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Cardoso NSV, Brito TCDS, Gomes ADOC. Passaggio on chorists' voice range profile: preliminary study of frequency and intensity. Codas 2023; 35:e20200266. [PMID: 37729327 PMCID: PMC10546917 DOI: 10.1590/2317-1782/20232020266pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Accepted: 01/16/2023] [Indexed: 09/22/2023] Open
Abstract
PURPOSE To analyze the passaggio in the voice range profile of choristers, by identifying the fundamental frequencies and intensities, both in the change to the high and low registers, comparing them, by voice types. METHOD 67 choristers participated, mean age of 27.79 (± 7.50) years old, of the following voice types: soprano (n = 20), alto (n = 17), tenor (n = 15) and bass (n = 15). For data collection and analysis, the Vocalgram software (CTS Informática) was used, which recorded the emission of the vowel / Ɛ / in ascending and descending glissando, up to the lowest and highest note in the weakest and strongest intensities possible. RESULTS The values of frequencies and respective intensities of the passaggio were identified in ascending and descending, strong and weak emissions in all voice types. There was a higher occurrence of voice break in the high voices, compared to the low ones. The average values of the frequencies found corresponded to different tones from those established in the literature for all voice types. CONCLUSION The passaggio identified in the vocal range profile of choristers, based on their frequencies and intensities were more frequent in soprano na tenor, compared to alto and bass, in changes to the low and high registers.
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Bottasso-Arias N, Burra K, Sinner D, Riede T. Disruption of BMP4 signaling is associated with laryngeal birth defects in a mouse model. Dev Biol 2023; 500:10-21. [PMID: 37230380 PMCID: PMC10330877 DOI: 10.1016/j.ydbio.2023.04.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Revised: 04/18/2023] [Accepted: 04/24/2023] [Indexed: 05/27/2023]
Abstract
Laryngeal birth defects are considered rare, but they can be life-threatening conditions. The BMP4 gene plays an important role in organ development and tissue remodeling throughout life. Here we examined its role in laryngeal development complementing similar efforts for the lung, pharynx, and cranial base. Our goal was to determine how different imaging techniques contribute to a better understanding of the embryonic anatomy of the normal and diseased larynx in small specimens. Contrast-enhanced micro CT images of embryonic larynx tissue from a mouse model with Bmp4 deletion informed by histology and whole-mount immunofluorescence were used to reconstruct the laryngeal cartilaginous framework in three dimensions. Laryngeal defects included laryngeal cleft, laryngeal asymmetry, ankylosis and atresia. Results implicate BMP4 in laryngeal development and show that the 3D reconstruction of laryngeal elements provides a powerful approach to visualize laryngeal defects and thereby overcoming shortcomings of 2D histological sectioning and whole mount immunofluorescence.
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Affiliation(s)
- N Bottasso-Arias
- Neonatology and Pulmonary Biology, Perinatal Institute Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - K Burra
- Neonatology and Pulmonary Biology, Perinatal Institute Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - D Sinner
- Neonatology and Pulmonary Biology, Perinatal Institute Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
| | - T Riede
- Department of Physiology, Midwestern University, Glendale, AZ, USA.
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Lima MMDS, Vasconcelos DD, Reis SCSD, Cardoso NSV, Souza MKD, Lucena JA, Araújo ANBD, Gomes ADOC. Effects of the Voiced Tongue Trill Technique in Glissandos on the Voice Range Profile of Choir Members: A Preliminary Study. J Voice 2022:S0892-1997(22)00148-5. [PMID: 35760631 DOI: 10.1016/j.jvoice.2022.05.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 05/22/2022] [Accepted: 05/23/2022] [Indexed: 10/17/2022]
Abstract
The objective of this study was to verify the immediate effect of the voiced tongue trill technique in ascending and descending glissandos on the voice range profile of choir members. A total of 25 sopranos, mezzo-sopranos, contraltos, tenors, and baritones participated in the study. They were choir members, aged 20 to 45 years, with no voice symptoms, and able to perform the voiced tongue trill technique. Their voice range profile was analyzed before and after performing the ascending and descending technique for 2 and 5 minutes. The maximum fundamental frequency values in the study groups increased after performing the ascending and descending technique for 2 minutes (P = 0.001) and 5 minutes (P = 0.003). The range in Hz increased after 2 minutes (P = 0.010) and 5 minutes (P = 0.050) of the ascending technique and after 2 minutes (P = 0.001) of the descending technique, and the minimum fundamental frequency mean value suffered interference from the type of technique (ascending/descending). The immediate effects of VTTT in glissandos on the VRP of choir members' considering the two factors: condition and time, in ascending and descending glissandos for 2 and 5 minutes increased the maximum frequency and the range in Hz of choristers. Regarding volume levels results, no difference was found in intensity after applying the technique.
