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Sample records for vocal cord contact

  1. Radium contact therapy of vocal cord carcinomas: Is it still indicated today

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    Chilla, R.; Hoelscher, U.; Krefting, E.; Eysholdt, U.

    1981-12-01

    In 148 patients treated between 1965 and 1975 by irradiation therapy because of a carcinoma of the vocal cords, the course of the disease could be elucidated. Irradiation was performed predominantly by radium contact therapy (105 patients) and less by conventional X-ray therapy (21 patients) or telecobalt irradiation (22 patients). A comparison between the tumors of the T/sub 1/ stage shows that the determinate survival rates are much more favorable (97,7% after 5, and 93,3% after 10 years) in patients receiving radium contact therapy than after telecobalt irradiation (75% after 5 and 10 years) or orthovolt therapy (81.8% after 5, and 80% after 10 years). As judged by the extent of severe paraphonia and laryngeal edema, function of the larynx is much better after radium contact therapy than after application of the other two forms of irradiation therapy. Of a total of 71 patients, only one patient who had received radium contact therapy according to the 'classical indication' developed a tumor recurrence. In comparison the rate of recurrence observed in 'extended indication' (30 patients) is 36,6% and thus reaches similar values as after telecobalt (31.8%) and orthovolt irradiation (33.3%). The undifferentiated carcinoma type is found in higher numbers among the recurrent carcinomas. Four late recurrences were detected after radium contact therapy, and two after orthovolt irradiation. The 4 late recurrences after radium contact therapy were exclusively observed after a previous 'extended indication' for this type of therapy; they were located at places where the primary tumor had gone beyond the range for 'classical indication'. Based on these results an attempt is made to establish guidelines for the application of radium contact therapy to carcinomas of the vocal cords.

  2. Vocal cord dysfunction in children.

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    Noyes, Blakeslee E; Kemp, James S

    2007-06-01

    Vocal cord dysfunction is characterised by paradoxical vocal cord adduction that occurs during inspiration, resulting in symptoms of dyspnoea, wheeze, chest or throat tightness and cough. Although the condition is well described in children and adults, confusion with asthma often triggers the use of an aggressive treatment regimen directed against asthma. The laryngoscopic demonstration of vocal cord adduction during inspiration has been considered the gold standard for the diagnosis of vocal cord dysfunction, but historical factors and pulmonary function findings may provide adequate clues to the correct diagnosis. Speech therapy, and in some cases psychological counselling, is often beneficial in this disorder. The natural course and prognosis of vocal cord dysfunction are still not well described in adults or children.

  3. Pulmonary mucormycosis presenting with vocal cord paralysis

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    Gayathri Devi, H. J.; Mohan Rao, K.N.; K M Prathima; Moideen, Riyaz

    2013-01-01

    Pulmonary mucormycosis is a relatively uncommon infection. It can present in various forms. Very few cases of pulmonary mucormycosis presenting as vocal cord paralysis have been described in the literature. We report a case of pulmonary mucormycosis presenting as vocal cord paralysis in an uncontrolled diabetic patient.

  4. Vocal cord paralysis caused by stingray.

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    Kwon, Oh Jin; Park, Jung Je; Kim, Jin Pyeong; Woo, Seung Hoon

    2013-11-01

    Foreign bodies in the oral cavity and pharynx are commonly encountered in the emergency room and outpatient departments, and the most frequently observed of these foreign bodies are fish bones. Among the possible complications resulting from a pharyngeal foreign body, vocal cord fixation is extremely rare, with only three cases previously reported in the English literature. The mechanisms of vocal cord fixation can be classified into mechanical articular fixation, direct injury of the recurrent laryngeal nerve, or recurrent laryngeal nerve paralysis secondary to inflammation. The case discussed here is different from previous cases. We report a rare case of vocal cord paralysis caused by the venom of a stingray tail in the hypopharynx.

  5. Vocal cord paralysis in a fighter pilot.

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    Maturo, Stephen; Brennan, Joseph

    2006-01-01

    We present in this case report the return to flying duty of a pilot with vocal cord paralysis secondary to removal of a thymoma. We discuss the importance of glottic function as it pertains to the unique aviation environment. We also discuss the anatomy and physiology of the glottis, the evaluation for vocal cord paralysis, and surgical approaches for paralyzed vocal cords. Although the incidence of recurrent laryngeal nerve paralysis is low in the military aviation community, it is important to recognize that its sequelae can be managed so that the aviator may return to flight duties.

  6. Voice analysis before and after vocal rehabilitation in patients following open surgery on vocal cords

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    Bunijevac Mila

    2016-01-01

    Full Text Available Background/Aim. The major role of larynx in speech, respiration and swallowing makes carcinomas of this region and their treatment very influential for patients’ life quality. The aim of this study was to assess the importance of voice therapy in patients after open surgery on vocal cords. Methods. This study included 21 male patients and the control group of 19 subjects. The vowel (A was recorded and analyzed for each examinee. All the patients were recorded twice: firstly, when they contacted the clinic and secondly, after a three-month vocal therapy, which was held twice per week on an outpatient basis. The voice analysis was carried out in the Ear, Nose and Throat (ENT Clinic, Clinical Hospital Center “Zvezdara” in Belgrade. Results. The values of the acoustic parameters in the patients submitted to open surgery on the vocal cords before vocal rehabilitation and the control group subjects were significantly different in all specified parameters. These results suggest that the voice of the patients was damaged before vocal rehabilitation. The results of the acoustic parameters of the vowel (A before and after vocal rehabilitation of the patients with open surgery on vocal cords were statistically significantly different. Among the parameters - Jitter (%, Shimmer (% - the observed difference was highly statistically significant (p 0.05 . Conclusion. There was a significant improvement of the acoustic parameters of the vowel (A in the study subjects three months following vocal therapy. Only one out of five representative parameters showed no significant improvement.

  7. Vocal cord dysfunction in children and adolescents.

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    Tilles, Stephen A

    2003-11-01

    Vocal cord dysfunction (VCD) is a nonorganic disorder of the larynx that involves unintentional paradoxical adduction of the vocal cords while breathing. The resultant symptoms can include dyspnea, chest tightness, cough, throat tightness, wheezing, or voice change. Most patients with VCD are female, and among adolescents and children, VCD tends to be triggered by exercise and is typically confused with exercise-induced asthma. Both gastroesophageal reflux disease (GERD) and psychiatric illness have been reported as having strong associations with VCD, although, to date, there is no evidence that either causes VCD. VCD often coexists with asthma, and should be suspected in any patient in whom asthma treatment fails. Confirming the diagnosis involves direct visualization of abnormal vocal cord motion, and this usually only occurs during symptoms. Adolescent athletes often require free running exercise challenge to reproduce their symptoms and confirm abnormal vocal cord motion laryngoscopically. The primary treatment for VCD involves a combination of patient education and speech therapy, and, in most cases, patients may resume their activities without significant limitation.

  8. Carbon dioxide laser enucleation of polypoid vocal cords.

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    Yates, A; Dedo, H H

    1984-06-01

    Polypoid vocal cords have routinely been treated by endoscopic vocal cord stripping, often-times resulting in prolonged hoarseness postoperatively. Submucosal CO2 laser enucleation of the polypoid tissue, with preservation of a mucosal flap on the medial edge of the cord, has proved to be a valuable improvement. The surgical procedure is described and results are presented which suggest that voice quality is better earlier than is the case after vocal cord stripping.

  9. Vocal cord hemangioma in an adult

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    Muzaffer Kanlıkama

    2011-09-01

    Full Text Available Hemangioma is one of the most common benign tumors in the head and neck region. Laryngeal hemangiomas are benign vascular tumors of unknown etiology that arise from subglottic region with stridor in infants. This type also known as congenital laryngeal hemangioma, is the more common. Congenital hemangiomas occur usually in subglottic region and more frequent in girls. Laryngeal hemangioma in adults is a very rare condition and main symptom is hoarseness and breathing difficulties. Adult hemangiomas can be seen in different locations such as the epiglottis, aryepiglottic folds, arytenoids and false and true vocal cords. They are more often of cavernous form and cause hoarseness. In this report we present an adult patient with hemangioma of the left vocal fold and review the literature. Diagnostic investigation revealed a pink-purple mass which was extended from the anterior comissure to the posterior part of true vocal cord and false vocal cord, filling the ventricule and extending to supraglottic region. Direct laryngoscopy was performed, but the lesion was not excised because of its widespread extension in the larynx. J Clin Exp Invest 2010; 2(3: 323-326.

  10. Vocal cord hemangioma in an adult

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    Muzaffer Kanlıkama

    2011-03-01

    Full Text Available Hemangioma is one of the most common benign tumorsin the head and neck region. Laryngeal hemangiomasare benign vascular tumors of unknown etiology thatarise from subglottic region with stridor in infants. Thistype also known as congenital laryngeal hemangioma, isthe more common. Congenital hemangiomas occur usuallyin subglottic region and more frequent in girls. Laryngealhemangioma in adults is a very rare conditionand main symptom is hoarseness and breathing difficulties.Adult hemangiomas can be seen in different locationssuch as the epiglottis, aryepiglottic folds, arytenoidsand false and true vocal cords. They are more oftenof cavernous form and cause hoarseness. In this reportwe present an adult patient with hemangioma ofthe left vocal fold and review the literature. Diagnosticinvestigation revealed a pink-purple mass which was extendedfrom the anterior comissure to the posterior partof true vocal cord and false vocal cord, filling the ventriculeand extending to supraglottic region. Directlaryngoscopy was performed, but the lesion was not excisedbecause of its widespread extension in the larynx. JClin Exp Invest 2010; 2(1: 91-94

  11. Endoscopic laterofixation in bilateral vocal cords paralysis in children.

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    Lidia, Zawadzka-Glos; Magdalena, Frackiewicz; Mieczyslaw, Chmielik

    2010-06-01

    Vocal cords paralysis is the second most frequent cause of laryngeal stridor in children. Symptoms of congenital vocal cords paralysis can occur shortly after birth or later. Vocal cords paralysis can be unilateral or bilateral. Symptoms of unilateral paralysis include hoarse weeping or stridor during a deep inhalation. In children unilateral vocal cords paralysis often retreats spontaneously or can be completely compensated. Children with bilateral vocal cords paralysis present mainly breathing disorders while phonation is normal. Symptoms are different, starting from complete occlusion of respiratory tracts and ending on small symptoms connected with the lack of effort tolerance. When symptoms are severe, patients from this group require a tracheotomy. The lack of restoration of normal function of vocal cords or lack of complete compensation and maintenance of symptoms are an indication for surgical treatment. The aim of this study is to present results of the treatment of bilateral vocal cords paralysis in children using the endoscopic method of laterofixation of vocal cords. In the Pediatric ENT Department between 1998 and 2009 sixty four children with dyspnoea and/or phonation disorders caused by vocal cords paralysis were treated. In ten cases laterofixation of vocal cords was performed, in most cases with good result. In this article the authors present the method of endoscopic laterofixation and achieved results. Endoscopic laterofixation of vocal cords in children is a safe and an easy method of surgical treatment of bilateral vocal cords paralysis. This method can be used as a first and often as a one stage treatment of vocal cords paralysis. In some cases this procedure is insufficient and has to be completed with other methods. Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.

  12. Imaging evaluation of vocal cord paralysis

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    Garcia, Marcelo de Mattos; Magalhaes, Fabiana Pizanni; Dadalto, Gabriela Bijos; Moura, Marina Vimieiro Timponi de [Axial Centro de Imagem, Belo Horizonte, MG (Brazil)], e-mail: marcelomgarcia@superig.com.br, e-mail: ce@axialmg.com.br

    2009-09-15

    Vocal cord paralysis is a common cause of hoarseness. It may be secondary to many types of lesions along the cranial nerve X pathway and its branches, particularly the laryngeal recurrent nerves. Despite the idiopathic nature of a great number of cases, imaging methods play a very significant role in the investigation of etiologic factors, such as thyroid and esophagus neoplasias with secondary invasion of the laryngeal recurrent nerves. Other conditions such as aortic and right subclavian artery aneurysms also may be found. The knowledge of local anatomy and related diseases is of great importance for the radiologist, so that he can tailor the examination properly to allow an appropriate diagnosis and therapy planning. Additionally, considering that up to 35% of patients with vocal cord paralysis are asymptomatic, the recognition of radiological findings indicative of this condition is essential for the radiologist who must warn the referring physician on the imaging findings. In the present study, the authors review the anatomy and main diseases related to vocal cord paralysis, demonstrating them through typical cases evaluated by computed tomography and magnetic resonance imaging, besides describing radiological findings of laryngeal abnormalities indicative of this condition. (author)

  13. Vocal Cord Paralysis and its Etiologies: A Prospective Study

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    Seyed Javad Seyed Toutounchi

    2014-03-01

    Full Text Available Introduction: Vocal cord paralysis is a common symptom of numerous diseases and it may be due to neurogenic or mechanical fixation of the cords. Paralysis of the vocal cords is just a symptom of underlying disease in some cases; so, clinical diagnosis of the underlying cause leading to paralysis of the vocal cords is important. This study evaluates the causes of vocal cord paralysis.Methods: In a prospective study, 45 patients with paralyzed vocal cord diagnosis were examined by tests such as examination of the pharynx, larynx, esophagus, thyroid, cervical, lung, and mediastinum, brain and heart by diagnostic imaging to investigate the cause vocal cord paralysis. The study was ended by diagnosing the reason of vocal cord paralysis at each stage of the examination and the clinical studies.Results: The mean duration of symptoms was 18.95±6.50 months. The reason for referral was phonation changes (97.8% and aspiration (37.8% in the subjects. There was bilateral paralysis in 6.82%, left paralysis in 56.82% and right in 63.36% of subjects. The type of vocal cord placement was midline in 52.8%, paramedian in 44.4% and lateral in 2.8% of the subjects. The causes of vocal cords paralysis were idiopathic paralysis (31.11%, tumors (31.11%, surgery (28.89%, trauma, brain problems, systemic disease and other causes (2.2%.Conclusion: An integrated diagnostic and treatment program is necessary for patients with vocal cord paralysis. Possibility of malignancy should be excluded before marking idiopathic reason to vocal cord paralysis.

  14. Vocal cord paralysis in children.

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    King, Ericka F; Blumin, Joel H

    2009-12-01

    Vocal fold paralysis (VFP) is an increasingly commonly identified problem in the pediatric patient. Diagnostic and management techniques honed in adult laryngologic practice have been successfully applied to children. Iatrogenic causes, including cardiothoracic procedures, remain a common cause of unilateral VFP. Neurologic disorders predominate in the cause of bilateral VFP. Diagnosis with electromyography is currently being evaluated in children. Treatment of VFP is centered around symptomology, which is commonly divided between voice and airway concerns. Speech therapy shows promise in older children. Surgical management for unilateral VFP with injection laryngoplasty is commonly performed and well tolerated. Laryngeal reinnervation is currently being applied to the pediatric population as a permanent treatment and offers several advantages over laryngeal framework procedures. For bilateral VFP, tracheotomy is still commonly performed. Glottic dilation procedures are performed both openly and endoscopically with a high degree of success. VFP is a well recognized problem in pediatric patients with disordered voice and breathing. Some patients will spontaneously recover their laryngeal function. For those who do not, a variety of reliable techniques are available for rehabilitative treatment.

  15. What's the Difference Between Vocal Cord Dysfunction and Asthma?

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    ... T C Li, M.D., Ph.D. Both asthma and vocal cord dysfunction can make breathing difficult. Signs and symptoms of either condition can include coughing, wheezing, throat tightness and hoarseness, but they're two separate ... motion. Like asthma, vocal cord dysfunction can be triggered by breathing ...

  16. Effects of smoking on the elderly people's vocal cords dimensions

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    Vasconcelos, Sandrelli Virginio de

    2009-03-01

    Full Text Available Introduction: Smoking is highly aggressive and the vocal tract is one of the main risk factors for cancer of the larynx. The tobacco may lead to irritation of the vocal tract, edema in the vocal cords, hoarseness, coughing, increased secretion and infections. Objective: To evaluate the dimensions of the vocal cords in elderly smokers and male non-smokers. Method: We studied 15 male corpses, aged from 60 to 90 years, 8 of whom were non-smokers and 7 smokers. For data collection, four sequential steps were followed: 1st Clinical history of the corpse; 2nd Removal of the larynx, 3rd Dissection of the larynx and 4th Morphometry of the vocal cords dimensions. Results: There was no statistically significant difference as for the morphology of the vocal cords dimensions between elderly smokers and nonsmokers, and the length (p = 0.58, width (p = 0.72 and thickness (p = 0.65 were equivalent between both groups. Conclusion: We confirmed it's macroscopically impossible to find differences caused by smoking in the three dimensions of the vocal cords, however, in the histology, smokers are proved to be more susceptible to findings regarding dysplasia and neoplasms in the vocal cords tissue with problems in voice quality.

  17. Vocal cord palsy: An uncommon presenting feature of myasthenia gravis

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    Sethi Prahlad

    2011-01-01

    Full Text Available Vocal cord palsy can have myriad causes. Unilateral vocal cord palsy is common and frequently asymptomatic. Trauma, head, neck and mediastinal tumors as well as cerebrovascular accidents have been implicated in causing unilateral vocal cord palsy. Viral neuronitis accounts for most idiopathic cases. Bilateral vocal cord palsy, on the other hand, is much less common and is a potentially life-threatening condition. Myasthenia gravis, an autoimmune disorder caused by antibodies targeting the post-synaptic acetylcholine receptor, has been infrequently implicated in its causation. We report here a case of bilateral vocal cord palsy developing in a 68-year-old man with no prior history of myasthenia gravis 2 months after he was operated on for diverticulitis of the large intestine. Delay in considering the diagnosis led to endotracheal intubation and prolonged mechanical ventilation with attendant complications. Our case adds to the existing literature implicating myasthenia gravis as an infrequent cause of bilateral vocal cord palsy. Our case is unusual as, in our patient, acute-onset respiratory distress and stridor due to bilateral vocal cord palsy was the first manifestation of a myasthenic syndrome.

  18. Vocal Cord Dysfunction Masquerading as Astma Like Symptoms

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    Sami Ozturk

    2007-04-01

    Full Text Available Vocal cord dysfunction (VCD is a nonorganic disorder of the larynx that involves unintentional paradoxical adduction of the vocal cords while breathing. VCD is a relatively rare condition that may mimic asthma or upper airway obstruction. VCD often coexists with asthma, and should be suspected in any patient in whom asthma treatment fails. Confirming the diagnosis involves direct visualization of abnormal vocal cord motion, and this usually only occurs during symptoms. In this report, we describe a 65-years-old male patient who has psychological problems due to a relative loss, and a military collage student who experiencing respiratory problems during vigorous exercises. [TAF Prev Med Bull 2007; 6(2.000: 148-150

  19. Image-Guided Intensity-Modulated Radiotherapy for Single Vocal Cord Irradiation in Early Glottic Cancers

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    S.O.S. Osman (Sarah)

    2011-01-01

    textabstractThe larynx anatomy is graphically presented in figure 1.1 . The vocal cords in the center of the larynx are muscular bands covered by thin mucosa layers. Together, the right and left vocal cords have a V-shape, when viewed from cranial. The vocal cords play key roles in the control of th

  20. Clinical classification and treatment of leukokeratosis of the vocal cords

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    MA Li-jing; WANG Jun; XIAO Yang; YE Jing-ying; XU Wen; YANG Qing-wen

    2013-01-01

    Background Leukokeretosis of the vocal cords is a clinical descriptive diagnosis,which includes a group of squamous intraepithelial lesions of the vocal cord mucosa.We investigated the clinical classification and treatment efficacy of leukokeratosis of the vocal cords.Methods We conducted a retrospective analysis of the medical history,laryngoscopic examinations,morphological features under a surgical microscope,and pathology results of 360 cases of leukokeratosis of the vocal cords to examine correlations among treatment modalities,therapeutic effects,and clinical features.Results All cases were divided into four types based on symptoms,examination results,and treatment efficacies as follows:21 patients had type Ⅰ inflammatory leukoplakia and their vocal cord morphology and voice quality recovered after conservative therapies; 76 patients had type Ⅱ frictional polyps and received CO2 laser submucosal cordectomy;68 patients had type Ⅲ sulcus vocalis and received mucosal slicing with dredging; and 195 cases had type Ⅳ simple leukokeratosis and received partial subligamental cordectomy with CO2 lasers or transmuscular cordectomy.Our treatment achieved a surgical cure rate of 90.9% (308/339),with a recurrence rate of 9.1% (31/339) and malignant transformation rate of 6.5% (22/339).All cancerous transformations occurred in type Ⅳ patients.Conclusion Choosing conservative or CO2 laser surgery based on the morphological characteristics of squamous epithelial lesions of keratinized vocal cord mucosa can maximally protect voice quality,reduce complications,and improve the cure rate.

  1. Endoscopic CO2-Laser Surgery for Vocal Cord Cancer

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    J. Czigner

    1994-01-01

    Full Text Available A retrospective study is reported on endoscopic CO2-laser microsurgery in 69 patients with histologically verified early vocal cord cancer. A flexible nasopharyngolaryngoscope (STORZ Co was used for preoperative assessment and occasionally for postoperative follow-up.

  2. Causes of Acquired Vocal Cord Palsy in Indian Scenario.

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    Swapna Sebastian

    2012-10-01

    Full Text Available Vocal cord paresis or paralysis occurs due to lesion in the vagus nerve. Vocal cord paralysis can lead to dysphonia as well as dysphagia which lead the patient to frustration and emotional problems. The literature available on the etiology and the problems faced by them in Indian population is very scanty. Hence a prospective study was done on 41 Patients with vocal cord palsy who were referred to the Department of ENT for voice assessment and management from March 1st 2012 till 1st August 2012. The medical and surgical reports were examined. They were evaluated by an otorhinolaryngologist, and a Speech Language Pathologist. Diagnosis was made based on video stroboscopic findings. We also examined voice-related quality of life (V-RQOL outcomes in these patients. In this study, endo-tracheal intubation (15/41; 36.5% was the major cause of vocal cord palsy. The second major cause for vocal cord palsy in our study was surgical trauma (iatrogenic which constituted 26.8% (11/41, out of which thyroidectomy contributed to 81.81% (9/11 and cardiac surgery (Coronary Artery Bypass Grafting (CABG contributed to 18.18% (2/11. Neurological problems caused 14.63% (6/41 of the total cases. Non-surgical trauma constituted 9.75% (4/41 of the total patients. Left recurrent laryngeal nerve paralysis was found as a complication of heart disease in 7.3%(3/41. Tuberculosis of lungs and cancer of lungs accounted to be the rarest causes. Hoarseness of voice was the most common symptom with associated dysphagia in a few. The voice related quality of life of these patients was found to be poor. They were found to have problems in the social-emotional domain and physical functioning domain.

  3. Dual-Energy Subtraction Imaging for Diagnosing Vocal Cord Paralysis with Flat Panel Detector Radiography

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    Machida, Haruhiko; Yoda, Keiko; Arai, Yasuko [Tokyo Women' s Medical University Medical Center East, Tokyo (Japan)] (and others)

    2010-06-15

    To investigate the clinical feasibility of dual energy subtraction (DES) imaging to improve the delineation of the vocal cord and diagnostic accuracy of vocal cord paralysis as compared with the anterior-posterior view of flat panel detector (FPD) neck radiography. For 122 consecutive patients who underwent both a flexible laryngoscopy and conventional/DES FPD radiography, three blinded readers retrospectively graded the radiographs during phonation and inspiration on a scale of 1 (poor) to 5 (excellent) for the delineation of the vocal cord, and in consensus, reviewed the diagnostic accuracy of vocal cord paralysis employing the laryngoscopy as the reference. We compared vocal cord delineation scores and accuracy of vocal cord paralysis diagnosis by both conventional and DES techniques using ({kappa}statistics and assessing the area under the receiver operating characteristic curve (AUC). Vocal cord delineation scores by DES (mean, 4.2 {+-} 0.4) were significantly higher than those by conventional imaging (mean, 3.3 {+-} 0.5) (p < 0.0001). Sensitivity for diagnosing vocal cord paralysis by the conventional technique was 25%, whereas the specificity was 94%. Sensitivity by DES was 75%, whereas the specificity was 96%. The diagnostic accuracy by DES was significantly superior (({kappa}= 0.60, AUC = 0.909) to that by conventional technique ({kappa}= 0.18, AUC = 0.852) (p = 0.038). Dual energy subtraction is a superior method compared to the conventional FPD radiography for delineating the vocal cord and accurately diagnosing vocal cord paralysis.

  4. Treatment outcome of vocal cord leukoplakia by transoral laser microsurgery.

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    Yang, Shih-Wei; Chao, Wei-Chieh; Lee, Yun-Shien; Chang, Liang-Che; Hsieh, Tsan-Yu; Chen, Tai-An; Luo, Cheng-Ming

    2017-01-01

    The aim of this study is to evaluate the treatment outcome and analyze the associated factors of postoperative recurrence in patients who received transoral laser microsurgery for vocal cord leukoplakia. The demographic, histopathological data were retrospectively reviewed and the factors associated with recurrence of vocal leukoplakia after surgery were analyzed statistically. A total of 44 patients, including 36 males and 8 females, with a mean age of 50.4 ± 13.4 years, were enrolled. All the patients received excision of the vocal leukoplakia by carbon dioxide laser (2-4 Watt, ultrapulse mode) under general anesthesia. No patients had malignant transformation after surgery. Postoperative recurrence occurred in 10 patients (22.7 %). Univariate analysis showed that patients who had the habit of cigarette smoking, alcohol drinking, and presence of gastroesophageal reflux disease tended to recur. Among these risk factors, presence of gastroesophageal reflux disease (odds ratio 8.43) was the independent prognostic factor for recurrence using multivariate logistic regression analysis. Carbon dioxide laser excision is effective for treating vocal leukoplakia that is still confined to dysplasia of any degree, with acceptable morbidity. This study suggests that the presence of gastroesophageal reflux disease is the prognostic indicator for postoperative recurrence of vocal leukoplakia. Aggressive treatment of reflux disease for those who have received surgical excision for vocal leukoplakia is indicated.

  5. Vocal cord function and bispectral index in pediatric bronchoscopy patients emerging from propofol anesthesia.

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    Schroeck, Hedwig; Fecho, Karamarie; Abode, Kathleen; Bailey, Ann

    2010-05-01

    In children undergoing bronchoscopy for evaluation of stridor or respiratory symptoms, movement of the vocal cords is routinely assessed at the conclusion of flexible bronchoscopy with children still anesthetized. The effect of anesthesia on vocal cord function is not well described. This study aimed to characterize the relationship between depth of propofol anesthesia, as measured by Bispectral Index (BIS), and vocal cord movement in pediatric patients. Children between 6 months and 12 years of age presenting for diagnostic flexible bronchoscopy were enrolled in this prospective observational study. Anesthesia was maintained with a propofol infusion which was discontinued upon completion of the lower airway evaluation. An independent observer recorded the BIS score every 15 sec from discontinuation of propofol whereas the pulmonologist continued to observe vocal cord motion. BIS scores were also recorded for each observed clinical endpoint (paradoxical and normal vocal cord movement, complete vocal cord closure, and volitional movement). Data were analyzed for 47 subjects. The BIS values increased significantly from the conclusion of the lower airway evaluation with return of normal vocal cord movement, complete vocal cord closure, and volitional movement (P propofol anesthesia is related to decreasing anesthetic depth with complete vocal cord closure occurring at BIS values near those associated with volitional movement.

  6. [Inspiratory stridor due to vocal cord paralysis in children with myelomeningocele and hydrocephalus].

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    Klinkers, H M

    1982-02-01

    Inspiratory stridor in combination with myelomeningocele and increased intracranial pressure is caused by bilateral vocal cord paralysis in children with Arnold-Chiari-deformation. The diagnosis of bilateral vocal cord paralysis can be established by direct laryngoscopy performed without general anesthesia. As emergency measures naso-tracheal intubation, tracheostomy and immediate ventricular puncture are recommended. Reduction of intracranial pressure has always to be performed within 24 hours. The bilateral vocal cord paralysis is totally reversible if the inracranial pressure is decreased timely. The bilateral vocal cord paralysis becomes irreversible when degeneration of the nucleus ambiguus occurs secondary to peripheral lesions of the nervus vagus.

  7. Predictive factors of recurrence and malignant transformation in vocal cord leukoplakia.

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    Lee, Dong Hoon; Yoon, Tae Mi; Lee, Joon Kyoo; Lim, Sang Chul

    2015-07-01

    The aim of this study was to define the predictive risk factors of vocal cord leukoplakia recurrence and malignant transformation. From January 2009 to December 2013, 63 patients with a diagnosis of vocal cord leukoplakia were identified based on their medical records. The 63 patients comprised 62 males and one female. This study showed that the extent of vocal cord leukoplakia resulted in statistically significant differences for both the recurrence of vocal cord leukoplakia and malignant transformation (p leukoplakia and malignant transformation (p < 0.05). We suggest that the extent of lesion and the degree of dysplasia are predictive factors for the risk of recurrence and malignant transformation.

  8. Sleep-disordered breathing as a delayed complication of iatrogenic vocal cord trauma.

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    Faiz, Saadia A; Bashoura, Lara; Kodali, Lavanya; Hessel, Amy C; Evans, Scott E; Balachandran, Diwakar D

    2016-06-01

    A case of a 55-year-old woman with iatrogenic vocal cord trauma and sleep-related symptoms is reported. In particular, this case highlights sleep-disordered breathing as a delayed complication after iatrogenic vocal cord trauma. The patient developed acute stridor from a contralateral vocal cord hematoma following vocal fold injection for right vocal cord paralysis. Acute respiratory symptoms resolved with oxygen, steroids, and nebulized therapy, but nocturnal symptoms persisted and polysomnography revealed sleep-related hypoventilation and mild obstructive sleep apnea. Positive pressure therapy was successfully used to ameliorate her symptoms and treat sleep-disordered breathing until her hematoma resolved. In addition to the typically acute respiratory symptoms that may result from vocal cord dysfunction, sleep-disordered breathing may also present as a significant subacute or chronic problem. Management of the acute respiratory symptoms is relatively well established, but clinicians should be alert for more subtle nocturnal symptoms that may require further study with polysomnography.

  9. [Vocal cord dysfunction. An important differential diagnosis to bronchial asthma].

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    Kothe, C; Schade, G; Fleischer, S; Hess, M

    2004-03-01

    Vocal cord dysfunction (VCD) is described as a functional disorder of the vocal folds which leads to an intermittent, inspiratory 'paradoxical' glottal closure. We report on three women with frequent repetitive shortness of breath attacks caused by VCD. This was diagnosed by transnasal videofiberendoscopy, with glottal closure being seen during inspiration. Because of the different etiologies, one of the patients was treated with breathing and speech therapy, another received Omeprazol for laryngopharyngeal reflux, and the third was treated by intralaryngeal botulinum toxin injections. All three patients showed a reduction in attacks. Clinically, VCD seems to mimic asthma. However, with a thorough patient history and diagnostics, especially with transnasal laryngoscopy during a (triggered) attack, a precise diagnosis seems possible.

