Cargando…

Direct measurement and modeling of intraglottal, subglottal, and vocal fold collision pressures during phonation in an individual with a hemilaryngectomy

The purpose of this paper is to report on the first in vivo application of a recently developed transoral, dual-sensor pressure probe that directly measures intraglottal, subglottal, and vocal fold collision pressures during phonation. Synchronous measurement of intraglottal and subglottal pressures...

Descripción completa

Detalles Bibliográficos
Autores principales: Mehta, Daryush D., Kobler, James B., Zeitels, Steven M., Zañartu, Matías, Ibarra, Emiro J., Alzamendi, Gabriel A., Manriquez, Rodrigo, Erath, Byron D., Peterson, Sean D., Petrillo, Robert H., Hillman, Robert E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541559/
https://www.ncbi.nlm.nih.gov/pubmed/36210866
http://dx.doi.org/10.3390/app11167256
_version_ 1784803952824418304
author Mehta, Daryush D.
Kobler, James B.
Zeitels, Steven M.
Zañartu, Matías
Ibarra, Emiro J.
Alzamendi, Gabriel A.
Manriquez, Rodrigo
Erath, Byron D.
Peterson, Sean D.
Petrillo, Robert H.
Hillman, Robert E.
author_facet Mehta, Daryush D.
Kobler, James B.
Zeitels, Steven M.
Zañartu, Matías
Ibarra, Emiro J.
Alzamendi, Gabriel A.
Manriquez, Rodrigo
Erath, Byron D.
Peterson, Sean D.
Petrillo, Robert H.
Hillman, Robert E.
author_sort Mehta, Daryush D.
collection PubMed
description The purpose of this paper is to report on the first in vivo application of a recently developed transoral, dual-sensor pressure probe that directly measures intraglottal, subglottal, and vocal fold collision pressures during phonation. Synchronous measurement of intraglottal and subglottal pressures was accomplished using two miniature pressure sensors mounted on the end of the probe and inserted transorally in a 78-year-old male who had previously undergone surgical removal of his right vocal fold for treatment of laryngeal cancer. The endoscopist used one hand to position the custom probe against the surgically medialized scar band that replaced the right vocal fold and used the other hand to position a transoral endoscope to record laryngeal high-speed videoendoscopy of the vibrating left vocal fold contacting the pressure probe. Visualization of the larynx during sustained phonation allowed the endoscopist to place the dual-sensor pressure probe such that the proximal sensor was positioned intraglottally and the distal sensor subglottally. The proximal pressure sensor was verified to be in the strike zone of vocal fold collision during phonation when the intraglottal pressure signal exhibited three characteristics: an impulsive peak at the start of the closed phase, rounded peak during the open phase, and minimum value around zero immediately preceding the impulsive peak of the subsequent phonatory cycle. Numerical voice production modeling was applied to validate model-based predictions of vocal fold collision pressure using kinematic vocal fold measures. The results successfully demonstrated feasibility of in vivo measurement of vocal fold collision pressure in an individual with a hemilaryngectomy, motivating ongoing data collection that is designed to aid in the development of vocal dose measures that incorporate vocal fold impact collision and stresses.
format Online
Article
Text
id pubmed-9541559
institution National Center for Biotechnology Information
language English
publishDate 2021
record_format MEDLINE/PubMed
spelling pubmed-95415592022-10-07 Direct measurement and modeling of intraglottal, subglottal, and vocal fold collision pressures during phonation in an individual with a hemilaryngectomy Mehta, Daryush D. Kobler, James B. Zeitels, Steven M. Zañartu, Matías Ibarra, Emiro J. Alzamendi, Gabriel A. Manriquez, Rodrigo Erath, Byron D. Peterson, Sean D. Petrillo, Robert H. Hillman, Robert E. Appl Sci (Basel) Article The purpose of this paper is to report on the first in vivo application of a recently developed transoral, dual-sensor pressure probe that directly measures intraglottal, subglottal, and vocal fold collision pressures during phonation. Synchronous measurement of intraglottal and subglottal pressures was accomplished using two miniature pressure sensors mounted on the end of the probe and inserted transorally in a 78-year-old male who had previously undergone surgical removal of his right vocal fold for treatment of laryngeal cancer. The endoscopist used one hand to position the custom probe against the surgically medialized scar band that replaced the right vocal fold and used the other hand to position a transoral