, and CSA below the cricoid cartilage (at the cricoid, subcricoid, and tracheal levels).CT images of 46 children from 8 months to 96 months were reviewed from electric medical record (EMR). The mean ± SD of AP diameter was the shortest at the subcricoid level (cricoid, 105.7 ± 15.8 mm; subcricoid, 94.6 ± 15.3 mm; and trachea, 101.5 ± 15.7 mm; P < .001). The mean ± SD of transverse diameter was the shortest at the trachea level (cricoid, 99.8 ± 12.2 mm; subcricoid, 102.5 ± 13.7 mm; and trachea, 98.8 ± 10.7 mm; P = .01). The mean ± SD of CSA was the smallest at the subcricoid level (cricoid, 8781.5 ± 1963.3 mm; subcricoid, 8425.0 ± 2025.7 mm; and trachea, 8523.7 ± 1791.1 mm; P = .02). The AP diameter at the subcricoid level was narrower than the transverse diameter at trachea level (mean difference: 4.2 mm, 95% confidence interval [CI]: 0.7-7.7, P = .02).Since the most susceptible portion for airway damage is unyielding portion, our findings suggest that, functionally, the narrowest portion of the pediatric larynx is located in the subcricoid region.
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El Boghdady N, Başkent D, Gaudrain E. Effect of frequency mismatch and band partitioning on vocal tract length perception in vocoder simulations of cochlear implant processing. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2018; 143:3505. [PMID: 29960490 DOI: 10.1121/1.5041261] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The vocal tract length (VTL) of a speaker is an important voice cue that aids speech intelligibility in multi-talker situations. However, cochlear implant (CI) users demonstrate poor VTL sensitivity. This may be partially caused by the mismatch between frequencies received by the implant and those corresponding to places of stimulation along the cochlea. This mismatch can distort formant spacing, where VTL cues are encoded. In this study, the effects of frequency mismatch and band partitioning on VTL sensitivity were investigated in normal hearing listeners with vocoder simulations of CI processing. The hypotheses were that VTL sensitivity may be reduced by increased frequency mismatch and insufficient spectral resolution in how the frequency range is partitioned, specifically where formants lie. Moreover, optimal band partitioning might mitigate the detrimental effects of frequency mismatch on VTL sensitivity. Results showed that VTL sensitivity decreased with increased frequency mismatch and reduced spectral resolution near the low frequencies of the band partitioning map. Band partitioning was independent of mismatch, indicating that if a given partitioning is suboptimal, a better partitioning might improve VTL sensitivity despite the degree of mismatch. These findings suggest that customizing the frequency partitioning map may enhance VTL perception in individual CI users.
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Leroux-Robert J. Bases Anatomo-Chirurgicales ET Carcinologiques des Techniques D'exerese Fonctionnelle Dans le Cancer Du Larynx. TUMORI JOURNAL 2018; 60:479-88. [PMID: 4464616 DOI: 10.1177/030089167406000609] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Aura M, Geneid A, Bjørkøy K, Rantanen M, Laukkanen AM. The Nasal Musculature as a Control Panel for Singing-Why Classical Singers Use a Special Facial Expression? J Voice 2018; 33:510-515. [PMID: 29631937 DOI: 10.1016/j.jvoice.2017.12.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2017] [Accepted: 12/21/2017] [Indexed: 11/17/2022]
Abstract
OBJECTIVES This study aimed to explain the possible reason why classical singers seem to spread their nostrils and raise their cheeks before starting to sing. STUDY DESIGN This is an experimental study. METHODS Five subjects (three classical singers, two nonsingers) were investigated with nasofiberoscopy holding their breath after inhalation. The subjects were instructed to have a neutral expression first and then to take the singers' expression characterized by nostril flaring. In case of nonsingers, the special expression was rehearsed beforehand, guided by a classical singer. The following measurements were made: (1) height of soft palate, (2) area of the hypopharynx, (3) area of the epilaryngeal tube inlet (Aditus laryngis), and (4) dimensions of the (visible) glottis (length, width, and length-to-width ratio). RESULTS All subjects raised the palate and widened the pharyngeal inlet, epilaryngeal inlet, and the glottis during "singer's expression." CONCLUSIONS The results suggest that classical singers may take advantage of breathing- and smelling-related connections between nasal and facial muscles and the larynx to avoid a hard glottal attack and pressed phonation and possibly also to assist the production of mixed register (head voice), characterized by a relatively low adduction between the vocal folds.