  10. Vocal cord dysfunction in amyotrophic lateral sclerosis : four cases and a review of the literature

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    van der Graaff, Maaike M; Grolman, Wilko; Westermann, Erik J; Boogaardt, Hans C; Koelman, Hans; van der Kooi, Anneke J; Tijssen, Marina A; de Visser, Marianne

    2009-01-01

    We describe 4 patients with amyotrophic lateral sclerosis (ALS) and glottic narrowing due to vocal cord dysfunction, and review the literature found using the following search terms: amyotrophic lateral sclerosis, motor neuron disease, stridor, laryngospasm, vocal cord abductor paresis, and hoarsene

  11. Vocal cord dysfunction in amyotrophic lateral sclerosis : four cases and a review of the literature

    NARCIS (Netherlands)

    van der Graaff, Maaike M; Grolman, Wilko; Westermann, Erik J; Boogaardt, Hans C; Koelman, Hans; van der Kooi, Anneke J; Tijssen, Marina A; de Visser, Marianne

    2009-01-01

    We describe 4 patients with amyotrophic lateral sclerosis (ALS) and glottic narrowing due to vocal cord dysfunction, and review the literature found using the following search terms: amyotrophic lateral sclerosis, motor neuron disease, stridor, laryngospasm, vocal cord abductor paresis, and hoarsene

  12. Vocal cord mucosal flap for the treatment of acquired anterior laryngeal web

    Institute of Scientific and Technical Information of China (English)

    Xiao Yang; Wang Jun; Han Demin; Ma Lijing; Ye Jingying; Xu Wen

    2014-01-01

    Background Anterior glottic web is one type of laryngeal stenosis.Previous surgical methods had some drawbacks,such as large surgical trauma,long postoperative recovery time,and multiple-stage surgery.This study aimed to explore better treatment to repair anterior glottis web.Methods We performed vocal cord mucosal flap procedure on 32 patients with anterior laryngeal webs.All subjects received vocal cord scar releasing and vocal cord mucosal flap repair and suture under general anesthesia with selfretaining laryngoscope.Results All 32 patients completed surgery in one stage,without postoperative laryngeal edema,difficulty in breathing,or other complications.After the surgery,the anterior commissure of vocal cords recovered to a decent triangle shape in 28 patients; however,in four patients there were 2 to 3 mm adhesion residuals on the anterior ends of the vocal cords,accompanied by scar appearance of bilateral vocal cords.The GRB score,voice handicap index scores,and maximum phonation time score significantly improved in all patients after the surgery.There was no evidence of recurrent laryngeal webbing in the 6-rnonth follow-up.Conclusion Vocal cords mucosal flap repair surgery has the advantages of less trauma,quick recovery,and significant improvement of the voice in the treatment of laryngeal webs.

  13. Multiple System Atrophy Manifested by Bilateral Vocal Cord Palsy as an Initial Sign

    Directory of Open Access Journals (Sweden)

    Yuri Seo

    2015-05-01

    Full Text Available A 71-year-old male initially presented with vocal cord palsy and underwent tracheostomy. After thorough examination, urogenital dysfunction, orthostatic hypotension, and Parkinsonism were found, which led to the diagnosis of multiple system atrophy (MSA. After the tracheostomy, bi-level positive airway pressure ventilation was required during the night due to nocturnal hypoxemia. Nighttime hypoxemia is related to central sleep apnea, which is one of the manifestations of MSA. This is the first case of MSA manifested by bilateral vocal cord palsy as an initial sign in Korea. This case supports the notion that MSA should be taken into consideration when vocal cord paralysis is observed.

  14. A Case of Transient Local Anesthetic Induced Bilateral Vocal Cord Palsy

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    M. Rafiq

    2015-01-01

    Full Text Available We report a rare case of bilateral vocal cord palsy following total thyroidectomy with successful extubation within 12 hours. The patient is a 33-year-old lady who underwent uneventful total thyroidectomy for compressive symptoms. Thirty minutes after extubation, she developed stridor and the flexible laryngoscopy showed bilaterally adducted vocal cords. The patient, thus, was reintubated and after 12 hours she met the extubation parameters and so she was extubated successfully. The repeated flexible laryngoscopy showed normal vocal cords. A review of the literature revealed limited information on this transient condition.

  15. A Case of Transient Local Anesthetic Induced Bilateral Vocal Cord Palsy

    Science.gov (United States)

    Rafiq, M.; Al-Zoraigi, U.; Alzahrani, S.; Alabdulkarim, Y.

    2015-01-01

    We report a rare case of bilateral vocal cord palsy following total thyroidectomy with successful extubation within 12 hours. The patient is a 33-year-old lady who underwent uneventful total thyroidectomy for compressive symptoms. Thirty minutes after extubation, she developed stridor and the flexible laryngoscopy showed bilaterally adducted vocal cords. The patient, thus, was reintubated and after 12 hours she met the extubation parameters and so she was extubated successfully. The repeated flexible laryngoscopy showed normal vocal cords. A review of the literature revealed limited information on this transient condition. PMID:26167326

  16. Coblator Arytenoidectomy in the Treatment of Bilateral Vocal Cord Paralysis

    Science.gov (United States)

    Googe, Benjamin; Nida, Andrew; Schweinfurth, John

    2015-01-01

    A 77-year-old female with bilateral vocal cord paralysis and dependent tracheostomy status after total thyroidectomy presented to clinic for evaluation of decannulation via arytenoidectomy. Preliminary data suggests coblation versus standard CO2 laser ablation in arytenoidectomy may provide benefits in terms of decreased tissue necrosis and patient outcome. The patient elected to proceed with arytenoidectomy by coblation. The initial procedure went well but postoperative bleeding required a return trip to the operating room for hemostasis. In the coming months the patient's tracheostomy tube was gradually downsized and eventually capped. She was decannulated eight months after surgery, speaking well and without complaints. Details of the surgical procedure and outcome will be discussed. PMID:26457217

  17. Coblator Arytenoidectomy in the Treatment of Bilateral Vocal Cord Paralysis

    Directory of Open Access Journals (Sweden)

    Benjamin Googe

    2015-01-01

    Full Text Available A 77-year-old female with bilateral vocal cord paralysis and dependent tracheostomy status after total thyroidectomy presented to clinic for evaluation of decannulation via arytenoidectomy. Preliminary data suggests coblation versus standard CO2 laser ablation in arytenoidectomy may provide benefits in terms of decreased tissue necrosis and patient outcome. The patient elected to proceed with arytenoidectomy by coblation. The initial procedure went well but postoperative bleeding required a return trip to the operating room for hemostasis. In the coming months the patient’s tracheostomy tube was gradually downsized and eventually capped. She was decannulated eight months after surgery, speaking well and without complaints. Details of the surgical procedure and outcome will be discussed.

  18. Management of unilateral true vocal cord paralysis in children.

    Science.gov (United States)

    Setlur, Jennifer; Hartnick, Christopher J

    2012-12-01

    Historically, information gained from the treatment of unilateral true vocal cord paralysis (UVCP) in adults was the same used to treat children. Today, there is a growing body of literature aimed specifically at the treatment of this condition in children. It is an area of growing interest as UVCP can significantly impact a child's quality of life. Children with UVCP may present with stridor, dysphonia, aspiration, feeding difficulties, or a combination of these symptoms. Diagnosis relies on laryngoscopy, but other adjuncts such as ultrasound and laryngeal electromyography may also be helpful in making the diagnosis and forming a treatment plan. In many instances, there is effective compensation by the contralateral vocal fold, making surgical intervention unnecessary. Children who cannot compensate for a unilateral defect may suffer from significant dysphonia that can affect their quality of life because their ability to be understood may be diminished. In these patients, treatment in the form of medialization or reinnervation of the affected recurrent laryngeal nerve may be warranted. UVCP is a well recognized problem in pediatric patients with disordered voice and feeding problems. Some patients will spontaneously recover their laryngeal function. For those who do not, a variety of reliable techniques are available for rehabilitative treatment. Improved diagnostics and a growing understanding of prognosis can help guide therapy decisions along with the goals and desires of the patient and his or her family.

  19. Obstructive sleep apnea syndrome and snoring in patients with bilateral vocal cord paralysis.

    Science.gov (United States)

    Misiolek, Maciej; Namyslowski, Grzegorz; Karpe, Jacek; Ziora, Dariusz; Misiolek, Hanna; Czecior, Eugeniusz; Scierski, Wojciech

    2003-04-01

    The analysis of the correlation between bilateral vocal cord paralysis and the occurrence of obstructive sleep apnea syndrome and snoring is presented. The aim of the study was to establish whether the decrease of the air flow in the upper airway in patients with bilateral vocal cord paralysis involves OSAS and/or snoring occurrence and whether arytenoidectomy affects an improvement of breathing parameters measured during sleep. Fourteen patients with bilateral vocal cord paralysis underwent Poly-MESAM examination before and 3 months after arytenoidectomy. They had never complained of snoring before. The Epworth sleepiness scale was used to quantify excessive daytime somnolence. The RDI, DI, mean saturation and percentage of snoring, loud snoring and sleep without snoring were estimated and compared pre- and postoperatively. The results were compared by the Student's t-test for dependent values. No significant differences were shown between the Epworth scores before and after the treatment. The RDI, DI and mean saturation were normal before and after the operation. The percentage of loud snoring decreased and the percentage of sleep without snoring increased significantly after arytenoidectomy in both cases. The mechanism of snoring in patients with vocal cord paralysis seems to be similar to OSAS. The difference consists in the level of flow limitation. On the basis of the results there is no reason to diagnose OSAS and UARS in patients with bilateral vocal cord paralysis. On the other hand, the intensive snoring that occurs after paralysis was significantly reduced as a result of arytenoidectomy.

  20. Successful treatment of laryngomalacia and bilateral vocal cord paralysis with continuous positive airway pressure

    Directory of Open Access Journals (Sweden)

    Sovtić Aleksandar

    2010-01-01

    Full Text Available Introduction Laryngomalacia is the most frequent congenital anomaly of airways, and it may cause obstructive sleep apneas. The associated vocal cord paralysis may aggravate the symptoms of upper airway obstruction. Case report In a 14 month old boy severe laryngomalacia and bilateral vocal cord paralysis were diagnosed by flexible bronchoscopy. A sleep study showed a severe obstructive sleep apnoea (OSA. The patient was ventilated at home via the face mask with non invasive mechanical ventilation (CPAP for a year. The level of pressure had to be set at 7cm H2O to correct desaturation with an improvement in mean SpO2. On the follow up bronchoscopic examination laryngomalatia was improved, vocal cord paralysis persisted and sleep study revealed significant improvement. Discussion In the patient with severe laryngomalatia and bilateral vocal cord paralysis with OSA conservative treatment with CPAP was used instead of a surgical intervention. Non invasive ventilation was used every night, for at least 6 hours, without adverse events. Invasive measurement of transdiaphragmatic pressure is the best way of titrating of CPAP level. This case report suggests the efficacy of noninvasive titrating of CPAP level by the hemoglobin oxygen saturation trend measurement. Conclusion In case of severe laryngomalatia and associated vocal cord paralysis, followed by OSA non invasive ventilation by nasal CPAP represents an effective and safe alternative to surgery.

  1. [Successful treatment of laryngomalacia and bilateral vocal cord paralysis with continuous positive airway pressure].

    Science.gov (United States)

    Sovtić, Aleksandar; Minić, Predrag; Vukcević, Miodrag; Rodić, Milan

    2010-01-01

    Laryngomalacia is the most frequent congenital anomaly of airways, and it may cause obstructive sleep apneas. The associated vocal cord paralysis may aggravate the symptoms of upper airway obstruction. In a 14 month old boy severe laryngomalacia and bilateral vocal cord paralysis were diagnosed by flexible bronchoscopy. A sleep study showed a severe obstructive sleep apnoea (OSA). The patient was ventilated at home via the face mask with non invasive mechanical ventilation (CPAP) for a year. The level of pressure had to be set at 7 cm H2O to correct desaturation with an improvement in mean SpO2. On the follow up bronchoscopic examination laryngomalatia was improved, vocal cord paralysis persisted and sleep study revealed significant improvement. In the patient with severe laryngomalatia and bilateral vocal cord paralysis with OSA conservative treatment with CPAP was used instead of a surgical intervention. Non invasive ventilation was used every night, for at least 6 hours, without adverse events. Invasive measurement of transdiaphragmatic pressure is the best way of titrating of CPAP level. This case report suggests the efficacy of noninvasive titrating of CPAP level by the hemoglobin oxygen saturation trend measurement. In case of severe laryngomalatia and associated vocal cord paralysis, followed by OSA non invasive ventilation by nasal CPAP represents an effective and safe alternative to surgery.

  2. Using image processing technology and mathematical algorithm in the automatic selection of vocal cord opening and closing images from the larynx endoscopy video.

    Science.gov (United States)

    Kuo, Chung-Feng Jeffrey; Chu, Yueng-Hsiang; Wang, Po-Chun; Lai, Chun-Yu; Chu, Wen-Lin; Leu, Yi-Shing; Wang, Hsing-Won

    2013-12-01

    The human larynx is an important organ for voice production and respiratory mechanisms. The vocal cord is approximated for voice production and open for breathing. The videolaryngoscope is widely used for vocal cord examination. At present, physicians usually diagnose vocal cord diseases by manually selecting the image of the vocal cord opening to the largest extent (abduction), thus maximally exposing the vocal cord lesion. On the other hand, the severity of diseases such as vocal palsy, atrophic vocal cord is largely dependent on the vocal cord closing to the smallest extent (adduction). Therefore, diseases can be assessed by the image of the vocal cord opening to the largest extent, and the seriousness of breathy voice is closely correlated to the gap between vocal cords when closing to the smallest extent. The aim of the study was to design an automatic vocal cord image selection system to improve the conventional selection process by physicians and enhance diagnosis efficiency. Also, due to the unwanted fuzzy images resulting from examination process caused by human factors as well as the non-vocal cord images, texture analysis is added in this study to measure image entropy to establish a screening and elimination system to effectively enhance the accuracy of selecting the image of the vocal cord closing to the smallest extent.

  3. Impact of yoga in a case of vocal cord dysfunction with dysautonomia

    Science.gov (United States)

    Wadhwania, Rozina

    2017-01-01

    A 23-year-old female with a past medical history of gastroesophageal reflux disease presented with shortness of breath induced by exercise and certain odors. She reported the symptoms of autonomic dysfunction including fatigue, chest pain, lightheadedness, headaches, numbness/tingling in the arms and legs, and exercise intolerance. Vital signs were significant for orthostatic intolerance. Volume flow loop in the pulmonary function tests showed a flattening of the inspiratory portion characteristic of vocal cord dysfunction. Laryngoscopy showed dyskinesia of the left vocal cord, especially after exercise. Multifactorial approach was used including increased fluid intake and breathing exercises. After 6 weeks of breathing and isometric exercises, the patient reported improvement in dyspnea after exercise. This case report demonstrates the therapeutic role of breathing and isometric exercises in the management of vocal cord and autonomic dysfunction. PMID:28149069

  4. Hypnosis for Asthma and Vocal Cord Dysfunction in a Patient With Autism.

    Science.gov (United States)

    Kaslovsky, Robert; Gottsegen, David

    2015-10-01

    Wheezing in children often is the result of asthma, but vocal cord dysfunction (VCD) may cause stridor or sounds that sometimes are misattributed to the wheezing of asthma. The frequent comorbidity of asthma and VCD also adds to the difficulty in making a clear diagnosis. The challenges of evaluating and treating wheezing are complicated further in children with developmental disorders, such as autism, because of the difficulties of obtaining an adequate history and assessing the clinical response to treatment. This article presents a patient with multiple psychiatric problems, including autism, with severe recurrent wheezing as a result of vocal cord dysfunction and asthma. Hypnosis has previously proven efficacious for treating vocal cord dysfunction, and in this case, hypnotic techniques were major factors in successful symptom control.

  5. Dynamic 320-slice CT larynx for detection and management of idiopathic bilateral vocal cord paralysis.

    Science.gov (United States)

    Ruane, Laurence E; Lau, Kenneth K; Low, Kathy; Crossett, Marcus; Vallance, Neil; Bardin, Philip G

    2014-03-01

    Idiopathic bilateral vocal cord paralysis (VCP) is a rare and difficult condition often undiagnosed and frequently confused with asthma and other respiratory conditions. Accurate diagnosis is crucial since 80% of cases patients require surgical intervention, such as tracheostomy or laser surgery, to relieve symptoms. The "gold standard" for diagnosing VCP has been laryngoscopy. In this case study, we demonstrate for the first time that idiopathic bilateral VCP can be accurately diagnosed by means of a novel noninvasive methodology: dynamic volume 320-slice computed tomography larynx. Three-dimensional reconstruction of laryngeal motion during the breathing cycle permitted functional assessment of the larynx showing absence of vocal cord movements. The new methodology may be valuable for noninvasive diagnosis of vocal cord movement disorders before and for follow-up after surgery.

  6. Contact laser surgery in treatment of vocal fold paralysis.

    Science.gov (United States)

    Saetti, R; Silvestrini, M; Galiotto, M; Derosas, F; Narne, S

    2003-02-01

    Vocal fold paralysis is a pathological condition characterised by varying degrees of respiratory distress in relation to the degree of glottic stenosis. Dyspnoea may be present even when resting and may even require emergency tracheotomy. Frequently, the patient arrives for attention after the onset of exertional dyspnoea associated with a certain degree of dysphonia. The causes may be central or peripheral, more commonly iatrogenic following thyroid or tracheal surgery or secondary to injury. The aim of all surgical techniques used in the treatment of vocal fold paralysis is to restore a lumen sufficient to guarantee adequate breathing through the natural airway, without the patient having to permanently maintain the tracheotomy tube, while preserving acceptable phonatory quality. Between 1990 and 2001, at the Padua Hospital Unit of Endoscopic Airway Surgery, 48 patients (27 female, 21 male) were treated for respiratory distress secondary to vocal fold paralysis. At the beginning of this experience, 7 patients underwent arytenoidectomy with the Ossoff technique. In 34 cases, a modified Dennis-Kashima posterior cordectomy was performed. In 7 patients, since widening of the airway was necessary, cordectomy was extended to the false homolateral chord in 5 cases and to the arytenoid vocal process in another 2. In 9 patients, the operation was carried out with a Nd Yag (1064 nm) contact laser; the remaining 39 were treated with a GaArAl (810 nm) diode laser in use since 1995. Satisfactory results were obtained in all patients first treated by us and not already tracheotomised (35). In 23 cases (66%), results were considered "good" since no exertional dyspnoea occurred. In 12 patients (34%), the result was considered "sufficient" since there was no resting dyspnoea and normal everyday activity could be undertaken. Of the 13 patients already tracheotomised on arrival, 11 (85%) were decanulated on average 2 months after surgery. In conclusion, the present results show

  7. In Search of Autocorrelation Based Vocal Cord Cues for Speaker Identification

    CERN Document Server

    Sahidullah, Md

    2011-01-01

    In this paper we investigate a technique to find out vocal source based features from the LP residual of speech signal for automatic speaker identification. Autocorrelation with some specific lag is computed for the residual signal to derive these features. Compared to traditional features like MFCC, PLPCC which represent vocal tract information, these features represent complementary vocal cord information. Our experiment in fusing these two sources of information in representing speaker characteristics yield better speaker identification accuracy. We have used Gaussian mixture model (GMM) based speaker modeling and results are shown on two public databases to validate our proposition.

  8. Analysis of thermal damage in vocal cords for the prevention of collateral laser treatment effects

    Science.gov (United States)

    Fanjul Vélez, Félix; Luis Arce-Diego, José; del Barrio Fernández, Ángela; Borragán Torre, Alfonso

    2007-05-01

    The importance of vocal cords for the interaction with the world around is obviously known. Vocal cords disorders can be divided mainly into three categories: difficulty of movement of one or both vocal folds, lesion formation on them, and difficulty or lack of mucosal wave movement. In this last case, a laser heating treatment can be useful in order to improve tissue vibration. However, thermal damage should be considered to adjust laser parameters and so to prevent irreversible harmful effects to the patient. in this work, an analysis of thermal damage in vocal folds is proposed. Firstly thermo-optical laser-tissue interaction is studied, by means of a RTT (Radiation Transfer Theory) model solved with a Monte Carlo approach for the optical propagation of radiation, and a bio-heat equation, with a finite difference numerical method based solution, taking into account blood perfusion and boundary effects, for the thermal distribution. The spatial-temporal temperature distributions are obtained for two widely used lasers, Nd:YAG (1064 nm) and KTP (532 nm). From these data, an Arrhenius thermal damage analysis allows a prediction of possible laser treatment harmful effects on vocal cords that could cause scar formation or tissue burn. Different source powers and exposition times are considered, in such a way that an approximation of adequate wavelength, power and duration is achieved, in order to implement an efficient and safe laser treatment.

  9. Anesthetic management in a child with Arnold-Chiari malformation and bilateral vocal cord paralysis.

    NARCIS (Netherlands)

    Setz, A.C.W.; Boer, H.D. de; Driessen, J.J.; Scheffer, G.J.

    2005-01-01

    We report a case of a child who was scheduled for an emergency ventriculoperitoneal shunt procedure. The patient had a type II Arnold-Chiari malformation (ACM) and associated hydrocephalus and presented with near complete respiratory obstruction from bilateral abductor vocal cord palsy. Early diagno

  10. Vocal cord dysfunction diagnosis may be improved by a screening check list

    Directory of Open Access Journals (Sweden)

    Lucia Helena Eduardo Pinto

    2016-04-01

    Conclusions: A finding of wheezing or stridor on auscultation of the cervical region is suggestive of vocal cord dysfunction, especially in elderly patients, and such dysfunction can be confirmed through laryngoscopy. Our VCD screening check list proved to be useful in the screening of VCD among patients with severe asthma.

  11. Microscopic bilateral posterior cordotomy in severe obstructive sleep apnea syndrome with bilateral vocal cord paralysis.

    Science.gov (United States)

    Sarıman, Nesrin; Koca, Öncel; Boyacı, Zerrin; Levent, Ender; Soylu, Akın Cem; Alparslan, Sümeyye; Saygı, Attila

    2012-03-01

    Vocal cord paralysis is a rare cause of obstructive sleep apnea syndrome (OSAS). Recurrent laryngeal nerve injury after thyroid gland surgery is one of the leading causes of acquired vocal cord paralysis. A 46-year-old woman with OSAS due to bilateral abductor vocal cord paralysis was presented. She had thyroidectomy 30 years ago and had a weak, breathy voice. She had been referred with a history of high-pitched snoring, apnea witnessed by her spouse, and excessive daytime sleepiness for the last 5 years. Full-night polysomnography revealed that her apnea-hypopnea index was 72/h and minimal oxygen saturation level was 81%. There was no REM and deep sleep periods. Ear-nose-throat consultation offered an endoscopic bilateral posterior cordotomy operation via microscopic suspension laryngoscopy (MLS) as a treatment option. Instead of using a nasal positive airway pressure (nCPAP) device, she was treated surgically. Her OSAS resolved completely within 5 months of the surgery. Her phonation was preserved, and symptoms such as snoring and hypersomnolance disappeared. In OSAS patients with bilateral vocal cord paralysis, MLS-associated bilateral posterior cordotomy can be a choice of treatment as an alternative to nCPAP application.

  12. Bilateral vocal cord edema following anterior cervical discectomy-usefulness of bonfils retromolar fiberscope.

    Science.gov (United States)

    Kumar, V R Hemanth; Tripathy, D K; Sivashanmugam, T; Ravishankar, M

    2014-01-01

    We present a case of a 40-year-old male patient who presented to us with radicular pain in arm for anterior cervical discectomy with fusion. The preanesthetic checkup including indirect laryngoscopy was normal with routine investigations within normal limits. The patient was induced and intubated with the established routine technique without any obvious airway problems. Prophylactic dexamethasone was administered, and the intraoperative course was uneventful. Immediately after extubation, it was noticed that the patient had inspiratory stridor and whispered voice on the operation theater table itself. Assessment by Bonfils retromolar fiberscope under fentanyl sedation revealed bilateral vocal cord edema. The patient was re intubated and put on T piece with humidified O2. After 72-h, patient was extubated after confirming normal vocal cord movement under flexible fiberscope guidance. This case is presented to alert anesthesiologist about the possibility of vocal cord edema even though other potential airway complications are possible. We would also highlight the importance of Bonfils retromolar fiberscope in awake vocal cord examination and flexible fiberscope use in managing patients presenting with airway problems during extubation.

  13. FDG-PET/CT can rule out malignancy in patients with vocal cord palsy

    DEFF Research Database (Denmark)

    Thomassen, Anders; Nielsen, Anne Lerberg; Lauridsen, Jeppe Kiilerich

    2014-01-01

    vocal cords. PET/CT results were compared to clinical workup and histopathology. The study comprised 65 patients (32 females) with a mean age of 66±12 years (range 37-89). Eleven patients (17%) had antecedent cancer. Twenty-seven (42%) were diagnosed with cancer during follow-up. The palsy was right...

  14. Vocal Cord Paralysis and Respiratory Muscle Weakness: An Unusual Presentation of Chronic Polyneuropathy

    Directory of Open Access Journals (Sweden)

    LKL Chau

    1998-01-01

    Full Text Available A case of chronic polyneuropathy that manifested with an unusual combination of vocal cord paralysis and respiratory muscle weakness is reported. In addition, results of an exercise test carried out to assess the severity and mechanisms of exertional breathlessness in this unique condition with combined obstructive and restrictive disorders are described.

  15. FDG-PET/CT can rule out malignancy in patients with vocal cord palsy

    DEFF Research Database (Denmark)

    Thomassen, Anders; Nielsen, Anne Lerberg; Lauridsen, Jeppe Kiilerich;

    2014-01-01

    The aim was to investigate the performance of (18)F-fluorodeoxyglucose PET/CT to rule out malignancy in patients with confirmed vocal cord palsy (VCP). Between January 2011 and June 2013, we retrospectively included consecutive patients referred to PET/CT with paresis or paralysis of one or both...

  16. [Vocal cord paralysis--analysis of a cohort of 400 patients].

    Science.gov (United States)

    Reiter, R; Pickhard, A; Smith, E; Hansch, K; Weber, T; Hoffmann, T K; Brosch, S

    2015-02-01

    Vocal cord paralysis has diverse etiologies. In the present study, vocal chord paralysis caused by surgery/trauma was present in more than two thirds of the cases, followed by primary malignancy-associated paralysis. Thyroidectomy was the most common cause in bilateral paresis, especially if performed in recurrent or malignant disease. Voice therapy was promising in pa-tients with unilateral paresis and hoarseness as main symptom. Persistent dysphonia due to insufficiency of the glottic closure led to an operative glottis restricting procedure in only 6% of cases. In almost half the patients with dyspnea as the main symp-tom of bilateral vocal cord paresis, temporary tracheotomy or surgical glottis widening procedures had to be performed. The group of idiopathic and traumatic paresis patients showed the best spontaneous recovery within the first 12 months in comparison to primary malignancy-associated paralysis, which showed no recovery of the recurrens nerve.

  17. Outcomes of Autologous Fat Injection Laryngoplasty in Unilateral Vocal Cord Paralysis

    Directory of Open Access Journals (Sweden)

    Ehsan Khadivi

    2016-05-01

    Full Text Available Introduction: Unilateral vocal cord paralysis (UVCP is not an uncommon finding. Several procedures are available to manage glottal insufficiency. We conducted a clinical trial to evaluate the outcome of fat injection laryngoplasty.   Materials and Methods: Liposuctioned lower abdomen fat was injected for augmentation of paralyzed vocal cord in 20 patients with UVCP. Autologous fat was harvested with an 18G needle and a 20-ml disposable syringe using a liposuction technique. Clinical follow-up after the injection was carried out from 1 to 6–21 months   Results: Voice and glottal protective function were significantly improved after the surgery. Vocal elements were immediately improved after the surgery, and after 1 year of follow-up. Conclusion:  Fat injection laryngoplasty by liposuction is simple, safe, effective and has a low cost for patients with UVCP with aspiration and breathy voice dysphonia.

  18. [Clinical classification and management of squamous intraepithelial lesions of the vocal cord].

    Science.gov (United States)

    Ma, Li-jing; Wang, Jun; Ye, Jing-ying; Xu, Wen; Yang, Qing-wen

    2012-08-01

    To discuss the clinical classification of the squamous intraepithelial lesions (SILs) of vocal cord and their outcomes after different therapeutic procedures. Three hundred and forty-three patients with the SILs of vocal cord were enrolled. Based on the history of the diseases, macroscopic appearance by video rhino aryngoscopic, stroboscopic and microlaryngoscopic examination, and pathological findings, the correlation of clinical features, treatment modalities and treatment effect of the vocal cord SILs were discussed. According to the morphological characteristics, 343 patients were divided into four types. TypeI, leukoplakia combined with inflammation (n = 19); type II, leukoplakia combined with polyps by friction (n = 72); type III, leukoplakia combined with sulcus vocalis (n = 64); type IV, keratosis (n = 188). Patients with type I lesions were treated by medications. The vocal cord configuration and the voice of the patients in type I returned to normal after treatment. Patients with type II, III, IV lesions were treated by CO(2) laser. Type II were treated by subepithelial cordectomy, type III by mucosa slicing with dredging, type IV by sub ligament cordectomy or trans muscular cordectomy. The cure rate of patients with type II, III, IV lesions was 90.7% (294/324) after single surgery, the recurrent rate was 9.3% (30/324). Twenty-one patients (11.2%), all in type IV, developed carcinogenesis. Eight cases were diagnosed in the first surgery and 13 cases in the second. Among the 13 cases diagnosed in the second surgery, 2 cases had partial laryngectomy for the third surgery. Since the squamous intraepithelial lesions of vocal cord manifested differently, conservative treatment or CO(2) laser surgery should be used. In this way, a less invasive procedure, better recovery of the voice and less complication could be expected.

  19. Bilateral vocal cord palsy causing stridor as the only symptom of syringomyelia and Chiari I malformation, a case report

    Directory of Open Access Journals (Sweden)

    Saif Yousif

    2016-01-01

    Conclusion: Although uncommon, formation of a syrinx should be considered for patients who present with stridor and reiterates the importance of MRI as an important investigative tool of bilateral vocal cord palsy.

  20. 蔡氏声带麻痹开音汤治疗慢性声带麻痹临床观察%Clinical Observation of Cai's Vocal Cord Paralysis Kaiyin Decoction Treatment of Chronic Vocal Cord Paralysis

    Institute of Scientific and Technical Information of China (English)

    田永远; 刘宏建; 张博; 邢金燕

    2014-01-01

    Objective:To observe the clinical curative effect of Cai's Vocal Cord Paralysis Kaiyin Decoction treatment of chronic vocal cord paralysis. Methods:21 cases of chronic patients with vocal cord paralysis were treated with Cai's Vocal Cord Paralysis Kaiyin De-coction,14 days for one course of treatment,and observed the efficiency. Results:21 patients were effective in 17 cases,invalid 4 cases, efficiency of 80. 95% . Conclusion:Cai's Vocal Cord Paralysis Kaiyin Decoction in the treatment of chronic vocal cord paralysis has sat-isfactory clinical effect.%目的:观察蔡氏声带麻痹开音汤治疗慢性声带麻痹的临床疗效。方法:21例慢性声带麻痹患者均予以蔡氏声带麻痹开音汤口服,14 d 为1个疗程,观察治疗有效率。结果:21例患者中有效17例,无效4例,有效率80.95%。结论:蔡氏声带麻痹开音汤治疗慢性声带麻痹临床效果满意。

  1. Bilateral Vocal Cord Palsy with Arnold Chiari Malformation: A Rare Case Series

    Science.gov (United States)

    Arora, Nikhil; Meher, Ravi; Bhargava, Eishaan K.

    2016-01-01

    Stridor in paediatric age group is not an uncommon presentation to the ENT emergency. The range of differential diagnosis is vast. The presentation may vary from noisy breathing to severe respiratory distress and apnea. Early and meticulous diagnosis is crucial for the management as the condition may be life threatening. We report a rare case series of 3 infants with Arnold Chiari Malformation who presented to the hospital with stridor and were diagnosed with bilateral vocal cord palsy. These 3 infants had similar underlying neurological condition with hydrocephalus and raised intracranial pressure. Chiari malformation is the one of the most common congenital central nervous system anomaly associated with bilateral vocal cord paralysis. However, the presentation is rare. This article, thus, emphasizes the significance of early diagnosis and immediate management of this condition. PMID:27790480

  2. Inspections of causes in vocal cord paralysis with diagnostic imaging. Cases with malignant tumors

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    Furukawa, Masaki; Yuyama, Seiichirou; Kaneko, Madoka; Furukawa, Shigeru; Kubota, Akira; Hiiragi, Koichi; Ooishi, Kiminao; Sawaki, Shuji; Igari, Hidenori.