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Affiliation(s)
- Mykaella Monyque da Silva Lima
- Speech-Languague Pathology and Audiology Departament, Departamento de Fonoaudiologia, Universidade Federal de Pernambuco - Centro de Ciências da Saúde, Recife, Pernambuco, Brazil
| | - Daniela de Vasconcelos
- Speech-Language Pathology Outpatient Clinic, Clinical Hospital of Pernambuco, Recife, Pernambuco Brazil
| | - Suelene Cibelle Silva Dos Reis
- Speech-Languague Pathology and Audiology Departament, Departamento de Fonoaudiologia, Universidade Federal de Pernambuco - Centro de Ciências da Saúde, Recife, Pernambuco, Brazil
| | - Nathália Suellen Valeriano Cardoso
- Health Sciences Center. Speech-Languague Pathology and Audiology Departament, Departamento de Fonoaudiologia, Graduate Program in Human Communication Health at the Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Mayara Kerolyn de Souza
- Health Sciences Center. Speech-Languague Pathology and Audiology Departament, Departamento de Fonoaudiologia, Graduate Program in Human Communication Health at the Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Jonia Alves Lucena
- Speech-Languague Pathology and Audiology Departament, Departamento de Fonoaudiologia, Universidade Federal de Pernambuco - Centro de Ciências da Saúde, Recife, Pernambuco, Brazil; Health Sciences Center. Speech-Languague Pathology and Audiology Departament, Departamento de Fonoaudiologia, Graduate Program in Human Communication Health at the Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Ana Nery Barbosa de Araújo
- Speech-Languague Pathology and Audiology Departament, Departamento de Fonoaudiologia, Universidade Federal de Pernambuco - Centro de Ciências da Saúde, Recife, Pernambuco, Brazil
| | - Adriana de Oliveira Camargo Gomes
- Speech-Languague Pathology and Audiology Departament, Departamento de Fonoaudiologia, Universidade Federal de Pernambuco - Centro de Ciências da Saúde, Recife, Pernambuco, Brazil; Health Sciences Center. Speech-Languague Pathology and Audiology Departament, Departamento de Fonoaudiologia, Graduate Program in Human Communication Health at the Federal University of Pernambuco, Recife, Pernambuco, Brazil.
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Riede T, Coyne M, Tafoya B, Baab KL. Postnatal Development of the Mouse Larynx: Negative Allometry, Age-Dependent Shape Changes, Morphological Integration, and a Size-Dependent Spectral Feature. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2020; 63:2680-2694. [PMID: 32762490 DOI: 10.1044/2020_jslhr-20-00070] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Purpose The larynx plays a role in swallowing, respiration, and voice production. All three functions change during ontogeny. We investigated ontogenetic shape changes using a mouse model to inform our understanding of how laryngeal form and function are integrated. We understand the characterization of developmental changes to larynx anatomy as a critical step toward using rodent models to study human vocal communication disorders. Method Contrast-enhanced micro-computed tomography image stacks were used to generate three-dimensional reconstructions of the CD-1 mouse (Mus musculus) laryngeal cartilaginous framework. Then, we quantified size and shape in four age groups: pups, weanlings, young, and old adults using a combination of landmark and linear morphometrics. We analyzed postnatal patterns of growth and shape in the laryngeal skeleton, as well as morphological integration among four laryngeal cartilages using geometric morphometric methods. Acoustic analysis of vocal patterns was employed to investigate morphological and functional integration. Results Four cartilages scaled with negative allometry on body mass. Additionally, thyroid, arytenoid, and epiglottic cartilages, but not the cricoid cartilage, showed shape change associated with developmental age. A test for modularity between the four cartilages suggests greater independence of thyroid cartilage shape, hinting at the importance of embryological origin during postnatal development. Finally, mean fundamental frequency, but not fundamental frequency range, varied predictably with size. Conclusion In a mouse model, the four main laryngeal cartilages do not develop uniformly throughout the first 12 months of life. High-dimensional shape analysis effectively quantified variation in shape across development and in relation to size, as well as clarifying patterns of covariation in shape among cartilages and possibly the ventral pouch. Supplemental Material https://doi.org/10.23641/asha.12735917.
