Mouth-to-microphone (MTM) distance is important when measuring the sound of voice. However, determining the MTM distance for laryngoscope-mounted microphones during laryngoscopic examinations is cumbersome. We introduce a novel solution for such cases, using the depth of insertion of the laryngoscope into the mouth DI as a reference distance. We measured the average insertion depth, DI, in 60 adult women and 60 adult men for rigid laryngoscopes with 70° and 90° view. We found the DI for the 70°/90° laryngoscope to be 9.7 ± 0.9/9.4 ± 0.6 cm in men, 8.9 ± 0.9/8.7 ± 0.7 cm in women, and 9.3 ± 0.9/9.0 ± 0.7 cm in all adults. Using these values, we show that, for microphones fixed at 15-40 cm from the tip of the laryngoscope, the final MTM distances are between 5 and 35 cm from the lips, and the standard uncertainties of these distances are between 16% and 2.5%. Our solution allows laryngologists and laryngoscope manufacturers to set and estimate the MTM distance for any rigid laryngeal endoscope with a microphone attached with reasonable accuracy, avoiding the need to measure this distance in vivo in routine practice.
- Publikační typ
- časopisecké články MeSH
In this tribute article to D.G. Miller, we review some historical and recent contributions to understanding the myoelastic-aerodynamic (MEAD) theory of phonation and the related acoustic phenomena in subglottal and vocal tract. At the time of the formulation of MEAD by van den Berg in late 1950s, it was assumed that vocal fold oscillations are self-sustained thanks to increased subglottal pressure pushing the glottis to open and decreased subglottal pressure allowing the glottis to close. In vivo measurements of subglottal pressures during phonation invalidated these assumptions, however, and showed that at low fundamental frequencies subglottal pressure rather tends to reach a maximum value at the beginning of glottal closure and then exhibits damped oscillations. These events can be interpreted as transient acoustic resonance phenomena in the subglottal tract that are triggered by glottal closure. They are analogous to the transient acoustic phenomena seen in the vocal tract. Rather than subglottal pressure oscillations, a more efficient mechanism of transfer of aerodynamic energy to the vocal fold vibrations has been identified in the vertical phase differences (mucosal waves) making the glottal shape more convergent during glottis opening than during glottis closing. Along with other discoveries, these findings form the basis of our current understanding of MEAD.
PURPOSE: Laryngeal high-speed videoendoscopy (LHSV) has been recognized as a highly valuable modality for the scientific investigations of vocal fold (VF) vibrations. In contrast to stroboscopic imaging, LHSV enables visualizing aperiodic VF vibrations. However, the technique is less well established in the clinical care of disordered voices, partly because the properties of aperiodic vibration patterns are not yet described comprehensively. To address this, a computer model for simulation of VF vibration patterns observed in a variety of different phonation types is proposed. METHOD: A previously published kinematic model of mucosal wave phenomena is generalized to be capable of left-right asymmetry and to simulate endoscopic videos instead of only kymograms of VF vibrations at single sagittal positions. The most influential control parameters are the glottal halfwidths, the oscillation frequencies, the amplitudes, and the phase delays. RESULTS: The presented videos demonstrate zipper-like vibration, pressed voice, voice onset, constant and time-varying left-right and anterior-posterior phase differences, as well as left-right frequency differences of the VF vibration. Video frames, videokymograms, phonovibrograms, glottal area waveforms, and waveforms of VF contact area relating to electroglottograms are shown, as well as selected kinematic parameters. CONCLUSION: The presented videos demonstrate the ability to produce vibration patterns that are similar to those typically seen in endoscopic videos obtained from vocally healthy and dysphonic speakers. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.20151833.