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Pasch B, Tokuda IT, Riede T. Grasshopper mice employ distinct vocal production mechanisms in different social contexts. Proc Biol Sci 2017; 284:20171158. [PMID: 28724740 PMCID: PMC5543235 DOI: 10.1098/rspb.2017.1158] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2017] [Accepted: 06/20/2017] [Indexed: 01/09/2023] Open
Abstract
Functional changes in vocal organ morphology and motor control facilitate the evolution of acoustic signal diversity. Although many rodents produce vocalizations in a variety of social contexts, few studies have explored the underlying production mechanisms. Here, we describe mechanisms of audible and ultrasonic vocalizations (USVs) produced by grasshopper mice (genus Onychomys). Grasshopper mice are predatory rodents of the desert that produce both loud, long-distance advertisement calls and USVs in close-distance mating contexts. Using live-animal recording in normal air and heliox, laryngeal and vocal tract morphological investigations, and biomechanical modelling, we found that grasshopper mice employ two distinct vocal production mechanisms. In heliox, changes in higher-harmonic amplitudes of long-distance calls indicate an airflow-induced tissue vibration mechanism, whereas changes in fundamental frequency of USVs support a whistle mechanism. Vocal membranes and a thin lamina propria aid in the production of long-distance calls by increasing glottal efficiency and permitting high frequencies, respectively. In addition, tuning of fundamental frequency to the second resonance of a bell-shaped vocal tract increases call amplitude. Our findings indicate that grasshopper mice can dynamically adjust motor control to suit the social context and have novel morphological adaptations that facilitate long-distance communication.
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Agnello F, Cupido F, Sparacia G, Midiri F, Miroddi M, Grassedonio E, Galia M. Computerised tomography and magnetic resonance imaging of laryngeal squamous cell carcinoma: A practical approach. Neuroradiol J 2017; 30:197-204. [PMID: 28627987 PMCID: PMC5480796 DOI: 10.1177/1971400916689373] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Squamous cell carcinoma is the most common head and neck cancer. This review describes the state-of-the-art computerised tomography and magnetic resonance imaging protocols of the neck and the normal larynx anatomy, and provides a practical approach for the diagnosis and staging of laryngeal squamous cell carcinoma.
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Echternach M, Burk F, Köberlein M, Selamtzis A, Döllinger M, Burdumy M, Richter B, Herbst CT. Laryngeal evidence for the first and second passaggio in professionally trained sopranos. PLoS One 2017; 12:e0175865. [PMID: 28467509 PMCID: PMC5414960 DOI: 10.1371/journal.pone.0175865] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2016] [Accepted: 03/31/2017] [Indexed: 11/18/2022] Open
Abstract
Introduction Due to a lack of empirical data, the current understanding of the laryngeal mechanics in the passaggio regions (i.e., the fundamental frequency ranges where vocal registration events usually occur) of the female singing voice is still limited. Material and methods In this study the first and second passaggio regions of 10 professionally trained female classical soprano singers were analyzed. The sopranos performed pitch glides from A3 (ƒo = 220 Hz) to A4 (ƒo = 440 Hz) and from A4 (ƒo = 440 Hz) to A5 (ƒo = 880 Hz) on the vowel [iː]. Vocal fold vibration was assessed with trans-nasal high speed videoendoscopy at 20,000 fps, complemented by simultaneous electroglottographic (EGG) and acoustic recordings. Register breaks were perceptually rated by 12 voice experts. Voice stability was documented with the EGG-based sample entropy. Glottal opening and closing patterns during the passaggi were analyzed, supplemented with open quotient data extracted from the glottal area waveform. Results In both the first and the second passaggio, variations of vocal fold vibration patterns were found. Four distinct patterns emerged: smooth transitions with either increasing or decreasing durations of glottal closure, abrupt register transitions, and intermediate loss of vocal fold contact. Audible register transitions (in both the first and second passaggi) generally coincided with higher sample entropy values and higher open quotient variance through the respective passaggi. Conclusions Noteworthy vocal fold oscillatory registration events occur in both the first and the second passaggio even in professional sopranos. The respective transitions are hypothesized to be caused by either (a) a change of laryngeal biomechanical properties; or by (b) vocal tract resonance effects, constituting level 2 source-filter interactions.
