Simulated effects of cricothyroid and thyroarytenoid muscle activation on adult-male vocal fold vibration

2006 ◽  
Vol 120 (1) ◽  
pp. 386-397 ◽  
Author(s):  
Soren Y. Lowell ◽  
Brad H. Story
1993 ◽  
Vol 102 (10) ◽  
pp. 769-776 ◽  
Author(s):  
Hong-Shik Choi ◽  
Ming Ye ◽  
Gerald S. Berke ◽  
Jody Kreiman

Fundamental frequency is controlled by contraction of the thyroarytenoid (TA) and cricothyroid (CT) muscles. While activity of the CT muscle is known to tense and thin the vocal folds, little is known about the effect of the TA muscle on vocal fold vibration. An in vivo canine laryngeal model was used to examine the role of the TA muscle in controlling phonation. Isolated TA muscle activation was obtained by stimulating sectioned terminal TA branches through small thyroid cartilage windows. Subglottic pressure measures, electroglottographic and photoglottographic signals, and acoustic signals were obtained in 5 mongrel dogs during dynamic and static variations in TA muscle activity. Results indicated that TA muscle activation is a major determinant in sudden shifts from high-frequency to modal phonation. Subglottic pressure increased and open quotient decreased gradually with increasing TA activation.


1997 ◽  
Vol 106 (7) ◽  
pp. 594-598 ◽  
Author(s):  
Sina Nasri ◽  
Joel A. Sercarz ◽  
Pouneh Beizai ◽  
Young-Mo Kim ◽  
Ming Ye ◽  
...  

The neuroanatomy of the larynx was explored in seven dogs to assess whether there is motor innervation to the thyroarytenoid (TA) muscle from the external division of the superior laryngeal nerve (ExSLN). In 3 animals, such innervation was identified. Electrical stimulation of microelectrodes applied to the ExSLN resulted in contraction of the TA muscle, indicating that this nerve is motor in function. This was confirmed by electromyographic recordings from the TA muscle. Videolaryngostroboscopy revealed improvement in vocal fold vibration following stimulation of the ExSLN compared to without it. Previously, the TA muscle was thought to be innervated solely by the recurrent laryngeal nerve. This additional pathway from the ExSLN to the TA muscle may have important clinical implications in the treatment of neurologic laryngeal disorders such as adductor spasmodic dysphonia.


2001 ◽  
Vol 44 (6) ◽  
pp. 1284-1299 ◽  
Author(s):  
Sally Gallena ◽  
Paul J. Smith ◽  
Thomas Zeffiro ◽  
Christy L. Ludlow

The laryngeal pathophysiology underlying the speech disorder in idiopathic Parkinson disease (IPD) was addressed in this electromyographic study of laryngeal muscle activity. This muscle activity was examined during voice onset and offset gestures in 6 persons in the early stages of IPD who were not receiving medication. The purpose was to determine (a) if impaired voice onset and offset control for speech and vocal fold bowing were related to abnormalities in laryngeal muscle activity in the nonmedicated state and (b) if these attributes change with levodopa. Blinded listeners rated the IPD participants' voice onset and offset control before and after levodopa was administered. In the nonmedi-cated state, the IPD participants' vocal fold bowing was examined on nasoendo-scopy, and laryngeal muscle activity levels were compared with normal research volunteers. The IPD participants were then administered a therapeutic dose of levodopa, and changes in laryngeal muscle activity for voice onset and offset gestures were measured during the same session. Significant differences were found between IPD participants in the nonmedicated state:those with higher levels of muscle activation had vocal fold bowing and greater impairment in voice onset and offset control for speech. Similarly, following levodopa administration, those with thyroarytenoid muscle activity reductions had greater improvements in voice onset and offset control for speech. In this study, voice onset and offset control ifficulties and vocal fold bowing were associated with increased levels of aryngeal muscle activity in the absence of medication.


1998 ◽  
Vol 107 (10) ◽  
pp. 826-833 ◽  
Author(s):  
Ira Sanders ◽  
Yingshi Han ◽  
Surinder Rai ◽  
Hugh F. Biller

It is not understood how different parts of the thyroarytenoid muscle contribute to vocal fold vibration. This study investigated the medial part of the thyroarytenoid muscle, the vocalis compartment, for anatomic differences that might suggest functionally distinct areas. Twenty human vocal folds were frontally sectioned and stained with hematoxylin and eosin. A single section from the middle of each vocal fold was magnified, and the muscle fascicles of the most superficial 25% of the vocalis compartment were then examined. In all 20 specimens the vocalis compartment could be separated into 2 plainly distinct subcompartments: the inferior vocalis compartment was composed of a single large muscle fascicle that contained densely packed muscle fibers of similar size; the superior vocalis compartment was composed of multiple small fascicles in which the muscle fibers were loosely arranged and varied greatly in size. On average, the inferior vocalis subcompartment composed 60% of the medial surface of the thyroarytenoid muscle. The superior subcompartment composed the remaining 40% of the medial surface, but also continued past the vocal ligament to make up the superior surface of the thyroarytenoid muscle. It is concluded that 2 distinct entities make up the vocalis compartment of the thyroarytenoid muscle. Their anatomy is so markedly different it suggests that they may function independently. One possibility is that they reflect the 2 masses observed in the superior and inferior aspects of the vocal fold during vibration.