Excised larynges serve as natural models for studying behavior of the voice source. Acoustic resonances inside the air-supplying tubes below the larynx (i.e., subglottal space), however, interact with the vibratory behavior of the larynges and obscure their inherent vibration properties. Here, we explore a newly designed anechoic subglottal space which allows removing its acoustic resonances. We performed excised larynx experiments using both anechoic and resonant subglottal spaces in order to analyze and compare, for the very first time, the corresponding subglottal pressures, electroglottographic and radiated acoustic waveforms. In contrast to the resonant conditions, the anechoic subglottal pressure waveforms showed negligible oscillations during the vocal fold contact phase, as expected. When inverted, these waveforms closely matched the inverse filtered radiated sound waveforms. Subglottal resonances modified also the radiated sound pressures (Level 1 interactions). Furthermore, they changed the fundamental frequency (fo) of the vocal fold oscillations and offset phonation threshold pressures (Level 2 interactions), even for subglottal resonance frequencies 4-10 times higher than fo. The obtained data offer the basis for better understanding the inherent vibratory properties of the vocal folds, for studying the impact of structure-acoustic interactions on voice, and for validation of computational models of voice production.
- MeSH
- akustika řeči MeSH
- akustika MeSH
- biologické modely MeSH
- fonace fyziologie MeSH
- glottis fyziologie MeSH
- hlas fyziologie MeSH
- larynx fyziologie MeSH
- lidé MeSH
- modely u zvířat MeSH
- techniky in vitro MeSH
- tlak MeSH
- vysoká zvěř MeSH
- zvířata MeSH
- Check Tag
- lidé MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
PURPOSE: The present study aimed at measuring the smoothed and non-smoothed cepstral peak prominence (CPPS and CPP) in teachers who considered themselves to have normal voice but some of them had laryngeal pathology. The changes of CPP, CPPS, sound pressure level (SPL) and perceptual ratings with different voice tasks were investigated and the influence of vocal pathology on these measures was studied. METHOD: Eighty-four Finnish female primary school teachers volunteered as participants. Laryngoscopically, 52.4% of these had laryngeal changes (39.3% mild, 13.1% disordered). Sound recordings were made for phonations of comfortable sustained vowel, comfortable speech, and speech produced at increased loudness level as used during teaching. CPP, CPPS and SPL values were extracted using Praat software for all three voice samples. Sound samples were also perceptually evaluated by five voice experts for overall voice quality (10 point scale from poor to excellent) and vocal firmness (10 point scale from breathy to pressed, with normal in the middle). RESULTS: The CPP, CPPS and SPL values were significantly higher for vowels than for comfortable speech and for loud speech compared to comfortable speech (P < 0.001). Significant correlations were found between SPL and cepstral measures. The loud speech was perceived to be firmer and have a better voice quality than comfortable speech. No significant relationships of the laryngeal pathology status with cepstral values, perceptual ratings, or voice SPLs were found (P > 0.05). CONCLUSION: Neither the acoustic measures (CPP, CPPS, and SPL) nor the perceptual evaluations could clearly distinguish teachers with laryngeal changes from laryngeally healthy teachers. Considering no vocal complaints of the subjects, the data could be considered representative of teachers with functionally healthy voice.
- MeSH
- akustika řeči * MeSH
- akustika * MeSH
- dospělí MeSH
- hygiena práce MeSH
- kvalita hlasu * MeSH
- laryngoskopie MeSH
- larynx patologie patofyziologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- měření tvorby řeči * MeSH
- nemoci z povolání diagnóza patofyziologie MeSH
- poruchy hlasu diagnóza patofyziologie MeSH
- prediktivní hodnota testů MeSH
- učitelé * MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Finsko MeSH
INTRODUCTION: The sharpness of lateral peaks is a visually helpful clinical feature in high-speed videokymographic (VKG) images indicating vertical phase differences and mucosal waves on the vibrating vocal folds and giving insights into the health and pliability of vocal fold mucosa. This study aims at investigating parameters that can be helpful in objectively quantifying the lateral peak sharpness from the VKG images. METHOD: Forty-five clinical VKG images with different degrees of sharpness of lateral peaks were independently evaluated visually by three raters. The ratings were compared to parameters obtained by automatic image analysis of the vocal fold contours: Open Time Percentage Quotients (OTQ) and Plateau Quotients (PQ). The OTQ parameters were derived as fractions of the period during which the vocal fold displacement exceeds a predetermined percentage of the vibratory amplitude. The PQ parameters were derived similarly but as a fraction of the open phase instead of a period. RESULTS: The best correspondence between the visual ratings and the automatically derived quotients were found for the OTQ and PQ parameters derived at 95% and 80% of the amplitude, named OTQ95, PQ95, OTQ80 and PQ80. Their Spearman's rank correlation coefficients were in the range of 0.73 to 0.77 (P < 0.001) indicating strong relationships with the visual ratings. The strengths of these correlations were similar to those found from inter-rater comparisons of visual evaluations of peak sharpness. CONCLUSION: The Open time percentage and Plateau quotients at 95% and 80% of the amplitude stood out as the possible candidates for capturing the sharpness of the lateral peaks with their reliability comparable to that of visual ratings.
