For the investigation of the physical processes of human phonation, inhomogeneous synthetic vocal folds were developed to represent the full fluid-structure-acoustic coupling. They consisted of polyurethane rubber with a stiffness in the range of human vocal folds and were mounted in a channel, shaped like the vocal tract in the supraglottal region. This test facility permitted extensive observations of flow-induced vocal fold vibrations, the periodic flow field, and the acoustic signals in the far field of the channel. Detailed measurements were performed applying particle-image velocimetry, a laser-scanning vibrometer, a microphone, unsteady pressure sensors, and a hot-wire probe, with the aim of identifying the physical mechanisms in human phonation. The results support the existence of the Coanda effect during phonation, with the flow attaching to one vocal fold and separating from the other. This behavior is not linked to one vocal fold and changes stochastically from cycle to cycle. The oscillating flow field generates a tonal sound. The broadband noise is presumed to be caused by the interaction of the asymmetric flow with the downstream-facing surfaces of the vocal folds, analogous to trailing-edge noise.
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http://dx.doi.org/10.1121/1.3068444 | DOI Listing |
J Laryngol Otol
December 2024
Department of Otolaryngology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Objectives: This study aimed to explore the influence of laryngopharyngeal reflux on the features of vocal fold polyps and prognosis after office-based transnasal vocal fold polypectomy.
Methods: Eighty-four vocal fold polyp patients were retrospectively analysed. Patients were assigned to laryngopharyngeal reflux or non-laryngopharyngeal reflux groups using pre-operative Reflux Symptom Score-12.
J Acoust Soc Am
December 2024
Department of Otorhinolaryngology and Head & Neck Surgery, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
The fundamental frequency (fo) is pivotal for quantifying vocal-fold characteristics. However, the accuracy of fo estimation in hoarse voices is notably low, and no definitive algorithm for fo estimation has been previously established. In this study, we introduce an algorithm named, "Spectral-based fo Estimator Emphasized by Domination and Sequence (SFEEDS)," which enhances the spectrum method and conducted comparative analyses with conventional estimation methods.
View Article and Find Full Text PDFHead Neck
December 2024
Otolaryngology Department, Isola Tiberina-Gemelli Isola Hospital, Rome, Italy.
Objective: The objective of this study is to provide a retrospective review of the 40-year experience of three oncology referral centers in the field of reconstructive laryngeal surgery.
Materials And Methods: A multi-institutional retrospective analysis included adult patients who underwent reconstructive laryngeal surgery for cT2-T4a laryngeal cancer (LC) between 1 June 1987 and 1 July 2019. Patients were stratified according to the European Laryngological Society classification for open partial horizontal laryngectomy (OPHL).
J Voice
December 2024
Department of Oto-Rhino-Laryngology and Head and Neck Surgery, AP-HM, La Conception University Hospital, Aix-Marseille University, 147 Boulevard Baille, 13385 Marseille, France.
Background: Presbylarynx refers to age-related changes in the larynx that can manifest clinically as presbyphonia. Several underlying mechanisms remain unclear.
Objectives: Perform a scoping review of the published literature on the mechanisms of presbyphonia in order to provide an adequate, comprehensive assessment of aging voice.
BMC Emerg Med
December 2024
Department of Emergency Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, No. 539, Zhongxiao Road, East District, Chiayi City, 600, Taiwan.
Background: In emergency settings, difficult intubations often occur unexpectedly despite pre-intubation assessments. Traditional glottic view scoring systems for direct laryngoscope may not apply to video laryngoscopy. With video laryngoscopy, the vertical location of the glottis on the monitor can be clearly defined.
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