Artículos de revistas
Vibratory Pattern Of Vocal Folds Under Tension Asymmetry
Registro en:
Otolaryngology - Head And Neck Surgery. , v. 135, n. 3, p. 438 - 444, 2006.
1945998
10.1016/j.otohns.2006.05.023
2-s2.0-33747881484
Autor
Maunsell R.
Ouaknine M.
Giovanni A.
Crespo A.
Institución
Resumen
Objective: The aim of this study was to describe and analyze the vibratory pattern of vocal folds in an asymmetric situation. Study design and setting: Cricothyroid muscle unilateral action was simulated on excised larynges on an experimental bench. Increasing airflow rates were applied to achieve vocal fold vibration. Electroglottography and an optoreflectometer device allowed analysis of separate and simultaneous vocal fold vibration. Spectra of the signals were obtained for each level of airflow variation. Results: All experiments showed periodic vibration. A phase shift was noted between the two vocal folds. Subharmonics and biphonation were identified in all the experiments. Conclusion: Lax vocal folds were more susceptible to spectral changes with increasing airflow. Significance: Knowledge of the consequences of mass, tension, and position asymmetries of the vocal folds is crucial for diagnosis making and defining therapeutic strategies in dysphonic patients. This study may contribute to the understanding of physiology of vocal fold interaction and its compensatory mechanisms. © 2006 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Inc. 135 3 438 444 Woodson, G., Configuration of the glottis in laryngeal paralysis: clinical study (1993) Laryngoscope, 103, pp. 1227-1234 Woodson, G.E., Murry, M.P., Schweizer, V., Unilateral cricothyroid contraction and glottic configuration (1998) J Voice, 12, pp. 335-339 Faaborg-Andersen, K., Electromyographic investigation of intrinsic laryngeal muscles in humans (1957) Acta Physiol Scand, 41, pp. 140-167 Dedo, H.H., Hall, W.N., Electrodes in laryngeal electromyography. Reliability comparison (1969) Ann Otol Rhinol Laryngol, 78, pp. 172-180 Nasseri, S.S., Maragos, N.E., Combination thyroplasty and the "twisted larynx:" combined type IV and type I thyroplasty for superior laryngeal nerve weakness (2000) J Voice, 14, pp. 104-111 Koufman, J.A., Belfsky, P.C., Unilateral or localized Reinke's edema (pseudocyst) as a manifestation of vocal fold paresis: the paresis podule (2001) Laryngoscope, 111, pp. 576-580 Eckley, C.A., Sataloff, R.T., Hawkshaw, M., Voice range in superior laryngeal nerve paresis and paralysis (1998) J Voice, 12, pp. 340-348 Ableson, T.I., Tucker, H.M., Laryngeal findings in superior laryngeal nerve paralysis: a controversy (1981) Otolaryngol Head Neck Surg, 89, pp. 463-470 Tanaka, S., Hirano, M., Umeno, H., Laryngeal behavior in unilateral superior laryngeal nerve paralysis (1994) Ann Otol Rhinol Laryngol, 103, pp. 93-97 Hirano, M., Ohala, J., Vennard, W., The function of laryngeal muscles in regulating fundamental frequency and intensity of phonation (1969) J Speech Hear Res, 12, pp. 616-628 Atkinson, J.E., Correlation analysis of the physiological factors controlling fundamental voice frequency (1978) J Acoust Soc Am, 63, pp. 211-222 Dursun, G., Sataloff, R.T., Spiegel, J.R., Superior laryngeal nerve paresis and paralysis (1996) J Voice, 10, pp. 206-211 Arnold, G.E., Physiology and pathology of the cricothyroid muscle (1961) Laryngoscope, 71, pp. 687-753 Mygind, H., Die paralyse des musculus cricothyroideus (1906) Arch Otolaryngol, 18, pp. 403-418 Giovanni, A., Ouaknine, M., Guelfucci, B., Non linear behavior of vocal fold vibration in an experimental model: role of coupling between the vocal folds (1999) J Voice, 3, pp. 465-476 Ouaknine, M., Garrel, R., Giovanni, A., Separate detection of vocal fold vibration by optoreflectometry: a study of biphonation on excised porcine larynges (2003) Folia Phoniatr Logop, 55, pp. 28-38 Titze, I., Baken, R., Herzel, H., Evidence of chaos in vocal fold vibration (1993) Frontiers in basic science, pp. 143-188. , Titze I. (Ed), Singular Publishing Group, San Diego Remacle, M., Trigoux, I., Characteristics of nodules through the high-resolution frequency analyzer (1991) Folia Phoniatr, 43, pp. 53-59 Berry, D.A., Herzel, H., Titze, I.R., Bifurcations in excised larynx experiments (1996) J Voice, 10, pp. 129-138 Isshiki, N., Tanabe, M., Ishizaka, K., Clinical significance of asymmetrical vocal cord tension (1977) Ann Otol, 86, pp. 58-66