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Bergeret-Cassagne H, Lazard DS, Lefort M, Hachi S, Leenhardt L, Menegaux F, Russ G, Trésallet C, Frouin F. Sonographic Dynamic Description of the Laryngeal Tract: Definition of Quantitative Measures to Characterize Vocal Fold Motion and Estimation of Their Normal Values. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2017; 36:1037-1044. [PMID: 28072470 DOI: 10.7863/ultra.16.05014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2016] [Revised: 07/01/2016] [Indexed: 06/06/2023]
Abstract
Vocal fold motion was analyzed during free breathing using two-dimensional dynamic ultrasound imaging. Two cadavers were first analyzed to define easily identifiable landmarks. Motion of the laryngeal tract was then analyzed in an axial plane. Left and right arytenoids and thyroid cartilage were defined on images corresponding to abduction and adduction of the laryngeal tract. Associated area measurements were established for 50 healthy subjects. All area indices were significantly larger during abduction than adduction. Symmetry of motion was established by comparing each hemi-larynx, and mobility fractions were defined. Normal values of laryngeal motion during free breathing were thus established.
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Abstract
OBJECTIVE To investigate the prevalence and type of laryngeal abnormalities in dogs examined because of cough that did not have signs of upper airway disease and to compare the prevalence of those abnormalities among dogs with various respiratory tract diseases. DESIGN Prospective study. ANIMALS 138 dogs with cough that did not have signs of upper airway disease. PROCEDURES The study was conducted between July 2001 and October 2014 and included dogs examined for cough that had laryngoscopic and bronchoscopic examinations performed by 1 examiner. Laryngeal hyperemia and swelling were recorded, and laryngeal function was assessed before and after doxapram stimulation when indicated. Results were compared among dogs on the basis of cough duration (acute [< 2 weeks], subacute [2 weeks to 2 months], and chronic [> 2 months]) and disease diagnosed (inflammatory airway disease, airway collapse, lower respiratory tract infection, and eosinophilic bronchopneumopathy). RESULTS Laryngeal hyperemia was detected in 73 of 134 (54%) dogs with cough of subacute or chronic duration, and its prevalence did not vary significantly among dogs with various diseases. Thirteen dogs had laryngeal paresis, and 13 dogs had laryngeal paralysis; dysphonia (n = 2) and stridor (1) were uncommon findings in those dogs. The prevalence of laryngeal dysfunction (paresis or paralysis) did not differ significantly among diseases. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that 26 of 138 (19%) dogs examined because of cough alone had laryngeal dysfunction, which suggested that a complete laryngoscopic examination should be included in the diagnostic evaluation of dogs with cough.
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Moisik SR, Gick B. The Quantal Larynx: The Stable Regions of Laryngeal Biomechanics and Implications for Speech Production. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2017; 60:540-560. [PMID: 28241199 DOI: 10.1044/2016_jslhr-s-16-0019] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2016] [Accepted: 08/28/2016] [Indexed: 06/06/2023]
Abstract
PURPOSE Recent proposals suggest that (a) the high dimensionality of speech motor control may be reduced via modular neuromuscular organization that takes advantage of intrinsic biomechanical regions of stability and (b) computational modeling provides a means to study whether and how such modularization works. In this study, the focus is on the larynx, a structure that is fundamental to speech production because of its role in phonation and numerous articulatory functions. METHOD A 3-dimensional model of the larynx was created using the ArtiSynth platform (http://www.artisynth.org). This model was used to simulate laryngeal articulatory states, including inspiration, glottal fricative, modal prephonation, plain glottal stop, vocal-ventricular stop, and aryepiglotto-epiglottal stop and fricative. RESULTS Speech-relevant laryngeal biomechanics is rich with "quantal" or highly stable regions within muscle activation space. CONCLUSIONS Quantal laryngeal biomechanics complement a modular view of speech control and have implications for the articulatory-biomechanical grounding of numerous phonetic and phonological phenomena.