    1988-02-01

    The vocal cord paralysis may be caused by the occult type malignancies. The tumor occupies along the route of the vagus nerve or recurrent laryngeal nerve. To detect such a malignant tumor, it is advocated that the diagnosis should be performed with various kind of figures, such as X-ray picture, CT and ultrasonography. Consequently 13 cases were diagnosed to the malignant tumors among 31 vocal cord paralysis cases. They were thyroid cancer, lung cancer, esophageal cancer and others. CT and ultrasonography were very useful for the evaluation of the mass lesions in the head and neck area. Additionally, the fine needle aspiration biopsy under the ultrasonographic imaging was available to diagnose whether the mass lesions were benign or malignant.

  3. Left Vocal Cord Paralysis Detected by PET/CT in a Case of Lung Cancer

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    Ali Ozan Oner

    2015-01-01

    Full Text Available We report a patient with lung cancer. The first PET/CT imaging revealed hypermetabolic mass in the left aortopulmonary region and hypermetabolic nodule in the anterior segment of the upper lobe of the left lung. After completing chemotherapy and radiotherapy against the primary mass in the left lung, the patient underwent a second PET/CT examination for evaluation of treatment response. This test demonstrated, compared with the first PET/CT, an increase in the size and metabolic activity of the primary mass in the left lung in addition to multiple, pathologic-sized, hypermetabolic metastatic lymph nodes as well as multiple metastatic sclerotic areas in bones. These findings were interpreted as progressive disease. In addition, an asymmetrical FDG uptake was noticed at the level of right vocal cord. During follow-up, a laryngoscopy was performed, which demonstrated left vocal cord paralysis with no apparent mass. Thus, we attributed the paralytic appearance of the left vocal cord to infiltration of the left recurrent laryngeal nerve by the primary mass located in the apical region of the left lung. In conclusion, the knowledge of this pitfall is important to avoid false-positive PET results.

  4. Non-functioning parathyroid adenoma: a rare differential diagnosis for vocal-cord paralysis.

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    Kamali, D; Sharpe, A; Nagarajan, S; Elsaify, W

    2016-07-01

    Introduction Adenomas of the parathyroid gland typically present with symptoms of hyperparathyroidism, manifested by fatigue, bone pain, abdominal pain, weakness, dyspepsia, nephrolithiasis and skeletal bone disease. Here, we describe, for the first time, a case of a non-functioning benign tumour of the parathyroid gland presenting as vocal-cord paralysis. Case History A 49-year-old male presented with a 10-week history of dysphonia and the feeling of having 'something stuck in my throat'. History-taking elicited no other associated symptoms. Flexible nasal endoscopy demonstrated paralysis of the left vocal cord. Computed tomography of the neck revealed a cystic lesion, 18mm in diameter adjacent to the oesophagus. After more rigorous tests, a neck exploration, left hemithyroidectomy, excision of the left paratracheal mass and level-VI neck dissection was undertaken, without incident to the patient or surgical team. Histology was consistent with a parathyroid adenoma. Conclusions This case emphasises the importance of including adenomatous disease of the parathyroid gland in the differential diagnosis despite normal parathyroid status as a cause of vocal cord palsy.

  5. [Management of bilateral vocal cord paralysis with laser cordectomy].

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    Martínez-Oropeza, Luz del Carmen; González-Ojeda, Alejandro; Góvea-Camacho, Luis Humberto; Macías-Amezcua, Michel Dassaejv; Fuentes-Orozco, Clotilde

    2014-01-01

    INTRODUCCIÓN: la parálisis bilateral de cuerdas vocales se caracteriza por inmovilidad de las cuerdas en aducción o abducción completa secundaria a lesión del nervio vago a través de los nervios laríngeos recurrentes. Se manifiesta por disnea con estridor variable que puede ocasionar la muerte si no se despeja la vía aérea. Existen técnicas intra y extralaríngeas para aumentar la luz glótica y mejorar la ventilación, la deglución y la posibilidad de decanulación y emisión de voz funcional. MÉTODOS: se realizó un estudio de serie de casos en el que se incluyeron pacientes con parálisis bilateral de cuerdas vocales tratados mediante cordectomía posterior entre enero de 2004 y enero de 2010. Se revisaron los expedientes clínicos para obtener los datos y registros endolaringoscópicos de control pre y posquirúrgico.

  6. Accuracy of transcutaneous laryngeal ultrasound for detecting vocal cord paralysis in the immediate postoperative period after total thyroidectomy.

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    de Miguel, Marcos; Peláez, Eva M; Caubet, Enric; González, Óscar; Velasco, Mercedes; Rigual, Lidia

    2017-06-14

    Transcutaneous laryngeal ultrasound (TLUS) has emerged as a promising imaging tool for vocal cord examination in patients undergoing thyroid surgery. The focus of this prospective, double-blind study was to assess the accuracy of TLUS in the diagnosis of vocal cord paralysis in the immediate postoperative period following total thyroidectomy. The study included 93 patients undergoing total thyroidectomy and assessed by videostrobolaryngoscopy (VSL) and TLUS. VSL was carried out the day before surgery and was repeated at 4 days postoperatively. TLUS was performed before surgery in the preanesthesia holding area and at completion of the procedure in the postanesthesia care unit. The preoperative and postoperative TLUS results were correlated with those of VSL. The statistical analysis included the sensitivity, specificity, positive predictive value, and negative predictive value (with 95% CI) of TLUS for detecting vocal cord paralysis. The visualization rate associated with TLUS was 93%. The total vocal cord paralysis rate was 16.1%. The performance of TLUS for diagnosing this condition was as follows: sensitivity, 93.3% (95% CI, 77.3%-100%); specificity 96.1% (95% CI, 91.2%-100%); positive predictive value, 82.3% (95% CI, 61.2%-100%); negative predictive value, 98.6% (95%CI, 95.4%-100%). TLUS may be a suitable technique for detecting vocal cord paralysis shortly after total thyroidectomy.

  7. Transient left vocal cord paralysis during laparoscopic surgery for an oesophageal hiatus hernia.

    Science.gov (United States)

    Kanski, A; Plocharska, E; Stanowski, E; Koziarski, T; Chmurzynska, A

    1999-07-01

    A 45-year-old male, with symptoms of many years standing of gastro-oesophageal reflux disease, was subjected, under general anaesthesia, to laparoscopic fundoplication. Tracheal intubation yielded no problems but great difficulties were encountered during tube insertion into the oesophagus. After surgery, aphonia developed. Laryngological examination demonstrated paralysis of the left vocal cord. Voice strength returned to the pre-operative status after 3 months, and laryngological examination confirmed normal mobility of both cords. The possible cause of the complication was damage to the left recurrent laryngeal nerve which occurred during insertion of the tube into the oesophagus. Gastro-oesophageal reflux disease causing 'acid laryngitis' can create conditions favouring this type of complication.

  8. The role of narrow-band imaging (NBI) endoscopy in optical biopsy of vocal cord leukoplakia.

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    Staníková, L; Šatanková, J; Kučová, H; Walderová, R; Zeleník, K; Komínek, Pavel

    2017-01-01

    The aim of this study was to investigate whether observing microvascular changes by narrow-band imaging (NBI) endoscopy in the area surrounding leukoplakia is sufficient for discriminating between benign and malignant patterns of vocal cord leukoplakia. A total of 282 patients were investigated using white-light high-definition TV laryngoscopy and NBI endoscopy from 6/2013 to 8/2015, and 63 patients with a primary case of laryngeal leukoplakia were enrolled. Patients were divided into two groups based on leukoplakia with surrounding malignant intraepithelial papillary capillary loops (group I; 26/63) and leukoplakia with a surrounding benign vascular network (group II; 37/63), both by NBI endoscopy. All 63 patients were evaluated by blinded histological examination, and results were compared with NBI optical biopsy. Carcinoma in situ or invasive squamous cell carcinoma was confirmed in 22/26 cases (84.6 %) in group I. Hyperkeratosis or low-grade dysplasia was confirmed histologically in 31/37 (83.8 %) and squamous cell carcinoma in 2/37 (5.4 %) cases in group II. Accordance of NBI endoscopy and histopathological features of vocal cord leukoplakia lesions was statistically significant (kappa index 0.77, p leukoplakias based on optic prehistological diagnosis. The close accordance between NBI features and histological results suggests that a negative NBI endoscopy may be an indication for long-term endoscopy follow-up without histological evaluation.

  9. An Unusual Case of Neuralgic Amyotrophy Presenting with Bilateral Phrenic Nerve and Vocal Cord Paresis

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    F. Holtbernd

    2011-02-01

    Full Text Available Background: Neuralgic amyotrophy (brachial plexus neuropathy, brachial plexus neuritis, or Parsonage-Turner syndrome is an uncommon inflammatory condition typically characterized by acute and severe shoulder pain followed by paresis with muscle weakness and atrophy of the upper limb or shoulder girdle. We report an unusual clinical manifestation of neuralgic amyotrophy, namely bilateral phrenic nerve palsy with concomitant laryngeal paresis. Case Report: A 55-year-old male presented with orthopnea and aphonia after an episode of bilateral shoulder pain preceded by an upper respiratory tract infection. Spirometry, chest X-ray and videolaryngoscopy revealed bilateral and simultaneous paresis of the diaphragm and the vocal cords. Clinical examination at admission and at the 2-month follow-up did not show upper limb weakness or atrophy, except for a mild atrophy of the right supraspinatus muscle. An electromyography of the upper limb muscles and nerve conduction studies did not reveal signs of denervation. Analysis of the cerebrospinal fluid and an MRI of the neuraxis were unremarkable. After treatment with prednisolone, vocal cord function markedly improved within 8 weeks, whereas paresis of the diaphragm persisted. Conclusion: Shoulder pain followed by diaphragmatic paralysis with dyspnea and hoarseness may be a manifestation of neuralgic amyotrophy even if upper limb or shoulder girdle palsies are absent.

  10. A rare complication of recurrent cerebrovascular infarct: Bilateral vocal cord paralysis

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    Elif Önder

    2011-06-01

    Full Text Available Bilateral vocal cord paralysis (BVCP is usually the result of an iatrogenic injury, especially secondary to thyroid and parathyroid surgery. However, BVCP that cause airway obstruction due to cerebral cortical stroke very rarely has been reported. We, herein report a case of BVCP that resulted in respiratory arrest as a late and life threatening complication of recurrent cerebral infract. A 67 year-old male patient admitted the emergency room with complaint of respiratory insufficiency. His complaint was progressed during last 3-4 months. He had two cerebral infractions attacks in a month approximately one year ago. On admission, physical examination revealed that, he had bilateral wheezing and stridor. He had right sided hemiplegia and had no history of heart failure or chronic obstructive lung disease. Endoscopic laryngoscopy was performed to evaluate upper airway obstruction. Laryngoscopy revealed that bilateral vocal cords were fixed and immobile at midline. Due to recurrent respiratory arrest, insufficient and fixed BVCP, open tracheostomy was perormed. After operation, he had no respiratory insufficiency or any complications. So he discharged from hospital with normal respiratory functions.

  11. A Systematic Review of Psychological Interventions for Adult and Pediatric Patients with Vocal Cord Dysfunction

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    Loveleen eGuglani

    2014-08-01

    Full Text Available Background: Vocal Cord Dysfunction (VCD or Paradoxical Vocal Fold Motion (PVFM is a functional disorder of the vocal cords that requires multidisciplinary treatment. Besides relaxation techniques, the use of psychological interventions can help treat the underlying psychological co-morbidities. There is currently no literature that examines the effectiveness of psychological interventions for VCD/PVFM. Objectives: To review the evidence for psychological interventions used for the treatment of patients with VCD/PVFM. Data Sources: We searched electronic databases for English medical literature using Pubmed (Medline, PsycInfo, Cochrane Database of Systematic Reviews, Cochrane Central Registry of Controlled Trials and Clinicaltrials.gov. The date range for our search is from July 1963 to July 2013. Study Eligibility Criteria, Participants and Interventions: We included studies that reported the use of psychological interventions in both adults and children diagnosed with VCD/PVFM. We included randomized controlled trials, case-control studies, retrospective chart reviews, prospective case series, and individual case reports. Results: Most reported studies are small case series or individual case reports that have described the use of interventions such as psychotherapy, behavioral therapy, use of anti-anxiety and anti-depressant medications, and hypnotherapy in conjunction with breathing exercises taught by speech therapists for symptomatic relief. Among the various psychological interventions that have been reported, there is no data regarding effectiveness and/or superiority of one approach over another in either adult or pediatric patients. Conclusions: Psychological interventions have a role to play in the management of adult and pediatric patients with VCD/PVFM. Future prospective studies using uniform approaches for treatment of associated psychopathology may help address this question. Systematic Review Registration Number: CRD42013004873

  12. Laser arytenoidectomy in the management of bilateral vocal cord paralysis in children.

    Science.gov (United States)

    Aubry, Karine; Leboulanger, Nicolas; Harris, Robert; Genty, Erwan; Denoyelle, Françoise; Garabedian, Erea-Noël

    2010-05-01

    To analyse the efficacy of CO(2) laser arytenoidectomy in the management of bilateral vocal cord paralysis in children. Retrospective series of 17 patients who underwent laser arytenoidectomy for bilateral vocal cord between 1995 and 2008 in a tertiary care institution. All patients had bilateral laryngeal paralysis, in isolation (n=5) or associated with concomitant airway conditions (n=12). All cases had anterior prolapse of the arytenoids with partial obstruction of the airway on inspiration. 12/17 patients (70.5%) were tracheotomy-dependant, 2/17 were in-extubatable, and 3/17 had severe airway limitation, effort dyspnea and poor sleep pattern. Main outcome measures were decannulation rate for patients with tracheotomy, occurrence of aspiration and quality of voice. The mean age was 2.8 years old. 9/12 patients with tracheotomy (75%) were decannulated with a median delay of 2 months (2 days to 18 months). Both of the intubated patients were extubated with a median delay of 36h. One of the decannulated patients who re-presented with a residual dyspnea after the arytenoidectomy was improved by a further laser cordotomy. 2/17 patients (11.7%) had post-operative persistent aspirations (with pneumopathies in one case), 5/17 patients were dysphonic, 3 improved with speech therapy and 2 with intracordal lipoinjection. Laser arytenoidectomy is effective for improving the breathing in children presenting with a bilateral vocal fold paralysis associated with obstructive arytenoid prolapse. Results are good as a first-line surgery or following laryngo-tracheal surgery. Voice outcomes are satisfactory. However, aspiration is a rare complication. Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.

  13. A systematic review of psychological interventions for adult and pediatric patients with vocal cord dysfunction.

    Science.gov (United States)

    Guglani, Loveleen; Atkinson, Sarah; Hosanagar, Avinash; Guglani, Lokesh

    2014-01-01

    Vocal cord dysfunction (VCD) or paradoxical vocal-fold motion (PVFM) is a functional disorder of the vocal cords that requires multidisciplinary treatment. Besides relaxation techniques, the use of psychological interventions can help treat the underlying psychological co-morbidities. There is currently no literature that examines the effectiveness of psychological interventions for VCD/PVFM. To review the evidence for psychological interventions used for the treatment of patients with VCD/PVFM. We searched electronic databases for English medical literature using Pubmed (Medline), PsycInfo, Cochrane Database of Systematic Reviews, Cochrane Central Registry of Controlled Trials, and Clinicaltrials.gov. The date range for our search is from June 1964 to June 2014. We included studies that reported the use of psychological interventions in both adults and children diagnosed with VCD/PVFM. We included randomized controlled trials, case-control studies, retrospective chart reviews, prospective case series, and individual case reports. Most reported studies are small case series or individual case reports that have described the use of interventions such as psychotherapy, behavioral therapy, use of anti-anxiety and anti-depressant medications, and hypnotherapy in conjunction with breathing exercises taught by speech therapists for symptomatic relief. Among the various psychological interventions that have been reported, there is no data regarding effectiveness and/or superiority of one approach over another in either adult or pediatric patients. Psychological interventions have a role to play in the management of adult and pediatric patients with VCD/PVFM. Future prospective studies using uniform approaches for treatment of associated psychopathology may help address this question.

  14. FLEXIBLE FIBREOPTIC LARYNGOSCOPY VERSUS SIMPLE VOICE ASSESSMENT IN A ROUTINE CLINICAL SETTING TO PREDICT VOCAL CORD PARALYSIS AFTER THYROID SURGERY

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    BP Sah

    2014-06-01

    Full Text Available Backgrounds: Thyroid disease has a high prevalence in the general population, with a female predominance. Thyroidectomy is a very frequently performed surgical procedure for the treatment of benign and malignant nodules. The intricate and delicate anatomical structures for voice production lie in proximity to the thyroid gland and are vulnerable during operations on the thyroid. Aims and objectives: To find predictive value of vocal cord palsy as observed by simple voice assessment following thyroid surgery using flexible fibreoptic laryngoscopy as gold standard. Materials and Method: This was a prospective observational study. 42 diagnosed cases of thyroid swelling that were undergone different modalities of thyroidectomy from February 2009 to January 2010were enrolled in study. Age, sex, geographical distribution, vocal cord status and post operative voice changes at 5th and 30th days were recorded and analyzed. Results: Age range was 15 to 63 yrs. Female to male ratio was 5:1. Sensitivity, specificity, positive predictive value, negative predictive value of subjective and objective voice change to predict vocal cord palsy at 5 th postoperative day were 70% and 80%, 75% and 81.3%, 46.67% and 57.14%, 88.89% and 92.85% respectively, at 30 th postoperative day were 71.42% and 85.71%, 88. 57% and 85.71%, 55% and 54.54%, 93.93% and 96.77% respectively. Conclusions: Prediction of postoperative vocal cord palsy could not be done with simple voice assessment.

  15. Levodopa reverse stridor and prevent subsequent endotracheal intubation in Parkinson disease patients with bilateral vocal cord palsy: A case report.

    Science.gov (United States)

    Tsai, Chia-Chan; Wu, Meng-Ni; Liou, Li-Min; Chang, Yang-Pei

    2016-12-01

    Respiratory abnormalities are often overlooked; however, because of their potential comorbidity, they must be analyzed to determine the most effective treatment for patients with Parkinson disease (PD). Among various theories on respiratory abnormalities in PD, "upper airway obstruction" and "restrictive respiratory disorders" are 2 of the most accepted etiologies; both appear to be related to basal ganglia dysfunction. Complex vocal cord muscle dysfunction contributes to stridor, which can be a manifestation of nigrostriatal dopaminergic dysfunction. Stridor is a lethal form of upper airway obstruction in PD patients; its most frequent causes are bilateral vocal cord palsy, laryngeal spasms, and dystonia of the supra-laryngeal muscle. Several previous studies have suggested that levodopa administration induces a significant improvement of both lung function and symptoms of parkinsonian syndrome. We reported a 77-year-old gentleman PD patient admitted for acute levodopa-responsive stridor resulting from bilateral vocal cord palsy. Dopaminergic therapy prevented the need for subsequent endotracheal intubation and tracheostomy treatment. It is vital to understand that complex vocal cord muscle dysfunction may be related to nigrostriatal dopaminergic dysfunction in PD patients. The strategy of levodopa up-titration should be considered an option because it may be beneficial in relieving both stridor and parkinsonian syndrome, and in preventing respiratory failure.

  16. Effects of retractor application on cuff pressure and vocal cord function in patients undergoing anterior cervical discectomy and fusion

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    Rakesh Garg

    2010-01-01

    Full Text Available Anterior cervical discectomy and fusion is a commonly performed procedure for prolapse of cervical intervertebral disc. It involves retraction of soft tissue of neck for adequate exposure of anterior spinal canal. Increased cuff pressure with retractor application may affect the postoperative vocal cord function. Cuff pressures of tracheal tube were measured continuously in 37 patients using air-filled pressure transducer connected to the pilot balloon. Changes of pressure from baseline values were noted after application of cervical retractor. At the end of procedure, vocal cord movement was observed using fibreoptic bronchoscope. Significant increase in cuff pressure (168% of baseline values and airway pressure of tracheal tube during cervical retraction was observed. The vocal cord function was assessed using fibreoptic laryngoscope. One patient developed right vocal cord palsy (2.7% and two patients had postoperative hoarseness of voice (5.4%. All these complications improved over a period of time. It is suggested that the cuff of tracheal tube should be inflated to achieve ′just seal′, with adequate cuff pressure monitoring. Intermittent release of cervical retraction may help to prevent laryngeal morbidities.

  17. Effects of retractor application on cuff pressure and vocal cord function in patients undergoing anterior cervical discectomy and fusion.

    Science.gov (United States)

    Garg, Rakesh; Rath, Girija P; Bithal, Parmod K; Prabhakar, Hemanshu; Marda, Manish K

    2010-07-01

    Anterior cervical discectomy and fusion is a commonly performed procedure for prolapse of cervical intervertebral disc. It involves retraction of soft tissue of neck for adequate exposure of anterior spinal canal. Increased cuff pressure with retractor application may affect the postoperative vocal cord function. Cuff pressures of tracheal tube were measured continuously in 37 patients using air-filled pressure transducer connected to the pilot balloon. Changes of pressure from baseline values were noted after application of cervical retractor. At the end of procedure, vocal cord movement was observed using fibreoptic bronchoscope. Significant increase in cuff pressure (168% of baseline values) and airway pressure of tracheal tube during cervical retraction was observed. The vocal cord function was assessed using fibreoptic laryngoscope. One patient developed right vocal cord palsy (2.7%) and two patients had postoperative hoarseness of voice (5.4%). All these complications improved over a period of time. It is suggested that the cuff of tracheal tube should be inflated to achieve 'just seal', with adequate cuff pressure monitoring. Intermittent release of cervical retraction may help to prevent laryngeal morbidities.

  18. Levodopa reverse stridor and prevent subsequent endotracheal intubation in Parkinson disease patients with bilateral vocal cord palsy

    Science.gov (United States)

    Tsai, Chia-Chan; Wu, Meng-Ni; Liou, Li-Min; Chang, Yang-Pei

    2016-01-01

    Abstract Background: Respiratory abnormalities are often overlooked; however, because of their potential comorbidity, they must be analyzed to determine the most effective treatment for patients with Parkinson disease (PD). Among various theories on respiratory abnormalities in PD, “upper airway obstruction” and “restrictive respiratory disorders” are 2 of the most accepted etiologies; both appear to be related to basal ganglia dysfunction. Complex vocal cord muscle dysfunction contributes to stridor, which can be a manifestation of nigrostriatal dopaminergic dysfunction. Stridor is a lethal form of upper airway obstruction in PD patients; its most frequent causes are bilateral vocal cord palsy, laryngeal spasms, and dystonia of the supra-laryngeal muscle. Several previous studies have suggested that levodopa administration induces a significant improvement of both lung function and symptoms of parkinsonian syndrome. Case Summary: We reported a 77-year-old gentleman PD patient admitted for acute levodopa-responsive stridor resulting from bilateral vocal cord palsy. Dopaminergic therapy prevented the need for subsequent endotracheal intubation and tracheostomy treatment. Conclusion: It is vital to understand that complex vocal cord muscle dysfunction may be related to nigrostriatal dopaminergic dysfunction in PD patients. The strategy of levodopa up-titration should be considered an option because it may be beneficial in relieving both stridor and parkinsonian syndrome, and in preventing respiratory failure. PMID:27977587

  19. Lodged oesophageal button battery masquerading as a coin: an unusual cause of bilateral vocal cord paralysis.

    Science.gov (United States)

    Bernstein, Jonathan Michael; Burrows, Stuart A; Saunders, Michael W

    2007-03-01

    An 11-month-old girl with an oesophageal foreign body was presented: from the radiographic appearance it was presumed to be a coin. Microlaryngoscopy 5 h after ingestion revealed a button battery impacted in the hypopharynx with severe damage to the oesophageal mucosa. The patient was intubated for 6 days in the intensive care unit because of stridor and respiratory distress. Repeat microlaryngoscopy demonstrated bilateral vocal cord palsy, which was presumed to be secondary to the involvement of the recurrent laryngeal nerves in the injury. We recommend that in the absence of a history of observed ingestion, it should be assumed that coin-like foreign bodies are button batteries until proven otherwise.

  20. Mechanism study of nodules in the vocal cords treated by a He-He laser

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    Xin, Jiang

    1994-09-01

    Five hundred and fifty-one cases of nodules in the vocal cords were treated by a He-He laser. To study the cure mechanism following experiments that were the examination of immune function the test temperature, the examination with indirect laryngoscope, the study of microstructure in the larynx, the test attenuated bacteria, and examination of the lipid peroxide were performed. It was demonstrated that the mechanism was able to make the temperature of the larynx rise, the blood vessel expansive, and hemocirculation rapid so as to increase local nutrition and immune function, accelerate the membranous growth in the larynx, eliminate edema in tissue, and make excretion of inflammatory effusion and poison rapid. The treatment spanned the years 1980 to 1992, the therapeutic effect was good. Study of the cure mechanism following the experiment was performed.

  1. Inducible laryngeal obstruction during exercise: moving beyond vocal cords with new insights.

    Science.gov (United States)

    Olin, James Tod; Clary, Matthew S; Deardorff, Emily H; Johnston, Kristina; Morris, Michael J; Sokoya, Mofiyinfolu; Staudenmayer, Herman; Christopher, Kent L

    2015-02-01

    Exercise as an important part of life for the health and wellness of children and adults. Inducible laryngeal obstruction (ILO) is a consensus term used to describe a group of disorders previously called vocal cord dysfunction, paradoxical vocal fold motion, and numerous other terms. Exercise-ILO can impair one's ability to exercise, can be confused with asthma, leading to unnecessary prescription of asthma controller and rescue medication, and results in increased healthcare resource utilization including (rarely) emergency care. It is characterized by episodic shortness of breath and noisy breathing that generally occurs at high work rates. The present diagnostic gold standard for all types of ILO is laryngoscopic visualization of inappropriate glottic or supraglottic movement resulting in airway narrowing during a spontaneous event or provocation challenge. A number of different behavioral techniques, including speech therapy, biofeedback, and cognitive-behavioral psychotherapy, may be appropriate to treat individual patients. A consensus nomenclature, which will allow for better characterization of patients, coupled with new diagnostic techniques, may further define the epidemiology and etiology of ILO as well as enable objective evaluation of therapeutic modalities.

  2. Vocal cord dysfunction in former World Trade Center (WTC) rescue and recovery workers and volunteers.

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    de la Hoz, Rafael E; Shohet, Michael R; Bienenfeld, Laura A; Afilaka, Aboaba A; Levin, Stephen M; Herbert, Robin

    2008-03-01

    Vocal cord dysfunction (VCD) is a condition characterized by paradoxical partial adduction of the vocal cords on inspiration. It has been associated with exposures to irritants, as well as with psychological illnesses and conditions. Workers who participated in the recovery of the WTC disaster site were exposed to a large amount of irritants as well as considerable psychological stressors. We describe the clinical characteristics of 10 symptomatic former WTC workers diagnosed with this condition, as well as the frequency of spirometric findings suggestive of variable extrathoracic obstruction. Workers who became symptomatic after their WTC work experience have been evaluated clinically by a multidisciplinary team at an academic medical center. The evaluation included history, physical examination, chest radiograph, blood tests, and pre- and post-bronchodilator spirometry in all patients. Additional evaluations and diagnostic tests included otolaryngological evaluation with flexible rhinolaryngoscopy and stroboscopy, gastroenterological and psychiatric evaluations. A randomly selected sample of 172 spirometry results were reviewed for evidence of inspiratory flow limitation. Variable extrathoracic obstruction was found in 18.6% of the spirometries. Ten patients were diagnosed with VCD. In addition to symptoms suggestive of co-morbid conditions (particularly rhinitis and acid reflux disease), most of the 10 patients had (1) hoarseness, (2) dyspnea that was not associated with bronchial hyperreactivity, or (3) dyspnea associated with asthma, with either mild bronchial hyperreactivity and/or poor response to asthma treatment. VCD appears to be part of the spectrum of airway disorders caused by occupational exposures at the WTC disaster site. Further study of this association is warranted.

  3. Clinical evaluation of nares-vocal cord distance and its correlation with various external body parameters

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    Bhuwan Sareen

    2015-01-01

    Full Text Available Background and Aims: The optimal visualisation of vocal cords during fibreoptic intubation may be utilised for the nares-vocal cord distance (NVD estimation. The present study was conducted to measure NVD and to correlate with various external body parameters. Methods: This study was conducted on 50 males and 50 females. We measured NVD and analysed its relationship with height, nares to tragus of ear distance (NED, nares to angle of mandible distance (NMD, sternal length (SL, thyro-mental distance (TMD, sterno-mental distance (SMD and arm span (AS. Results: The mean NVD of the males was 18.5 ± 1.5 cm, and that of the females was 15.9 ± 1.1 cm. The relationship between the NVD and body height (males P = 0.001, r = 0.463, females P = 0.000, r = 0.555, SL (males P = 0.000, r = 0.463, females P < 0.000, r = 0.801 or AS (males P = 0.000, r = 0.561, females P = 0.000, r = 0.499 showed a significant correlation but NED, NMD, TMD, SMD did not. After combining male and female groups, (n = 100, the correlation of NVD with external body parameters is as follows SL (r = 0.887, height (r = 0.791, AS (r = 0.769, weight (r = 0.531, SMD (r = 0.466, NED (r = 0.459, NMD (r = 0.391, TMD (r = 0.379. Conclusion: The relationship of NVD to external body parameters had strong correlation in all parameters in the combined group; whereas when gender was taken into consideration NVD correlated significantly only with SL, height and AS.

  4. Outcome analysis of benign vocal cord tumors treated by laryngeal endoscopy under low temperature-controlled radiofrequency

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    Z Y Wang

    2014-01-01

    Full Text Available Objective: This study aimed to evaluate the outcome of benign vocal cord tumors treated using a laryngeal endoscopy under low temperature-controlled radiofrequency and to elucidate the application of a dynamic laryngoendoscopy in the operation. Materials and Methods: 85 patients with benign vocal cord tumors were treated by laryngeal endoscopy under low temperature-controlled radiofrequency from September 2011 to October 2013. A XION electronic dynamic laryngoendoscopy (Germany was used to observe curative effects 3 months after operation. Wave images were recorded with larynx-wave recording software to analyze tumor characteristics. Results: Among the 85 patients, 81 showed smooth surface of operation wounds without any residue. The mucosal wave was also basically normal. Sound was generally recovered after 1-3 months. Three cases presented improved pronunciation function after the operation, whereas 1 patient with residual tumor at the front of vocal chords underwent another operation after 6 months. Conclusion: Low temperature-controlled radiofrequency exhibited many advantages, including minimal trauma, minimal bleeding, high safety, and few complications. Moreover, treatment of benign vocal cord tumors with a laryngeal endoscopy presented satisfactory outcomes. Therefore, this technology has broad application prospects.

