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| DOI | 10.1016/J.JMBBM.2023.106130 | ||||
| Año | 2023 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Incomplete glottal closure is a laryngeal configuration wherein the glottis is not fully obstructed prior to phonation. It has been linked to inefficient voice production and voice disorders. Various incomplete glottal closure patterns can arise and the mechanisms driving them are not well understood. In this work, we introduce an Euler–Bernoulli composite beam vocal fold (VF) model that produces qualitatively similar incomplete glottal closure patterns as those observed in experimental and high-fidelity numerical studies, thus offering insights into the potential underlying physical mechanisms. Refined physiological insights are pursued by incorporating the beam model into a VF posturing model that embeds the five intrinsic laryngeal muscles. Analysis of the combined model shows that co-activating the lateral cricoarytenoid (LCA) and interarytenoid (IA) muscles without activating the thyroarytenoid (TA) muscle results in a bowed (convex) VF geometry with closure at the posterior margin only; this is primarily attributed to the reactive moments at the anterior VF margin. This bowed pattern can also arise during VF compression (due to extrinsic laryngeal muscle activation for example), wherein the internal moment induced passively by the TA muscle tissue is the predominant mechanism. On the other hand, activating the TA muscle without incorporating other adductory muscles results in anterior and mid-membranous glottal closure, a concave VF geometry, and a posterior glottal opening driven by internal moments induced by TA muscle activation. In the case of initial full glottal closure, the posterior cricoarytenoid (PCA) muscle activation cancels the adductory effects of the LCA and IA muscles, resulting in a concave VF geometry and posterior glottal opening. Furthermore, certain maneuvers involving co-activation of all adductory muscles result in an hourglass glottal shape due to a reactive moment at the anterior VF margin and moderate internal moment induced by TA muscle activation. These findings have implications regarding potential laryngeal maneuvers in patients with voice disorders involving imbalances or excessive tension in the laryngeal muscles such as muscle tension dysphonia.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Serry, Mohamed A. | Hombre |
University of Waterloo - Canadá
Univ Waterloo - Canadá |
| 2 | Alzamendi, Gabriel A. | Hombre |
Consejo Nacional de Investigaciones Científicas y Técnicas - Argentina
Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET) - Argentina Consejo Nacl Invest Cient & Tecn - Argentina |
| 3 | ZANARTU-SALAS, MATIAS | Hombre |
Universidad Técnica Federico Santa María - Chile
|
| 4 | Peterson, Sean D. | Hombre |
University of Waterloo - Canadá
Univ Waterloo - Canadá |
| 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 |
| NIDCD of the NIH |
| Agradecimiento |
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| Research reported in this work was supported by the NIDCD of the NIH under Award No. P50DC015446 , and ANID BASAL FB0008 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. |
| Research reported in this work was supported by the NIDCD of the NIH under Award No. P50DC015446, and ANID BASAL FB0008.The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. |