PubMed · 5763181
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Y Koike, H Von Leden. 1969. Pathologic vocal initiation.. https://doi.org/10.1177/000348946907800112
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Sonic noise between 300 and 1600 Hz is introduced into the mouths of 11 healthy adult male subjects at resting lung volume and is detected over the anterior extrathoracic trachea and at three sites on the right posterior chest wall. To overcome the difficulties associated with non-parametric phase unwrapping due to thoracic anti-resonances, the phase delay tau(f) of propagation between the trachea and the chest wall is estimated using a linear parametric ARX-type statistical model with the non-parametric magnitude spectra as a guide. The resulting tau(f) estimates are unambiguous and reliable, and show a clear trend of decreasing tau(f) with increasing frequency, indicating that sound at higher frequencies reaches the chest wall faster than that at lower frequencies. This finding indicates that respiratory sound transmission is highly dispersive, most probably owing to frequency-dependent airway and parenchymal wavespeeds.
A parametric phase delay estimation technique is used to determine the spatial and inhaled gas composition dependencies of sound propagation time through an intact human lung at frequencies of 150-1200 Hz. Noise transmission measurements from the mouth to the extrathoracic trachea and six sites on the posterior chest wall are performed in 11 healthy adult subjects at resting lung volume after equilibration with air, an 80% helium-20% oxygen mixture, and an 80% sulfurhexafluoride-20% oxygen mixture. The phase delay, tau(f), exhibits a bilateral asymmetry with relatively decreased delays to the left posterior chest as compared with the right. The phase delay to lower lung sites is greater than to upper sites at frequencies below 300 Hz; yet the opposite is found at higher frequencies, indicating changing propagation pathways with frequency. There is no measurable effect of inhaled gas composition on tau(f) below 300 Hz. At higher frequencies, changes in tau(f) that reflect the relative sound speed of the particular inhaled gas are observed. These findings support and extend previous measurements and hypotheses concerning the strong frequency dependence of the acoustical properties of the intact respiratory system.
Cricothyroid adduction increases tension to the vocal folds, thus increasing fundamental frequency and upper pitch range. We treated 10 patients with cricothyroid muscle dysfunction using this technique. Preoperative electromyographic, acoustic, and perceptual analysis was performed. Intraoperatively the effect of increasing tension on the fundamental, falsetto, and basal frequencies was measured by using a strain gauge to the adducting suture at several tensions and a cervical microphone connected to a pitch meter. Postoperative acoustic and perceptual analysis was then performed up to 18 months later. Analysis of pitch vs. tension curves indicates a near-linear relationship until very high tensions are applied. Statistically significant improvement was achieved in both acoustic and perceptual analysis, although some deterioration was noted between early and late results. Cricothyroid adduction is indicated for a large range of vocal fold tension problems.