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Lonchena T, So S, Ibinson J, Roolf P, Orebaugh SL. Optimization of Ultrasound Transducer Positioning for Endotracheal Tube Placement Confirmation in Cadaveric Model. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2017; 36:279-284. [PMID: 28072483 DOI: 10.7863/ultra.16.02010] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2016] [Accepted: 05/10/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVES Sonography has been suggested as a possible means of endotracheal tube (ETT) placement confirmation. However, optimum ultrasound transducer placement has not been established. Using a cadaveric model, ETT placement by the sonographic appearance at the thyroid cartilage, cricoid cartilage, and suprasternal notch in the upper airway was assessed to determine which ultrasound transducer placement offered the most optimal images for ETT confirmation in the airway. METHODS One provider intubated 5 cadavers, with the ultrasound transducer at each of the 3 levels, for a total of 30 intubations per specimen, while 2 providers assigned a visual score of 1 (subtle), 2 (clear), or 3 (pronounced) to each sonogram of the ETT in the airway. RESULTS At the level of the thyroid cartilage, tracheal intubation was detected at a rate of 40%, with a median visualization scale of 1 (subtle movement). At the level of the cricoid cartilage, the visualization scale improved to a median of 2 (clear movement), with a 70% intubation detection rate. At the level of the suprasternal notch, 100% of the tracheal intubations were visualized on sonography, with a median score of 3 (pronounced movement). CONCLUSIONS In comparing sonographic detection of ETT placement at 3 levels of the upper airway in a cadaveric model, our results clearly indicate that visualization was superior at the level of the suprasternal notch, with 100% of intubations detected with the best visualization scores.
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Fitch WT, de Boer B, Mathur N, Ghazanfar AA. Monkey vocal tracts are speech-ready. SCIENCE ADVANCES 2016; 2:e1600723. [PMID: 27957536 PMCID: PMC5148209 DOI: 10.1126/sciadv.1600723] [Citation(s) in RCA: 113] [Impact Index Per Article: 14.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2016] [Accepted: 11/08/2016] [Indexed: 05/21/2023]
Abstract
For four decades, the inability of nonhuman primates to produce human speech sounds has been claimed to stem from limitations in their vocal tract anatomy, a conclusion based on plaster casts made from the vocal tract of a monkey cadaver. We used x-ray videos to quantify vocal tract dynamics in living macaques during vocalization, facial displays, and feeding. We demonstrate that the macaque vocal tract could easily produce an adequate range of speech sounds to support spoken language, showing that previous techniques based on postmortem samples drastically underestimated primate vocal capabilities. Our findings imply that the evolution of human speech capabilities required neural changes rather than modifications of vocal anatomy. Macaques have a speech-ready vocal tract but lack a speech-ready brain to control it.
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Olthoff A, Joseph AA, Weidenmüller M, Riley B, Frahm J. Real-time MRI of swallowing: intraoral pressure reduction supports larynx elevation. NMR IN BIOMEDICINE 2016; 29:1618-1623. [PMID: 27687293 DOI: 10.1002/nbm.3621] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2016] [Revised: 08/14/2016] [Accepted: 08/16/2016] [Indexed: 06/06/2023]
Abstract
The reduction in intraoral pressure during swallowing has previously been linked to bolus transport, although no such relation has yet been proven. The purpose of this work was to evaluate the time course of intraoral pressure during swallowing using simultaneous real-time magnetic resonance imaging (MRI) and dynamic pressure recordings. Real-time MRI based on highly undersampled radial fast low-angle shot (FLASH) and regularized nonlinear inverse reconstruction was performed at 3 T using a standard head coil and a mid-sagittal section covering the entire oral cavity. Voluntary swallowing (10 mL of pineapple juice or saliva) was monitored for about 30 s in 11 normal subjects at spatial and temporal resolution of 1.3 × 1.3 × 8 mm3 and 40 ms, respectively. Simultaneously, the intraoral atmospheric pressure was recorded at a resolution of 10 ms during the entire course of deglutition. Quantitative measures of bolus transport, larynx elevation and submental muscle changes were obtained from the image series. As a key result, negative intraoral pressure accompanied laryngeal elevation during swallowing in all subjects. A reduction in submental muscle length during swallowing was also observed. No correlations of maximum negative pressure with larynx elevation and submental muscle change were found. In conclusion, intraoral pressure reduction during swallowing is not connected to oral bolus transport, but supports laryngeal elevation by palatal fixation of the tongue.