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Affiliation(s)
- Tobias Riede
- Department of Physiology, College of Graduate Studies, Midwestern University, Glendale, AZ
- College of Veterinary Medicine, Midwestern University, Glendale, AZ
| | - Megan Coyne
- College of Veterinary Medicine, Midwestern University, Glendale, AZ
| | - Blake Tafoya
- College of Veterinary Medicine, Midwestern University, Glendale, AZ
| | - Karen L Baab
- Department of Anatomy, College of Graduate Studies, Midwestern University, Glendale, AZ
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Titze IR, Riede T, Palaparthi A, Hynan LS, Hamilton A, Toles L, Mau T. Individualized Patient Vocal Priorities for Tailored Therapy. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2018; 61:2884-2894. [PMID: 30515514 PMCID: PMC6440314 DOI: 10.1044/2018_jslhr-s-18-0109] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2018] [Accepted: 07/23/2018] [Indexed: 05/04/2023]
Abstract
PURPOSE The purposes of this study are to introduce the concept of vocal priorities based on acoustic correlates, to develop an instrument to determine these vocal priorities, and to analyze the pattern of vocal priorities in patients with voice disorders. METHOD Questions probing the importance of 5 vocal attributes (vocal clarity, loudness, mean speaking pitch, pitch range, vocal endurance) were generated from consensus conference involving speech-language pathologists, laryngologists, and voice scientists, as well as patient feedback. The responses to the preliminary items from 213 subjects were subjected to exploratory factor analysis, which confirmed 4 of the predefined domains. The final instrument consisted of a 16-item Vocal Priority Questionnaire probing the relative importance of clarity, loudness, mean speaking pitch, and pitch range. RESULTS The Vocal Priority Questionnaire had high reliability (Cronbach's α = .824) and good construct validity. A majority of the cohort (61%) ranked vocal clarity as their highest vocal priority, and 20%, 12%, and 7% ranked loudness, mean speaking pitch, and pitch range, respectively, as their highest priority. The frequencies of the highest ranked priorities did not differ by voice diagnosis or by sex. Considerable individual variation in vocal priorities existed within these large trends. CONCLUSIONS A patient's vocal priorities can be identified and taken into consideration in planning behavioral or surgical intervention for a voice disorder. Inclusion of vocal priorities in treatment planning empowers the patient in shared decision making, helps the clinician tailor treatment, and may also improve therapy compliance.