  5. Discussion on the relationship between vocal cord leukoplakia and premalignant lesions and research progress of ;vocal cord leukoplakia%声带白斑与癌前病变关系探讨及其研究进展

    Institute of Scientific and Technical Information of China (English)

    王亚琳(综述); 陈剑秋(审校)

    2016-01-01

    Vocal cord leukoplakia is a white-plaque disease due to long-term stimulation on vocal cords,which includes abnormal epithelial hypertrophy and dysplasia of the vocal cord.The term “white plaque”is clinically describing any white lesion on a mucous membrane that cannot be wiped off or ascribed to any specific condition (eg,Candidal infec-tion).There is a consensus that vocal cord leukoplakia has no histologic implications and synonymous with cancer or malignancy,only as a clinical descriptive diagnosis.In this paper,we reviewed the relationship between vocal cord leu-koplakia and premalignant lesions and the formation mechanism,histopathologic classification,clinical diagnosis and treatment of vocal cord leukoplakia.%声带白斑是由刺激因素长期作用于声带黏膜,导致声带黏膜上皮生长异常或成熟异常及过度角化而引起的一种白色斑块样疾病。“白斑”一词,仅为一临床描述性名词,用于描述黏膜上不易擦去的、非特殊病变(例如念珠菌感染)引起的白色病灶。声带白斑多伴有不同程度的不典型增生,有一定的癌变率,但既往将其完全等同于癌前病变有失偏颇,目前已达成共识,认为声带白斑只作为一个临床诊断,本身并无组织病理学暗示。对声带白斑与癌前病变的关系以及声带白斑的形成机制、组织病理学分类、临床诊断及治疗方面进行综述。

  6. Vocal cord collapse during phrenic nerve-paced respiration in congenital central hypoventilation syndrome [v1; ref status: indexed, http://f1000r.es/Sh1pwj

    Directory of Open Access Journals (Sweden)

    Mark C Domanski

    2012-11-01

    Full Text Available Objective: Phrenic nerve pacing can be used to treat congenital central hypoventilation syndrome (CCHS. We report how the lack of normal vocal cord tone during phrenic paced respiration can result in passive vocal cord collapse and produce obstructive symptoms. Methods: We describe a case of passive vocal cord collapse during phrenic nerve paced respiration in a patient with CCHS. As far as we know, this is the first report of this etiology of airway obstruction. The patient, a 7-year-old with CCHS and normal waking vocal cord movement, continued to require nightly continuous positive airway pressure (CPAP despite successful utilization of phrenic nerve pacers. On direct laryngoscopy, the patient’s larynx was observed while the diaphragmatic pacers were sequentially engaged. Results: No abnormal vocal cord stimulation was witnessed during engaging of either phrenic nerve stimulator. However, the lack of normal inspiratory vocal cord abduction during phrenic nerve-paced respiration resulted in vocal cord collapse and partial obstruction due to passive adduction of the vocal cords through the Bernoulli effect. Bilateral phrenic nerve stimulation resulted in more vocal cord collapse than unilateral stimulation. Conclusions: The lack of vocal cord abduction on inspiration presents a limit to phrenic nerve pacers.

  7. Influence of the vocal cord mobility in salvage surgery after radiotherapy for early-stage squamous cell carcinoma of the glottic larynx.

    Science.gov (United States)

    Gorphe, Philippe; Blanchard, Pierre; Temam, Stephane; Janot, François

    2015-10-01

    Disease relapses occur in up to 40% of cases after radiotherapy (RT) for early-stage glottic laryngeal neoplasms, and the foremost remaining treatment option is salvage total laryngectomy (STL). Our objectives were to review the outcomes of patients treated with salvage surgery after RT for early-stage carcinoma of the glottic larynx and to assess prognostic factors. We retrospectively analyzed 43 patients who underwent surgery. Overall and disease-free survival rates among subgroups were calculated and compared, stratified by preoperative stage, vocal cord mobility and postoperative histopathologic data. Recurrences occurred 22.7 months after the end of RT. Surgery was STL in 33 cases (76.8%). The main prognostic factors associated with survival rates were initial vocal cord mobility, vocal cord mobility at the diagnosis of recurrence, and changes in mobility. Vocal cord mobility is an important clinical criterion in treatment decision making for early-stage glottis carcinoma and remains important during follow-up.

  8. Back to the drawing board-relearn the clinical skills: A root cause analysis of a missed case of bilateral vocal cord paralysis

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    Suruchi Ambasta

    2016-01-01

    Full Text Available Bilateral vocal cord paralysis being misdiagnosed as bronchial asthma has been reported in the literature on several occasions. Diagnosing this condition needs precise clinical acumen which could lead us to make an integrated diagnostic and treatment plan. Here, we report another missed case of bilateral vocal cord paralysis and the root cause analysis of the incident. This report emphasises the need for appropriate clinical examinations and workup during the pre-operative assessment.

  9. [Obese woman presenting as vocal cord abductor paralysis and floppy arytenoid associated with early signs of multiple system atrophy].

    Science.gov (United States)

    Sakuta, Hideki; Miyamoto, Masayuki; Suzuki, Keisuke; Miyamoto, Tomoyuki; Nakajima, Itsuo; Nakamura, Toshiki; Hirata, Koichi

    2012-01-01

    In multiple system atrophy (MSA), sleep-related breathing disorders are commonly observed, including vocal cord abductor paralysis (VCAP), which can cause sudden death. In its early stage, VCAP occurs only during sleep, but as the disease progresses, it appears when both awake and asleep. We encountered a 59-year-old obese woman who had been under continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea syndrome (OSAS) for approximately one year but later developed acute respiratory failure because of VCAP. VCAP was the predominant finding that led to the diagnosis of MSA in our patient. On laryngoscopic examination, the movement of the patient's larynx was normal during wakefulness, but VCAP, paradoxical movements of the vocal cord and a floppy arytenoid were observed during drug-induced sleep. We suggest that detection of VCAP and laryngopharyngeal abnormalities such as floppy arytenoid in the early stage of MSA is important for determining treatment options.

  10. Radiation treatment of early vocal cord carcinoma. Eighteen years experience at "Instituto de Oncologia y Radioterapia de Mar del Plata".

    Science.gov (United States)

    Castro Vita, H

    1990-01-01

    A detailed retrospective analysis of 260 patients with T 1 NO MO vocal cord carcinoma treated at "Instituto de Oncologia y Radioterapia de Mar del Plata" from 1967 to 1985 was performed. The majority of the patients were in the age range of 50 to 79 years, and 79% were males. The overall observed three year tumor free survival was 85.3%. When survival rate was adjusted for intercurrent disease and second primary tumor death, the 3 year tumor free survival was 92%. Sixty two percent of the patients (17/27) undergoing surgical salvage for recurrence, were controlled. Second primary tumors were seen in 18 patients (6.9%). It is emphasized the importance of close follow up to diagnose as early as possible both the vocal cord recurrence and the second primary tumors.

  11. [Supracricoid partial laryngectomy with CHP and CHEP for local recurrence following irradiation of vocal cord carcinoma].

    Science.gov (United States)

    Zietek, Eugeniusz; Firlit, Katarzyna

    2005-01-01

    The cases of CHEP and CHP following supracricoid partial laryngectomy in the treatment of the local recurrence after irradiation of vocal cord carcinoma were reported. In both cases the wound was healed by first intention. The cannula was not removed in the patient after CHEP, although the wide of neolarynx and spirometry parameters showed such a possibility. That patient with a huge obesity developed progressive coronary disease after surgery. Sometimes he needs to open the plugged cannula. The spirometry parameters confirmed that the patient after CHP could be decannulationed in the third month after surgery. Because of his psychological resistance that was delayed to the sixth month. The deglutition is efficient in both patients. The oesophagus tube was removed in sixth and seventh weeks after the operation. The patient after CHEP was carried out the objective evaluation of deglutition in the videoroentgenokinematography which showed a small aspiration. In spite of that he didn't develop any pulmonary complication during 2.5 years after surgery. A few cases and short time of observation doesn't allowed us to draw the objective conclusions to the presented question.

  12. Detection of benign proliferative lesions on vocal cords with voice handicap index.

    Science.gov (United States)

    Huang, Xuekun; Zhang, Gehua; Liu, Xiujin; Wang, Tao; Zhu, Ling

    2012-10-01

    The aim of this study was to investigate the significance and practical applicability of the voice handicap index (VHI) in the diagnosis of benign proliferative lesions of the vocal cords (BLVCs). The detection of VHI included the calculation of functional (F), physical (P) and emotional (E) domains, and the score of each domain and total score (TVH). The VHI was scored in patients with BLVCs and healthy controls. Eighty-four patients with BLVCs and 27 healthy controls were enrolled in the present study. The F, P, E and TVH scores were 10.40±7.84, 19.88±8.81, 9.39±8.49 and 39.37±21.83, respectively, in the BLVC group and 0.78±0.97, 0.85±1.06, 0.26±0.72 and 1.89±2.31, respectively, in the control group. A significant difference was found between the two groups (PVHI score in BLVC patients (P>0.05). There was no marked difference in the VHI score between voice-consuming and non-voice consuming occupations (P>0.05) or between males and females (P>0.05). In BLVC patients, VHI may subjectively express the voice handicap, while daily duration of speech, course of BLVC, occupation and gender have no impact on VHI.

  13. Influence of vocal training on postoperative patients with vocal cord polyp vocal ability%嗓音训练对声带息肉患者术后发声能力的影响

    Institute of Scientific and Technical Information of China (English)

    关彩霞; 朱素月; 张小梅; 庄丽芳; 梁松好

    2015-01-01

    Objective:To investigate the influence of vocal training on postoperative patients with vocal cord polyp vocal ability. Methods:Eighty - six pa-tients,who had vocal cords polyp surgeries,were randomly divided into control group and experimental group. Regular treatment and nursing were provided to the control group. while the experimental group has additional voice training,including voice hygiene education,diaphragm breathing training,posture and movement training,and yawning training,rale training,chewing sound training,and voice training. The first and the third monthes after surgery,patients self - administratively record visual analogue scale (VAS). Results:The results showed that the throat vocal ability (VAS) between the two groups had sta-tistical significance in different time (P < 0. 05). Conclusion:Voice training can improve the resection of vocal fold polyp laryngeal vocal ability,promote the voice rehabilitation.%目的::探讨嗓音训练对声带息肉患者术后发声能力的影响。方法:选取2013年1月~2014年5月我院收治86例声带息肉术后患者为研究对象,随机等分为对照组和试验组,对照组术后予常规治疗、护理;试验组在对照组的基础上予嗓音训练,包括嗓音卫生教育、膈肌呼吸训练、姿势与运动训练、打哈欠训练、水泡音训练、嚼音训练、嗓音声学训练。术后1个月、3个月对两组患者用视觉模拟评分法行喉发声能力自主评分比较。结果:喉发声能力 VAS 评分显示,两组不同时段评分比较,差异均有统计学意义(P <0.05)。结论:嗓音训练可改善声带息肉术后喉发声能力,促进嗓音康复。

  14. Making a diagnosis of different lesions of vocal fold mucosa by contact endoscopy: The first usage in our clinical practice

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    Jovanović Milan B.

    2005-01-01

    Full Text Available During laryngomicroscopy, the superficial layers of vocal fold epithelium can be examined in vivo and in situ by contact endoscopy. Methylene blue is applied initially to stain the epihelial cells of the vocal folds. When in contact with mucosal tissue, this endoscope provides 60 and 150 times magnification and clear visualization of cellular patterns of the superficial epithelial layers. For the first time in our laryngological clinical practice, we confirmed a number of previously established parametars such as regularity and arrangement of the epithelium, nucleus contour, and nucleus-cytoplasm ratio, what all enable recognition and easy evaluation of different clinical conditions such as chronic laryngitis, Reinke.s edema, papiloma dyspiasia or vocal fold carcinoma. The advantage of con- tact endoscopy in vivo and in situ allows for detailed scan and mapping of all cell changes of the whole mucosa surface. All these features definitely classify the contact endoscopy into additional diagnostic methods in laryngology.

  15. 声带功能障碍研究进展%Research progress of vocal cord dysfunction

    Institute of Scientific and Technical Information of China (English)

    黎志雄; 吴立琴; 戴元荣

    2014-01-01

    声带功能障碍是一种以声带矛盾性内收为特征从而引起呼吸困难或喘鸣的综合征,常易误诊为哮喘从而导致许多严重的后果.及时明确诊断具有重要意义.肺功能检查流速容量环和喉镜检查是确诊该病的有效手段,后者是诊断声带功能障碍的金标准.发作期主要以放松治疗、缩唇呼吸、吸入氧气混合物(氦氧混合物)为主;稳定期的治疗则以针对发病诱因治疗和语言疗法为主.%Vocal cord dysfunction (VCD) is a syndrome characterized by paroxysms of glottic obstruction due to true vocal cord adduction resulting in symptoms such as dyspnea and wheezing.The disorder is often misdiagnosed as asthma leading to serious consequences.Pulmonary function testing with a flow-volume loop and flexible laryngoscopy are valuable diagnostic tests for confirming vocal cord dysfunction.Laryngoscopy is the gold standard for diagnosis of VCD.Treatment of acute episodes includes reassurance,breathing instruction,and use of a helium and oxygen mixture (heliox).Long-term management strategies include treatment for symptom triggers and speech therapy.

  16. Comorbidities in severe asthma: frequency of rhinitis, nasal polyposis, gastroesophageal reflux disease, vocal cord dysfunction and bronchiectasis

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    Carla Bisaccioni

    2009-01-01

    Full Text Available OBJECTIVES: Severe asthma is found in approximately 10% of patients with asthma. Some factors associated with worse asthma control include rhinitis, gastroesophageal reflux disease, vocal cord dysfunction (VCD, nasal polyposis and bronchiectasis. Therefore, we evaluated the prevalence of these illnesses in patients with severe asthma. METHODS: We conducted a retrospective analysis of data obtained from electronic medical records of patients with severe asthma between January 2006 and June 2008. Symptoms of rhinitis and gastroesophageal reflux disease were evaluated as well as intolerance to nonsteroidal anti-inflammatory drugs. We evaluated the results of esophagogastroduodenoscopy, videolaryngoscopy and CT scans of the chest in order to confirm gastroesophageal reflux disease, nasal polyposis, vocal cord dysfunction and bronchiectasis. RESULTS: We evaluated 245 patients. Rhinitis symptoms were present in 224 patients (91.4%; 18 (7.3% had intolerance to nonsteroidal anti-inflammatory drugs, and 8 (3.3% had nasal polyposis. Symptoms of gastroesophageal reflux disease were reported for 173 (70.6% patients, although the diagnosis of gastroesophageal reflux disease was confirmed based on esophagogastroduodenoscopy or laryngoscopy findings in just 58 (33.6% patients. Vocal cord dysfunction was suspected in 16 (6.5% and confirmed through laryngoscopy in 4 (1.6%. The patient records provided CT scans of the chest for 105 patients, and 26 (24.8% showed bronchiectasis. DISCUSSION: Rhinitis and gastroesophageal reflux disease were the most common comorbidities observed, in addition to bronchiectasis. Therefore, in patients with severe asthma, associated diseases should be investigated as the cause of respiratory symptoms and uncontrolled asthma.

  17. Volumetric modulated arc radiotherapy of the whole larynx, followed by a single affected vocal cord, for T1a glottic cancer: Dosimetric analysis of a case.

    Science.gov (United States)

    Yeo, Seung-Gu

    2016-03-01

    Radiation therapy (RT) and endolaryngeal surgery are standard treatments for early-stage glottic cancer. They have closely matched oncological outcomes; however, it is debatable which method is superior in terms of functional outcomes. Several dosimetric studies have demonstrated that, compared with conventional RT, intensity-modulated RT (IMRT) reduces unnecessary radiation of the adjacent normal tissues, including the carotid artery and thyroid gland. However, RT targets the whole larynx, whereas endolaryngeal surgery is a highly focused treatment involving the en bloc resection of a tumor with safety margins. For T1a glottic cancer, in which the tumor is limited to one vocal cord, the technical feasibility of targeting IMRT on the single vocal cord affected has been investigated; however, the clinical feasibility and the possibility of inferior local control remain to be elucidated. In the present case study, IMRT was used to treat the whole larynx first, and then to treat a single vocal cord. The patient in the present study had T1a glottic cancer, and received volumetric modulated arc therapy with a total dose of 63 Gy/28 fractions. The first treatment phase (40.5 Gy/18 fractions) targeted the whole larynx to eliminate subclinical disease. The second treatment phase (22.5 Gy/10 fractions) targeted only the involved vocal cord. During this treatment phase, the exposure of the non-involved right vocal cord, the right carotid artery and the thyroid gland to the radiation was lower compared with the continuation of the initial treatment approach. These findings suggested that changing the target volume from the whole larynx to the affected vocal cord during the course of IMRT is feasible for T1a glottic cancer, and that it may reduce functional side effects while maintaining oncological outcomes.

  18. LASER SCANNING CYTOMETRIC DNA ANALYSES AND EXPRE- SSION OF P53 PROTEIN,KI67 AND BCL-X IN EARLY AND ADVANCED CARCINOMAS OF THE VOCAL CORD

    Institute of Scientific and Technical Information of China (English)

    林梅绥; 金嘉平; 陈颖; 花井淳

    2003-01-01

    Objective To study DNA ploidy and genetic changes in the different stages of neoplastic growth in the vocal cord, as well as their biological behavior, for further recognition of the lesions of carcinoma in situ and early carcinoma. Methods 18 tumor lesions of the vocal cord were DNA analyzed by laser scanning cytometry and followed up, and 62 lesions were immunohistochemically investigated for p53, Ki67 and Bcl-X, and with main observation on carcinomas in situ (CISs) and early microinvasive carcinomas (EMICs) which were compared with invasive carcinomas and polyps. Results DNA analysis showed that almost all the CISs and EMICs were diploidy, while 90% invasive carcinomas were aneuploidy. Follow-up data displayed that no one died of the tumor in CIS and EMIC, as well as in the patients with diploidy tumor, and all the patients died of the tumors were with anueploidy tumor. Immunohistochemically, 86% of CIS and EMIC and 91% of invasive carcinoma expressed p53 protein, and the positivities for Ki67 in them were respectively 29% and 27%, which were very significantly different from those of polyps of the vocal cord(P<0. 001). In contrast, expression of Bcl-X were decreasing from benign to malignant lesions, and it was lowest in the invasive carcinomas, significantly different from that of polyp(P=0. 002). Conclusion The present study showed that there were differences of DNA ploidy and genetic expressions among benign lesions, CISs and EMICs, and invasive carcinomas of the vocal cord, indicating that they might be different in biological entities. CIS of the vocal cord could be considered as a borderline lesion, and is better to receive conservative treatment. Moreover, p53 protein determination combined with Ki67 would be helpful in diagnosis of the carcinomas of the vocal cord.

  19. A interferência da muda vocal nas lesões estruturais das pregas vocais The interference of voice change on structural vocal cords lesions

    Directory of Open Access Journals (Sweden)

    Mônica Alcantara de Oliveira Santos

    2007-04-01

    Full Text Available Estudo de coorte contemporânea longitudinal. A muda vocal pode ser definida como um conjunto de mudanças no padrão da voz, que ocorreria entre a infância e a puberdade. Neste período, algumas lesões das pregas vocais, mais especificamente os cistos e nódulos, podem sofrer transformações. OBJETIVO: Avaliar as modificações que a muda vocal determinou nas pregas vocais de crianças com alterações estruturais, como nódulos, cisto ou sulco. MATERIAL E MÉTODO: Foram reavaliados todos os exames de videolaringoscopia ou nasofibroscopia de crianças menores de dez anos que apresentavam alterações estruturais nas pregas vocais, nódulos, cistos, ou sulcos realizados no ambulatório de laringologia da Santa Casa de Misericórdia de São Paulo, durante o período de 1997 a 2002. Destas crianças, todas as que já tinham passado pela muda vocal foram convocadas para repetir o exame e responder a um questionário referente à muda. RESULTADOS: Foram avaliadas onze crianças nas quais observou-se expressiva diminuição da queixa de disfonia após a muda. As lesões tipo espessamento tenderam a ser reabsorvidas e as lesões tipo abaulamento sofreram transformações sem desaparecer. CONCLUSÃO: A caracterização da lesão e das conseqüentes modificações que ocorrem com a muda são fundamentais na conduta frente uma criança com disfonia.A longitudinal cohort study Introduction: Voice change may be defined as a group of changes in voice pattern that take place between childhood and puberty. During this period some vocal cord lesions (specifically cysts and nodules may undergo transformation. AIM: To evaluate changes in vocal cord structural lesions following voice changes. MATERIAL AND METHOD: All laringoscopic exams made at the Sao Paulo Santa Casa de Misericordia between 1997 and 2002 of children aged below 10 years with structural lesions were reevaluated. Children whose voice had already changed repeated the exam and answered a

  20. Sound production in Pituophis melanoleucus (Serpentes: Colubridae) with the first description of a vocal cord in snakes.

    Science.gov (United States)

    Young, B A; Sheft, S; Yost, W

    1995-12-15

    The pine, gopher, or bull snake (Pituophis melanoleucus) makes two different defensive sounds. Hisses are characterized by lack of frequency and amplitude modulation; bellows have a brief initial period of high-amplitude, broad-frequency sound followed by a longer period of lower-amplitude, constant-frequency sound. Both defensive sounds contain distinct harmonic elements. The modulation and harmonic nature of these sounds seems to be unique among snakes. The larynx of Pituophis is unusual in having an epiglottal keel, a dorsal expansion of the cricoid cartilage, previously proposed to contribute to sound production; however, this study shows that it plays only a small role in increasing the amplitude of bellows. Within the larynx of Pituophis is a "vocal cord," the laryngeal septum, which is a flexible, horizontal shelf of tissue that divides the anterior portion of the larynx. Removal of the laryngeal septum alters the defensive sounds and eliminates their harmonic elements. The laryngeal septum is unique among previously described vertebrate vocal cords or folds because it is supported by the cricoid (as opposed to arytenoid) cartilage and is a single (as opposed to bilaterally paired) structure.

  1. Comparison of King Vision and Truview Laryngoscope for Postextubation Visualization of Vocal Cord Mobility in Patients Undergoing Thyroid and Major Neck Surgeries: A Randomized Clinical Trial

    Science.gov (United States)

    Priyanka, Anto Sahaya; Nag, Kusha; Hemanth Kumar, V. R.; Singh, Dewan Roshan; Kumar, Senthil; Sivashanmugam, T.

    2017-01-01

    Background: Visualization of vocal cords following extubation after thyroid and major neck surgeries is highly desirable for the surgeon as well as the anaesthesiologist to rule out vocal cord palsy or oedema. As the patient is emerging from general anaesthesia, it may be challenging for the anaesthesiologist to optimally visualise and grade vocal cord movement following extubation. Setting: Randomized clinical trial at a tertiary care centre. Methodology: After obtaining institutional ethics committee approval, 60 patients posted for thyroid and major neck surgeries under American Society of Anesthesiologists (ASA) grade I and II were recruited for the study. Written informed consent was obtained. Pre-operatively indirect laryngoscopy was performed in all the patients to assess baseline vocal cord function. All patients were premedicated and induced and maintained as per standardized anaesthesia protocol. Patients were randomized using a sealed envelope technique to either Group K where intubation was performed using Kings vision laryngoscope or Group T where intubation was performed using True view laryngoscope. Glottis visualization was graded in all patients and intubated. Ten minutes prior to extubation injection. dexmedetomidine 1 μg/kg was administered. Once patients satisfied extubation criteria, laryngoscopy was performed using respective video-laryngoscope in each group, patient extubated under vision and assessed for vocal cord visualization and mobility grade (VMG) and patient reactivity score (PRS). Heart rate, systolic blood pressure, diastolic blood pressure and mean arterial pressure was also noted. Total intraoperative morphine consumption was recorded. Vocal cord function was assessed again before the day of discharge by indirect laryngoscopy. Results: Age (P = 0.27), sex (P = 0.08), body mass index (P = 0.70), ASA (P = 0.39), mallampati class (P = 0.72) and morphine used (P = 0.39) were comparable in both groups. There was no statistically

  2. [Implantation of 125 iodine seeds in the dog vocal cord. An experimental morphologic study].

    Science.gov (United States)

    Zöllner, C; Strutz, J; Bruggmoser, G; Knüfermann, H; Schaefer, H E

    1988-09-01

    Following the first positive therapeutic results of T1a vocal chord cancer with 125iodine seeds in man (brachytherapy), we were concerned with the effects of this low-energy photon source on healthy laryngeal tissue. In the larynx, changes in the area of the vocal chord and the cartilaginous laryngeal structures were investigated in particular. These experimental studies were performed on the larynx of the dog. Through direct laryngoscopy, two 125iodine seeds were implanted in the anterior third of each vocal chord in 8 dogs; the resulting prick canals were sealed with fibrin glue. During survival the correct position of the seeds was radiologically monitored. After survival periods of 1, 3, 6, and 12 months the larynges were fixed by perfusion, removed, imbedded in paraplast, and stained with H. E., Azan, and E. v. G. After this protracted irradiation with 125iodine seeds only slight and for the most part reversible pathological changes had occurred. One month after implantation, only a perivascular infection was found in the vocal chord. After three months an inhibition of the fibrin organization around the seeds was observed as well as a localized dyschylia with broadening of the gland ducts. Additionally, a circumscribed dysplasia of the squamous epithelium, swelling of the capillary endothelium, atrophy of muscular fibres around the seeds, and telangiectasia of blood vessels were discernable. 6 and 12 months after implantation, only the muscular atrophy and the telangiectasia of the blood vessels remained detectable, in addition to a reduced inhibition of the fibrin organisation by connective tissue.

  3. Electrode contact configuration and energy consumption in spinal cord stimulation

    NARCIS (Netherlands)

    Vos, de Cecile C.; Hilgerink, Marjolein P.; Buschman, Hendrik P.J.; Holsheimer, Jan

    2009-01-01

    Objective: To test the hypothesis that in spinal cord stimulation, in contrast to an increase of the number of anodes which reduces energy consumption per pulse, an increase of the number of cathodes raises the energy per pulse. Methods: Patients with an Itrel 3 pulse generator and a Pisces Quad qu

  4. Inter- and Intrafraction Target Motion in Highly Focused Single Vocal Cord Irradiation of T1a Larynx Cancer Patients

    Energy Technology Data Exchange (ETDEWEB)

    Kwa, Stefan L.S., E-mail: s.kwa@erasmusmc.nl; Al-Mamgani, Abrahim; Osman, Sarah O.S.; Gangsaas, Anne; Levendag, Peter C.; Heijmen, Ben J.M.

    2015-09-01

    Purpose: The purpose of this study was to verify clinical target volume–planning target volume (CTV-PTV) margins in single vocal cord irradiation (SVCI) of T1a larynx tumors and characterize inter- and intrafraction target motion. Methods and Materials: For 42 patients, a single vocal cord was irradiated using intensity modulated radiation therapy at a total dose of 58.1 Gy (16 fractions × 3.63 Gy). A daily cone beam computed tomography (CBCT) scan was performed to online correct the setup of the thyroid cartilage after patient positioning with in-room lasers (interfraction motion correction). To monitor intrafraction motion, CBCT scans were also acquired just after patient repositioning and after dose delivery. A mixed online-offline setup correction protocol (“O2 protocol”) was designed to compensate for both inter- and intrafraction motion. Results: Observed interfraction, systematic (Σ), and random (σ) setup errors in left-right (LR), craniocaudal (CC), and anteroposterior (AP) directions were 0.9, 2.0, and 1.1 mm and 1.0, 1.6, and 1.0 mm, respectively. After correction of these errors, the following intrafraction movements derived from the CBCT acquired after dose delivery were: Σ = 0.4, 1.3, and 0.7 mm, and σ = 0.8, 1.4, and 0.8 mm. More than half of the patients showed a systematic non-zero intrafraction shift in target position, (ie, the mean intrafraction displacement over the treatment fractions was statistically significantly different from zero; P<.05). With the applied CTV-PTV margins (for most patients 3, 5, and 3 mm in LR, CC, and AP directions, respectively), the minimum CTV dose, estimated from the target displacements observed in the last CBCT, was at least 94% of the prescribed dose for all patients and more than 98% for most patients (37 of 42). The proposed O2 protocol could effectively reduce the systematic intrafraction errors observed after dose delivery to almost zero (Σ = 0.1, 0.2, 0.2 mm). Conclusions: With

  5. Comparison of Lyophilized Glutaraldehyde-Preserved Bovine Pericardium with Different Vascular Prostheses for Use as Vocal Cords Implants: Experimental Study

    Science.gov (United States)

    Olmos-Zuñiga, J. Raúl; Jasso-Victoria, Rogelio; Gaxiola-Gaxiola, Miguel; Sotres-Vega, Avelina; Hernández-Jiménez, Claudia; Baltazares-Lipp, Matilde; Arredondo del Bosque, Fernando; Santillan-Doherty, Patricio

    2015-01-01

    This study compared the use of lyophilized glutaraldehyde-preserved bovine pericardium (LGPBP), polytetrafluoroethylene (PTFE), polyethylene terephthalate (PET), and Teflon felt (TF) as implants for vocal cords (VC) medialization and aimed to assess the endoscopic, macroscopic, and microscopic VC changes after medialization in a canine model. In 18 mongrel dogs, the right VC were medialized with LGPBP and the left were implanted as follows: Group I (n = 6): LGPBP and PTFE; Group II (n = 6): LGPBP and PET; Group III (n = 6): LGPBP and TF. Surgical handling of the implants was compared. Three months after surgery, macroscopic and microscopic changes of VC and implants were evaluated. LGPBP offered the best surgical handling (p = 0.005, Kruskal-Wallis). TF implants showed extrusion (p = 0.005, Kruskal-Wallis) and severe inflammation. All VC formed fibrous capsules around the implants; the ones developed by LGPBP implants were thinner (p = 0.001, ANOVA, Tukey). VC implanted with synthetic materials showed eosinophilic infiltration (p = 0.01, Kruskal-Wallis). We concluded that the LGPBP could be used as an implant for VC medialization because it is biocompatible, easy to handle and remove during surgical procedures, and nonabsorbable or extrudable and produces an inflammatory reaction similar to PTFE and PET. PMID:26075232

  6. Mass psychogenic illness: psychological predisposition and iatrogenic pseudo-vocal cord dysfunction and pseudo-reactive airways disease syndrome.

    Science.gov (United States)

    Staudenmayer, Herman; Christopher, Kent L; Repsher, Lawrence; Hill, Ronald H

    2011-06-01

    A multidisciplinary team assessed five patients who alleged chronic medically unexplained multiorgan system symptoms described by idiopathic environmental intolerance allegedly triggered by exposure to solvents used in membrane roofing repair work on an office building. The event precipitated an incident of mass psychogenic illness (MPI). Treating physicians diagnosed irritant-associated vocal cord dysfunction (IVCD) and reactive airways disease syndrome (RADS) resulting from exposure. The authors conducted medical, psychological, and industrial hygiene evaluations. Air monitoring data for total volatile organic compounds obtained during the 2-day exposure period, measurements of emissions during membrane roofing repair at a similar site, mathematical modeling of air contaminant concentrations, and injection of tracer gas into the incident building revealed exposure levels well below those doses anticipated to cause clinical symptoms. There was no objective medical evidence validating symptoms. Review of the medical records indicated that the video laryngoscopy data, pulmonary function tests, and medical examinations relied upon by the treating physicians were inconsistent with published criteria for IVCD and RADS. Psychological evaluation identified defensiveness and self-serving misrepresentations of exaggerated health concerns associated with somatization and malingering. Each case had personality traits associated with at least one personality disorder. Social histories identified premorbid life events and stressors associated with distress. This is the first study to assess psychological predisposition, social interaction among the plaintiffs, and iatrogenic reinforcement of beliefs by diagnoses of pseudo-disorders associated with patient misrepresentation of exaggerated health concerns in an incident of MPI.

