No abstract available.
Phonation*

No abstract available.
Phonation* ; Tooth*

No abstract available.
Humans ; Phonation* ; Spinal Cord*

BACKGROUND AND OBJECTIVES: Voice quality may be an important issue for choosing treatment options of early glottic cancer. It has been reported that voice quality is worse after laser cordectomy compared to that of radiation therapy. But, with developed visualization tools, the precise localization of lesions became possible enabling surgeons to decide the appropriate surgical extent to preserve voice after laser cordectomy. The authors assessed the postoperative voice quality of patients who underwent laser cordectomy according to the classification by the European Laryngological Society. SUBJECTS AND METHOD: Thirty patients who were diagnosed with glottic cancer and treated with laser cordectomy between April, 1999 and January, 2006, were evaluated. All the patients were followed-up more than 6 months. Objective evaluations included maximal phonation time, fundamental frequency, jitter, shimmer, noise-to-harmonics ratio and subjective evaluation was performed by the GRBAS scale. RESULTS: The type II laser cordectomy group and some cases of the type III cordectomy showed no significant differences compared with the normal control group in both objective and subjective evaluations. CONCLUSION: This study shows that the group of laser cordectomy type II and some cases of type III had acceptable results compared to that of the normal control group. Thus, laser cordectomy could be considered as an alternative to radiation therapy in selected patients with early glottic cancer, even when preserving the quality of voice is an important issue.
Humans ; Phonation ; Voice ; Voice Quality

A computational study of the pulsating jet in a squared channel with a dynamic glottal-shaped constriction is presented. It follows the model experiments of Triep and Brücker (J Acoust Soc Am 127(2):1537–1547, 2010) with the cam-driven model that replicates the dynamic glottal motion in the process of human phonation. The boundary conditions are mapped from the model experiment onto the computational model and the three dimensional time resolved velocity and pressure fields are numerically calculated. This study aims to provide more details of flow separation and pressure distribution in the glottal gap and in the supraglottal flow field. Within the glottal gap a ‘vena contracta’ effect is generated in the mid-sagittal plane. The flow separation in the mid-coronal plane is therefore delayed to larger diffuser angles which leads to an ‘axisswitching’ effect from mid-sagittal to mid-coronal plane. The location of flow separation in mid-sagittal cross section moves up- and downwards along the vocal folds surface in streamwise direction. The generated jet shear layer forms a chain of coherent vortex structures within each glottal cycle. These vortices cause characteristic velocity and pressure fluctuations in the supraglottal region, that are in the range of 10–30 times of the fundamental frequency.
Constriction* ; Humans ; Phonation ; Vocal Cords

BACKGROUND AND OBJECTIVES: Though voice therapy is proven to be effective in academia, treatment results and satisfaction level are inconsistent in clinics. The inconsistency may rise from diverse vocal cords misuse patterns in patient population as they suffer from different diseases or have bad phonation habits. In order to overcome the limitation, we uniformized patients' vocal cords with injection laryngoplasty prior to voice therapy. The efficacy of voice therapy and consistency in treatment results after injection laryngoplasty were assessed. MATERIALS AND METHODS: Patients diagnosed with vocal nodules were either treated with injection laryngoplasty followed by voice therapy (combined treatment group) or voice therapy only (voice therapy group). Each group consisted of 15 patients. Acoustic measures (jitter, shimmer, NHR), aerodynamic measures (MPT, Psub, MAFR), and subjective auditory conscious measures (K-VHI, K-VRQOL) between two groups were analyzed. RESULTS: After treatments, both groups improved in terms of acoustic, aerodynamic, and subjective auditory conscious measures compared to pre-treatment. Combined treatment group had statistically significantly greater improvement in shimmer, P in K-VHI, and PF in K-VRQOL compared to voice therapy group. CONCLUSION: Injection laryngoplasty treatment prior to voice therapy synergizes in treating patients compared to voice therapy only.
Acoustics ; Humans ; Laryngoplasty ; Phonation ; Vocal Cords ; Voice*

Pop singers frequently use breathy voice to express diverse emotion. Such method is the major factor that divides vocalization in pop and classical music. Using breathy voice too much for a long time could make singer short-winded, which might cause the voice injured. In order to prevent the problem, singers need to find resonance balance between high notes and low notes and among vowels. Moreover, they should take more attention when producing resonance in consonants with much air flow. Along with finding resonance balance, if skilled at controlling the volume of voice, singers can use the breathy voice selectively at the desired part, adjusting close quotient freely. Through this kind of approach, pop singers can develope their unique style of vocalization and avoid the vocal damage.
Exercise* ; Methods ; Music ; Phonation* ; Singing* ; Voice

Audiology ; China ; Humans ; Phonation ; Speech-Language Pathology

BACKGROUND AND OBJECTIVES: Functional diseases of vocal folds have shown various movements of the arytenoid cartilage, however, they have not been documented yet. We studied to find out the relationships between functional diseases of vocal folds and arytenoid movements. MATERIALS AND METHOD: 224 subjects were evaluated by using videostroboscopic examinations. The subjects were classified into three types; notch, ball, and flat types according to the patterns of arytenoid movement during phonation. Vocal fold lesions were investigated and arytenoid movements were compared between normal and disease groups. RESULTS: The arytenoid movements of notch type were more than ball type or flat type in both normal and disease groups. The disease group showed many asymmetric movements of arytenoid cartilage when compared with the normal group. Vocal nodule and vocal polyp showed asymmetric movements of arytenoid cartilage. Conclusions: We found that the functional diseases of vocal folds were related to the asymmetric movements of arytenoid cartilage. We suggest that the various movements of arytenoid cartilage should be considered when functional diseases of vocal folds are examined.
Arytenoid Cartilage* ; Phonation ; Polyps ; Vocal Cords*

OBJECTIVES: We aimed to describe objectively the voice features of sulcus vocalis, thereby setting up some useful guidelines for its treatment. MATERIALS AND METHODS: The voices of thirty-seven sulcus vocalis pateints were analyzed. RESULTS: In the acoustic analysis, the fundamental frequency, jitter, and shimmer were significantly increased. Noise to harmonic ratio was also increased although it was not statistically significant. In the aerodynamic study, we found that maximal phonation time was decreased, whereas the mean air flow rate and subglottic pressure were increased. The glottic insuffiency on phonation, small vibratory mucosal wave and amplitude were frequently observed by videostroboscopy. CONCLUSION: The bowing of vocal fold edge results in an incomplete glottic closure during vibratory cycles. The increase in stiffness of the vocal fold edge during phonation results in small mucosal wave and small vibratory amplitude. Glottic insufficiency and stiffness of vibratory movement contribute to dysphonia of sulcus vocalis.
Acoustics ; Dysphonia ; Noise ; Phonation ; Vocal Cords ; Voice*