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Affiliation(s)
- Ingo R. Titze
- National Center for Voice and Speech, University of Utah, Salt Lake City
- Department of Communication Sciences and Disorders, The University of Iowa, Iowa City
| | - Tobias Riede
- Department of Physiology, Midwestern University, Glendale, AZ
| | - Anil Palaparthi
- National Center for Voice and Speech, University of Utah, Salt Lake City
| | - Linda S. Hynan
- Departments of Clinical Sciences and Psychiatry, University of Texas Southwestern Medical Center, Dallas
| | - Amy Hamilton
- Clinical Center for Voice Care, Department of Otolaryngology–Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas
| | - Laura Toles
- Clinical Center for Voice Care, Department of Otolaryngology–Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas
- MGH Institute of Health Professions, Center for Laryngeal Surgery and Voice Rehabilitation, Boston, MA
| | - Ted Mau
- Clinical Center for Voice Care, Department of Otolaryngology–Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas
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Unteregger F, Wagner P, Honegger F, Potthast S, Zwicky S, Storck C. Changes in Vocal Fold Morphology During Singing Over Two Octaves. J Voice 2018; 34:165-169. [PMID: 30266281 DOI: 10.1016/j.jvoice.2018.08.020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Revised: 08/23/2018] [Accepted: 08/27/2018] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Vocal folds are widely assumed to only elongate to raise vocal pitch. However, the mechanisms seem to be more complex and involve both elongation and tensioning of the vocal folds in series. The aim of the present study was to show that changes in vocal fold morphology depend on vocal fold elongation and tensioning during singing. STUDY DESIGN This was a prospective study. METHODS Forty-nine professional female singers (25 sopranos, 24 altos) were recruited and three-dimensional laryngeal images analyzed in a coronal view derived from high-resolution computed tomography scans obtained at the mean speaking fundamental frequency (ƒ0) and one (2ƒ0) and two octaves (4ƒ0) above ƒ0. RESULTS The vocal fold angle, defined by a tangent above and below the vocal folds, was 58° at ƒ0, 47° at 2ƒ0, and 59° at 4ƒ0. CONCLUSION The decreased caudomedial angle of the vocal fold from ƒ0 to 2ƒ0 (change in muscle belly from ";fat" to "thin") and increased angle from 2ƒ0 to 4ƒ0 (from "thin" to "fat") strongly supports the hypothesis that the vocal folds elongate and then tension when singing from ƒ0 to 4ƒ0. This is the first study to show this relationship in vivo.
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Affiliation(s)
- F Unteregger
- Department of Otorhinolaryngology, Head and Neck Surgery, Division of Phoniatrics, University Hospital Basel, Basel, Switzerland
| | - P Wagner
- Department of Otorhinolaryngology, Head and Neck Surgery, Division of Phoniatrics, University Hospital Basel, Basel, Switzerland
| | - F Honegger
- Department of Otorhinolaryngology, Head and Neck Surgery, Division of Phoniatrics, University Hospital Basel, Basel, Switzerland
| | - S Potthast
- Institute of Radiology, Limmattal Hospital, Schlieren, Switzerland
| | - S Zwicky
- Zurich University of the Arts, Department of Music and Private ENT Practice, Schlieren, Switzerland
| | - C Storck
- Department of Otorhinolaryngology, Head and Neck Surgery, Division of Phoniatrics, University Hospital Basel, Basel, Switzerland.
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Surgical Impact of the Montgomery Implant System on Arytenoid Cartilage and the Paralyzed Vocal Fold. J Voice 2018; 34:145-149. [PMID: 30172670 DOI: 10.1016/j.jvoice.2018.07.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2018] [Revised: 07/11/2018] [Accepted: 07/13/2018] [Indexed: 11/21/2022]
Abstract
OBJECTIVES/HYPOTHESIS Medialization thyroplasty (MT) has become a prominent method for treating glottal insufficiency. This study aimed to visualize the biomechanical influence of a medialization implant on arytenoid cartilage, particularly on the length and level of paralyzation in the vocal fold, in patients with unilateral vocal fold paralysis. STUDY DESIGN Prospective study. METHODS We recruited 15 patients (10 men, 5 women) with unilateral vocal fold paralysis that underwent MT with a Montgomery® thyroplasty implant. We performed high-resolution computed tomography of the arytenoid cartilage before and after MT and analyzed the three-dimensional images. To visualize the movement of the arytenoid and to measure the lengthening of the vocal fold, we superimposed pre- and postoperative 3D images with MIMICS software. RESULTS On the affected side, the implant pushed the arytenoid backwards. In addition, the vocal process of the arytenoid was inwardly rotated. These movements resulted in an elongated, augmented vocal fold on the affected side. CONCLUSION MT led to an elongated, medialized vocal fold on the treated side. After the intervention, the vocal folds on both sides were the same length in the phonatory position.
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