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Wu L, Zhang Z. A parametric vocal fold model based on magnetic resonance imaging. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2016; 140:EL159. [PMID: 27586774 PMCID: PMC5397093 DOI: 10.1121/1.4959599] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
This paper introduces a parametric three-dimensional body-cover vocal fold model based on magnetic resonance imaging (MRI) of the human larynx. Major geometric features that are observed in the MRI images but missing in current vocal fold models are discussed, and their influence on vocal fold vibration is evaluated using eigenmode analysis. Proper boundary conditions for the model are also discussed. Based on control parameters corresponding to anatomic landmarks that can be easily measured, this model can be adapted toward a subject-specific vocal fold model for voice production research and clinical applications.
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WELSH LW, WELSH JJ, BEHLKE FM. IV Surgical Alterations of the Laryngeal Lymphatics. Ann Otol Rhinol Laryngol 2016; 70:52-63. [PMID: 13784288 DOI: 10.1177/000348946107000104] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Berry DA, Clark MJ, Montequin DW, Titze IR. Characterization of the Medial Surface of the Vocal Folds. Ann Otol Rhinol Laryngol 2016; 110:470-7. [PMID: 11372933 DOI: 10.1177/000348940111000514] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
A method is developed for the quantification of the medial surface of the vocal folds in excised larynges. Lead molds were constructed from the glottal airway of a canine larynx for 3 distinct glottal configurations corresponding to “pressed” folds, just barely adducted folds, and 1-mm-abducted folds as measured between the vocal processes. With a high-resolution laser striping system, the 3-dimensional molds were digitally scanned. Low-order polynomials were fitted to the data, and goodness-of-fit statistics were reported. For all glottal configurations, a linear variation (flat surface) approximated the data with a coefficient of determination of 90%. This coefficient increased to roughly 95% when a quadratic variation (curvature) was included along the vertical dimension. If more than the top 5 mm or so of the folds was included (the portion usually corresponding to vibration), a cubic variation along the vertical dimension was necessary to explain a change in concavity at the conus elasticus. These findings suggest the utility of a model based on a convergence coefficient and a bulging coefficient. For all glottal configurations, the convergence coefficients and bulging coefficients can be computed. Because pre-phonatory conditions have a profound influence on vocal fold vibration and on the quality of phonation, such shaping parameters are highly significant. With the viability of this method substantiated, it is envisioned that future studies will characterize greater quantities of glottal shapes, including those of human vocal folds.
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Broniatowski M, Grundfest-Broniatowski S, Tucker HM, Tyler DJ. Artificial Voice Modulation in Dogs by Recurrent Laryngeal Nerve Stimulation: Electrophysiological Confirmation of Anatomic Data. Ann Otol Rhinol Laryngol 2016; 116:145-55. [PMID: 17388239 DOI: 10.1177/000348940711600211] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objectives: We hypothesized that voice may be artificially manipulated to ameliorate dystonias considered to be a failure in dynamic integration between competing neuromuscular systems. Methods: Orderly intrinsic laryngeal muscle recruitment by anodal block via the recurrent laryngeal and vagus nerves has allowed us to define specific values based on differential excitabilities, but has precluded voice fluency because of focused breaks during stimulation and the need to treat several neural conduits. Such problems may be obviated by a circuit capable of stimulating some axons while simultaneously blocking others in the recurrent laryngeal nerve, which carries innervation to all intrinsic laryngeal muscles, including the arguably intrinsic cricothyroideus. In 5 dogs, both recurrent laryngeal nerves received 40-Hz quasi-trapezoidal pulses (0 to 2,000 μA, 0 to 2,000 μs, 0 to 500 μs decay) via tripolar electrodes. Electromyograms were matched with audio intensities and fundamental frequencies recorded under a constant flow of humidified air. Data were digitized and evaluated for potential correlations. Results: Orderly recruitment of the thyroarytenoideus, posterior cricoarytenoideus, and cricothyroideus was correlated with stimulating intensities (p < .001), and posterior cricoarytenoideus opposition to the thyroarytenoideus and cricothyroideus was instrumental in manipulating audio intensities and fundamental frequencies. Conclusions: Manipulation of canine voice parameters appears feasible via the sole recurrent laryngeal nerve within appropriate stimulation envelopes, and offers promise in human laryngeal dystonias.
