EMG of pharyngoesophageal musculature during alaryngeal voice production.
Explore the source record for details and available documents.
SEARCH · PubMed Health
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Voice onset time (VOT) and vowel duration characteristics of speakers following the Singer-Blom technique of tracheoesophageal puncture (1980) were compared to those of traditional esophageal and laryngeal speakers. Fifteen subjects in each of the three speaker groups produced the words /pik/, /kap/, /kup/ in a carrier phrase while audio recordings were obtained. Broadband spectrograms were made of the consonant-vowel-consonant (CVC) utterances and vowel duration and VOT were measured. Analysis of variance (ANOVA) procedures revealed that the tracheoesophageal speakers produced significantly shorter VOTs and longer vowel durations than the laryngeal speakers. However, the longer vowel durations for the tracheoesophageal speakers were not completely accounted for by the shorter VOTs found for that group. Spectrographic examination suggests that delayed voice offset time for the tracheoesophageal speakers also contributes to their longer vowel durations. Overall findings indicate that the physical characteristics and motor control properties of the neoglottis, even when driven by pulmonary air as in tracheoesophageal speakers, exert a major influence on alaryngeal voice production.
The voice obtained with the Staffieri method of surgical voice rehabilitation after total laryngectomy was studied in 20 subjects and objectively described in terms of selected acoustic and aerodynamic parameters. Intensity and frequency, pressure and airflow were studied during sustained phonation of the vowel 'a'. Simultaneous recordings showed a relationship between intensity and between fundamental frequency, pressure and airflow in most of the subjects. As the subjects in the present study were not able to produce a vowel at target intensities and frequencies, the data were interpolated to 65 dB (A) intensity level for comparison purposes. We found no indication that from an acoustical and aerodynamical point of view, the Staffieri procedure should be preferred over other alaryngeal voice production methods.
In order to improve voice quality in female laryngectomees and/or laryngectomees with a hypotonic pharyngo-oesophageal segment, a sound-producing voice prosthesis was designed. The new source of voice consists of either one or two bent silicone lips which perform an oscillatory movement driven by the expired pulmonary air that flows along the outward-striking lips through the tracheo-oesophageal shunt valve. Four different prototypes of this pneumatic sound source were evaluated in vitro and in two female laryngectomees, testing the feasibility and characteristics of this new mechanism for alternative alaryngeal voice production. In vivo evaluation included acoustic analyses of both sustained vowels and read-aloud prose, videofluoroscopy, speech rate, and registration of tracheal phonatory pressure and vocal intensity. The mechanism proved feasible and did not result in unacceptable airflow resistance. The average pitch of voice increased and clarity improved in female laryngectomees. Pitch regulation of this prosthetic voice is possible with sufficient modulation to avoid monotony. The quality of voice attained through the sound-producing voice prostheses depends on a patient's ability to let pulmonary air flow easily through the pharyngo-oesophageal segment without evoking the low-frequency mucosal vibrations that form the regular tracheo-oesophageal shunt voice. These initial experimental and clinical results provide directions for the future development of sound-producing voice prostheses. A single relatively long lip in a container with a rectangular lumen that hardly protrudes from the voice prosthesis may have the most promising characteristics.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The perception and production of voicing contrast was investigated in utterances spoken by Thai alaryngeal speakers. Thai exhibits a three-category voicing distinction for bilabial /b, p, ph/ and alveolar /d, t, th/ stops and a two-category distinction for velar [k, kh] stops. Voice onset time (VOT) was measured in word-initial stops of words produced in isolation by 2 Thai esophageal speakers and 1 Thai user of an electronic artificial larynx. These measurements were compared with published VOT values for the same words spoken by 5 normal Thai speakers. Both esophageal speakers were capable of signaling voicing distinctions for /b, d/ and /p, t, k/. The electrolaryngeal speaker was able to signal /p, t, k/ only. Thai alaryngeal speakers were generally unsuccessful in signaling /ph, th, kh/. A cross-linguistic comparison to VOT in English suggests that no more than two voicing categories can be distinguished in these two forms of alaryngeal speech. Findings are interpreted to illustrate that the realization of stop voicing contrasts in alaryngeal speech depends on the number of voicing categories in a language, the relative positions of the voicing categories on the VOT continuum, and the form of alaryngeal speech.