  7. The effect of pulse width and contact configuration on paresthesia coverage in spinal cord stimulation

    NARCIS (Netherlands)

    Holsheimer, Jan; Buitenweg, Jan R.; Das, John; Sutter, de Paul; Manola, Ljubomir; Nuttin, Bart

    2011-01-01

    Objective: To investigate the effect of stimulus pulsewidth (PW) and contact configuration (CC) on the area of paresthesia (PA), perception threshold (VPT), discomfort threshold (VDT) and usage range (UR) in spinal cord stimulation (SCS). - Methods: Chronic pain patients were tested during a follow

  8. 声带运动障碍的手术治疗进展%Progress of Surgical Treatment for Vocal Cord Movement Disorders

    Institute of Scientific and Technical Information of China (English)

    徐驰宇(综述); 闫燕; 马芙蓉(审校)

    2016-01-01

    [Summary] Vocal cord movement disorders may lead to hoarseness,dysphonia or even dyspnea.They reduce the quality of speech,destroy social communications,or even are life-threatening.For patients with vocal cord movement disorders which are not sensitive to the treatment of phonation training or medication,surgical procedures can improve the quality of phonation.At present, with operation methods for vocal fold movement disorders developing rapidly,types of the operations are exploring,while at the same time the situations of confusion or repetition of operation methods and terminologies increase.On this condition,we summarized different types of surgeries for vocal cord movement disorders by reviewing relevant literatures.%声带运动障碍可导致声嘶、发音费力甚至呼吸困难,从而降低言语质量,影响社会交流,严重者甚至会危及生命。对于发音治疗、药物治疗等保守方法无效的声带运动障碍患者,可通过外科手术方法提高其发音质量。目前,针对声带运动障碍的手术方式研究进展迅速,手术种类繁多,但同时也造成很多术式、术语混淆或重复。本文对声带运动障碍的手术方式进行文献回顾。

  9. [Functional dysphonia and benign vocal cord lesions in professional voice users].

    Science.gov (United States)

    de Las Casas Battifora, Rosa Maria; Ramada Rodillac, José Maria

    2012-01-01

    Objetivo: Examinar la frecuencia con que se presentan lesiones orgánicas benignas de las cuerdas vocales (LOB-CV) entre los pacientes diagnosticados de disfonía funcional (DF) y explorar sus asociaciones con el desempeño de un trabajo como usuario profesional de la voz (UPV). Métodos: Estudio realizado en una serie de 132 pacientes diagnosticados de DF. Las LOB-CV se objetivaron mediante fibrolaringoscopia. Se documentaron la ocupación, variables sociodemográficas y factores de riesgo no ocupacionales. Se realizó un análisis descriptivo de la muestra, que se estratificó por las variables de exposición laboral (UPV y no-UPV) y por sexo. Se exploraron las asociaciones bivariadas entre la presencia de LOB-VC y el resto de variables. Se utilizó el paquete estadístico SPSS versión 15. Resultados: Los pacientes fueron principalmente mujeres (58,3%), con una edad media de 48 años (DE±13). Un 40% eran usuarios profesionales de la voz (UPV). El 47% presentaron alguna LOB-CV, siendo la más prevalente los pólipos/nódulos (29%). Los UPV con disfonía funcional presentaron mayor prevalencia de LOB-CV (57%) frente a los no-UPV (40%). Ser UPV se asoció a mayor riesgo de padecer LOB-CV (odds ratio de prevalencia cruda, ORPc=1,48; IC95%=0,74- 2,98), principalmente pólipos/nódulos (ORPc=1,77; IC95%=0,82-3,78) y laringitis crónica (ORPc= 2,31; IC95%=0,37- 14,32), aunque sin alcanzar significación estadística. Fumar se asocio significativamente a mayor riesgo de presentar pólipos/nódulos en todos los pacientes (ORPc=2,95; IC95%=1,33-6,53). Conclusiones: Ser trabajador UPV se asoció a un mayor riesgo de LOB-CV, principalmente pólipos/nódulos de las cuerdas vocales y laringitis crónica. Los servicios de prevención deberían evaluar este riesgo laboral siempre que la voz sea una herramienta de trabajo primaria, con el fin de poder establecer medidas preventivas precoces.

  10. Voice Quality After Treatment of Early Vocal Cord Cancer: A Randomized Trial Comparing Laser Surgery With Radiation Therapy

    Energy Technology Data Exchange (ETDEWEB)

    Aaltonen, Leena-Maija, E-mail: leena-maija.aaltonen@hus.fi [Department of Otorhinolaryngology–Head and Neck Surgery, Helsinki University Central Hospital, and University of Helsinki, Helsinki (Finland); Rautiainen, Noora; Sellman, Jaana [Institute of Behavioural Sciences, University of Helsinki, Helsinki (Finland); Saarilahti, Kauko [Department of Oncology, Helsinki University Central Hospital, and University of Helsinki, Helsinki (Finland); Mäkitie, Antti; Rihkanen, Heikki [Department of Otorhinolaryngology–Head and Neck Surgery, Helsinki University Central Hospital, and University of Helsinki, Helsinki (Finland); Laranne, Jussi; Kleemola, Leenamaija [Department of Otorhinolaryngology–Head and Neck Surgery, Tampere University Hospital, and University of Tampere, Tampere (Finland); Wigren, Tuija [Department of Oncology, Tampere University Hospital, and University of Tampere, Tampere (Finland); Sala, Eeva [Department of Otorhinolaryngology–Head and Neck Surgery, Turku University Hospital, and University of Turku, Turku (Finland); Lindholm, Paula [Department of Oncology, Turku University Hospital, and University of Turku, Turku (Finland); Grenman, Reidar [Department of Otorhinolaryngology–Head and Neck Surgery, Turku University Hospital, and University of Turku, Turku (Finland); Joensuu, Heikki [Department of Oncology, Helsinki University Central Hospital, and University of Helsinki, Helsinki (Finland)

    2014-10-01

    Objective: Early laryngeal cancer is usually treated with either transoral laser surgery or radiation therapy. The quality of voice achieved with these treatments has not been compared in a randomized trial. Methods and Materials: Male patients with carcinoma limited to 1 mobile vocal cord (T1aN0M0) were randomly assigned to receive either laser surgery (n=32) or external beam radiation therapy (n=28). Surgery consisted of tumor excision with a CO{sub 2} laser with the patient under general anaesthesia. External beam radiation therapy to the larynx was delivered to a cumulative dose of 66 Gy in 2-Gy daily fractions over 6.5 weeks. Voice quality was assessed at baseline and 6 and 24 months after treatment. The main outcome measures were expert-rated voice quality on a grade, roughness, breathiness, asthenia, and strain (GRBAS) scale, videolaryngostroboscopic findings, and the patients' self-rated voice quality and its impact on activities of daily living. Results: Overall voice quality between the groups was rated similar, but voice was more breathy and the glottal gap was wider in patients treated with laser surgery than in those who received radiation therapy. Patients treated with radiation therapy reported less hoarseness-related inconvenience in daily living 2 years after treatment. Three patients in each group had local cancer recurrence within 2 years from randomization. Conclusions: Radiation therapy may be the treatment of choice for patients whose requirements for voice quality are demanding. Overall voice quality was similar in both treatment groups, however, indicating a need for careful consideration of patient-related factors in the choice of a treatment option.

  11. 声带白斑124例临床及病理分析%Clinical and Pathologlcal Analysis for 124 Cases of Vocal Cord Leukoplakia

    Institute of Scientific and Technical Information of China (English)

    杨庆文; 徐文; 叶京英; 王军; 马丽晶; 王小轶; 魏洪政

    2011-01-01

    Objective To investigate the clinical and pathological features and related factors of vocal cord leukoplakis. Methods One hundred and twenty-four cases of vocal cord leukoplakia from January 2006 to December 2008 were analyzed. All the patients had undergone the surgery of vocal cord leukoplakia resection in retaining laryngoscope under general anesthesia with the specimens pathological examination. Results There were 120 males and 4 females in this study, the age ranged from 29 to 84 years,with the mean age of 49. 65±10.13 years old. The causes of 89(71. 77%) cases were long-term smoking, while the cause of 67(54. 03%) cases were drinking. 60. 48% of the lesions were located in the forepart to middle part of the bilateral vocal cord, while 23. 4 % of the lesions were unilateral. The results of pathological examination showed chronic mucosal inflammation in 10 cases (8. 06%),squamous epithelial hyperplasia in 88 cases (70. 96%), mild dysplasia in 6 cases (4. 84%), moderate dysplasia in 5 cases (4, 03%), severe dysplasis in 5 cases (4. 03%) .carcinoma in situ in 6 cases (4. 84%) ,and invasive carcinoma in 4 cases (3. 23%). Conclusion Vocal cord leukoplakia is a predominantly male disease. Long-term smoking and drinking is one of common causes. Therefore,the final diagnosis of vocal cord leukoplakia relies on pathology. It is necessary to follow up closely for the dysplasia cases.%目的 探讨声带白斑的临床表现和病理特征及相关因素.方法 回顾性分析2006年1月至2008年12月收治的124例声带白斑患者的临床资料,患者均于全身麻醉下行显微支撑喉镜下声带白斑切除术,术后切除的病变组织送病理检查.结果 124例声带白斑患者中,男120例,女4例;年龄29~84岁,平均49.65±10.13岁;有长期吸烟史者89例(71.77%,89/124),长期饮酒者67例(54.03%,67/124);双侧声带前中部病变75例(60.48%,75/124),单侧声带前中部病变29例(23,38%,29/124);病理检

  12. The effect of an artificially lengthened vocal tract on estimated glottal contact quotient in untrained male voices.

    Science.gov (United States)

    Gaskill, Christopher S; Erickson, Molly L

    2010-01-01

    The use of hard-walled narrow tubes, often called resonance tubes, for the purpose of voice therapy and voice training has a historical precedent and some theoretical support, but the mechanism of any potential benefit from the application of this technique is not well understood. Fifteen vocally untrained male participants produced a series of spoken /a/ vowels at a modal pitch and constant loudness, before and after a minute of repeated phonation into a 50-cm hard-walled glass tube at the same pitch and loudness targets. Electroglottography was used to measure the glottal contact quotient (CQ) during each phase of the experiment. Single-subject analysis revealed statistically significant changes in CQ during tube phonation, but with no discernable pattern across the 15 participants. These results indicate that the use of resonance tubes can have a distinct effect on glottal closure, but the mechanism behind this change remains unclear. The implication is that vocal loading techniques such as this need to be studied further with specific attention paid to the underlying mechanism of any measured changes in glottal behavior, and especially to the role of instruction and feedback in the therapeutic and pedagogical application of these techniques.

  13. Single Vocal Cord Irradiation: Image Guided Intensity Modulated Hypofractionated Radiation Therapy for T1a Glottic Cancer: Early Clinical Results

    Energy Technology Data Exchange (ETDEWEB)

    Al-Mamgani, Abrahim, E-mail: a.almamgani@nki.nl [Department of Radiation Oncology – Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam (Netherlands); Kwa, Stefan L.S.; Tans, Lisa; Moring, Michael; Fransen, Dennie; Mehilal, Robert; Verduijn, Gerda M. [Department of Radiation Oncology – Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam (Netherlands); Baatenburg de Jong, Rob J. [Department of Otolaryngology and Head and Neck Surgery – Erasmus MC, University Medical Center Rotterdam, Rotterdam (Netherlands); Heijmen, Ben J.M.; Levendag, Peter C. [Department of Radiation Oncology – Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam (Netherlands)

    2015-10-01

    Purpose: To report, from a retrospective analysis of prospectively collected data, on the feasibility, outcome, toxicity, and voice-handicap index (VHI) of patients with T1a glottic cancer treated by a novel intensity modulated radiation therapy technique developed at our institution to treat only the involved vocal cord: single vocal cord irradiation (SVCI). Methods and Materials: Thirty patients with T1a glottic cancer were treated by means of SVCI. Dose prescription was set to 16 × 3.63 Gy (total dose 58.08 Gy). The clinical target volume was the entire vocal cord. Setup verification was done by means of an online correction protocol using cone beam computed tomography. Data for voice quality assessment were collected prospectively at baseline, end of treatment, and 4, 6, and 12 weeks and 6, 12, and 18 months after treatment using VHI questionnaires. Results: After a median follow-up of 30 months (range, 7-50 months), the 2-year local control and overall survival rates were 100% and 90% because no single local recurrence was reported and 3 patients died because of comorbidity. All patients have completed the intended treatment schedule; no treatment interruptions and no grade 3 acute toxicity were reported. Grade 2 acute dermatitis or dysphagia was reported in only 5 patients (17%). No serious late toxicity was reported; only 1 patient developed temporary grade 2 laryngeal edema, and responded to a short-course of corticosteroid. The VHI improved significantly, from 33.5 at baseline to 9.5 and 10 at 6 weeks and 18 months, respectively (P<.001). The control group, treated to the whole larynx, had comparable local control rates (92.2% vs 100%, P=.24) but more acute toxicity (66% vs 17%, P<.0001) and higher VHI scores (23.8 and 16.7 at 6 weeks and 18 months, respectively, P<.0001). Conclusion: Single vocal cord irradiation is feasible and resulted in maximal local control rate at 2 years. The deterioration in VHI scores was slight and temporary and

  14. Transplantation with autologous fat granules to cure vocal cord sulcus%自体脂肪颗粒移植治疗声带沟

    Institute of Scientific and Technical Information of China (English)

    王江允; 张智风; 贺星华; 孟艳临; 冯淑仙; 周世华

    2011-01-01

    Objective To discuss the effects of transplantation with autologous fat granules to cure vocal cord sulcus. Methods In this study we treated 32 cases of vocal cord sulcus with improved autologous fat grafting technique. Each case was treated 1-2 times and the interval period was 3-6 months. The result was based on comparing the size of fissure glottis, the surface area of the sick vocal cord and patients self evaluation. Results Long time follow up showed that fat graft can be alive in the recipient site for long time after 1-2 times autologous fat injection. More than 78.13% patients were satisfactory with the curative effect while less than 9.38% patients were unsatisfactory. Conclusions Autologous fat grafting technique is an effective and safe treatment for vocal cord sulcus.%目的 探讨自体脂肪颗粒移植治疗声带沟的疗效.方法 对32例声带沟患者采用改良的自体脂肪颗粒移植技术进行治疗.自体脂肪颗粒注射移植1~2次,中间间隔3~6个月.通过术前、术后声门裂隙及患侧声带表面积,以及患者自我感觉等随访,评价其治疗效果.结果 最长4.5年,平均2.5年的随访发现在1~2次自体脂肪注射后,脂肪可以在受区长期存活.78.13%以上的患者对疗效满意,小于9.38%的患者对疗效不满意.结论 自体脂肪移植技术用于声带沟是一项安全而有效的治疗方法.

  15. Vocal cord palsy after vincristine treatment in a child and the inefficacy of glutamic acid in the prevention of relapse: a case report

    Directory of Open Access Journals (Sweden)

    Farruggia Piero

    2012-05-01

    Full Text Available Abstract Introduction Vincristine is an antineoplastic drug with a well known efficacy for the treatment of acute lymphoblastic leukemia and many solid tumors. No more than 20 pediatric patients with vincristine-induced vocal cord palsy have been reported, and to the best of our knowledge this is the first case where glutamic acid was administered with the aim of preventing a relapse of laryngeal dysfunction. Case presentation The larynx paralysis presented with hoarseness and stridor in a Caucasian 18-month-old girl and spontaneously resolved in about a month. In order to administer a subsequent full dose of vincristine, our patient received oral glutamic acid whose efficacy against vincristine neurological side effects has been previously reported. Conclusions Since in our patient the amino acid proved to be ineffective in the prevention of laryngeal paralysis relapse, we suggest that a dose reduction of vincristine should be preferred by oncologists as an initial approach after a case of drug-induced vocal cord palsy.

  16. 支撑喉镜下声带白斑显微手术39例%Analysis of 39 cases of microlaryngoscopic surgery for vocal cord leukoplakia

    Institute of Scientific and Technical Information of China (English)

    吴光灿; 顾能荣

    2011-01-01

    Objective To explore the effectiveness of microlaryngoscopic surgery for vocal cord leukoplakia. Methods Using endotracheal intubation combined with general anesthesia, the laryngoscope intubation with light source along the anesthesia catheter was slouly introdnced into the oral. Go through pharynx and larynx finally. The catheter was fikod after the glottis zone was totally exposed, the microscope zoom was adjusted to suitable times and the ared was carefully observed under the microscope to eliminate lesions. Results All patients were followed-up from 1 to 10 years.The cure rate was 92. 3%. Conclusion Microlaryngoscopic surgery for vocal cord leukoplakia has a good therapeutic effect.%目的 探讨在支撑喉镜下显微手术治疗声带白斑的效果.方法 采用气管内插带气囊导管复合全麻,将带光源支撑喉镜沿麻醉导管自口腔缓慢插入,经咽腔到达喉.充分暴露声门后固定,调节显微镜至恰当倍数,镜下清除病变.结果 术后随访1~10年,治愈及症状好转患者有效率为92.3%.结论 支撑喉镜下显微镜手术治疗声带白斑疗效良好.

  17. The late and dual origin of cerebrospinal fluid-contacting neurons in the mouse spinal cord.

    Science.gov (United States)

    Petracca, Yanina L; Sartoretti, Maria Micaela; Di Bella, Daniela J; Marin-Burgin, Antonia; Carcagno, Abel L; Schinder, Alejandro F; Lanuza, Guillermo M

    2016-03-01

    Considerable progress has been made in understanding the mechanisms that control the production of specialized neuronal types. However, how the timing of differentiation contributes to neuronal diversity in the developing spinal cord is still a pending question. In this study, we show that cerebrospinal fluid-contacting neurons (CSF-cNs), an anatomically discrete cell type of the ependymal area, originate from surprisingly late neurogenic events in the ventral spinal cord. CSF-cNs are identified by the expression of the transcription factors Gata2 and Gata3, and the ionic channels Pkd2l1 and Pkd1l2. Contrasting with Gata2/3(+) V2b interneurons, differentiation of CSF-cNs is independent of Foxn4 and takes place during advanced developmental stages previously assumed to be exclusively gliogenic. CSF-cNs are produced from two distinct dorsoventral regions of the mouse spinal cord. Most CSF-cNs derive from progenitors circumscribed to the late-p2 and the oligodendrogenic (pOL) domains, whereas a second subset of CSF-cNs arises from cells bordering the floor plate. The development of these two subgroups of CSF-cNs is differentially controlled by Pax6, they adopt separate locations around the postnatal central canal and they display electrophysiological differences. Our results highlight that spatiotemporal mechanisms are instrumental in creating neural cell diversity in the ventral spinal cord to produce distinct classes of interneurons, motoneurons, CSF-cNs, glial cells and ependymal cells.

  18. 声带白斑诊断和转归的再认识%Diagnosis and prognosis of leukoplakia of vocal cords

    Institute of Scientific and Technical Information of China (English)

    陈晓云; 李贺; 吴贤敏; 林向阳; 张悦

    2012-01-01

    Objective To review the diagnosis and prognosis of leukoplakia of vocal cord. Methods The clinical data of 99 cases with leukoplakia of vocal cords were retrospectively analyzed. Patients underwent electron laryngoscope for diagnosis of leukoplakia of vocal cord; the concentration of gastric pepsin in sputum was measured.. The duration of follow-up was more than 36 months. Results The sensitivity of electron laryngoscope for diagnosis of leukoplakia of the vocal cord was 94.9%. The average concentration of gastric pepsin in sputum was(273.42+ 14.81 )ng / ml; and there were significant differences in positive rate of sputum pepsin among different stages of disease (P=0.001 ). The initial pathological diagnosis included 52 cases with grade I, 30 cases with grade II and 17 cases with grade III); and 8 cases (8.1%) had malignant transformation during the follow-up. There were significant differences in malignant transformation rate among different pathological grades (P<0.01). Conclusion Electron laryngoscope provides a simple, feasible and non-invasive method for diagnosis of leukoplakia of the vocal cords. The higher extent of atypia is associated with the higher risk of malignant transformation.%目的 再认识声带白斑的病因、诊断和转归.方法 对99例声带白斑患者的临床资料(包括电子喉镜检查结果)进行分析,并检测咽喉深部唾液中胃蛋白酶的浓度,分析比较不同病变程度患者唾液胃蛋白酶阳性率.根据病理类型进行分级,并随访36个月以上,跟踪病变程度进展,按首次病理级别比较声带白斑恶变率.结果 应用电子喉镜诊断声带白斑的灵敏度为94.9%,声带白斑患者唾液中胃蛋白酶浓度为(273.42±14.81)ng/ml,不同病变程度患者唾液胃蛋白酶阳性率的差异有统计学意义(P<0.01).首次病理级别一、二、三级为52、30、17例,随访期间癌变率为8.08%,不同病理分级的声带白斑恶变率的差异有统计学意义(P<0.05).

  19. RELACIÓN ENTRE LA LONGITUD DE LA CUERDA VOCAL Y LA COMPOSICIÓN HISTOLÓGICA DE LA LÁMINA PROPIA EN LARINGES PEDIÁTRICAS Relationship between vocal cord length and hystological composition of the lamina propria in pediatric larynxes

    Directory of Open Access Journals (Sweden)

    Julio César Torres Pazmiño

    2009-01-01

    Full Text Available Antecedentes. La macro y microarquitectura de cuerda vocal del niño difiere notablemente de la del adulto, y se ha demostrado que en el proceso de madurez existen diferentes mecanismos que suceden hasta cierta edad. Los investigadores han mostrado sus resultados pero no hay mención de una herramienta clínica que permita su aplicación en la fonocirugía infantil. Objetivo. Establecer la relación entre la longitud de la cuerda vocal con la composición histológica de la lámina propia en laringes pediátricas. Material y métodos. Estudio observacional, descriptivo de cortes histológicos de cuerdas vocales de diferente longitud con aplicación de software de análisis de color y análisis estadístico de resultados con SPSS 17.0 trial versión. Resultados. En 22 cortes histológicos de cuerda vocal se hallaron como características histológicas la presencia de hipercelularidad, distribución de fibras al azar, presencia de glándulas y de abundantes vasos sanguíneos en la lámina propia del tercio medio de la cuerda. El porcentaje de fibras colágenas depende en un 38,9 por ciento de la longitud de la cuerda vocal y el porcentaje de fibras elásticas en un 26,4 por ciento. Los valores de p para cada variable fueron de 0,040 y 0,061, respectivamente. Discusión. No parece existir una relación directa entre el porcentaje de fibras colágenas y elásticas y la longitud de la cuerda vocal en niños. Dentro de las características histológicas destacadas se halló presencia de abundantes glándulas y vasos sanguíneos en la lámina propia a nivel del tercio medio de la cuerda vocal.Background. The macro and micro-architecture of an infant’s vocal cord differs notably from that of the adult, and it has been demonstrated that during the maturation process there are mechanisms that occur until a given age. However, there is yet no mention of a clinical tool that would allow the assessment of these changes and could be applied to pediatric

  20. 低温等离子单侧声带离断并同侧杓状软骨切除术治疗双侧声带外展麻痹%Coblation unilateral vocal cord transection with arytenoidenctomy in the treatment of bilateral vocal cord paralysis

    Institute of Scientific and Technical Information of China (English)

    韩乃刚; 李晓红

    2015-01-01

    目的:探讨在内镜支撑喉镜辅助下,采用低温等离子消融刀头行单侧声带离断加同侧杓状软骨切除术治疗双侧声带外展麻痹的疗效。方法对双侧声带外展麻痹的患者19例,采用低温等离子消融术行单侧声带离断加同侧杓状软骨切除术进行治疗,术后随访6~42个月,分析评估该术式的临床效果。结果19例术后呼吸功能恢复满意,术后1个月内安全拔管18例,其中术前已行气管切开8例。术后瘢痕挛缩喉腔狭窄未能拔管者1例,经再次手术行对侧杓状软骨切除后成功拔管。嗓音评估发声效果满意14例,轻微下降但患者能接受4例,行2次手术者声嘶较前明显加重1例。结论低温等离子单侧声带离断及同侧杓状软骨切除术治疗双侧声带外展麻痹,术后呼吸困难完全缓解,拔管率高,发声功能保留良好。此术式创伤小,术后愈合快,安全、有效、微创。%Objective To evaluate the clinical efficacy of endoscopic coblation unilateral vocal cord transection with arytenoidectomy for the treatment of bilateral vocal cord paralysis.Methods A total of 19 patients with bilateral vocal cord paralysis received unilateral vocal cord transection and arytenoidectomy using coblation under video suspension laryngoscope.During the follow-up of 6 to 42 months,the curative effects were analyzed.Results Decannulation was performed in 18 cases 1 month postoperatively,8 of which had undergone tracheotomy before operation.Decannulation failed in 1 case due to dyspnea caused by scar diathesis,and then succeeded after the contralateral arytenoid was removed.Of all 19 cases,14 achieved satisfactory vocal effects,4 had acceptable vocal effects,and 1 case had worse trachyphonia.Conclusion Safe and minimally invasive,endoscopic coblation assisted vocal cord transection and aryte-noidectomy is an effective treatment for bilateral abductor paralysis.It has a high decannulated rate

  1. Vocal Cord Paralysis

    Science.gov (United States)

    ... your voice affects your ability to communicate. A speech therapist can help you develop the skills you need to communicate. Even if you're not able to regain the voice you once ... In addition, a speech-language pathologist can teach you efficient ways to ...

  2. Assessment of hindlimb locomotor strength in spinal cord transected rats through animal-robot contact force.

    Science.gov (United States)

    Nessler, Jeff A; Moustafa-Bayoumi, Moustafa; Soto, Dalziel; Duhon, Jessica; Schmitt, Ryan

    2011-12-01

    Robotic locomotor training devices have gained popularity in recent years, yet little has been reported regarding contact forces experienced by the subject performing automated locomotor training, particularly in animal models of neurological injury. The purpose of this study was to develop a means for acquiring contact forces between a robotic device and a rodent model of spinal cord injury through instrumentation of a robotic gait training device (the rat stepper) with miniature force/torque sensors. Sensors were placed at each interface between the robot arm and animal's hindlimb and underneath the stepping surface of both hindpaws (four sensors total). Twenty four female, Sprague-Dawley rats received mid-thoracic spinal cord transections as neonates and were included in the study. Of these 24 animals, training began for 18 animals at 21 days of age and continued for four weeks at five min/day, five days/week. The remaining six animals were untrained. Animal-robot contact forces were acquired for trained animals weekly and untrained animals every two weeks while stepping in the robotic device with both 60 and 90% of their body weight supported (BWS). Animals that received training significantly increased the number of weight supported steps over the four week training period. Analysis of raw contact forces revealed significant increases in forward swing and ground reaction forces during this time, and multiple aspects of animal-robot contact forces were significantly correlated with weight bearing stepping. However, when contact forces were normalized to animal body weight, these increasing trends were no longer present. Comparison of trained and untrained animals revealed significant differences in normalized ground reaction forces (both horizontal and vertical) and normalized forward swing force. Finally, both forward swing and ground reaction forces were significantly reduced at 90% BWS when compared to the 60% condition. These results suggest that

  3. Vocal cord dysfunction diagnosed by four-dimensional dynamic volume computed tomography in patients with difficult-to-treat asthma: A case series.

    Science.gov (United States)

    Cheng, Wei-Tso; Chen, Huan-Wen; Su, I-Hao; Fang, Ji-Tseng; Kuo, Han-Pin; Huang, Chien-Da

    2015-12-01

    Patients with asthma may also have vocal cord dysfunction (VCD), which leads to poor control of the asthma. Once patients are diagnosed with difficult-to-treat asthma with poor control, VCD should be excluded or treated accordingly. The gold standard for diagnosis of VCD is to perform a laryngoscopy. However, this procedure is invasive and may not be suitable for patients with difficult-to-treat asthma. Four-dimensional (4D) dynamic volume computed tomography (CT) is a noninvasive method for quantification of laryngeal movement, and can serve as an alternative for the diagnosis of VCD. Herein, we present a series of five cases with difficult-to-treat asthma patients who were diagnosed with VCD by 4D dynamic volume CT. Clinicians should be alert to the possibility of VCD when poor control is noted in patients with asthma. Early diagnosis by noninvasive 4D dynamic volume CT can decrease excessive doses of inhaled corticosteroids.

  4. Bilateral Vocal Cord Paralysis and Cervicolumbar Radiculopathy as the Presenting Paraneoplastic Manifestations of Small Cell Lung Cancer: A Case Report and Literature Review

    Science.gov (United States)

    Pringle, C. Elizabeth; Sekhon, Harmanjatinder S.; Macdonald, Kristian

    2016-01-01

    Introduction. Bilateral vocal cord paralysis (BVCP) is a potential medical emergency. The Otolaryngologist plays a crucial role in the diagnosis and management of BVCP and must consider a broad differential diagnosis. We present a rare case of BVCP secondary to anti-Hu paraneoplastic syndrome. Case Presentation. A 58-year-old female presented to an Otolaryngology clinic with a history of progressive hoarseness and dysphagia. Flexible nasolaryngoscopy demonstrated BVCP. Cross-sectional imaging of the brain and vagus nerves was negative. An antiparaneoplastic antibody panel was positive for anti-Hu antibodies. This led to an endobronchial biopsy of a paratracheal lymph node, which confirmed the diagnosis of small cell lung cancer. Conclusion. Paraneoplastic neuropathy is a rare cause of BVCP and should be considered when more common pathologies are ruled out. This is the second reported case of BVCP as a presenting symptom of paraneoplastic syndrome secondary to small cell lung cancer. PMID:27668114

  5. Determining the Learning Curve of Transcutaneous Laryngeal Ultrasound in Vocal Cord Assessment by CUSUM Analysis of Eight Surgical Residents: When to Abandon Laryngoscopy.

    Science.gov (United States)

    Wong, Kai-Pun; Lang, Brian Hung-Hin; Lam, Shi; Au, Kin-Pan; Chan, Diane Toi-yin; Kotewall, Nicholas Clarence

    2016-03-01

    Transcutaneous laryngeal ultrasonography (TLUSG) is a promising alternative to laryngoscopy in vocal cords (VCs) assessment which might be challenging in the beginning. However, it remains unclear when an assessor can provide proficient TLUSG enough to abandon direct laryngoscopy . Eight surgical residents (SRs) without prior USG experience were recruited to determine the learning curve. After a standardized training program, SRs would perform 80 consecutive peri-operative VCs assessment using TLUSG. Performances of SRs were quantitatively evaluated by a composite performance score (lower score representing better performance) which comprised total examination time (in seconds), VCs visualization, and assessment accuracy. Cumulative sum (CUSUM) chart was then used to evaluate learning curve. Diagnostic accuracy and demographic data between every twentieth TLUSG were compared. 640 TLUSG examinations had been performed by 8 residents. 95.1% of VCs could be assessed by SRs. The CUSUM curve showed a rising pattern (learning phase) until 7th TLUSG and then flattened. The curve declined continuously after 42nd TLUSG (after reaching a plateau). Rates of assessable VCs were comparable in every twentieth cases performed. It took a longer time to complete TLUSG in 1st-20th than 21st-40th examinations. (45 vs. 32s, p = 0.001). Although statistically not significant, proportion of false-negative results was higher in 21st-40th (2.5%) than 1(st)-20th (0.6%), 41(st)-60th (0.7%), and 61(st)-80th (0.7%) TLUSG performed. After a short formal training, surgeons could master skill in TLUSG after seven examination and assess vocal cord function consistently and accurately after 40 TLUSG.