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Kniesburges S, Lodermeyer A, Becker S, Traxdorf M, Döllinger M. The mechanisms of subharmonic tone generation in a synthetic larynx model. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2016; 139:3182. [PMID: 27369142 DOI: 10.1121/1.4954264] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The sound spectra obtained in a synthetic larynx exhibited subharmonic tones that are characteristic for diplophonia. Although the generation of subharmonics is commonly associated with asymmetrically oscillating vocal folds, the synthetic elastic vocal folds showed symmetrical oscillations. The amplitudes of the subharmonics decreased with an increasing lateral diameter of the supraglottal channel, which indicates a strong dependence of the supraglottal boundary conditions. Investigations of the supraglottal flow field revealed small cycle-to-cycle variations of the static pressure in the region of the pulsatile glottal jet as the origin of the first subharmonic tone. It is located at half the fundamental frequency of the vocal fold oscillation. A principle component analysis of the supraglottal flow field with the fully developed glottal jet revealed a large recirculation area in the second spatial eigenvector which deflected the glottal jet slightly in a perpendicular direction of the jet axis. The rotation direction of the recirculation area changed with different oscillation cycles between clockwise and counterclockwise. As both directions were uniformly distributed across all acquired oscillation cycles, a cycle-wise change can be assumed. It is concluded that acoustic subharmonics are generated by small fluctuations of the glottal jet location favored by small lateral diameters of the supraglottal channel.
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Döllinger M, Berry DA, Kniesburges S. Dynamic vocal fold parameters with changing adduction in ex-vivo hemilarynx experiments. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2016; 139:2372. [PMID: 27250133 PMCID: PMC4859834 DOI: 10.1121/1.4947044] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/18/2014] [Revised: 03/22/2016] [Accepted: 04/05/2016] [Indexed: 05/25/2023]
Abstract
Ex-vivo hemilarynx experiments allow the visualization and quantification of three-dimensional dynamics of the medial vocal fold surface. For three excised human male larynges, the vibrational output, the glottal flow resistance, and the sound pressure during sustained phonation were analyzed as a function of vocal fold adduction for varying subglottal pressure. Empirical eigenfunctions, displacements, and velocities were investigated along the vocal fold surface. For two larynges, an increase of adduction level resulted in an increase of the glottal flow resistance at equal subglottal pressures. This caused an increase of lateral and vertical oscillation amplitudes and velocity indicating an improved energy transfer from the airflow to the vocal folds. In contrast, the third larynx exhibited an amplitude decrease for rising adduction accompanying reduction of the flow resistance. By evaluating the empirical eigenfunctions, this reduced flow resistance was assigned to an unbalanced oscillation pattern with predominantly lateral amplitudes. The results suggest that adduction facilitates the phonatory process by increasing the glottal flow resistance and enhancing the vibrational amplitudes. However, this interrelation only holds for a maintained balanced ratio between vertical and lateral displacements. Indeed, a balanced vertical-lateral oscillation pattern may be more beneficial to phonation than strong periodicity with predominantly lateral vibrations.
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Nemanic S, Mills S, Viehdorfer M, Clark T, Bailey M. The Effectiveness of a 3D Computerized Tutorial to Enhance Learning of the Canine Larynx and Hyoid Apparatus. JOURNAL OF VETERINARY MEDICAL EDUCATION 2016; 43:243-54. [PMID: 27111004 DOI: 10.3138/jvme.0815-139r] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Teaching the anatomy of the canine larynx and hyoid apparatus is challenging because dissection disassembles and/or damages these structures, making it difficult to understand their three-dimensional (3D) anatomy and spatial interrelationships. This study assessed the effectiveness of an interactive, computerized 3D tutorial for teaching the anatomy of the canine larynx and hyoid apparatus using a randomized control design with students enrolled in the first-year professional program at Oregon State University College of Veterinary Medicine. All first-year students from 2 consecutive years were eligible. All students received the traditional methods of didactic teaching and dissection to learn the anatomy of the canine larynx and hyoid apparatus, after which they were divided into two statistically equal groups based on their cumulative anatomy test scores from the prior term. The tutorial group received an interactive, computerized tutorial developed by the investigators containing 3D images of the canine larynx and hyoid apparatus, while the control group received the same 3D images without the computerized tutorial. Both groups received the same post-learning assessment and survey. Sixty-three first-year students participated in the study, 28 in the tutorial group, and 35 in the control group. Post-learning assessment and survey scores were both significantly higher among students in the computerized tutorial group than those in the control group. This study demonstrates that a 3D computerized tutorial is more effective in teaching the anatomy of the canine hyoid apparatus and larynx than 3D images without a tutorial. Students likewise rated their learning experience higher when using the 3D computerized tutorial.