1991 ◽  
Vol 34 (3) ◽  
pp. 460-472 ◽  
Author(s):  
Ingo R. Titze

The time course of a force twitch in the thyroarytenoid muscle is modeled, and trains of twitches are summed to simulate force tetani. By incorporating means and standard deviations of motoneuron firing rates, and by applying random phase relationships between simulated motor units, a quantitative model of the ripple of vocal fold tension is obtained. From this ripple, perturbations in fundamental frequency are calculated as a function of the number of motor units in the muscle, the mean and standard deviation of the firing rate of dominant motoneurons, and the variability in the size (twitch amplitude) of the motor units. Predicted perturbations range between 0.2% and 1.2%, depending on the choice of parameters. Perturbation decreases with the number of motor units and with increased mean firing rate, but increases with the variability in motor unit size and with variability in the firing rate. Techniques are discussed by which neurologic jitter might be isolated from other sources of irregularity in vocal fold vibration.


2021 ◽  
Vol 11 (3) ◽  
pp. 1221
Author(s):  
Dariush Bodaghi ◽  
Qian Xue ◽  
Xudong Zheng ◽  
Scott Thomson

An in-house 3D fluid–structure–acoustic interaction numerical solver was employed to investigate the effect of subglottic stenosis (SGS) on dynamics of glottal flow, vocal fold vibration and acoustics during voice production. The investigation focused on two SGS properties, including severity defined as the percentage of area reduction and location. The results show that SGS affects voice production only when its severity is beyond a threshold, which is at 75% for the glottal flow rate and acoustics, and at 90% for the vocal fold vibrations. Beyond the threshold, the flow rate, vocal fold vibration amplitude and vocal efficiency decrease rapidly with SGS severity, while the skewness quotient, vibration frequency, signal-to-noise ratio and vocal intensity decrease slightly, and the open quotient increases slightly. Changing the location of SGS shows no effect on the dynamics. Further analysis reveals that the effect of SGS on the dynamics is primarily due to its effect on the flow resistance in the entire airway, which is found to be related to the area ratio of glottis to SGS. Below the SGS severity of 75%, which corresponds to an area ratio of glottis to SGS of 0.1, changing the SGS severity only causes very small changes in the area ratio; therefore, its effect on the flow resistance and dynamics is very small. Beyond the SGS severity of 75%, increasing the SGS severity, leads to rapid increases of the area ratio, resulting in rapid changes in the flow resistance and dynamics.


1980 ◽  
Vol 83 (2) ◽  
pp. 201-212
Author(s):  
KATSUTAKE HAYASAKI

1997 ◽  
Vol 106 (7) ◽  
pp. 533-543 ◽  
Author(s):  
Steven M. Zeitels ◽  
Glenn W. Bunting ◽  
Robert E. Hillman ◽  
Traci Vaughn

Reinke's edema (RE) has been associated typically with smoking and sometimes with vocal abuse, but aspects of the pathophysiology of RE remain unclear. To gain new insights into phonatory mechanisms associated with RE pathophysiology, weused an integrated battery of objective vocal function tests to analyze 20 patients (19 women) who underwent phonomicrosurgical resection. Preoperative stroboscopic examinations demonstrated that the superficial lamina propria is distended primarily on the superior vocal fold surface. Acoustically, these individuals have an abnormally low average speaking fundamental frequency (123 Hz), and they generate abnormally high average subglottal pressures (9.7 cm H20). The presence of elevated aerodynamic driving pressures reflects difficulties in producing vocal fold vibration that are most likely the result of mass loading associated with RE, and possibly vocal hyperfunction. Furthermore, it is hypothesized that in the environment of chronic glottal mucositis secondary to smoking and reflux, the cephalad force on the vocal folds by the subglottal driving pressure contributes to the superior distention of the superficial lamina propria. Surgical reduction of the volume of the superficial lamina propria resulted in a significant elevation in fundamental frequency (154 Hz) and improvement in perturbation measures. In almost all instances, both the clinician and the patient perceived the voice as improved. However, these patients continued to generate elevated subglottal pressure (probably a sign of persistent hyperfunction) that was accompanied by visually observed supraglottal strain despite the normalsized vocal folds. This finding suggests that persistent hyperfunctional vocal behaviors may contribute to postsurgical RE recurrence if therapeutic strategies are not instituted to modify such behavior.


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