  6. 音域图测试在声带息肉中的应用%The applications of the voice range profile in the polyp of vocal cord

    Institute of Scientific and Technical Information of China (English)

    方红雁; 李晓晓; 李劲松; 廖修富; 李忠万

    2015-01-01

    Objective To analyze the pathological voice ,normal voice range chart crowd voice characteristics through tests and analyze the differences between the two groups of test‐related parameters chart range between indicators ,so as to explore the value of the test range map in the polyp of vocal cord .Methods One hundred and twenty patients with vocal polyps according to in‐clusion and exclusion criteria were selected .Sixty cases of normal voice were randomly selected .Germany XION DIVAS system dia‐gram test mode range were recorded for both groups ,with the strongest voice of the bass were measured at different frequencies , first obtain low VRP intensity curve ,then get high‐intensity curve VRP .The maximum frequency of the vocal cord polyp group and normal control group ,the minimum frequency ,maximum intensity ,most quietly strong ,maximum phonation time ,fundamental fre‐quency perturbation and dysphonia index of the data were compared statistically .Results Compared with the control one ,the mean maximum frequency of vocal cord polyp group were lower (P= 0 .029 6) ,the average minimum frequency were significantly higher ( P= 0 .000 3) ,frequency range reduced(P= 0 .022 9) ;vocal cord polyp average loudest group was stronger(P= 0 .003 9) ,the whis‐pered strength values were significantly higher (P = 0 .000 0) ,significantly limited the average sound intensity range than normal voice group group (P= 0 .006 9) .Classification index based on objective voice disorders ,in terms of frequency ,mild voice disorders at the maximum frequency .There was no significant difference in the minimum frequency ,frequency range with a normal voice group ;and in severe voice disorders average maximum frequency lower than the normal voice group ,the smallest than normal voice frequency was significantly higher frequency range than the normal group was significantly limited .In terms of strength ,mild im‐pairment in the loudest voice is strong ,most quietly strong .There

  7. Vocal Fold Collision Modeling

    DEFF Research Database (Denmark)

    Granados, Alba; Brunskog, Jonas; Misztal, M. K.

    2015-01-01

    When vocal folds vibrate at normal speaking frequencies, collisions occurs. The numerics and formulations behind a position-based continuum model of contact is an active field of research in the contact mechanics community. In this paper, a frictionless three-dimensional finite element model...... of the vocal fold collision is proposed, which incorporates different procedures used in contact mechanics and mathematical optimization theories. The penalty approach and the Lagrange multiplier method are investigated. The contact force solution obtained by the penalty formulation is highly dependent...

  8. 食管癌术后声带麻痹的CT表现及病因分析%Analysis of CT findings and the cause of vocal cord paralysis after resection of esophageal carcinoma

    Institute of Scientific and Technical Information of China (English)

    宋涛; 李辛; 胡鸿涛; 黎海亮

    2012-01-01

    Objective To analyse CT performances of vocal cord paralysis after resection of esophageal carcinoma and its relation-ship with mediastinal lymph node metastasis, in order to improve the recognition of the imaging manifestations of it. Methods 40 cases of vocal cord paralysis clinically after resection of esophageal carcinoma confirmed were retrospectively analysed. Results CT findings of vocal cord paralysis included: thickening and anteromedial displacement of the ipsilateral aryepiglottic folds, ipsilateral piriform sinus dilatation in 34 cases (85%) ;vocal cord atrophy and lateral displacement,ipsilateral laryngeal ventricle dilatation in 31 cases(77. 5%) ; anteromedial displacement of the ipsilateral arytenoid cartilage in 16 cases(40%) etc. Mediastinal lymph node me-tastasis in 38 cases(95%) and anastomotic recurrence of esophageal carcinoma in 4 cases(10%). Conclusion CT scan is helpful in diagnosing vocal cord paralysis and its etiology.%目的 分析食管癌术后声带麻痹的CT表现及其与纵隔淋巴结转移的关系,提高对其影像学表现的认识.方法 回顾性分析临床诊断为食管癌术后并发声带麻痹的40例患者的CT资料.结果 声带麻痹CT表现:患侧杓会厌皱襞增厚、向前内侧移位,同侧梨状隐窝扩大34例 (85%);患侧声带萎缩外展,同侧喉室扩大31例 (77.5%);患侧杓状软骨向前内侧移位16例 (40%)等.38例(95%)患者发现纵隔淋巴结转移,4例(10%)患者发现吻合口复发.结论 CT检查为声带麻痹的确诊提供了重要依据,而且有助于明确引起声带麻痹的原因.

  9. 金嗓散结丸对声带白斑术后转归的影响%Effects of Jinsang Sanjie Wan on the prognosis of vocal cord leukoplakia after operation

    Institute of Scientific and Technical Information of China (English)

    李建胜; 崔鹏; 朱凤娟; 乔秀军

    2016-01-01

    Objective: To observe clinical effects of Jinsang Sanjie Wan on resection of vocal cord leukoplakia by TV supporting laryngeal endoscopic. Methods: 111 cases of vocal cord leukoplakia were divided into the group A and the group B according to randomized controlled trial design methods. 54 patients in the group A were given resection of vocal cord leukoplakia by TV supporting laryngeal endoscopic. 57 patients in the group B was treated with Jinsang Sanjie Wan after meals more. A course lasted for 3 weeks, for 2 courses. All patients were followed up for 1 to 2 years. Clinical curative effect and sound basic recovery time were compared. Results: In the group B, the total efficiency was significantly higher than that in the group A; the recurrence was lower; voice returned normal time was shorter. Conclusion: Conventional treatment plus Jinsang Sanjie wan on resection of vocal cord leukoplakia could promote recovery of vocal cords, shorten the course, reduce the recurrence, and showed a good effect on the rehabilitation of patients.%目的::观察金嗓散结丸对电视支撑喉内镜下声带白斑切除术后疗效的影响。方法:采用随机对照试验设计方法将111例声带白斑患者分为A、B两组。A组54例患者采用电视支撑喉内镜下行声带白斑切除术,B组57例患者在A组的治疗基础上于术后第2d开始加用金嗓散结丸饭后口服;3周为1个疗程,共治疗2个疗程。随访1~2年,比较两组的疗效及声音基本恢复正常的时间。结果:B组总有效率明显高于A组,复发率低,声音基本恢复正常所需的时间较A组短。结论:声带白斑切除术后,在常规处理的基础上加用金嗓散结丸能够促进声带恢复,缩短病程,降低复发率,对患者的康复具有较好疗效。

  10. Role of the Internal Superior Laryngeal Nerve in the Motor Responses of Vocal Cords and the Related Voice Acoustic Changes

    Directory of Open Access Journals (Sweden)

    Sadegh Seifpanahi

    2016-09-01

    Full Text Available Background: Repeated efforts by researchers to impose voice changes by laryngeal surface electrical stimulation (SES have come to no avail. This present pre-experimental study employed a novel method for SES application so as to evoke the motor potential of the internal superior laryngeal nerve (ISLN and create voice changes. Methods: Thirty-two normal individuals (22 females and 10 males participated in this study. The subjects were selected from the students of Iran University of Medical Sciences in 2014. Two monopolar active electrodes were placed on the thyrohyoid space at the location of the ISLN entrance to the larynx and 1 dispersive electrode was positioned on the back of the neck. A current with special programmed parameters was applied to stimulate the ISLN via the active electrodes and simultaneously the resultant acoustic changes were evaluated. All the means of the acoustic parameters during SES and rest periods were compared using the paired t-test. Results: The findings indicated significant changes (P=0.00 in most of the acoustic parameters during SES presentation compared to them at rest. The mean of fundamental frequency standard deviation (SD F0 at rest was 1.54 (SD=0.55 versus 4.15 (SD=3.00 for the SES period. The other investigated parameters comprised fundamental frequency (F0, minimum F0, jitter, shimmer, harmonic-to-noise ratio (HNR, mean intensity, and minimum intensity. Conclusion: These findings demonstrated significant changes in most of the important acoustic features, suggesting that the stimulation of the ISLN via SES could induce motor changes in the vocal folds. The clinical applicability of the method utilized in the current study in patients with vocal fold paralysis requires further research.

  11. PCNA--a cell proliferation marker in vocal cord cancer. Part II: Recurrence in malignant laryngeal lesions.

    Science.gov (United States)

    Broich, G; Lavezzi, A M; Biondo, B; Pignataro, L D

    1996-01-01

    Laryngeal squamous cell carcinoma constitutes the most frequent carcinoma found in the head and neck region. A precise prediction for recurrence potential cannot be done on site, treatment and histologic grading. Since Proliferating Cell Nuclear Antigen (PCNA) and DNA-cytometry have shown a good correlation between premalignant lesions and their progressive potential towards full-fledged carcinoma in the larynx as described in part I of this work, we have analyzed the PCNA index and DNA cytometry in specimen taken from vocal chord carcinomas with a 5-year follow-up, in order to assess its relationship with the presence or absence of tumour progression. 42 cases with (21) and without (2) recurrence have been examined. The DNA-index ranged from 1.01 to 1.43 (mean 1.10) in the group without and from 1.02 to 1.59 (mean 1.38) in the group with recurrent carcinoma (p = 0.002). The PCNA-index ranged from 0.00% to 18.90% (mean 6.97%) in the nonrecurrent group and from 0.00 to 3g.50% (mean 16.35%) in the patients with recurrence (p = 0.001). Both indices also correlated in a highly significant way. From these data emerges a highly significant correlation between the cytometric indices of cell proliferation and PCNA immunostaining. Furthermore the high correction between PCNA and DNA-index is of special interest for single case assessment. High DNA aberration and PCNA-index in vocal chord carcinoma may indicate a higher cellular aggressiveness of the tumour, resulting in a greater overall risk of metastases and local recurrences. Our results support the thesis that the indices of cellular proliferation within some cancers can define subsets of patients of high risk and help in isolating a population in which a more aggressive clinical protocol may be proposed.

  12. Using Transcutaneous Laryngeal Ultrasonography (TLUSG) to Assess Post-thyroidectomy Patients' Vocal Cords: Which Maneuver Best Optimizes Visualization and Assessment Accuracy?

    Science.gov (United States)

    Wong, Kai-Pun; Woo, Jung-Woo; Li, Jason Yu-Yin; Lee, Kyu Eun; Youn, Yeo Kyu; Lang, Brian Hung-Hin

    2016-03-01

    To assess vocal cord (VC) movement with transcutaneous laryngeal ultrasound (TLUSG), three maneuvers, namely passive (quiet respiration), active (phonation), and Valsalva maneuvers have been described. It remains unclear which maneuver or using more maneuvers provides better visualization and assessment accuracy. We prospectively evaluated 342 post-thyroidectomy patients from two centers. They underwent TLUSG with direct laryngoscopic (DL) validation afterwards. During TLUSG, patients were instructed to perform all three maneuvers (passive, active, and Valsalva). VC visualization rate and accuracy between three maneuvers were compared. Visualization rate tended to be higher in Valsalva maneuver than that in other two maneuvers (92.1% vs. passive: 91.5%; active: 89.8%). While 19 patients had post-operative VC palsy, passive maneuver had lower test specificity than active (94.3 vs. 97.6%, p = 0.01) and Valsalva maneuvers (94.3 vs. 97.4%, p = 0.02). In assessable VCs, passive maneuver has a higher ability to differentiate between mobile VCs and VC palsy (Area under ROC curve--passive: 0.942, active: 0.863, Valsalva: 0.893). TLUSG with more maneuvers did not improve sensitivity or specificity. On applying TLUSG as a screening tool (i.e., only selected patient with "unassessable" VCs or VCP on TLUSG for DL), Valsalva maneuver (85.96%) saved more patients from DL than passive (81.87%) or active (84.81%) maneuver. Passive maneuver has a higher ability to differentiate VC palsy from normal. Using TLUSG as a screening tool, Valsalva was the preferred maneuver as it was more specific, had high visualization rate, and saved more patients from DL.

  13. The Application of CO2 Laser Surgery in Vocal Cords Leukoplakia%CO2激光喉显微手术治疗声带白斑疗效观察

    Institute of Scientific and Technical Information of China (English)

    龚成; 袁玉林

    2015-01-01

    目的:探讨CO2激光喉显微手术治疗声带白斑临床疗效及安全性,为临床应用提供参考。方法60例声带白斑患者,随机分为两组,每组各30例,分别采用CO2激光黏膜表皮剥脱术和传统声带黏膜剥脱术治疗,统计两组患者总有效率;术前、术后嗓音学指标;并发症以及术后复发等情况。结果 CO2激光手术较之传统声带黏膜剥脱术在总有效率及复发情况上均不存在显著性差异( P>0.05),CO2激光手术治疗组基频微抚、噪声能量负值均低于声带黏膜剥脱治疗组( P<0.05)。结论 CO2激光手术治疗声带白斑疗效显著,安全系数高,副作用较小,是一种较好的微创手术治疗方式。%Objective Toinvestiagate the characteristics and advantages of CO 2 las er surgery in the treatment of vocal cord leukoplakia by comparing the difference of CO 2 laser surgery and traditional voc al mucosa stripped.Methods CO2 laser surgery and traditional vocal muco sa stripped were used to treat 60 vocal cords leukoplakia patients through a randomized controlled trials.The postoperative efficacy, total effective rate, voice indexes and the recurrence rate were analyzed by SPSS.Results The results showed that there was no significant difference on the total effective rate and recurrence between CO2 laser surgery and traditional vocal mucosa stripped ( P>0.05) .However, the voice index showed that CO2 laser surgery patients recovered earlier.Conclusion CO2 laser surgery is a better way to treat vocal cord leukoplakia with high safety coefficient and few side effects.

  14. Analysis of the clinical efficacy of self-retaining laryngoscope in polyp of vocal cord operation%支撑喉内镜下声带息肉手术的临床疗效分析

    Institute of Scientific and Technical Information of China (English)

    王玲玲; 冯益进

    2012-01-01

    目的 探讨支撑喉内镜在声带息肉手术中的临床应用价值.方法支撑喉内镜下对42例声带息肉患者采用微创手术方法摘除,观察术后疗效及并发症.结果 42例均1次手术成功,无复发;3例出现软腭、舌根及咽后淤血或黏膜擦伤;2例门齿松动;无其他严重并发症发生.结论支撑喉内镜下声带息肉微创手术具有视野清晰、操作简便、精确度高、复发率低等优点,值得临床推广.%Objective To study the clinical practical value of self-retaining laryngoscope in polyp of vocal cord operations. Methods Micro-trauma surgeries were operated on 42 cases of polyp of vocal cord under self-retaining laryngoscope, and the therapeutic efficacy and complications were observed. Results All the 42 cases were successful with no recurrence. Among all the 42 cases, 3cases had congestion in soft palate, root of tongue and retropharyngeal or mucous abrasion, 2cases had loosed fore-teeth, and no other severe complications occurred. Conclusion The self-retaining laryngoscope system is valuable in polyp of vocal cord operation for its wide operative field, simple operation, high accuracy and low recurrence rate, therefore, it deserves the clinical application.

  15. An Analysis of CT Features and Causes of the Postoperative Vocal Cord Paralysis After Esophagectomy%食管癌术后声带麻痹的 CT 表现及病因分析

    Institute of Scientific and Technical Information of China (English)

    李红梅

    2015-01-01

    In this paper ,the CT image of postoperative paralysis of vocal cord after esophagectomy and relevant causes were analyzed ,hoping to provide basis for clinical prevention and diagnosis .The typical CT findings of vocal cord paralysis mainly include:the plica ryepiglottica in the affected side becomes thickened and displace forward toward the the interior ,and it may be accompanied with piriform recess and amplifica‐tion of ventricle of larynx and otherwise .Most of the postoperative paralysis of vocal cord after esophagecto‐my is resulted from the the damage in recurrent laryngeal nerves ,and the rate of the damage in the recurrent laryngeal nerves in the left side is found to be higher than that in right .besides ,the damage of recurrent la‐ryngeal nerves is closely related to the cancerous parts of sophageal cancer ,operation method ,pathological stage and otherwise .Esophagectomy shall be operated cautiously ,so as avoid implicating recurrent laryngeal nerves when excising tumour or dissecting lymph nodes .The CT features of paralysis of vocal cord is typical , it can be taken as an important detect method to do clinical diagnoses .%对食管癌术后声带麻痹患者的CT 征象和相关病因进行了分析,以期为临床预防和诊断提供依据。声带麻痹的典型CT 表现主要包括:患侧杓会厌皱璧增厚、向前内侧方向发生移位,同时伴梨状隐窝与喉室扩大等。食管癌患者术后出现声带麻痹大多为喉返神经损伤所致,其中左侧喉返神经受损伤几率较右侧较高。另外喉返神经损伤与食管癌的癌变部位、术式、病理分期等均密切相关。在食管癌手术过程中应谨慎操作,避免在肿瘤切除或清扫淋巴结过程中累及喉返神经;声带麻痹的CT 表现具有典型特征,可作为临床确诊的重要检查手段。

  16. Sex-specific responses to vocal convergence and divergence of contact calls in orange-fronted conures (Aratinga canicularis)

    DEFF Research Database (Denmark)

    Balsby, Thorsten J S; Scarl, Judith C

    2008-01-01

    , the similarity between the contact calls of different individuals may either increase (converge) or decrease (diverge). We conducted a playback experiment on wild-caught captive birds in which we simulated convergent, divergent and no-change interaction series with male and female contact calls. OFCs responded...... differently to convergent and divergent series of contact calls, but only when we considered the sex of the test birds. Males called most in response to convergent series, whereas females demonstrated high calling rates in response to both convergent and divergent interactions. Both sexes responded most...... function. The stronger overall response to convergent series suggests that convergence of contact calls is an affiliative signal....

  17. 鼻内镜联合支撑喉镜切除声门暴露困难的声带息肉%Nasal Endoscopy Combined with Self-retaining Laryngoscopy for Vocal Cord Polyps in Difficult Laryngeal Exposure

    Institute of Scientific and Technical Information of China (English)

    赵亮; 谢洪; 周晓红; 尹金淑

    2012-01-01

    目的 探讨鼻内镜联合支撑喉镜切除声门暴露困难的声带息肉的疗效.方法 2006年6月~2009年7月支撑喉镜直接暴露声门困难26例,7例位于声带前联合处,19例位于声带前1/3处,联合使用鼻内镜,通过调整鼻内镜角度及旋转视野达到完全显露声带全程,切除声带息肉.结果 4例术后第2天发观轻度咽部擦伤,对症处理后擦伤消退.无门齿脱落、颈椎损伤、舌体损伤等严重并发症.26例随访6 ~12个月,平均9个月,23例在术后1周达到治愈标准,余3例进一步治疗后治愈.结论 鼻内镜联合支撑喉镜下手术,适用于颈部粗短、颈部活动受限、喉体较高患者,对声门暴露困难的声带息肉切除疗效满意.%Objective To investigate the efficacy of self-retaining laryngoscope combined with nasal endoscope for vocal cord polyps in difficult laryngeal exposure. Methods We selected 26 patients who had received endoscopie surgery combined with self-retaining laryngoscopy for vocal cord polyps between June 2006 and July 2009. All the cases had difficulty in exposing the laryngeal. Among the cases, 7 had the lesion at the anterior vocal commissure, and the other 19 had polyp at the anterior 1/3 of the vocal cord. Results After the operation, 4 patients showed mild pharyngeal scratches and then was cured by symptomatic treatment. No severe complications, including injuries to the incisor teeth, cervical vertebra or tongue, occurred. The patients were followed up for 6 to 12 months with a mean of 9 months, 23 of them were cured in one week after the operation, and the other 3 were cured after further treatments. Conclusions Self-retaining laryngoscopy combined with nasal endoscopy is appropriate for patients with short neck and high larynx or limited cervical movement. It is effective for difficult laryngeal exposure.

  18. 喉内窥镜手术治疗声带病变的临床研究%CLINCAL RESEARCH ON TREATMENT OF VOCAL CORD LESION WITH LARYNGENDOSCOTIC SURGERY

    Institute of Scientific and Technical Information of China (English)

    刘雄光

    2001-01-01

    Objective:To investigate the treatment efficient of vocal cord lesion with laryngendoscpic surgery.Methods:120 cases of vocal cord lesion were treated with laryngendoscpic surgery.The clinical data was analysised.Results:120 patients were operated after a month,82 cases (68.3%) were cured,32 cases (26.7%) improved,6 cases (5%) unimproved.These cases were followed up over a year.Results showed the 95 cases (72.9%) were cured,16 cases (13.3%) improved,9 cases (7.5%) unimproved.Conclusions:The approch to treatment of vocal cord lesion with laryngendoscopic under general anesthesia encheinesisless had a significant effect on treating vocal cord polypus and vocal nodules,and had fixed efficient on laryngeal Reinke's Oedem and vocal cysts as well.The authors believed that the limits of disease observation and same as have clinical value with laryngendscopic for cancer of the larynx and papilloma of the larynx.Microwaves tissue coagulation has tried out on treating cancer of the larynx and papilloma of the larynx.It's efficient need be observated at the same.%目的:探讨喉内窥镜下手术治疗声带病变的效果。方法:对120例声带病变患者采用无插管全麻支撑喉镜下喉内镜手术治疗,并对其临床资料进行分析。结果:120例近期(1个月内)疗效为:治愈82例,占68.3%;好转32例,占26.7%;无效6例,占5%。远期(1年以上)疗效为:治愈95%例,占79.2%;好转16例,占13.3%;无效9例,占7.5%。结论:无插管全麻支撑喉镜下喉内窥镜治疗声带病变,其中对声带息肉、声带小结效果较好;对喉Reinke's水肿及声带囊肿也有一定的效果;对喉癌及喉乳头状瘤采用内窥镜进行病变范围的观察及活检术是有价值的,但所进行微波组织凝固术治疗喉癌或乳头状瘤只是一种试尝,其疗效尚需进一步观察。

  19. The Contact Activation System (CAS) in cord blood: Measurement of CAS components and comparison with mother's blood. A pilot study.

    Science.gov (United States)

    Uszyński, Mieczysław; Kuczyński, Jarosław; Żekanowska, Ewa; Uszyński, Waldemar

    2015-11-01

    Classical reference data concerning the coagulation system and fibrinolysis in fetuses and newborns date back to the 1990 s. Since that time a number of methodological or other improvements have been implemented, which may cast some doubt on timeliness of the data. The study objective was to measure the levels of Contact Activation System (CAS) components by antigen, i.e. factors XII and XI (FXII, FXI), prekallikrein (PK) and high molecular weight kininogen (HMWK) in cord blood and maternal blood. The study group consisted of 35 healthy parturient women with an uneventful pregnancy and birth. The samples of cord blood and maternal blood were obtained immediately after delivery, before clumping the umbilical cord. The CAS components were measured by immunoenzymatic method (ELISA). The median concentrations of CAS components in cord blood plasma and mother's plasma were as follow: FXII: 1.02 (0.60- 2.58) ng/mg protein vs. 0.94 (0.66-1.86) ng/mg protein (p>0.05); FXI: 2.71(0.03-8.0) ng/mg protein vs. 0.92 (0.03-10.44) ng/mg protein (p>0.05); PK: 168.78 (104.28-261.16) pg/mg protein vs. 113.44 (79.94-146.70) pg/mg protein (p>0.05); HMWK: 2169.45 (1530.64- 2539.83) ng/mg protein vs. 2857.96 (2541.52-3161.04) ng/mg protein (pblood of full-term and healthy fetuses were similar to those observed in mother's blood immediately after delivery. Only high molecular weight kininogen was found to be lower (accounting for 84% of the values noted in mothers). 2. Based on our measurements, we claim that the cited reference data concerning the contact factors in full-term and healthy newborns are underestimated; hence, new reference values need to be determined for each antigen and activity contact factor level. Copyright © 2015. Published by Elsevier Ltd.

  20. Role of laryngopharyngeal reflux on the pathogenesis of vocal cord leukoplakia and early glottic cancer%咽喉反流在声带白斑及早期声带癌发病中的初步观察

    Institute of Scientific and Technical Information of China (English)

    李湘平; 黄柞峰; 吴婷; 王路; 吴嘉煖

    2014-01-01

    cord leukoplakia and early glottic cancer .Methods Patients with vocal cord leukoplakia and early glottic cancer encountered in Nanfang Hospital between December 2012 to January 2014 were included in this study .Ambulatory 24 hour multichannel intraluminal impedance-pH monitoring ( MII-pH ) was applied to obtain LPR and GER events , as well as the reflux properties of substances .Tobacco and alcohol history was also evaluated .Sixteen healthy volunteers were recruited as normal controls .Results There were 26.3% ( 5/19 ) LPR patients in glottic cancer group , 35.3%(6/17) LPR patients in vocal cord leukoplakia group and 12.5%(2/16) LPR volunteers in normal controls.There was no statistically significant difference in the positive rate of LPR between early glottic cancer patients and normal controls as well as between vocal cord leukoplakia patients and normal controls (P>0.05).There was statistically significance in numbers of acid reflux events , time of acid exposure, and time of acid clearance between vocal cord leukoplakia patients and normal controls as well as between glottic cancer patients and normal controls ( P 0.05).However , there was statistically significance in DeMeester scores between glottic cancer patients and normal controls (P0.05 ).Reflux events were dominated by acid and weakly acidic reflux in upright position.Weakly alkaline reflux events in upright position , acid reflux events in supine position , and weakly alkaline reflux events in supine position in vocal cord leukoplakia patients were significantly more than those in normal controls (P0.05).There was also no statistically significant correlation between happening LPR and GER , smoking and drinking in patients with vocal cord leukoplakia and early glottic cancer ( P>0.05 ).Conclusions Reflux events are more in vocal cord leukoplakia patients and early glottic cancer patients , however , the relationship between laryngopharyngeal reflux and canceration of the vocal cord is still needed to be

  1. Retrospective study of patients treated for a carcinoma of the vocal chords by exclusive irradiation; Etude retrospective de patients traites pour un carcinome des cordes vocales par irradiation exclusive

    Energy Technology Data Exchange (ETDEWEB)

    Servagi Vernat, S.; Bontemps, P.; Bosset, J.F. [Service de Radiotherapie-oncologie, 25 - Besancon (France); Pozet, A.; Mercier, M. [Laboratoire de Biostatistique, 25 -Besancon (France)

    2007-11-15

    The objectives of this study are to evaluate the tumor local control, the survival, the acute and delayed toxicity after exclusive radiotherapy for a vocal chords carcinoma. This study confirms the literature data. At distance, it appears that the rate of second cancer is the vital element. Also, it would be interesting to make a prospective analysis of the voice quality before and after radiotherapy. (N.C.)

  2. The effect of vocal tract impedance on the vocal folds

    DEFF Research Database (Denmark)

    Agerkvist, Finn T.; Selamtzis, Andreas

    2011-01-01

    , which is the mode that is most limited in pitch range, was tested at its pitch limit C5 (523 Hz) under normal conditions and when the singer has inhaled Helium. When inhaling Helium the acoustic impedance of the vocal tract is reduced in magnitude and the resonances are scaled upwards in frequency due...... to different density and speed of sound in Helium. The electroglottograph shows a change in waveform when the singer inhales helium. The percentage of the glottal cycle when the vocal cords are open, the so-called open quotient, increases from 40 to 55%. When inhaling helium the male singer was able reach Eb5...

  3. 中西医结合治疗声带息肉的临床研究%Clinical Research on Vocal Cord Polyp treated by Traditional Chinese Medicine and Western Medicine

    Institute of Scientific and Technical Information of China (English)

    郑天其; 田容; 闵晓玲

    2012-01-01

    目的:观察声带息肉术后中西医结合治疗效果.方法:190例声带息肉随机分组,西医组62例,中西医结合组128例(其中中西医成药组68例,中西医辨证组60例),2月后进行疗效评定,观察治疗效果.结果:三组总有效率100%,治愈率西医组75.81%,中西医成药组89.71%,中西医辨证组93.33%.经统计学处理,三组之间有显著性差异.两两比较,西医组与中西医成药组、中西医辨证组均有显著性差异,中西医成药组与中西医辨证组之间无统计学意义.结论:中西医结合治疗声带息肉的临床疗效满意,优于单纯西医治疗效果.%Objective: To investigate the effectiveness of integrated Traditional Chinese and Western Medicine in postoperative treatment of vocal cord polyp. Methods; 190 patients with vocal cord polyp were randomly assigned into two groups, the group treated with western medicine (62 cases) and the group treated with integrated traditional Chinese combination and west-em medicine group (128 cases) , which was comprised of two subgroups, the group treated with formulary Chinese medicine (68 cases) and the group treated based on syndrome differentiation (60 cases). The treatment effectiveness of the three groups were evaluated after two months. Results; The overall response rate was 100%in all groups. The cure rate was 75. 81% in the group treated with Western Medicine, 89. 71% in the group treated based on syndrome differentiation respectively. There were significantly statistical differences among the three groups (P0.05 ). Conclusion: Combining traditional Chinese and western medicine to treat vocal chord polyp has better clinical effectiveness than western medicine alone.

  4. The efficacy with self polyphonic vocal polyps soup for postoperative recovery of polyp of cord%自拟复音汤对声带息肉术后恢复的疗效探讨

    Institute of Scientific and Technical Information of China (English)

    韩丽; 李琴; 韩思伟; 罗伟国

    2014-01-01

    目的:探讨自拟复音汤对声带息肉术后恢复的临床效果。方法选择我科住院手术的声带息肉患者共80例,按照随机数字分为两组,每组40例,其中对照组术后予制酸、超声雾化、禁声等治疗,观察组则在对照组的基础上使用本研究自拟复音汤治疗,连续治疗7d后,比较两组患者治疗前后发音改善积分及临床效果。结果两组治疗前主观嗓音评价差异无统计学意义(P>0.05),治疗后观察组主观嗓音评价显著低于对照组(P<0.05),观察组痊愈率90.0%,显著高于对照组的62.5%(P<0.05)。结论自拟复音汤能更好地促进声带息肉患者术后恢复,提高临床治疗效果。%ObjectiveTo investigate the clinical effects of self polyphonic vocal polyps soup for postoperative recovery of polyp of cord.Methods 80 cases with polyp of cord were randomly divided into two groups according to the figures, 40 cases each, the control group were used acid, ultrasonic atomization, gag, the observation group were used the self polyphonic vocal polyps soup on the basis of the control group, continuous treatment for 7 days, then pronunciation improve integration and clinical, subjective voice evaluation in two groups were compared before and after treatment. ResultsSubjective voice before and after treatment had no difference (P>0.05), after treatment, the observation group with subjective voice was lower than control group (P<0.05), the observation group cure rate was 90%, it was higher than 62.5% of control group (P<0.05). Conclusion Self polyphony soup can better promote the recovery of postoperative recovery of polyp of cord, and it can improve clinical outcomes.

  5. An Investigation of Vocal Tract Characteristics for Acoustic Discrimination of Pathological Voices

    Directory of Open Access Journals (Sweden)

    Jung-Won Lee

    2013-01-01

    Full Text Available This paper investigates the effectiveness of measures related to vocal tract characteristics in classifying normal and pathological speech. Unlike conventional approaches that mainly focus on features related to the vocal source, vocal tract characteristics are examined to determine if interaction effects between vocal folds and the vocal tract can be used to detect pathological speech. Especially, this paper examines features related to formant frequencies to see if vocal tract characteristics are affected by the nature of the vocal fold-related pathology. To test this hypothesis, stationary fragments of vowel /aa/ produced by 223 normal subjects, 472 vocal fold polyp subjects, and 195 unilateral vocal cord paralysis subjects are analyzed. Based on the acoustic-articulatory relationships, phonation for pathological subjects is found to be associated with measures correlated with a raised tongue body or an advanced tongue root. Vocal tract-related features are also found to be statistically significant from the Kruskal-Wallis test in distinguishing normal and pathological speech. Classification results demonstrate that combining the formant measurements with vocal fold-related features results in improved performance in differentiating vocal pathologies including vocal polyps and unilateral vocal cord paralysis, which suggests that measures related to vocal tract characteristics may provide additional information in diagnosing vocal disorders.