endoscope to record laryngeal high-speed videoendoscopy of the vibrating left vocal fold contacting the pressure probe. Visualization of the larynx during sustained phonation allowed the endoscopist to place the dual-sensor pressure probe such that the proximal sensor was positioned intraglottally and the distal sensor subglottally. The proximal pressure sensor was verified to be in the strike zone of vocal fold collision during phonation when the intraglottal pressure signal exhibited three characteristics: an impulsive peak at the start of the closed phase, rounded peak during the open phase, and minimum value around zero immediately preceding the impulsive peak of the subsequent phonatory cycle. Numerical voice production modeling was applied to validate model-based predictions of vocal fold collision pressure using kinematic vocal fold measures. The results successfully demonstrated feasibility of in vivo measurement of vocal fold collision pressure in an individual with a hemilaryngectomy, motivating ongoing data collection that is designed to aid in the development of vocal dose measures that incorporate vocal fold impact collision and stresses. 2021-08-02 2021-08-06 /pmc/articles/PMC9541559/ /pubmed/36210866 http://dx.doi.org/10.3390/app11167256 Text en https://creativecommons.org/licenses/by/4.0/Submitted for possible open access publication under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Mehta, Daryush D.
Kobler, James B.
Zeitels, Steven M.
Zañartu, Matías
Ibarra, Emiro J.
Alzamendi, Gabriel A.
Manriquez, Rodrigo
Erath, Byron D.
Peterson, Sean D.
Petrillo, Robert H.
Hillman, Robert E.
Direct measurement and modeling of intraglottal, subglottal, and vocal fold collision pressures during phonation in an individual with a hemilaryngectomy
title Direct measurement and modeling of intraglottal, subglottal, and vocal fold collision pressures during phonation in an individual with a hemilaryngectomy
title_full Direct measurement and modeling of intraglottal, subglottal, and vocal fold collision pressures during phonation in an individual with a hemilaryngectomy
title_fullStr Direct measurement and modeling of intraglottal, subglottal, and vocal fold collision pressures during phonation in an individual with a hemilaryngectomy
title_full_unstemmed Direct measurement and modeling of intraglottal, subglottal, and vocal fold collision pressures during phonation in an individual with a hemilaryngectomy
title_short Direct measurement and modeling of intraglottal, subglottal, and vocal fold collision pressures during phonation in an individual with a hemilaryngectomy
title_sort direct measurement and modeling of intraglottal, subglottal, and vocal fold collision pressures during phonation in an individual with a hemilaryngectomy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541559/
https://www.ncbi.nlm.nih.gov/pubmed/36210866
http://dx.doi.org/10.3390/app11167256
work_keys_str_mv AT mehtadaryushd directmeasurementandmodelingofintraglottalsubglottalandvocalfoldcollisionpressuresduringphonationinanindividualwithahemilaryngectomy
AT koblerjamesb directmeasurementandmodelingofintraglottalsubglottalandvocalfoldcollisionpressuresduringphonationinanindividualwithahemilaryngectomy
AT zeitelsstevenm directmeasurementandmodelingofintraglottalsubglottalandvocalfoldcollisionpressuresduringphonationinanindividualwithahemilaryngectomy
AT zanartumatias directmeasurementandmodelingofintraglottalsubglottalandvocalfoldcollisionpressuresduringphonationinanindividualwithahemilaryngectomy
AT ibarraemiroj directmeasurementandmodelingofintraglottalsubglottalandvocalfoldcollisionpressuresduringphonationinanindividualwithahemilaryngectomy
AT alzamendigabriela directmeasurementandmodelingofintraglottalsubglottalandvocalfoldcollisionpressuresduringphonationinanindividualwithahemilaryngectomy
AT manriquezrodrigo directmeasurementandmodelingofintraglottalsubglottalandvocalfoldcollisionpressuresduringphonationinanindividualwithahemilaryngectomy
AT erathbyrond directmeasurementandmodelingofintraglottalsubglottalandvocalfoldcollisionpressuresduringphonationinanindividualwithahemilaryngectomy
AT petersonseand directmeasurementandmodelingofintraglottalsubglottalandvocalfoldcollisionpressuresduringphonationinanindividualwithahemilaryngectomy
AT petrilloroberth directmeasurementandmodelingofintraglottalsubglottalandvocalfoldcollisionpressuresduringphonationinanindividualwithahemilaryngectomy
AT hillmanroberte directmeasurementandmodelingofintraglottalsubglottalandvocalfoldcollisionpressuresduringphonationinanindividualwithahemilaryngectomy