Search results for "Vocal Cords"
showing 10 items of 12 documents
Vocal function following laser and conventional surgery of small malignant vocal fold tumours
1996
AbstractIn the disecribed study, 26 patients after conventional, and 27 patients after laser cordectomy were examined six months or more after the operation. Videolarybogstroboscopy revealed that patients after laser cordectomy more often phonate on a purely glottic level (81 per cent) in comparison to patienbts after conventional cordectomy (19 per cent). Webs were more frequent and more extended after conventional cordectomy compared to endoscopic laser surgery. The maximal phonation time showed a very wide range with a mean value of 9 to 10 sec; there was no statistical difference between the groups of patients. Using yanagihara's classification of sonograms, a better voice quality was m…
Long-Term Functional Outcome after Unilateral Cordectomy
2010
<i>Purpose of the Study:</i> Our aim was to longitudinally analyze the vocal outcome after endoscopic CO<sub>2</sub> laser resection of early glottic carcinoma. <i>Procedures:</i> Sixteen patients treated with laser surgery for T1 or T2 tumors of the vocal cords received voice therapy and were examined 1, 2, 3, 4.5, 6 and 12 months postoperatively. Besides videolaryngostroboscopy, each examination included history, phonetogram of the speaking and the singing voice, language-specific hoarseness diagram and a questionnaire (Voice Handicap Index 12 in German). <i>Results:</i> Objective parameters demonstrated a broad variability with a slight ten…
High-Speed Imaging Analysis of Register Transitions in Classically and Jazz-Trained Male Voices
2014
<b><i>Background:</i></b> Little data are available concerning register functions in different styles of singing such as classically or jazz-trained voices. Differences between registers seem to be much more audible in jazz singing than classical singing, and so we hypothesized that classically trained singers exhibit a smoother register transition, stemming from more regular vocal fold oscillation patterns. <b><i>Methods:</i></b> High-speed digital imaging (HSDI) was used for 19 male singers (10 jazz-trained singers, 9 classically trained) who performed a glissando from modal to falsetto register across the register transition. Vocal fold osc…
Reanimation of the Paralyzed Human Larynx With an Implantable Electrical Stimulation Device
2003
Objectives/Hypothesis Electrical stimulation of the posterior cricoarytenoid muscle, when paced with inspiration, offers a physiological approach to restore ventilation in bilateral laryngeal paralysis without any of the disadvantages associated with conventional treatment. Study Design A prospective study of six patients. Methods The patients were successfully implanted with an Itrel II stimulator (Medtronic, Inc). In postoperative sessions, stimulated vocal fold abduction, patient ventilation, and voice were assessed and compared with preoperative values. Results The optimum stimulus paradigm was a 1- to 2-second train of 1-millisecond pulses delivered at a frequency of 30 to 40 Hz and am…
Vocal fold strain and vocal pitch in singing:Radiographic observations of singers and nonsingers
1998
Summary The relationship between vocal fold strain and vocal pitch in singersand nonsingers singing a rising pitch series has been indirectly investigated by means of lateral radiographs. Nonsingers tend to exhibit more strain than singers. To standardize the degree of strain, an index of strain per semitone is proposed. The semitone strain indicates the average amount of strain per 1 semitone of pitch increase or decrease. The index has been shown to be affected by several factors: gender, singing training, singing technique, voice class, age, and status of muscle function. Observations suggest that similar groups of individuals occupy different positions on the stress-strain curve, indica…
Acute tissue damage induced by monopolar microelectrodes and radiofrequency in vocal cords after transoral cordectomy
2021
Abstract Introduction: In 2006 and 2009, we reported the levels of acute and chronic tissue damage after cordectomy associated with use of the microlectrodes using high frequency energy. In 2010, we shifted to radiofrequency rather than high frequency electrogenerators. Objective: The aim of this study is to evaluate acute tissue damage in the larynx after cordectomy using microelectrodes coupled to a radiofrequencygenerator. Methods: We studied 22 patients with a stage T1 glottic squamous cell carcinoma. The patients were randomly assigned to the two operating mode: cutting or coagulation (11 patients each mode). The strength of the study is that there are no previous studies on the effect…
Treatment of bilateral vocal cord paralysis following permanent recurrent laryngeal nerve injury.
2012
Bilateral vocal cord paralysis is a serious illness requiring emergency intervention to resolve the potentially life-threatening respiratory distress. Several surgical procedures were proposed to help improve the airway and to eliminate the tracheostoma in those patients with permanent paralysis. All the procedures have their own advantages and disadvantages. We conducted a retrospective study of 30 patients affected by bilateral vocal cord paralysis following total thyroidectomy. All the patients underwent total thyroidectomy for benign thyroid pathology. In 26 patients (86.6%), cord paralysis occurred during the perioperative stage; and in the remaining 4 cases (13.3%), it occurred within…
Hypothesis of whiplike motion as a possible traumatizing mechanism in vocal fold vibration.
2003
The mucosal waves on the vibrating vocal folds may move in anterior-posterior, mediolateral and in caudal-cranial direction. This article discusses the possible significance of the vertical movement from the point of view of mechanical stress in phonation and the formation of vocal fold traumas. It is hypothesized that in certain conditions the vocal folds may behave in cranial direction like a quasi-free end of a long lash producing very rapid vibratory waves (e.g. the waves in a whiplash). This could be detrimental to the tissue structure. The role of phonation type in enhancing/diminishing this effect will also be discussed.
Numerical simulation of glottal flow
2012
In cases of permanent immobility of both vocal folds patients have difficulties with breathing but rarely with voicing. However, clinical experience shows that the shape of the larynx (voice box) seems to have a significant influence on the degree of airflow and breathing pattern. In order to find an optimal geometry of the larynx in terms of easiness for breathing after the surgical change of vocal folds or false vocal cords (ventricular folds), a set of numerical simulations of glottal flow for weakly compressible Navier-Stokes equations has been performed. We compare airflow resistance and volumetric flow rate for several geometry concepts for inspiration as well as expiration. Finally, …
External laryngeal frame function in voice production revisited: A review
1996
Research indicates significant contribution of extrinsic laryngeal mechanisms to voice production. This article reviews the major theories of the role of the external laryngeal factors in voice production and relevant experimental data. The review suggests that partly neglected external factors and possibly even misinterpretation of some of the recently documented individual variation in physiological data may have unnecessarily complicated the issues pertaining to the interplay between the physiological mechanisms of the larynx. The implications of contemporary findings and documentation in the modeling of the extrinsic factors are discussed and a synthesis of empirical data into two simpl…