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| DOI | 10.1044/2022_JSLHR-21-00471 | ||||
| Año | 2022 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Purpose: The goal of this study was to experimentally evaluate how compen-sating for the adverse acoustic effects of a posterior glottal opening (PGO) by increasing subglottal pressure and changing supraglottal compression, as have been associated with vocal hyperfunction, influences the risk of vocal fold (VF) trauma. Method: A self-oscillating synthetic silicone model of the VFs with an airflow bypass that modeled a PGO was investigated in a hemilaryngeal flow facility. The influence of compensatory mechanisms on collision pressure and dissipated collision power was investigated for different PGO areas and supraglottal compression. Compensatory behaviors were mimicked by increasing the sub-glottal pressure to achieve a target sound pressure level (SPL). Results: Increasing the subglottal pressure to compensate for decreased SPL due to a PGO produced higher values for both collision pressure and dissipated collision power. Whereas a 10-mm2 PGO area produced a 12% increase in the peak collision pressure, the dissipated collision power increased by 122%, mainly due to an increase in the magnitude of the collision velocity. This sug-gests that the value of peak collision pressure may not fully capture the mechanisms by which phonotrauma occurs. It was also found that an optimal value of supraglottal compression exists that maximizes the radiated SPL, indicating the potential utility of supraglottal compression as a compensatory mechanism. Conclusions: Larger PGO areas are expected to increase the risk of phono-trauma due to the concomitant increase in dissipated collision power associated with maintaining SPL. Furthermore, the risk of VF damage may not be fully characterized by only the peak collision pressure.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Motie-Shirazi, Mohsen | Hombre |
Clarkson University - Estados Unidos
Clarkson Univ - Estados Unidos Wallace H. Coulter School of Engineering - Estados Unidos |
| 2 | ZANARTU-SALAS, MATIAS | Hombre |
Universidad Técnica Federico Santa María - Chile
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| 3 | Peterson, Sean D. | Hombre |
University of Waterloo - Canadá
Univ Waterloo - Canadá |
| 4 | Mehta, Daryush D. | - |
Massachusetts General Hospital - Estados Unidos
MASSACHUSETTS GEN HOSP - Estados Unidos |
| 5 | Hillman, Robert E. | Hombre |
Massachusetts General Hospital - Estados Unidos
MASSACHUSETTS GEN HOSP - Estados Unidos |
| 6 | Erath, Byron D. | Hombre |
Clarkson University - Estados Unidos
Clarkson Univ - Estados Unidos Wallace H. Coulter School of Engineering - Estados Unidos |
| Fuente |
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| National Institutes of Health |
| National Institute on Deafness and Other Communication Disorders |
| Agencia Nacional de Investigación y Desarrollo |
| ANID BASAL |
| Agradecimiento |
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| This research was supported by National Institute on Deafness and Other Communication Disorders Grant P50 DC015446 (PI: Hillman) and ANID BASAL FB0008 (PI: Zañartu). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. |
| This research was supported by National Institute on Deafness and Other Communication Disorders Grant P50 DC015446 (PI: Hillman) and ANID BASAL FB0008 (PI: Zanartu) . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. |