- MeSH
- audiovizuální záznam * MeSH
- automatizace MeSH
- biomechanika MeSH
- časové faktory MeSH
- fonace * MeSH
- hlasové řasy diagnostické zobrazování patofyziologie MeSH
- interpretace obrazu počítačem * MeSH
- kvalita hlasu * MeSH
- kymografie * MeSH
- laryngoskopie MeSH
- lidé MeSH
- mínění MeSH
- poruchy hlasu diagnostické zobrazování patofyziologie MeSH
- prediktivní hodnota testů MeSH
- retrospektivní studie MeSH
- sliznice hrtanu diagnostické zobrazování patofyziologie MeSH
- vibrace MeSH
- zraková percepce * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Nasal cavities are known to introduce antiresonances (dips) in the sound spectrum reducing the acoustic power of the voice. In this study, a three-dimensional (3D) finite element (FE) model of the vocal tract (VT) of one female subject was created for vowels [a:] and [i:] without and with a detailed model of nasal cavities based on CT (Computer Tomography) images. The 3D FE models were then used for analyzing the resonances, antiresonances and the acoustic pressure response spectra of the VT. The computed results were compared with the measurements of a VT model for the vowel [a:], obtained from the FE model by 3D printing. The nasality affects mainly the lowest formant frequency and decreases its peak level. The results confirm the main effect of nasalization, i.e., that sound pressure level decreases in the frequency region of the formants F1-F2 and emphasizes the frequency region of the formants F3-F5 around the singer's formant cluster. Additionally, many internal local resonances in the nasal and paranasal cavities were found in the 3D FE model. Their effect on the acoustic output was found to be minimal, but accelerometer measurements on the walls of the 3D-printed model suggested they could contribute to structure vibrations.
- MeSH
- akustika řeči MeSH
- fonetika MeSH
- hlas * MeSH
- kvalita hlasu * MeSH
- lidé MeSH
- nosní dutina diagnostické zobrazování MeSH
- počítačová simulace MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
PURPOSE: Teachers are professional voice users, always at high risk of developing voice disorders due to high vocal demand and unfavorable environmental conditions. This study aimed at identifying possible correlations between teachers' voice symptoms and their perception of noise, the location of schools, as well as the location and conditions of their classrooms. METHOD: One hundred forty teachers (ages 21-56) from schools in Upper Egypt participated in this study. They filled out a questionnaire including questions about the severity and frequency of their voice symptoms, noise perception, and the location and conditions of their schools and classrooms. Questionnaire responses were statistically analyzed to identify possible correlations. RESULTS: There were significant correlations (P < 0.05) between voice symptoms, teachers' noise perception, and noise resulting from the location and conditions of schools and classrooms. Teachers experienced severe dysphonia, neck pain, and increased vocal effort with weekly or daily recurrence. Among the teachers who participated in the study, 24.2% felt they were always in a noisy environment, with 51.4% of the total participants reporting having to raise their voices. The most common sources of noise were from student activities and talking in the teachers' own classrooms (61.4%), noise from adjacent classrooms (52.9%), and road traffic (40.7%). CONCLUSIONS: Adverse effect on teachers' voices due to noise from poor school and classroom conditions necessitates solutions for the future improvement of conditions in Egyptian schools. This study may help future studies that focus on developing guidelines for the better planning of Egyptian schools in terms of improved infrastructure and architecture, thus considering the general and vocal health of teachers.
