AI Article Synopsis

  • Dysphonia can occur when there's an angular difference between the left and right vocal folds, often due to conditions like unilateral vocal fold paralysis.
  • Experimental studies with mechanical replicas demonstrated that increased angular asymmetry (up to 25°) leads to a loss of contact between vocal folds, resulting in poorer sound quality and increased pressure needed for normal oscillation.
  • The findings align with clinical observations related to vocal fold positioning during phonation, and a formula is suggested to quantify the oscillation threshold based on angular asymmetry.

Article Abstract

Dysphonia is often caused by level difference between left and right vocal folds, which are positioned on different angles with respect to the transverse plane, resulting in angular asymmetry. Unilateral vocal fold paralysis may cause such angular asymmetry. In this case, the normal vocal fold is located on the transverse plane, whereas the paralyzed vocal fold is rotated in the sagittal plane as its posterior edge is moved up to the superior direction. The effect of such angular asymmetry (up to 25°) between the left and right vocal fold on the auto-oscillation is experimentally studied using mechanical replicas. For all replicas, it is observed that, as full contact between vocal folds is lost, increase of angular asymmetry results in a decrease of the signal-to-noise ratio, an increase of the total harmonic distortion rate, and an increase of the oscillation threshold pressure. These general tendencies are in agreement with clinical findings reported for vertical level difference during phonation. In analogy to the preceding experimental study in which vocal folds are spaced in parallel with a vertical trade-off, a formula is proposed to describe the oscillation threshold as a function of angular asymmetry.

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http://dx.doi.org/10.1121/10.0000742DOI Listing

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