An Excised Canine Model of Anterior Glottic Web and Its Acoustic, Aerodynamic, and High-speed Measurements. J Voice 2017 Mar;31(2):246.e21-246.e32
Date
09/28/2016Pubmed ID
27671751Pubmed Central ID
PMC5362312DOI
10.1016/j.jvoice.2016.08.006Scopus ID
2-s2.0-84995776185 (requires institutional sign-in at Scopus site) 9 CitationsAbstract
OBJECTIVES: This study aims to build an excised anterior glottic web (AGW) model and study the basic voice-related mechanisms of the AGW through investigating the acoustic, aerodynamic, and vibratory properties.
STUDY DESIGN AND METHODS: Overall, four conditions were tested for each of the eight canine larynges used. At baseline, 10%, 20%, and 33% occlusion (as determined by the placement of the suture), acoustic, aerodynamic, and high-speed video data were collected while each larynx was phonated in a soundproof booth.
RESULTS: The phonation threshold pressure (PTP) and the phonation threshold flow significantly increased as percent occlusion increased (P < 0.001). There were significant increases in jitter % and shimmer % from baseline group to AGW model groups at PTP, 1.25 PTP, and 1.5 PTP (P = 0.039, P < 0.001, P < 0.001, P < 0.001, P < 0.001, and P = 0.001, respectively). The fundamental frequency significantly increased as percent occlusion increased at all given pressures (P < 0.001). Correlation dimension (D2) was significantly higher in the AGW model groups than in the baseline group at PTP, 1.25 PTP, and 1.5 PTP (P = 0.002, P < 0.001, P = 0.01, respectively). High-speed videos revealed that, the left phase shift in the AGW model groups compared with the baseline at 1.25 PTP was significant (P = 0.027) and right phase shift at 1.5 PTP (P < 0.001).
CONCLUSIONS: We presented an anatomically similar model of a type 1 AGW and confirmed its validity through aerodynamic, acoustic, and high-speed video analysis in our study. We observed and investigated the glottic web movement, which may be a new explanation for the pathologic voice-related mechanism of AGW.
Author List
Xue C, Pulvermacher A, Calawerts W, Devine E, Jiang JAuthor
William Calawerts MD Assistant Professor in the Family Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AcousticsAnimals
Biomechanical Phenomena
Congenital Abnormalities
Dogs
Glottis
In Vitro Techniques
Laryngectomy
Larynx
Models, Animal
Phonation
Reproducibility of Results
Suture Techniques
Time Factors
Vibration
Video Recording
Vocalization, Animal