  6. Clinical classification and management of squamous intraepithelial lesions of the vocal cord%声带黏膜上皮病变的临床特征与治疗

    Institute of Scientific and Technical Information of China (English)

    马丽晶; 王军; 叶京英; 徐文; 杨庆文

    2012-01-01

    Objective To discuss the clinical classification of the squamous intraepithelial lesions (SILs) of vocal cord and their outcomes after different therapeutic procedures.Methods Three hundred and forty-three patients with the SILs of vocal cord were enrolled.Based on the history of the diseases,macroscopic appearance by video rhinolaryngoscopic,stroboscopic and microlaryngocopic examination,and pathological findings,the correlation of clinical features,treatment modalities and treatment effect of the vocal cord SILs were discussed.Results According to the morphological characteristics,343 patients were divided into four types.Type Ⅰ,leukoplakia combined with inflammation ( n =19 ) ; type Ⅱ,leukoplakia combined with polyps by friction ( n =72 ) ; type Ⅲ,leukoplakia combined with sulcus vocalis ( n =64 ) ;type Ⅳ,keratosis (n =188 ).Patients with type Ⅰ lesions were treated by medications.The vocal cord configuration and the voice of the patients in type Ⅰ returned to normal after treatment.Patients with type Ⅱ,Ⅲ,Ⅳ lesions were treated by CO2 laser.Type Ⅱ were treated by subepithelial cordectomy,type Ⅲ by mucosa slicing with dredging,type Ⅳ by subligament cordectomy or transmuscular cordectomy.The cure rate of patients with type Ⅱ,Ⅲ,Ⅳ lesions was 90.7% (294/324) after single surgery,the recurrent rate was 9.3% (30/324).Twenty-one patients( 11.2% ),all in type Ⅳ,developed carcinogenesis.Eight cases were diagnosed in the first surgery and 13 cases in the second.Among the 13 cases diagnosed in the second surgery,2 cases had partial laryngectomy for the third surgery.Conclusions Since the squamous intraepithelial lesions of vocal cord manifested differently,conservative treatment or CO2 laser surgery should be used.In this way,a less invasive procedure,better recovery of the voice and less complication could be expected.%目的 探讨声带黏膜鳞状上皮病变的临床特征与治疗效果.方法 分析343例声带黏膜鳞状上

  7. Observation of the dysphonia severity index in evaluating curative effect of vocal cord polyp surgery%嗓音障碍严重指数评价声带息肉手术疗效的研究

    Institute of Scientific and Technical Information of China (English)

    周舟; 葛平江; 刘倩; 刘明; 张伟

    2015-01-01

    group (mean difference DSI-2.92 and 1.87,respectively) and also in the control group (mean difference DSI-2.92 and 2.30,respectively).However,no significant difference between the control group and the after surgery group.By using Pearson correlation analysis,this study observed a strong correlation between the DSI scores and the VHI scores,the values of GRBAS,shimmer (P < 0.01).Conclusions DSI is an effective and high accuracy multi-parameter system for evaluation of vocal cord polyp patients as an independent assessment of dysphonia.DSI also can be used in evaluation of the effects of the vocal polyps surgery.

  8. Localization Examination of the Vagus Nerve in Determining the Cause of the Unilateral Vocal Cord Paralysis%迷走神经损伤定位检查有助于单侧声带麻痹的病因诊断

    Institute of Scientific and Technical Information of China (English)

    李进让; 赵丹珩

    2014-01-01

    目的:探讨迷走神经损伤定位检查用于单侧声带麻痹病因诊断中的价值。方法对1例半年未能明确病因的单侧声带麻痹患者的诊疗过程进行回顾分析。结果本例因声音嘶哑半年就诊,在当地多家医院行相关医技检查均诊断为左侧特发性声带麻痹,予相应治疗症状无改善,来我院拟行声带自体脂肪注射术闭合声门。入我院后经追问病史、仔细查体及电子喉镜下吞咽功能检查发现左侧梨状窝有食物残留,考虑迷走神经节以上部位病变所致声带麻痹,经颅底增强MRI检查诊断为颈静脉孔区良性肿瘤。由于病变部位特殊,患者拒绝手术遂行伽马刀治疗,随访1年,肿瘤无变化。结论对于单侧声带麻痹患者切勿轻易诊断为单纯声带麻痹。电子喉镜下吞咽功能检查有助于确定迷走神经损伤部位,根据损伤部位有的放矢地进行检查,对单侧声带麻痹的病因诊断有临床指导价值。%Objective To evaluate the value of localization examination of the vagus nerve in determining the cause of the unilateral vocal cord paralysis. Methods The diagnostic process of a patient with unknown cause of unilateral vocal cord paralysis was retrospectively reviewed. Results The patient presented to our center for hoarseness for half a year. Idiopathic left side vocal cord paralysis was diagnosed because no positive findings were detected in many hospitals. After corresponding treatment, the vocal cord paralysis had no sign of recovery, and then the patient came to our hospital for improving his voice by autologous fat injection into the vocal fold. After medical history collection and careful physical examinations, the patient underwent electronic fibrolaryngoscope swallow study and the result showed residual food in the left pyriform sinus. Those find-ings suggested that damaged level of the vagus nerve was above the ganglion of the vagus nerve. Contrast enhanced

  9. Reinforcement of vocalizations through contingent vocal imitation.

    Science.gov (United States)

    Pelaez, Martha; Virues-Ortega, Javier; Gewirtz, Jacob L

    2011-01-01

    Maternal vocal imitation of infant vocalizations is highly prevalent during face-to-face interactions of infants and their caregivers. Although maternal vocal imitation has been associated with later verbal development, its potentially reinforcing effect on infant vocalizations has not been explored experimentally. This study examined the reinforcing effect of maternal vocal imitation of infant vocalizations using a reversal probe BAB design. Eleven 3- to 8-month-old infants at high risk for developmental delays experienced contingent maternal vocal imitation during reinforcement conditions. Differential reinforcement of other behavior served as the control condition. The behavior of 10 infants showed evidence of a reinforcement effect. Results indicated that vocal imitations can serve to reinforce early infant vocalizations.

  10. Primary treatment of the anterior vocal commissure squamous carcinoma

    NARCIS (Netherlands)

    Bradley, Patrick J.; Rinaldo, Alessandra; Suarez, Carlos; Shaha, Ashok R.; Leemans, C. Rene; Langendijk, Johannes A.; Patel, Snehal G.; Ferlito, Alfio

    2006-01-01

    Squamous cell carcinoma may involve the anterior commissure (AC) area of the laryngeal glottis, and can be grouped morphologically into four groups; (1) tumor confined to the AC, (2) tumor involving one cord and the AC, (3) tumor involving the AC and a portion of both vocal cords, and (4) tumor invo

  11. Improvement of a Vocal Fold Imaging System

    Energy Technology Data Exchange (ETDEWEB)

    Krauter, K. G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2017-02-01

    Medical professionals can better serve their patients through continual update of their imaging tools. A wide range of pathologies and disease may afflict human vocal cords or, as they’re also known, vocal folds. These diseases can affect human speech hampering the ability of the patient to communicate. Vocal folds must be opened for breathing and the closed to produce speech. Currently methodologies to image markers of potential pathologies are difficult to use and often fail to detect early signs of disease. These current methodologies rely on a strobe light and slower frame rate camera in an attempt to obtain images as the vocal folds travel over the full extent of their motion.

  12. The Effects of Autologous Skeletal Myoblasts Transplantation on Hurted Vocal Cord of Paralysis%自体成肌细胞甲杓肌注射治疗创伤性声门关闭不全的实验研究

    Institute of Scientific and Technical Information of China (English)

    闫飚; 孙敬武; 邹嘉平; 张磊

    2013-01-01

    目的:观察自体成肌细胞甲杓肌注射对创伤性声门关闭不全的疗效。方法将20只成年新西兰大白兔行左侧喉返神经切断并于左侧声带表面划痕(深度超过上皮层到声带肌),建立左侧喉返神经切断、左侧声带创伤后声带疤痕形成的创伤性声门关闭不全的动物模型;同时,分离这20只大白兔胸锁乳突肌成肌细胞,进行体外培养、分离及扩增。12周后,将20只动物随机分为A、B两组,每组10只,A组(成肌细胞注射组)于左侧声带甲杓肌注射成肌细胞0.3 ml时,右侧声带不作任何处理作为正常对照;B组(盐水注射对照组)于左侧声带甲杓肌注射等量生理盐水,右侧声带不作任何处理作为正常对照,12周后分别观察两组动物双侧甲杓肌肌纤维直径和声带体积。结果 A组自体成肌细胞左侧甲杓肌注射12周后双侧甲杓肌肌纤维直径及声带容积大小差异无显著统计学意义(P>0.05),B组注射侧甲杓肌肌纤维直径及声带体积明显小于A组(P<0.05)。结论经甲杓肌注射自体成肌细胞能有效地治疗创伤性声门关闭不全。%Objective The goal of the present experimental study is to investigate effects on the injection of a-dult rabbit autologous skeletal myoblasts into the thyroarytenoid(TA)muscle after recurrent laryngeal nerve (RLN) damage and traumatic vocal cords .Methods 20 adult New Zealand white rabbits were used for the establishment of an animal model simulating the cut -off of the left recurrent laryngeal nerve and the left vocal cord trauma scar for-mation after traumatic damage .Then from the rabbits ,the sternocleidomastoid muscle cells were cultured ,separa-ted and expanded .After 12 weeks ,the 20 animals were randomly divided into group A ,group B with 10 in each group .Group A(myoblast injection group) in the left vocal cord thyroarytenoid muscle injection of myoblasts 0 .3 ml ,the right

  13. 声带息肉患者手术前后VHI量表主观评估和 DSI 嗓音检测结果分析%The Significance of the Self -assessments of Voice Handicap Index and the Detection of Dysphonia Severity Index in Polyp of Vocal Cord

    Institute of Scientific and Technical Information of China (English)

    张武宁; 唐安洲; 徐志文; 吴铖林; 李永湘; 钟晖; 毛海燕

    2013-01-01

    Objective To explore the significance of the Self -assessments of Voice Handicap Index (VHI) and The objective detection of Dysphonia Severity Index (DSI) in polyp of vocal cord perioperatively .Methods The Self -assessments of VHI had been completed in 28 patients with polyp of vocal cord before the operation and one week after the operation ,including function(F) ,physiological(P) ,emotion(E) ,and the sum denoted by T .In the meantime ,The DSI had been completed in these patients by acoustic analysis of DIVAS 2 .5 .After one month ,19 pa-tients had been re -examined .Results The DSI value was increasing ,but there was no significant difference be-tween pre-operation and one week after the operation(P>0 .05) ,indicating that the function of vocal cord was not recovered .In VHI scale ,the parameters were significantly different between the time preoperatively and one week postoperatively in F ,E and T(P0 .05) ,indicating that the function of vocal cord was not completely recovered as same as the result of DSI .After one month ,there were significant differences in DSI and VHI ,which showed a full recovery of vocal cord fanction .Conclusion The Self -assessments of VHI and The objective detection of DSI in polyp of vocal cord can evaluate simultaneouly the function of laryngeal .Additionally ,there was a good correlation between the DSI and the VHI score .%目的探讨声带息肉患者手术前后嗓音障碍指数(voice handicap index ,VHI)量表自我评估和嗓音障碍严重指数(dysphonia severity index ,DSI)评估的价值。方法对28例声带息肉患者手术前及手术后1周、术后1月(19例)进行VHI量表自我评估,并运用DIVAS2.5声学分析软件评估DSI ,分析其结果。结果与术前比较,声带息肉患者术后1周DSI值升高,但差异无统计学意义(P>0.05);VHI量表中,功能F、情感E、总分T得分较术前降低,差异有统计学意义(P<0.05),而生理P得分

  14. SU-E-T-233: Cyberknife Versus Linac IMRT for Dose Comparision in Hypofractionated Hemi Larynx Irradiation of Early Stage True Vocal Cord Cancer: A Dosimetric Study

    Energy Technology Data Exchange (ETDEWEB)

    Ding, C; Lee, P; Jiang, S [UT Southwestern Medical Center, Dallas, TX (United States)

    2015-06-15

    Purpose: To compare dosimetric data of patients treated for early-stage larynx cancer on Cyberknife and Linac IMRT. Methods: Nine patients were treated with Cyberknife to a dose of 45 Gy in 10 fractions of the involved hemilarynx. The prescription dose provided at least 95% of PTV coverage. After Cyberknife treatment, the CT images and contours were sent to Pinnacle treatment planning system for IMRT planning on a regular SBRT linac with same dose prescription and constrains. Dose to target and normal tissue, including the arytenoids, cord, carotid arteries, thyroid, and skin, were analyzed using dose volume histograms. Results: For Cyberknife plan, the conformity indices are within 1.11–1.33. The average dose to the contralateral arytenoids for Cyberknife plans was 28.9±6.5Gy), which is lower than the same mean dose for IMRT plans (34.0±5.2 Gy). The average maximum dose to the ipsilateral and contralateral carotid artery were 20.6 ±9.1 Gy and 10.2±6.0 Gy respectively for Cybeknife comparing with 22.1±8.0 Gy and 12.0±5.1 Gy for IMRT. The mean dose to the thyroid was 3.6±2.2 Gy for Cyberknife and 3.4±2.4 Gy for IMRT. As shown in DVH, the Cyberknife can deliver less dose to the normal tissue which is close to target area comparing with IMRT Plans. However, IMRT plan’s can give more sparing for the critical organs which is far away from the target area. Conclusion: We have compared the dosimetric parameters of Cyberknife and linac IMRT plans for patients with early-stage larynx cancer. Both Cyberknife and IMRT plans can achieve conformal dose distribution to the target area. Cyberknife was able to reduce normal tissue dose in high doses region while IMRT plans can reduce the dose of the normal tissue at the low dose region. These dosimetric parameters can be used to guide future prospective protocols using SBRT for larynx cancer.

  15. Techniques for Vocal Health.

    Science.gov (United States)

    Wiest, Lori

    1997-01-01

    Outlines a series of simple yet effective practices, techniques, and tips for improving the singing voice and minimizing stress on the vocal chords. Describes the four components for producing vocal sound: respiration, phonation, resonation, and articulation. Provides exercises for each and lists symptoms of sickness and vocal strain. (MJP)

  16. Comparison of CO2 laser and conventional laryngomicrosurgery treatments of polyp and leukoplakia of the vocal fold

    Science.gov (United States)

    Zhang, Ya; Liang, Gengtian; Sun, Na; Guan, Linlin; Meng, Yang; Zhao, Xiaoyan; Liu, Li; Sun, Guangbin

    2015-01-01

    The efficacies of CO2 laser and conventional laryngeal microsurgery for vocal cord benign (vocal cord polyp) and precancerous (vocal cord leukoplakia) lesions were compared. Patients with bilateral vocal cord polyps (n = 60) and leukoplakia (n = 30) were divided randomly into two groups. One group was treated with throat microsurgical instruments and underwent routine lesion resection (conventional group) and the other with CO2 laser (laser group). For the subjective assessment, the tools GRABS and VHI were used. The objective assessment, A multi-dimensional voice program module for voice spectrum analysis was used. The laser group was slightly worse than the conventional group 1 week post-surgery by stroboscopic findings. The subjective and objective data of the two groups pre-and post-surgery showed that the voice recovery of the laser group was significantly better than that of the conventional group (P < 0.05). CO2 laser laryngeal microsurgery for vocal cord polyp and leukoplakia can improve significantly the vocal cord morphology and pronunciation quality. The procedure is especially more effective than conventional surgery in patients with vocal cord leukoplakia. PMID:26770428

  17. Vocal Cord Actinomycosis: A Case Report

    Directory of Open Access Journals (Sweden)

    Bijan Khademi

    2011-04-01

    Full Text Available Introduction: Actinomycosis is a systemic chronic bacterial infection caused by Actinomyces Israelii, an anaerobic organism normally resident in the human mouth. However, the actinomycosis of the larynx is very rare, and only about 15 cases have been reported in the literature so far. Most of the cases reported occurred in patients who had previously undergone radiotherapy for laryngeal cancer. Case Report: Here we report a case of actinomycosis of the larynx in a 14-year-old shepherd boy who was not immunocompromised but had a history of tooth extraction two months prior to admission to the hospital and severe laryngitis one year prior to admission. Conclusion:        Laryngeal actinomycosis might be related to poor oral hygiene and mucosal barrier disruption, as well as to being immunocompromised.

  18. 支撑喉内窥镜下激光治疗早期声带癌和癌前病变%Early vocal cords cancer and precancerosis of larynx treated with Nd:YAP laser under the laryngoscope and rigid endoscope

    Institute of Scientific and Technical Information of China (English)

    高鹏飞; 崔鹏程; 阮炎艳; 罗家胜; 陈文弦; 刘志; 卞卡

    2009-01-01

    目的:探讨支撑喉内窥镜下激光治疗早期声带癌和癌前病变的方法、临床疗效及适应症.方法:支撑喉内窥镜下Nd:YAP激光治疗的早期声带癌(T1N0M0)13例(T1a型9例,T1b型4例),癌前病变24例,全部病例通过电话及门诊复诊定期随访.结果:所有病例未出现手术并发症.3例癌前病变患者失访;2例声带癌侵及前联合患者分别于术后3月和1 年复发;2例喉乳头状瘤于术后1年复发.结论:与喉裂开术相比,支撑喉内窥镜下激光治疗早期声带癌和癌前病变具有手术创伤小、安全、吞咽功能恢复快、住院时间短等优点.但侵及前联合的早期喉癌有较高的复发率.%Objective:To explore the technique,therapeutic effectiveness and indication of the early vocal cords cancer and precancerous of larynx treated with Nd:YAP laser under the laryngoscope and rigid endoscope. Methods:Thirteen patients with early glottic cancer(9 cases in T1a stage,4 in T1b) and 24 cases of precancerosis of larynx were treated with Nd:YAP laser under the laryngeal rigid endoscope. All patients were regularly followed up by phone or reture visit examination for 1-4 years. Results: Complications were not found in any patient,3 cases of precancerosis were lost of follow-up,2 cases of vocal cancer invading to anterior commissure relapsed at 3 month and 1 year after the operation,2 cases of laryngeal papilloma relapsed 1 year later. Conclusion: Compared with the laryngofissure,early vocal cords cancer and precancerosis of larynx treated with Nd:YAP laser under the laryngoscope and rigid endoscope is mini-invasive for patient,safe,fast recovery of swallow,short time of hospitalization.However the relapse rate is higher for the vocal cancer invading to anterior commissure.

  19. Clinical studies of supporting laryngoscope and nasal endoscopic electro-coagulation resection lesions of vocal cord in treatment of early glottic carcinoma%支撑喉镜联合鼻内镜电凝切除病变声带治疗早期声门型喉癌的临床研究

    Institute of Scientific and Technical Information of China (English)

    陈伟龙; 陈锦贤; 许奕乔; 陈展胜; 林楚标

    2014-01-01

    目的:探讨支撑喉镜联合鼻内镜电凝切除病变声带治疗早期声门型喉癌的手术技巧及效果。方法选择汕头市澄海人民医院耳鼻咽喉-头颈外科2010年1月~2014年6月收治的12例早期声门型喉癌患者为研究对象,所有患者均在支撑喉镜联合鼻内镜下电凝切除病变声带,观察治疗效果。结果随访至2014年7月10日,12例均存活;仅有1例局部复发,予再次治疗后恢复良好,无复发。结论支撑喉镜联合鼻内镜电凝切除病变声带治疗早期声门型喉癌视野清晰,手术精细,创伤小,复发率较低,既适应恶性肿瘤治疗原则,又符合现代恶性肿瘤治疗理念,可较大程度提高患者生活质量,值得临床推广。%Objective To investigate the operation skills and self retaining laryngoscope combined with nasal endoscop-ic electrocoagulation resection lesions of vocal cord in treatment of early glottic carcinoma. Methods 12 cases of early glottic carcinoma in Department of Otolaryngology-Head and Neck Surgery, Chenghai People's Hospital of Shantou City from January 2010 to June 2014 were selected as study objects. They were given the treated by electrocoagulation re-section lesions vocal cord under the laryngoscope and nasal endoscopy, the treatment effect was observed. Results Fol-low-up until 10 July 2014, all 12 patients survived, only 1 case had local recurrence, then got good recovery after re-treatment, no recurrence. Conclusion Supporting laryngoscope and nasal endoscopic electrocoagulation resection of vo-cal cord lesions early glottic carcinoma treated with a clear vision, fine operation, small trauma, the recurrence rate is low, not only adapt to the malignant tumor treatment principle, and in line with the modern concept of malignant tumor treatment, greatly improve the quality of life of the patients, which is worth of the clinical promotion.

  20. Survivin与PTEN在喉部鳞状细胞癌变中的表达关系初探%Analysis on expression of Survivin and PTEN in vocal cords polyps,papilloma of larynx and laryngeal squamous cell carcinoma

    Institute of Scientific and Technical Information of China (English)

    郭强中; 李云英

    2012-01-01

    Through exploring the differentiation on positive expressing rates between oncogene Survivin and tumor-suppresser gene PTEN(phosphatase and tensin homolog deleteted on chromosome Ten) on vocal cord polyps(VCP), adult type laryngeal papilloma (ALP) , and Laryngeal Squamous Cell Carcinoma (LSCC) , to reveal the mechanism in canceration of human laryngeal squamous cells, from benign proliferative lesion, benign tumor to malignant tumor in larynx. Method:After picking out 18 cases of VCP, 10 cases of ALP, and 18 cases of LSCC for immunohistochemical process of Survivin and PTEN with two continuous section preparations, the differentiations of positive expression rates of Survivin and PTEN in the same human laryngeal squamous cells areas among three diseases were compared. Result:The positive expressing rates of Survivin and PTEN in VCP were obviously more lower than in ALP and LSCC(P0.05). The positive expressing rates of Survivin were always higher than PTEN in VCP, ALP and LSCC evi-dently(P<0. 05). Conclusion:PTEN, expressing for competition purpose, shows a subordinative relationship with Survivin. Although they have opposite functions in determine whether the canceration of laryngeal squamous cells take place or not, Survivin is always playing the leading role and making predominant impact on development of benign proliferative lesion, benign and malignant tumor in larynx.%目的:研究声带息肉、成人型喉乳头状瘤和喉鳞状细胞癌3种疾病中Survivin和PTEN的表达特点,以了解喉鳞状细胞从增生到癌变的可能机制.方法:选取符合临床与病理诊断的声带息肉患者18例、成人型喉乳头状瘤患者10例和喉鳞状细胞癌患者18例,将每个患者的病理蜡块标本各连续切片2张,分别进行Survivin和PTEN免疫组织化学检测.比较致癌基因Survivin和抑癌基因PTEN在这3种疾病同一区域鳞状上皮细胞中的表达差异.结果:声带息肉的Survivin和PTEN阳性率均显著低于喉乳头

  1. Reinforcement of Infant Vocalizations through Contingent Vocal Imitation

    Science.gov (United States)

    Pelaez, Martha; Virues-Ortega, Javier; Gewirtz, Jacob L.

    2011-01-01

    Maternal vocal imitation of infant vocalizations is highly prevalent during face-to-face interactions of infants and their caregivers. Although maternal vocal imitation has been associated with later verbal development, its potentially reinforcing effect on infant vocalizations has not been explored experimentally. This study examined the…

  2. Paralisia de prega vocal esquerda secundária à lesão do nervo laríngeo recorrente após cirurgia de ligadura do canal arterial: relato de caso Parálisis de pliegue vocal izquierdo secundario a la lesión del nervio laríngeo recurrente después de cirugía de ligadura del canal arterial: relato de caso Paralysis of the left vocal cord secondary to left recurrent nerve lesion following surgery for ligation of the arterial canal: case report

    Directory of Open Access Journals (Sweden)

    Marcius Vinícius M. Maranhão

    2002-07-01

    .800 g, sometida a cirugía para ligadura del canal arterial. Recibió como medicación pré-anestésica, midazolam (0,8 mg.kg-1, sesenta minutos antes de la cirugía. La inducción y la manutención de la anestesia fueron hechas con sevoflurano, alfentanil y pancuronio. La disección del canal arterial fue realizada con dificultad. En el 4º día del pós-operatorio presentó disfonia persistente. La videolarin- goscopia mostró parálisis de pliegue vocal izquierdo y pequeña abertura paramediana. CONCLUSIONES: Por su íntima relación con el canal arterial, el nervio laríngeo recurrente izquierdo puede ser lesionado, durante la cirugía correctiva, principalmente cuando existen dificultades en la disección y ligadura del canal arterial. Diferentemente de las disfonias decurrentes de la intubación y extubación traqueal, surgen más tardíamente y permanecen por largos períodos, pudiendo inclusive ser irreversibles.BACKGROUND AND OBJECTIVES: Postoperative dysphonia is commonly associated to tracheal intubation and extubation complications, but other causal factors may be involved, including surgical procedures. This article aimed at reporting a late postoperative dysphonia as a consequence of left vocal cord paralysis secondary to left recurrent laryngeal nerve injury during ductus arteriosus ligation procedure. CASE REPORT: Female patient, 6 years old, physical status ASA II, 18.8 kg, submitted to ductus arteriosus ligation. Patient was premedicated with oral midazolam (0.8 mg.kg-1 60 minutes before surgery. Anesthesia was induced and maintained with sevoflurane, alfentanil and pancuronium. The ductus arteriosus was difficult to dissect. In the 4th postoperative day, patient presented with persistent dysphonia. Videolaryngoscopy has evidenced paralysis of the left vocal cord and a small paramedian gap. CONCLUSIONS: For its close relationship with the ductus arteriosus, the left recurrent laryngeal nerve may be damaged during corrective procedures, especially when

  3. Spinal Cord Injury Model System Information Network

    Science.gov (United States)

    ... Go New to Website Managing Bowel Function After Spinal Cord Injury Resilience, Depression and Bouncing Back after SCI Getting ... the UAB-SCIMS Contact the UAB-SCIMS UAB Spinal Cord Injury Model System Newly Injured Health Daily Living Consumer ...

  4. 喉显微手术与传统术式治疗声带任克水肿的对照研究%A Comparative Study Between Laryngeal Microsurgery and Traditional Operation in the Treatment of Reinke’ s Edema of Vocal Cords

    Institute of Scientific and Technical Information of China (English)

    黄建强; 洪育明; 石小伟

    2016-01-01

    Objective To investigate the clinical efficacy of the self-retaining laryngeal microsurgical operation in the treatment of Reinke ’ s edema of vocal cords . Methods There were 24 cases of Reinke ’ s edema who were treated with self-retaining laryngoscope mucosal stripping surgery of vocal cords from January 2004 to December 2009 ( traditional group ) , while another group of 32 cases of Reinke ’ s edema were treated with self-retaining laryngoscopic microsurgery lateral submucosal incision micro-flap operation of vocal cords from January 2010 to December 2015 ( laryngeal microsurgery group ) .The two groups were executed with electronic laryngoscopy and subjective voice evaluation GRBAS ( The Speech and Language Institute of Japanese in 1979, G: Grade, R:Roughness, B:Breathness, A:Asthenia, S:Strain) in pre-operation and post-operation (1 week, 3 weeks, 8 weeks).The wound healing time of vocal cords , hoarseness improved time and voice improvement were retrospectively compared between the two groups . Results The patients in laryngeal microsurgery group had earlier voice hoarse improvement and more rapid mucosal epithelial of vocal cords recovery time in post-operation as compared with the patients in the traditional group [voice improving time, (7.3 ±1.9) d vs. (11.3 ±2.7) d, t=-6.481, P=0.000;mucosal epithelial of vocal cords recovery time , (12.2 ±3.1) d vs.(20.1 ±3.4) d, t=-9.062, P=0.000].The results of pre-operative voice evaluation with GRBAS showed no significant differences between the two groups, but the results of post-operative evaluation of each session (1 week, 3 weeks, 8 weeks) showed that the main data were statistically different.The GRBAS score of laryngeal microsurgery group was lower than that of traditional group in post -operation, especially after 8 weeks (8 weeks after post-operation, G:1.0 ±0.8 vs.1.6 ±0.2, t=-3.584, P=0.000; R:1.0 ±0.9 vs. 1.5 ±0.4, t=-2.536, P=0.014;B:1.0 ±0.6 vs.1.4 ±0.5, t=-2.647, P=0.011).In laryngeal

  5. Arousal dynamics drive vocal production in marmoset monkeys.

    Science.gov (United States)

    Borjon, Jeremy I; Takahashi, Daniel Y; Cervantes, Diego C; Ghazanfar, Asif A

    2016-08-01

    Vocal production is the result of interacting cognitive and autonomic processes. Despite claims that changes in one interoceptive state (arousal) govern primate vocalizations, we know very little about how it influences their likelihood and timing. In this study we investigated the role of arousal during naturally occurring vocal production in marmoset monkeys. Throughout each session, naturally occurring contact calls are produced more quickly, and with greater probability, during higher levels of arousal, as measured by heart rate. On average, we observed a steady increase in heart rate 23 s before the production of a call. Following call production, there is a sharp and steep cardiac deceleration lasting ∼8 s. The dynamics of cardiac fluctuations around a vocalization cannot be completely predicted by the animal's respiration or movement. Moreover, the timing of vocal production was tightly correlated to the phase of a 0.1-Hz autonomic nervous system rhythm known as the Mayer wave. Finally, a compilation of the state space of arousal dynamics during vocalization illustrated that perturbations to the resting state space increase the likelihood of a call occurring. Together, these data suggest that arousal dynamics are critical for spontaneous primate vocal production, not only as a robust predictor of the likelihood of vocal onset but also as scaffolding on which behavior can unfold.