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Echternach M, Burk F, Burdumy M, Traser L, Richter B. Morphometric Differences of Vocal Tract Articulators in Different Loudness Conditions in Singing. PLoS One 2016; 11:e0153792. [PMID: 27096935 PMCID: PMC4838265 DOI: 10.1371/journal.pone.0153792] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2015] [Accepted: 04/04/2016] [Indexed: 11/30/2022] Open
Abstract
Introduction Dynamic MRI analysis of phonation has gathered interest in voice and speech physiology. However, there are limited data addressing the extent to which articulation is dependent on loudness. Material and Methods 12 professional singer subjects of different voice classifications were analysed concerning the vocal tract profiles recorded with dynamic real-time MRI with 25fps in different pitch and loudness conditions. The subjects were asked to sing ascending scales on the vowel /a/ in three loudness conditions (comfortable = mf, very soft = pp, very loud = ff, respectively). Furthermore, fundamental frequency and sound pressure level were analysed from the simultaneously recorded optical audio signal after noise cancellation. Results The data show articulatory differences with respect to changes of both pitch and loudness. Here, lip opening and pharynx width were increased. While the vertical larynx position was rising with pitch it was lower for greater loudness. Especially, the lip opening and pharynx width were more strongly correlated with the sound pressure level than with pitch. Conclusion For the vowel /a/ loudness has an effect on articulation during singing which should be considered when articulatory vocal tract data are interpreted.
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Ciupilan C, Stan CI. CONSIDERATIONS ON ANATOMY AND PHYSIOLOGY OF LYMPH VESSELS OF UPPER AERO DIGESTIVE ORGANS AND CERVICAL SATELLITE LYMPH NODE GROUP. REVISTA MEDICO-CHIRURGICALA A SOCIETATII DE MEDICI SI NATURALISTI DIN IASI 2016; 120:409-416. [PMID: 27483727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The almost constant local regional development of the cancers of upper aero digestive organs requires the same special attention to cervical lymph node metastases, as well as to the primary neoplastic burning point. The surgical therapy alone or associated has a mutilating, damaging character, resulting in loss of an organ and function, most of the times with social implications, involving physical distortions with aesthetic consequences, which make the reintegration of the individual into society questionable. The problem of cervical lymph node metastases is vast and complex, reason why we approached several anatomical and physiological aspects of lymph vessels of the aero digestive organs. Among the available elements during treatment, the headquarters of the tumour, its histologic degree, and its infiltrative nature, each of them significantly influences the possibility of developing metastases.
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Zhang F, Zhao J, Chen P, Chen Z, Chen Y, Feng AS. Heterogeneity of vocal sac inflation patterns in Odorrana tormota plays a role in call diversity. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2016; 139:1018-1023. [PMID: 27036239 DOI: 10.1121/1.4942585] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Male concave-eared torrent frogs (Odorrana tormota) can emit at least eight distinct call-types. However, the mechanisms by which they are produced are not fully understood. Anatomical analysis revealed that the vocal sacs of male O. tormota comprise two physically distinct compartments (pars lateralis and pars ventralis), residing on two sides of the vocal slits. The goal of the present study was to test the hypothesis that the two compartments play a role in the production of the diverse call-types. For this, audio and video recordings of male vocalizations were made, and sounds were analyzed afterwards. Results showed that the vocal sac inflation pattern was heterogeneous, and the call duration was a major factor determining the differential inflation patterns. Short call-types (duration <200 ms) involved inflation of one of the compartments only; those having a fundamental frequency (F0) of >5000 Hz involved inflation of pars lateralis only, whereas those with an F0 of <4000 Hz (tone-pips and "infant" calls) involved inflation of pars ventralis only. Long call-types (duration >200 ms), e.g., shallow frequency modulation calls, staccato calls, and long calls, involved inflation of both compartments of the vocal sacs. These results give support to the working hypothesis.
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