Dynamics of phonatory posturing at phonation onset

Authors

  • Travis L. Shiba MD,

    1. Laryngeal Physiology Laboratory, CHS 62-132, Department of Head and Neck Surgery, UCLA School of Medicine, Los Angeles, California, U.S.A
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  • Dinesh K. Chhetri MD

    Corresponding author
    1. Laryngeal Physiology Laboratory, CHS 62-132, Department of Head and Neck Surgery, UCLA School of Medicine, Los Angeles, California, U.S.A
    • Send correspondence to Dinesh K. Chhetri, M.D, the Laryngeal Physiology Laboratory, CHS 62-132, Department of Head and Neck Surgery, UCLA School of Medicine, 10833 Le Conte Avenue, Los Angeles, CA 90095. E-mail: dchhetri@mednet.ucla.edu

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  • Presented as a poster presentation at the 136th Annual Meeting of the American Laryngological Association, Boston, Massachusetts, U.S.A., April 22–23, 2015.

  • Financial Disclosure: This study was supported by grant RO1 DC011300 from the National Institutes of Health. The authors have no other funding, financial relationships, or conflicts of interest to disclose.

Abstract

Introduction

In speech and singing, the intrinsic laryngeal muscles set the prephonatory posture prior to the onset of phonation. The timing and shape of the prephonatory glottal posture can directly affect the resulting phonation type. We investigated the dynamics of human laryngeal phonatory posturing.

Methods

Onset of vocal fold adduction to phonation was observed in 27 normal subjects using high-speed video recording. Subjects were asked to utter a variety of phonation types (modal, breathy, pressed, /i/ following sniff). Digital videokymography with concurrent acoustic signal was analyzed to assess the timing of the following: onset of adduction to final phonatory posture (FPT), phonation onset time (POT), and phonatory posture time (PPT). Final phonatory posture time was determined as the moment at which the laryngeal configuration used in phonation was first achieved.

Results

Thirty-three audiovisual recordings met inclusion criteria. Average FPT, PPT, and POT were as follows: 303, 106, and 409 ms for modal; 430, 104, and 534 ms for breathy; 483, 213, and 696 ms for pressed; and 278, 98, and 376 ms for sniff-/i/. The following posturing features were observed: 1) pressed phonation: increased speed of closure just prior to final posture, complete glottal closure, and increased supraglottic hyperactivity; and 2) breathy phonation: decreased speed of closure prior to final posture, increased posterior glottal gap, and increased midmembranous gap.

Conclusions

Phonation onset latency was shortest for modal and longest for pressed voice. These findings are likely explained by glottal resistance and subglottal pressure requirements.

Level of Evidence

NA. Laryngoscope, 126:1837–1843, 2016

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