Acoustic, aerodynamic, and vibrational effects of ventricular folds adduction in an ex vivo experiment

Abstract Objectives The excessive adduction of ventricular folds has been observed in patients with dysphonia and professional singers. Whether these changes in the ventricular folds are the cause or just a result of disease progression remains unclear, and their potential pathological and physiolog...

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Main Authors: Zhixue Xiao, Jing Kang, Jinglin Su, Pingjiang Ge, Siyi Zhang
Format: Article
Language:English
Published: Wiley 2024-10-01
Series:Laryngoscope Investigative Otolaryngology
Subjects:
Online Access:https://doi.org/10.1002/lio2.70008
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author Zhixue Xiao
Jing Kang
Jinglin Su
Pingjiang Ge
Siyi Zhang
author_facet Zhixue Xiao
Jing Kang
Jinglin Su
Pingjiang Ge
Siyi Zhang
author_sort Zhixue Xiao
collection DOAJ
description Abstract Objectives The excessive adduction of ventricular folds has been observed in patients with dysphonia and professional singers. Whether these changes in the ventricular folds are the cause or just a result of disease progression remains unclear, and their potential pathological and physiological implications are yet to be determined. This study aimed to examine the impact of different degrees of ventricular adduction on acoustics, aerodynamics, and vocal fold vibration. Methods The excised models of mild and severe ventricular adduction were established. We recorded the vibration pattern of vocal folds and ventricular folds and measured acoustic metrics, including fundamental frequency (F0), Jitter, Shimmer, harmonic‐to‐noise ratio (HNR), and sound pressure level (SPL). Furthermore, we evaluated the aerodynamics index through phonation threshold pressure (PTP), phonation instability pressure (PIP), mean flow rate (MFR), phonation threshold flow (PTF), and phonation instability flow (PIF). Results Irregular vibrations of the ventricular fold were observed during ventricular adduction. Notably, mild and severe ventricular adduction conditions showed a significant increase in PTP, Shimmer, and Jitter, whereas MFR, PIF, and HNR decreased compared with the control condition. Conclusions Ventricular adduction leads to the deterioration of acoustic and aerodynamic parameters. The aperiodic and irregular vibration of the ventricular folds may be responsible for this phenomenon, although further experiments are warranted. Understanding the functioning of ventricular folds can be beneficial in directing the treatment of muscle tension dysphonia and improving voice training techniques. Level of evidence: level 4.
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spelling doaj-art-d5ffe1a3ff4140a1a128d5e05d668a2b2025-08-20T02:11:00ZengWileyLaryngoscope Investigative Otolaryngology2378-80382024-10-0195n/an/a10.1002/lio2.70008Acoustic, aerodynamic, and vibrational effects of ventricular folds adduction in an ex vivo experimentZhixue Xiao0Jing Kang1Jinglin Su2Pingjiang Ge3Siyi Zhang4Department of Otolaryngology School of Medicine, South China University of Technology Guangzhou ChinaDepartment of Otolaryngology Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences), Southern Medical University Guangzhou ChinaGuangdong Academy of Medical Sciences Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital Guangzhou ChinaDepartment of Otolaryngology Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences), Southern Medical University Guangzhou ChinaDepartment of Otolaryngology School of Medicine, South China University of Technology Guangzhou ChinaAbstract Objectives The excessive adduction of ventricular folds has been observed in patients with dysphonia and professional singers. Whether these changes in the ventricular folds are the cause or just a result of disease progression remains unclear, and their potential pathological and physiological implications are yet to be determined. This study aimed to examine the impact of different degrees of ventricular adduction on acoustics, aerodynamics, and vocal fold vibration. Methods The excised models of mild and severe ventricular adduction were established. We recorded the vibration pattern of vocal folds and ventricular folds and measured acoustic metrics, including fundamental frequency (F0), Jitter, Shimmer, harmonic‐to‐noise ratio (HNR), and sound pressure level (SPL). Furthermore, we evaluated the aerodynamics index through phonation threshold pressure (PTP), phonation instability pressure (PIP), mean flow rate (MFR), phonation threshold flow (PTF), and phonation instability flow (PIF). Results Irregular vibrations of the ventricular fold were observed during ventricular adduction. Notably, mild and severe ventricular adduction conditions showed a significant increase in PTP, Shimmer, and Jitter, whereas MFR, PIF, and HNR decreased compared with the control condition. Conclusions Ventricular adduction leads to the deterioration of acoustic and aerodynamic parameters. The aperiodic and irregular vibration of the ventricular folds may be responsible for this phenomenon, although further experiments are warranted. Understanding the functioning of ventricular folds can be beneficial in directing the treatment of muscle tension dysphonia and improving voice training techniques. Level of evidence: level 4.https://doi.org/10.1002/lio2.70008acousticsaerodynamicsexcised larynxventricular foldsventricular vibration
spellingShingle Zhixue Xiao
Jing Kang
Jinglin Su
Pingjiang Ge
Siyi Zhang
Acoustic, aerodynamic, and vibrational effects of ventricular folds adduction in an ex vivo experiment
Laryngoscope Investigative Otolaryngology
acoustics
aerodynamics
excised larynx
ventricular folds
ventricular vibration
title Acoustic, aerodynamic, and vibrational effects of ventricular folds adduction in an ex vivo experiment
title_full Acoustic, aerodynamic, and vibrational effects of ventricular folds adduction in an ex vivo experiment
title_fullStr Acoustic, aerodynamic, and vibrational effects of ventricular folds adduction in an ex vivo experiment
title_full_unstemmed Acoustic, aerodynamic, and vibrational effects of ventricular folds adduction in an ex vivo experiment
title_short Acoustic, aerodynamic, and vibrational effects of ventricular folds adduction in an ex vivo experiment
title_sort acoustic aerodynamic and vibrational effects of ventricular folds adduction in an ex vivo experiment
topic acoustics
aerodynamics
excised larynx
ventricular folds
ventricular vibration
url https://doi.org/10.1002/lio2.70008
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