Effect of bilateral ventriculocordectomy via ventral laryngotomy on laryngeal airway resistance in larynges of canine cadavers

2017 ◽  
Vol 78 (12) ◽  
pp. 1444-1448 ◽  
Author(s):  
Penny J. Regier ◽  
Timothy C. McCarthy ◽  
Eric Monnet
1992 ◽  
Vol 35 (2) ◽  
pp. 309-313 ◽  
Author(s):  
Jeannette D. Hoit ◽  
Thomas J. Hixon

An investigation was conducted to determine if laryngeal valving economy, as reflected in measures of laryngeal airway resistance during vowel production, differs with age in women. Seventy healthy women were studied, 10 each at age 25, 35, 45, 55, 65, 75, and 85 years. Results indicated that laryngeal airway resistance did not differ significantly with age, although it was noted that the 45-year-old women generally had lower laryngeal airway resistance values. This pattern of function differs from that observed in men (Melcon, Hoit, & Hixon, 1989). Discussion of findings includes consideration of factors that might influence laryngeal function during speech production in women. Clinical implications are offered.


1981 ◽  
Vol 46 (2) ◽  
pp. 138-146 ◽  
Author(s):  
Judith R. Smitheran ◽  
Thomas J. Hixon

A noninvasive clinical method for estimating laryngeal airway resistance during vowel production is described. Resistance is calculated from the ratio of translaryngeal pressure to translaryngeal flow, the first determined from measurement of oral pressure and the second determine from measurement of airway-opening flow made during the production of a specially designed utterance. Application of the method to the study of vowels resulted in a calculated mean laryngeal airway resistance of 35.7 cm H 2 O/LPS for 15 normal adult males. This resistance value is remarkably similar to mean values obtained in previous research using complex invasive experimental methods. Clinical use of the method is illustrated in case studies that highlight both evaluation and management potentials. It is concluded that the method proposed is clinically practical, that the data it provides are both valid and reliable, and that the method shows great promise of becoming a routine clinical tool for estimating laryngeal airway resistance during vowel production.


2000 ◽  
Vol 43 (4) ◽  
pp. 934-950 ◽  
Author(s):  
Eileen M. Finnegan ◽  
Erich S. Luschei ◽  
Henry T. Hoffman

We tested the hypothesis that different strategies are used to alter tracheal pressure (P t ) during sustained and transient increases in intensity. It has been suggested that the respiratory system plays the primary role in P t changes associated with alteration in overall intensity, whereas laryngeal adjustment is primary for transient change in P t related to emphasis. Tracheal pressure, obtained via tracheal puncture, airflow (U), and laryngeal electromyography from the thyroarytenoid muscle (TA EMG) were collected from 6 subjects during sentence production at different intensity levels and with various stress patterns. Using a technique described in a previous study, we computed lower airway resistance (R law ) from measures of P t and U obtained during a sudden change in upper airway resistance. We used this resistance value, together with direct measures of P t and U during speech, to derive a time-varying measure of alveolar pressure (P a ), the pressure created by respiratory muscle activity and elastic recoil of the lungs. P a provided a measure of respiratory drive that was unaffected by laryngeal activity. Laryngeal airway resistance (R lx ) and TA EMG provided measures of laryngeal activity. The results of this study indicated that, contrary to the outcome predicted by the hypothesis, there was no difference in the strategies used to alter P t during sustained and transient increases in intensity. Although changes in both P a and R lx contributed to increase in P t , the contribution of P a was substantially greater. On average, P a contributed to 94% and R lx to 6% of the increase in P t associated with vocal intensity. A secondary purpose of the study was to determine the extent to which laryngeal muscle activity was related to R lx during speech. We found TA EMG activity increased with intensity but was not well correlated with R lx , suggesting that when it contracts, the TA muscle may affect intensity by loosening the cover, which allows for greater amplitude of vocal fold vibration, without necessarily increasing laryngeal airway resistance.


2015 ◽  
Vol 58 (3) ◽  
pp. 638-652 ◽  
Author(s):  
Amanda I. Gillespie ◽  
William Slivka ◽  
Charles W. Atwood ◽  
Katherine Verdolini Abbott

Purpose The larynx has a dual role in the regulation of gas flow into and out of the lungs while also establishing resistance required for vocal fold vibration. This study assessed reciprocal relations between phonatory functions—specifically, phonatory laryngeal airway resistance (R law )—and respiratory homeostasis during states of ventilatory gas perturbations. Method Twenty-four healthy women performed phonatory tasks while exposed to induced hypercapnia (high CO 2 ), hypocapnia (low CO 2 ), and normal breathing (eupnea). Effects of gas perturbations on R law were investigated as were the reciprocal effects of R law modulations on respiratory homeostasis. Results R law remained stable despite manipulations of inspired gas concentrations. In contrast, end-tidal CO 2 levels increased significantly during all phonatory tasks. Thus, for the conditions tested, R law did not adjust to accommodate ventilatory needs as predicted. Rather, stable R law was spontaneously accomplished at the cost of those needs. Conclusions Findings provide support for a theory of regulation wherein R law may be a control parameter in phonation. Results also provide insight into the influence of phonation on respiration. The work sets the foundation for future studies on laryngeal function during phonation in individuals with lower airway disease and other patient populations.


1995 ◽  
Vol 30 (4) ◽  
pp. 435-449 ◽  
Author(s):  
Monica McHenry ◽  
John T. Minton ◽  
Samuel T. Kuna ◽  
Christi R. Vanoye ◽  
Nancy S. Roberts-Seibert

1984 ◽  
Vol 17 (3) ◽  
pp. 153-163 ◽  
Author(s):  
Herbert A. Leeper ◽  
Donald K. Graves

1996 ◽  
Vol 10 (3) ◽  
pp. 236-244 ◽  
Author(s):  
Monica A. McHenry ◽  
Samuel T. Kuna ◽  
John T. Minton ◽  
Christi R. Vanoye

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