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Direct Measurement and Modeling of Intraglottal, Subglottal, and Vocal Fold Collision Pressures during Phonation in an Individual with a Hemilaryngectomy
Indexado
WoS WOS:000688690400001
Scopus SCOPUS_ID:85112307440
DOI 10.3390/APP11167256
Año 2021
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Featured Application The overall goal of this work is to better understand how vocal fold collision contributes to the development and clinical management of vocal pathologies, such as vocal fold nodules and polyps, and to ultimately develop measures that will improve the prevention, diagnosis, and treatment of phonotraumatic voice disorders. 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, a rounded peak during the open phase, and a 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.

Revista



Revista ISSN
Applied Sciences Basel 2076-3417

Métricas Externas



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Disciplinas de Investigación



WOS
Chemistry, Multidisciplinary
Engineering, Multidisciplinary
Physics, Applied
Materials Science, Multidisciplinary
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Mehta, Daryush D. - MASSACHUSETTS GEN HOSP - Estados Unidos
Harvard Med Sch - Estados Unidos
MGH Inst Hlth Profess - Estados Unidos
Massachusetts General Hospital - Estados Unidos
Harvard Medical School - Estados Unidos
MGH Institute of Health Professions - Estados Unidos
2 Kobler, James B. Hombre MASSACHUSETTS GEN HOSP - Estados Unidos
Harvard Med Sch - Estados Unidos
Massachusetts General Hospital - Estados Unidos
Harvard Medical School - Estados Unidos
3 Zeitels, Steven M. Hombre MASSACHUSETTS GEN HOSP - Estados Unidos
Harvard Med Sch - Estados Unidos
Massachusetts General Hospital - Estados Unidos
Harvard Medical School - Estados Unidos
4 ZANARTU-SALAS, MATIAS Hombre Universidad Técnica Federico Santa María - Chile
5 Ibarra, Emiro J. - Universidad Técnica Federico Santa María - Chile
6 Alzamendi, Gabriel A. Hombre Natl Univ Entre Rios - Argentina
Universidad Nacional de Entre Rios - Argentina
7 Manriquez, Rodrigo Hombre Universidad Técnica Federico Santa María - Chile
8 Erath, Byron D. Hombre Clarkson Univ - Estados Unidos
Clarkson University - Estados Unidos
Wallace H. Coulter School of Engineering - Estados Unidos
9 Peterson, Sean D. Hombre Univ Waterloo - Canadá
University of Waterloo - Canadá
10 Petrillo, Robert H. Hombre MASSACHUSETTS GEN HOSP - Estados Unidos
Massachusetts General Hospital - Estados Unidos
11 Hillman, Robert E. Hombre MASSACHUSETTS GEN HOSP - Estados Unidos
Harvard Med Sch - Estados Unidos
MGH Inst Hlth Profess - Estados Unidos
Massachusetts General Hospital - Estados Unidos
Harvard Medical School - Estados Unidos
MGH Institute of Health Professions - Estados Unidos

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Financiamiento



Fuente
National Institutes of Health
Beca Doctorado Nacional
U.S. National Institutes of Health (NIH) National Institute on Deafness and Other Communication Disorders
Voice Health Institute
National Institute on Deafness and Other Communication Disorders
ANID
Chilean National Agency for Research and Development
Chilean National Agency for Research and Development (ANID; BASAL)

Muestra la fuente de financiamiento declarada en la publicación.

Agradecimientos



Agradecimiento
This research was funded by the Voice Health Institute, the U.S. National Institutes of Health (NIH) National Institute on Deafness and Other Communication Disorders (Grant P50 DC015446 awarded to R.E.H.) and the Chilean National Agency for Research and Development (ANID; BASAL Grant FB0008 awarded to M.Z. and Beca Doctorado Nacional 21190074 awarded to E.J.I.). The APC was funded by the U.S. National Institutes of Health (NIH) National Institute on Deafness and Other Communication Disorders (Grant P50 DC015446 awarded to R.E.H.). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Funding: This research was funded by the Voice Health Institute, the U.S. National Institutes of Health (NIH) National Institute on Deafness and Other Communication Disorders (Grant P50 DC015446 awarded to R.E.H.) and the Chilean National Agency for Research and Development (ANID; BASAL Grant FB0008 awarded to M.Z. and Beca Doctorado Nacional 21190074 awarded to E.J.I.). The APC was funded by the U.S. National Institutes of Health (NIH) National Institute on Deafness and Other Communication Disorders (Grant P50 DC015446 awarded to R.E.H.). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Muestra la fuente de financiamiento declarada en la publicación.