- MeSH
- dospělí MeSH
- hluk škodlivé účinky MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- nemoci z povolání epidemiologie etiologie MeSH
- poruchy hlasu epidemiologie etiologie MeSH
- školy statistika a číselné údaje MeSH
- učitelé statistika a číselné údaje MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Egypt MeSH
Purpose: Sound pressure level (SPL) and fundamental frequency (fo) are very basic and important measures in the acoustical assessment of voice quality, and their variation influences also the vocal fold vibration characteristics. Most sophisticated laryngeal videostroboscopic systems therefore also measure and display the SPL and fo values directly over the video frames by means of a rather expensive special hardware setup. An alternative simple software-based method is presented here to obtain these measures as video subtitles. Method: The software extracts acoustic data from the video recording, calculates the SPL and fo parameters, and saves their values in a separate subtitle file. To ensure the correct SPL values, the microphone signal is calibrated beforehand with a sound level meter. Results: The new approach was tested on videokymographic recordings obtained laryngoscopically. The results of SPL and fo values calculated from the videokymographic recording, subtitles creation, and their display are presented. Conclusions: This method is useful in integrating the acoustic measures with any kind of video recordings containing audio data when inbuilt hardware means are not available. However, calibration and other technical aspects related to data acquisition and synchronization described in this article should be properly taken care of during the recording.
- MeSH
- akustika řeči * MeSH
- audiovizuální záznam * MeSH
- fonace MeSH
- hlasové řasy patofyziologie MeSH
- kalibrace MeSH
- kvalita hlasu MeSH
- laryngoskopie metody MeSH
- larynx patofyziologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- měření tvorby řeči metody MeSH
- software MeSH
- tlak MeSH
- vibrace MeSH
- zvuková spektrografie metody MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
Purpose: The aim of this study was to recommend protocols for instrumental assessment of voice production in the areas of laryngeal endoscopic imaging, acoustic analyses, and aerodynamic procedures, which will (a) improve the evidence for voice assessment measures, (b) enable valid comparisons of assessment results within and across clients and facilities, and (c) facilitate the evaluation of treatment efficacy. Method: Existing evidence was combined with expert consensus in areas with a lack of evidence. In addition, a survey of clinicians and a peer review of an initial version of the protocol via VoiceServe and the American Speech-Language-Hearing Association's Special Interest Group 3 (Voice and Voice Disorders) Community were used to create the recommendations for the final protocols. Results: The protocols include recommendations regarding technical specifications for data acquisition, voice and speech tasks, analysis methods, and reporting of results for instrumental evaluation of voice production in the areas of laryngeal endoscopic imaging, acoustics, and aerodynamics. Conclusion: The recommended protocols for instrumental assessment of voice using laryngeal endoscopic imaging, acoustic, and aerodynamic methods will enable clinicians and researchers to collect a uniform set of valid and reliable measures that can be compared across assessments, clients, and facilities.
- MeSH
- akustika řeči * MeSH
- akustika MeSH
- biomechanika MeSH
- hlasové řasy patofyziologie MeSH
- klinická logopedie metody normy MeSH
- konsensus MeSH
- kvalita hlasu * MeSH
- laryngoskopie normy MeSH
- lidé MeSH
- měření tvorby řeči normy MeSH
- odchylka pozorovatele MeSH
- poruchy hlasu diagnóza patofyziologie terapie MeSH
- prediktivní hodnota testů MeSH
- reprodukovatelnost výsledků MeSH
- stroboskopie normy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- konsensus - konference MeSH
- přehledy MeSH
- směrnice pro lékařskou praxi MeSH