  6. Recovery of the Adductive and Abductive Function of the Paralyzed Vocal Cord in Dog%神经肌蒂移植同时恢复麻痹声带内收及外展功能的实验研究

    Institute of Scientific and Technical Information of China (English)

    陈贤明; 王正强; 郑明秀; 吴平

    2000-01-01

    Objective To pursue an effective method to recover the adductive and abductive function of the paratyzed vocal cord simultaneously.Mothods The left recurrent laryngeal nerve and superier laryngeal nerve in dogs were damaged. The ansa cervicalis sternothyoid muscular pedicles were transplanted to paralyzed posterior cricoarytenoid muscles, and ansa cervicalis thyrohyoid muscular pedicles were transplanted to paralyzed lateral cricoarytenoid muscles as the experimental group. Only ansa cervicalis sternothyroid muscular pedicles were transplanted to the paralyzed posterior cricoarytenoid muscles as the control group.Before and four months after the operation,laryngoscopy,laryngeal electronyography and histological study were undergone respectively. Results the embedded muscles were all reinnervated, the adductive and abductive functions of the paralyzed vocal cords were recovered in varying degrees, the abductive activity was superior in the experimental group to that in the control group. Laryngeal electromyography and histological appearance also supported the results. Conclusion The method of recovering the adductive and abductive functions of the paralyzed vocal cord simultaneously was availahle and effective.%目的探索一种能同时恢复麻痹声带内收及外展功能的治疗方法。方法对狗一侧喉返神经及喉上神经运动支联合麻痹的喉内肌,采用颈袢胸骨甲状肌肌蒂移植于麻痹侧环杓后肌,颈袢甲状舌骨肌肌蒂移植于麻痹侧环杓侧肌作为实验组,并仅用颈袢胸骨甲状肌肌蒂移植于麻痹侧环杓后肌作为对照组。术前及术后4个月行声带录像、喉肌电图检测、组织学检查。结果术后4个月所有动物均不同程度地恢复了麻痹声带的生理功能。实验组术侧声带内收运动明显优于对照组。所有受植喉肌均出现诱发动作电位,组织学检查显示受植肌获神经再支配,肌肉形态结构基本正常。对照组失神经支

  7. Evaluation on the voice rehabilitation effect promoted by Akson therapy on cases following vocal cord polyp surgically removed%阿克森疗法对声带息肉术后嗓音功能恢复的主客观评估

    Institute of Scientific and Technical Information of China (English)

    陈闽琪; 陈舒华; 彭文静

    2015-01-01

    Objective To evaluate the voice rehabilitation effect promoted by Akson therapy on cases following vocal cord polyp surgically removed. Methods Sixty cases with vocal cord polyps, with their lesions removed microsurgically under self-retaining laryngoscope and diagnosed pathohistologically, were randomly divided into 2 groups following the surgery, with 30 patients in each group. Cases in treating group (TG) were given a post-operative voice rehabilitation therapy combined routine basic nursing and post-operative treatment procedures with Akson therapy for 3 months, while those in control group (CG) were only given routine treating program with basic nursing and post-operative treatment procedures. All these cases were followed up for one year after their operation. When following up period ended, they were examined to test such parameters as voice handicap index (VHI), GRBAS and maximum phonation time(MPT) for voice rehabilitation level evaluated both objectively and subjectively in a comparative way between these 2 groups. Results By the end of following up period, 18 patients in TG and 20 in CG were collected with full clinical information. As determined by both objective and subjective evaluating ways, there were significantly statistic significance in the therapeutic effect difference between TG and CG at the testing point one year following the operation, with much higher effective rate of TG than that of CG (P< 0.05). Conclusions Akson therapy is a much better voice rehabilitation therapy for voice recovery of patients following vocal cord polyp surgically removed. The voice function evaluating system, including VHI, GRBAS and MPT, can be used to assess patient's level of voice function both objectively and subjectively.%目的 评估阿克森疗法促进声带息肉术后患者嗓音功能恢复过程的效果.方法 支撑喉镜下显微手术切除声带息肉并经病理组织学确诊的患者60例,随机分为2组,每组30例. 治疗组患者术后在

  8. Impacto vocal de professores Teachers' vocal impact

    Directory of Open Access Journals (Sweden)

    Adriana Ricarte

    2011-08-01

    Full Text Available OBJETIVO: analisar o impacto vocal nas atividades diárias em professores do ensino médio. Correlacionar os achado da auto-percepção do problema vocal com os aspectos: efeitos no trabalho, na comunicação diária, na comunicação social e na sua emoção. MÉTODOS: a amostra foi constituída por 107 professores, sendo 86 com queixa e 21 sem queixa, selecionados em escolas da rede particular de ensino de Maceió-AL. Cada professor respondeu individualmente o protocolo Perfil Participação em Atividades Vocais na presença da pesquisadora, assinalando suas respostas em uma escala visual que varia de 0 a 10. O protocolo é composto por 28 questões com a presença integrada em cinco aspectos englobados para avaliar a qualidade de vida e o resultado de tratamentos vocais. O protocolo oferece, ainda, dois escores adicionais: pontuação de limitação nas atividades (PLA e de restrição de participação (PRP. RESULTADOS: na comparação dos grupos com e sem queixa vocal foram verificados que todos os resultados foram estatisticamente significantes (pPURPOSE: to analyze the vocal impact in the daily activities on high-school teachers. Correlate the finding of the auto-perception on the vocal problem with the following aspects: effects in the work, daily communication, social communication and, its emotion METHODS: the sample consisted of 107 teachers, 86 with and 21 with no complaint, selected from private teaching schools in Maceió-AL. Each teacher answered individually the Protocol for Voice Activity Participation Profile in the presence of the researcher, noting their responses on a visual scale ranging from 0 to 10. The protocol is composed of 28 questions with the presence integrated in five aspects to evaluate the quality of life and the result of vocal treatments. The protocol offers, still, two additional scores: punctuation of limitation in the activities (PLA and restriction of participation (PRP. RESULTS: comparing the groups with

  9. Tonsillar Cellulitis and Abscess

    Science.gov (United States)

    ... Vocal Cord Contact Ulcers Vocal Cord Paralysis Tonsillar cellulitis is a bacterial infection of the tissues around the tonsils. A tonsillar ... Laryngoceles Retropharyngeal Abscess Salivary Gland Disorders Submandibular ... and Tonsillar Abscess Tonsillopharyngitis Vocal Cord Polyps, Nodules, ...

  10. MARATHON DESPITE UNILATERAL VOCAL FOLD PARALYSIS

    Directory of Open Access Journals (Sweden)

    Matthias Echternach

    2008-06-01

    Full Text Available The principal symptoms of unilateral vocal fold paralysis are hoarseness and difficulty in swallowing. Dyspnea is comparatively rare (Laccourreye et al., 2003. The extent to which unilateral vocal fold paralysis may lead to respiratory problems at all - in contrast to bilateral vocal fold paralysis- has not yet well been determined. On the one hand, inspiration is impaired with unilateral vocal fold paralysis; on the other hand, neither the position of the vocal fold paralysis nor the degree of breathiness correlates with respiratory parameters (Cantarella et al., 2003; 2005. The question of what respiratory stress a patient with a vocal fold paresis can endure has not yet been dealt with.A 43 year-old female patient was suffering from recurrent unspecific respiratory complaints for four months after physical activity. During training for a marathon, she experienced no difficulty in breathing. These unspecific respiratory complaints occurred only after athletic activity and persisted for hours. The patient observed neither an increased coughing nor a stridor. Her voice remained unaltered during the attacks, nor were there any signs of a symptomatic gastroesophageal reflux or infectious disease. A cardio-pulmonary and a radiological examination by means of an X-ray of the thorax also revealed no pathological phenomena. As antiallergic and antiobstructive therapy remained unsuccessful, a laryngological examination was performed in order to exclude a vocal cord dysfunction.Surprisingly enough, the laryngostroboscopy showed, as an initial description, a vocal fold paralysis of the left vocal fold in median position (Figure 1. The anamnestic background for the cause was unclear. The only clue was a thoracotomy on the left side due to a pleuritis in childhood. A subsequent laryngoscopic examination had never been performed. Good mucosa waves and amplitudes were shown bilateral with complete glottal closure. Neither in the acoustic analysis, nor in the

  11. Vocal coordination and vocal imitation: a role for mirror neurons?

    Science.gov (United States)

    Newman, John D

    2014-04-01

    Some birds and mammals have vocal communication systems in which coordination between individuals is important. Examples would include duetting or antiphonal calling in some birds and mammals, rapid exchanges of the same vocalization, and vocal exchanges between paired individuals and other nearby pairs. Mirror neurons may play a role in such systems but become functional only after experience.

  12. Modeling and imaging of the vocal fold vibration for voice health

    DEFF Research Database (Denmark)

    Granados, Alba

    Identication of abnormalities on the vocal fold by means of dierent diagnostic methods is a key step to determine the cause or causes of a voice disorder, and subsequently give an adequate treatment. To this end, clinical investigations benet from accurate mathematical models for prediction...... modeling during asymmetric vocal fold vibration. The prediction problem is numerically addressed with a self-sustained three-dimensional nite element model of the vocal fold with position-based contact constraints. A novel contact detection mechanism is shown to successfully detect collision in asymmetric......, analysis and inference. This thesis deals with biomechanical models of the vocal fold, specially of the collision, and laryngeal videoendoscopic analysis procedures suitable for the inference of the underlying vocal fold characteristics. The rst part of this research is devoted to frictionless contact...

  13. 声带显微手术后发声功能恢复和嗓音训练时间的初步探讨%Preliminary Study on Functional Recovery and Voice Training Time after Microsurgical Operation of Vocal Cords

    Institute of Scientific and Technical Information of China (English)

    陈志鹏; 熊姗姗; 李美丽; 彭伟; 李文生; 沈康

    2015-01-01

    Objective:To discuss the recovery of function and voice training time after microsurgical operation of vocal cords.Method:152 vocal cord polyps patients with vocal cord microsurgery from January 2011 to April 2014 in institute of otolaryngology department as research objects,using the voice acoustic analysis,compared to the voice acoustic parametersduring preoperative and postoperative 3,5,7 days.In accordance with the draw random sampling method 152 patients were divided into two groups,patients in group A at 1 weeks after surgery to give voice training,patients in group B at 2 weeks after surgery to give voice training.6 months after voice training,to compare the voice acoustic parameters,VHI scores and GRBAS scores of the two groups.Result:3 d after the operation,the acoustic parameters in patients decreased,had no significant difference compared with that before operation,from 5 d after operation,the acoustic parameters significantly decreased compared with that before operation,there were differences in statistical significance (P<0.05).Before voice training, two groups of patients with voice acoustic parameters,VHI scores and GRBAS scores had no significance,6 months after voice training,two groups of patients with voice acoustic parameters,VHI scores and GRBAS scores were significantly improved, group B improved more significantly than group A (P<0.05).Conclusion:The voice quality begin to restore 5 d after surgery in patients with vocal cord polyp microstructure,but patients within 2 weeks after a rigorous hugh rear can make voice training.%目的:探讨声带显微手术后发声功能恢复和嗓音训练时间。方法:选取2011年1月-2014年4月本院耳鼻咽喉科收治的152例行声带显微手术的声带息肉患者为研究对象,采用嗓音声学分析,对其术前、术后3、5、7 d,各嗓音声学参数进行比较。按照抽签随机取样法将152例患者均分为两组,A组患者于手术后1周给予嗓音

  14. A new mutation in the GJB1 gene of a Chinese family with Charcot-Marie-Tooth disease associated with vocal cord paresis%伴声带麻痹的X连锁腓骨肌萎缩症GJB1基因新突变

    Institute of Scientific and Technical Information of China (English)

    李清华; 蒋静子; 刘开祥; 俸军林; 曾爱源; 李浩; 吴岚; 唐永刚; 陈梅玲; 林小慧

    2010-01-01

    Objective To report an X-linked dominant Charcot-Marie-Tooth disease (CMTX) Chinese family with vocal cord paresis and to identify the mutation of gap junction protein beta 1 gene (GJB1). Methods Part of the family members with dysphagia, dysphonia and lethal respiratory failure were studied through flexible laryngoscope, clinical, brain MRI and electrophysiological examinations. After excluding large fragment tandem duplication containing peripheral myelin protein 22 gene (PMP22), direct sequencing was performed to analyze the mutation of the GJB1 gene in 5 patients including the proband, 5 unaffected family members and 50 unrelated healthy individuals. Results Eight members spanning 3 generations in this family were affected with CMTX characterized by progressive atrophy and weakness of the anterior tibial and peroneal muscles, especially in the proband. Vocal cord paresis was observed through flexible laryngoscope in total of 4 affected members with dysarthria and dysphagia, 2 of them died of severe respiratory failure due to complete bilateral vocal cord involvement. Normal brain MRI was observed in the proband. The electrophysiological data showed predominant demyelization involving the motor and sensory nerves in the proband. DNA sequencing revealed a de novo c. 186 C>G missense mutation in exon 2 of the GJB1 gene, the mutation cosegregated with phenotype. Conclusion Respiratory failure associated with vocal cord involvement may be a rare and severe symptom in CMTX. The present report provides further evidence for clinical and genetic heterogeneity in the X-linked Charcot-Marie-Tooth disease.%目的 报告1个临床可疑的伴声带麻痹的X连锁显性遗传腓骨肌萎缩症(X-1inked Charcot-Marie-Tooth disease,CMTX)家系,并探讨与连接蛋白(gap jurction protein beta 1,GJB1)基因突变的关系.方法 对1个具有声音嘶哑、吞咽困难、致死性呼吸衰竭的临床可疑的CMTX家系进行临床、纤维喉镜、头部MRI及电生理检

  15. 嗓音障碍指数主观评估与发音障碍严重程度指数客观检测的相关性分析%Correlation between voice handicap index and voice acoustic analysis in patients with vocal cord polyps

    Institute of Scientific and Technical Information of China (English)

    李晓雨; 李进让

    2016-01-01

    目的:探讨声带息肉患者嗓音障碍指数(voice handicap index,VHI)量表自我评估和发音障碍严重程度指数(dysphonia severity index,DSI)客观评估的相关性。方法取104例声带息肉患者,用VHI中文版量表进行自评及DIVAS2.5声学分析软件分析DSI,按性别、侧别、形状、大小分组比较,分析VHI和DSI的相关性。结果声带息肉的大小、形状对VHI各指标差异均无统计学意义,但较大或广基底形息肉基频微扰较重;女性患者功能、生理和VHI总体评价高于男性,但DSI却低于男性;双侧息肉比单侧在生理方面影响较重,同时DSI也较重;VHI量表各指标与嗓音声学分析各参数之间无明显相关性。结论目前临床上评估嗓音障碍程度的两种主客观方法都不理想,应进一步研究更好的评价方法。%[ABSTRACT]OBJECTIVETo investigate the relationship between self-assessment of Voice Handicap Index (VHI) and objective detection of Dysphonia Severity Index (DSI) in vocal ford polyp patients.METHODSAll 104 vocal cord polyp patients assessed the Chinese version of VHI scale by themselves. The DSI was calculated by acoustic analysis of DIVAS2.5. The correlation between VHI and DSI was analyzed in Pearson test.RESULTS There was no significant difference in each index of VHI scale score by side and shape, but the Shimmer of larger or wide-base polyps was more severe. The female patients' function, physiology, and VHI total score were higher than that of male patients, but the DSI was lower than that of male patients. The physiology score was higher in bilateral vocal cord polyp patients, so as well as DSI. There was no significant correlation between each item of VHI scale score and DSI.CONCLUSIONNeither the current subjective VHI nor objective DSI in clinical assessment of voice disorders disability is ideal, further research and better evaluation methods should be further explored.

  16. Vocal communication in African elephants (Loxodonta africana).

    Science.gov (United States)

    Soltis, Joseph

    2010-01-01

    Research on vocal communication in African elephants has increased in recent years, both in the wild and in captivity, providing an opportunity to present a comprehensive review of research related to their vocal behavior. Current data indicate that the vocal repertoire consists of perhaps nine acoustically distinct call types, "rumbles" being the most common and acoustically variable. Large vocal production anatomy is responsible for the low-frequency nature of rumbles, with fundamental frequencies in the infrasonic range. Additionally, resonant frequencies of rumbles implicate the trunk in addition to the oral cavity in shaping the acoustic structure of rumbles. Long-distance communication is thought possible because low-frequency sounds propagate more faithfully than high-frequency sounds, and elephants respond to rumbles at distances of up to 2.5 km. Elephant ear anatomy appears designed for detecting low frequencies, and experiments demonstrate that elephants can detect infrasonic tones and discriminate small frequency differences. Two vocal communication functions in the African elephant now have reasonable empirical support. First, closely bonded but spatially separated females engage in rumble exchanges, or "contact calls," that function to coordinate movement or reunite animals. Second, both males and females produce "mate attraction" rumbles that may advertise reproductive states to the opposite sex. Additionally, there is evidence that the structural variation in rumbles reflects the individual identity, reproductive state, and emotional state of callers. Growth in knowledge about the communication system of the African elephant has occurred from a rich combination of research on wild elephants in national parks and captive elephants in zoological parks.

  17. A numerical strategy for finite element modeling of frictionless asymmetric vocal fold collision

    DEFF Research Database (Denmark)

    Granados, Alba; Misztal, Marek Krzysztof; Brunskog, Jonas;

    2016-01-01

    Analysis of voice pathologies may require vocal fold models that include relevant features such as vocal fold asymmetric collision. The present study numerically addresses the problem of frictionless asymmetric collision in a self-sustained three-dimensional continuum model of the vocal folds....... Theoretical background and numerical analysis of the finite-element position-based contact model are presented, along with validation. A novel contact detection mechanism capable to detect collision in asymmetric oscillations is developed. The effect of inexact contact constraint enforcement on vocal fold...... dynamics is examined by different variational methods for inequality constrained minimization problems, namely the Lagrange multiplier method and the penalty method. In contrast to the penalty solution, which is related to classical spring-like contact forces, numerical examples show that the parameter...

  18. Vocal therapy of hyperkinetic dysphonia

    OpenAIRE

    Mumović Gordana; Veselinović Mila; Arbutina Tanja; Škrbić Renata

    2014-01-01

    Introduction. Hyperkinetic (hyperfunctional) dysphonia is a common pathology. The disorder is often found in vocal professionals faced with high vocal requirements. Objective. The objective of this study was to evaluate the effects of vocal therapy on voice condition characterized by hyperkinetic dysphonia with prenodular lesions and soft nodules. Methods. The study included 100 adult patients and 27 children aged 4-16 years with prenodular lesions and soft...

  19. The application of surface anesthesia endotracheal intubation without muscle relaxant in the epiglottis vocal cords surgery anesthesia%表面麻醉下无肌松药气管插管在会厌声带手术麻醉中的应用

    Institute of Scientific and Technical Information of China (English)

    来伟; 丁国友; 帅君; 肖荣; 吴林纳; 江丽丽

    2015-01-01

    目的:评价表面麻醉下无肌松药气管插管在会厌声带手术麻醉中的临床应用。方法全麻下择期行会厌、声带手术80例,随机分为2组:麻醉诱导中,肌松药气管插管组(Ⅰ组)予以静脉注射顺式阿曲库铵0.1 mg/kg后行气管插管;表面麻醉气管插管组(Ⅱ组)采用逐步口咽及气管内表面麻醉后行气管插管。记录2组麻醉诱导中气管插管前后各时间点的平均动脉压( MAP)和心率( HR)。评价两组气管插管评分分级情况,比较两组手术时间、术中丙泊酚和瑞芬太尼用量、手术结束至自主呼吸恢复和气管拔管时间,记录两组术后拔管期间的意识状态评分( OAA/S),术后麻醉不良反应、术中知晓情况和患者麻醉满意度。结果两组共78名患者完成临床研究。两组MAP和HR变化相同,组间差异无统计学意义。两组气管插管条件相似,手术时间、全麻用药量比较差异无统计学意义( P均>0.05)。与Ⅰ组比较,无肌松药的Ⅱ组术后自主呼吸恢复迅速拔管更快,差异有统计学意义( P<0.05)。Ⅱ组术后气管拔管时和拔管后5 min OAA/S评分显著高于Ⅰ组,术后不良反应发生也明显少于Ⅰ组,整体麻醉满意度高。结论表面麻醉下无肌松药气管插管可以为会厌、声带手术麻醉提供良好的气道管理,缩短术后气管拔管时间,麻醉安全性更高。%Objective To evaluate the clinical application of surface anesthesia without muscle relaxant endotracheal intuba-tion in epiglottis vocal cords surgery anesthesia.Methods Eighty patients undergoing elective epiglottis vocal cords surgery by general anesthesia, were randomly divided into two groups:In the anesthesia induction, the group of endotracheal intubation with muscle relax-ants (groupⅠ)was treated with intravenous cisatracurium 0.1 mg/kg before endotracheal intubation.The group of surface

  20. Cord Blood

    Directory of Open Access Journals (Sweden)

    Saeed Abroun

    2014-05-01

    Full Text Available   Stem cells are naïve or master cells. This means they can transform into special 200 cell types as needed by body, and each of these cells has just one function. Stem cells are found in many parts of the human body, although some sources have richer concentrations than others. Some excellent sources of stem cells, such as bone marrow, peripheral blood, cord blood, other tissue stem cells and human embryos, which last one are controversial and their use can be illegal in some countries. Cord blood is a sample of blood taken from a newborn baby's umbilical cord. It is a rich source of stem cells, umbilical cord blood and tissue are collected from material that normally has no use following a child’s birth. Umbilical cord blood and tissue cells are rich sources of stem cells, which have been used in the treatment of over 80 diseases including leukemia, lymphoma and anemia as bone marrow stem cell potency.  The most common disease category has been leukemia. The next largest group is inherited diseases. Patients with lymphoma, myelodysplasia and severe aplastic anemia have also been successfully transplanted with cord blood. Cord blood is obtained by syringing out the placenta through the umbilical cord at the time of childbirth, after the cord has been detached from the newborn. Collecting stem cells from umbilical blood and tissue is ethical, pain-free, safe and simple. When they are needed to treat your child later in life, there will be no rejection or incompatibility issues, as the procedure will be using their own cells. In contrast, stem cells from donors do have these potential problems. By consider about cord blood potency, cord blood banks (familial or public were established. In IRAN, four cord blood banks has activity, Shariati BMT center cord blood bank, Royan familial cord blood banks, Royan public cord blood banks and Iranian Blood Transfusion Organ cord blood banks. Despite 50,000 sample which storage in these banks, but the

  1. Electroglottographic parameterization of the effects of gender, vowel and phonatory registers on vocal fold vibratory patterns: an Indian perspective.

    Science.gov (United States)

    Paul, Nilanjan; Kumar, Suman; Chatterjee, Indranil; Mukherjee, Biswarup

    2011-01-01

    In-depth study on laryngeal biomechanics and vocal fold vibratory patterns reveal that a single vibratory cycle can be divided into two major phases, the closed and open phase, which is subdivided into opening and closing phases. Studies reveal that the relative time course of abduction and adduction, which in turn is dependent on the relative relaxing and tensing of the vocal fold cover and body, to be the determining factor in production of a particular vocal register like the modal (or chest), falsetto, glottal fry registers. Studies further point out Electroglottography to be particularly suitable for the study of vocal vibratory patterns during register changes. However, to date, there has been limited study on quantitative parameterization of EGG wave form in vocal fry register. Moreover, contradictory findings abound in literature regarding effects of gender and vowel types on vocal vibratory patterns, especially during phonation at different registers. The present study endeavors to find out the effects of vowel and gender differences on the vocal fold vibratory patterns in different registers and how these would be reflected in standard EGG parameters of Contact Quotient (CQ) and Contact Index (CI), taking into consideration the Indian sociolinguistic context. Electroglottographic recordings of 10 young adults (5 males and 5 females) were taken while the subjects phonated the three vowels /a/,/i/,/u/ each in two vocal registers, modal and vocal fry. Obtained raw EGG were further normalized using the Derived EGG algorithm and theCQ and CI values were derived. Obtained data were subject to statistical analysis using the 3-way ANOVA with gender, vowel and vocal register as the three variables. Post-hoc Dunnett C multiple comparison analysis were also performed. Results reveal that CQ values are significantly higher in vocal fry than modal phonation for both males and females, indicating a relatively hyperconstricted vocal system during vocal fry. The males

  2. Vocal therapy of hyperkinetic dysphonia

    Directory of Open Access Journals (Sweden)

    Mumović Gordana

    2014-01-01

    Full Text Available Introduction. Hyperkinetic (hyperfunctional dysphonia is a common pathology. The disorder is often found in vocal professionals faced with high vocal requirements. Objective. The objective of this study was to evaluate the effects of vocal therapy on voice condition characterized by hyperkinetic dysphonia with prenodular lesions and soft nodules. Methods. The study included 100 adult patients and 27 children aged 4-16 years with prenodular lesions and soft nodules. A subjective acoustic analysis using the GIRBAS scale was performed prior to and after vocal therapy. Twenty adult patients and 10 children underwent objective acoustic analysis including several acoustic parameters. Pathological vocal qualities (hoarse, harsh and breathy voice were also obtained by computer analysis. Results. The subjective acoustic analysis revealed a significant (p<0.01 reduction in all dysphonia parameters after vocal treatment in adults and children. After treatment, all levels of dysphonia were lowered in 85% (85/100 of adult patients and 29% (29/100 had a normal voice. Before vocal therapy 9 children had severe, 13 had moderate and 8 slight dysphonia. After vocal therapy only 1 child had severe dysphonia, 7 had moderate, 10 had slight levels of dysphonia and 9 were without voice disorder. The objective acoustic analysis in adults revealed a significant improvement (p≤0.025 in all dysphonia parameters except SD F0 and jitter %. In children, the acoustic parameters SD F0, jitter % and NNE (normal noise energy were significantly improved (p=0.003-0.03. Pathological voice qualities were also improved in adults and children (p<0.05. Conclusion. Vocal therapy effectively improves the voice in hyperkinetic dysphonia with prenodular lesions and soft nodules in both adults and children, affecting diverse acoustic parameters.

  3. Physiologically driven avian vocal synthesizer

    Science.gov (United States)

    Sitt, Jacobo D.; Arneodo, Ezequiel M.; Goller, Franz; Mindlin, Gabriel B.

    2010-03-01

    In this work, we build an electronic syrinx, i.e., a programmable electronic device capable of integrating biomechanical model equations for the avian vocal organ in order to synthesize song. This vocal prosthesis is controlled by the bird’s neural instructions to respiratory and the syringeal motor systems, thus opening great potential for studying motor control and its modification by sensory feedback mechanisms. Furthermore, a well-functioning subject-controlled vocal prosthesis can lay the foundation for similar devices in humans and thus provide directly health-related data and procedures.

  4. Modal locking between vocal fold and vocal tract oscillations

    CERN Document Server

    Aalto, Atte; Malinen, Jarmo; Vainio, Martti

    2012-01-01

    The human vocal folds are known to interact with the vocal tract acoustics during voiced speech production; namely a nonlinear source-filter coupling has been observed both by using models and in \\emph{in vivo} phonation. These phenomena are approached from two directions in this article. We first present a computational dynamical model of the speech apparatus that contains an explicit filter-source feedback mechanism from the vocal tract acoustics back to the vocal folds oscillations. The model was used to simulate vocal pitch glideswhere the trajectory was forced to cross the lowest vocal tract resonance, i.e., the lowest formant $F_1$. Similar patterns produced by human participants were then studied. Both the simulations and the experimental results reveal an effect when the glides cross the first formant (as may happen in \\textipa{[i]}). Conversely, this effect is not observed if there is no formant within the glide range (as is the case in \\textipa{[\\textscripta]}). The experiments show smaller effect c...

  5. Vocal Improvisation for Elementary Students.

    Science.gov (United States)

    Thompson, Keith P.

    1980-01-01

    The author describes the three-phase process of musical creativity (exploratory, invention, organizational), identifying activities in each of the creative phases. Included are vocal impression, picture sounds, chord tones, and name improvisation. Selected readings and recordings are included. (KC)

  6. Comparative study in swines' vocal cords healing after excision of fragment with CO2 laser with mitomycin and 5-fluorouracil postoperative topical application Estudo comparado da cicatrização da prega vocal de suínos após exérese de fragmento com laser de CO2 e aplicação tópica pós-operatória de mitomicina e 5-fluorouracil

    Directory of Open Access Journals (Sweden)

    Eduardo Baptistella

    2009-02-01

    Full Text Available PURPOSE: To evaluate the deposition of collagen fibers at pig's vocal folds after topical use of mitomycin or 5-fluorouracil, when partial exeresis of mucosa layer had been promoted by CO2 laser. METHODS: There were used 18 Larger white pigs which were anesthetized and submitted to mucosa fragment's exeresis, bilaterally, at its free border. The animals were divided into 3 groups, each one with 6 animals: control group, without topical drug application; mitomycin group; and 5-fluorouracil group. After 30 days, the animals were subjected to euthanasia, and samples of the vocal folds were collected and stained by picrosirius red technique with polarization for quantification of total collagen deposition. RESULTS: In control group, the mean rate of right vocal fold's collagen deposition at submucosa consisted in a 3428.66 micrometers area. There was found an area whose size had, in average, 2196.36 micrometers, in mitomycin group, and 2269.19 micrometers, in 5-fluorouracil group. CONCLUSION: Mitomycin and 5-fluorouracil had promoted beneficial change in vocal fold's cicatrization with less collagen deposition, but there was no significant statistically difference when they were compared between themselves.OBJETIVO: Avaliar a deposição das fibras de colágeno total em pregas vocais suínas após o uso tópico de mitomicina ou 5-fluorouracil nas exéreses parciais de mucosa com laser de CO2. MÉTODOS: Foram utilizados 18 porcos da raça Larger white anestesiados e submetidos à exérese de fragmento de mucosa de borda livre da prega vocal direita e prega vocal esquerda. Os animais foram divididos em 3 grupos com 6 animais cada: grupo controle, sem aplicação de medicação tópica; grupo mitomicina, com uso tópico dessa substância; grupo 5-fluorouracil, uso tópico. Após 30 dias do experimento os animais foram submetidos à eutanásia, coletadas amostras das pregas vocais e coradas pela técnica do picrosirius red com polarização para a

  7. Vocal therapy of hyperkinetic dysphonia.

    Science.gov (United States)

    Mumović, Gordana; Veselinović, Mila; Arbutina, Tanja; Škrbić, Renata

    2014-01-01

    Hyperkinetic (hyperfunctional) dysphonia is a common pathology. The disorder is often found in vocal professionals faced with high vocal requirements. The objective of this study was to evaluate the effects of vocal therapy on voice condition characterized by hyperkinetic dysphonia with prenodular lesions and soft nodules. The study included 100 adult patients and 27 children aged 4-16 years with prenodular lesions and soft nodules. A subjective acoustic analysis using the GIRBAS scale was performed prior to and after vocal therapy. Twenty adult patients and 10 children underwent objective acoustic analysis including several acoustic parameters. Pathological vocal qualities (hoarse, harsh and breathy voice) were also obtained by computer analysis. The subjective acoustic analysis revealed a significant (pdysphonia parameters after vocal treatment in adults and children. After treatment, all levels of dysphonia were lowered in 85% (85/100) of adult patients and 29% (29/100) had a normal voice. Before vocal therapy 9 children had severe, 13 had moderate and 8 slight dysphonia. After vocal therapy only 1 child had severe dysphonia, 7 had moderate, 10 had slight levels of dysphonia and 9 were without voice disorder. The objective acoustic analysis in adults revealed a significant improvement (p≤0.025) in all dysphonia parameters except SD FO and jitter %. In children, the acoustic parameters SD FO, jitter % and NNE (normal noise energy) were significantly improved (p=0.003-0.03). Pathological voice qualities were also improved in adults and children (pdysphonia with prenodular lesions and soft nodules in both adults and children, affectinq diverse acoustic parameters.

  8. Surveying woodland raptors by broadcast of conspecific vocalizations

    Science.gov (United States)

    Mosher, J.A.; Fuller, M.R.; Kopeny, M.

    1990-01-01

    We surveyed for raptors in forests on study areas in five of the eastern United States. For Cooper's Hawks (Accipiter cooperi), Red-shouldered Hawks (Buteo lineatus), and Barred Owls (Strix varia) the contact rates obtained by broadcasting taped vocalizations of conspecifics along roads were significantly greater than contact rates obtained by only looking and listening from the roadside. Broad-winged Hawks (B. platypterus) were detected only after their calls were broadcast. Most raptors were detected within 10 min of the beginning of the broadcasts. Red-tailed Hawks (B. jamaicensis) and Goshawks (A. gentilis) nested infrequently on our study areas, and we were unable to increase detections of these species. Generally, point count transects along woodland roads, from which conspecific vocalizations were broadcast, resulted in higher species specific detection rates than when walking, driving continuously, or only looking and listening for raptors at roadside stops.

  9. Social learning of vocal structure in a nonhuman primate?

    Directory of Open Access Journals (Sweden)

    Lemasson Alban

    2011-12-01

    Full Text Available Abstract Background Non-human primate communication is thought to be fundamentally different from human speech, mainly due to vast differences in vocal control. The lack of these abilities in non-human primates is especially striking if compared to some marine mammals and bird species, which has generated somewhat of an evolutionary conundrum. What are the biological roots and underlying evolutionary pressures of the human ability to voluntarily control sound production and learn the vocal utterances of others? One hypothesis is that this capacity has evolved gradually in humans from an ancestral stage that resembled the vocal behavior of modern primates. Support for this has come from studies that have documented limited vocal flexibility and convergence in different primate species, typically in calls used during social interactions. The mechanisms underlying these patterns, however, are currently unknown. Specifically, it has been difficult to rule out explanations based on genetic relatedness, suggesting that such vocal flexibility may not be the result of social learning. Results To address this point, we compared the degree of acoustic similarity of contact calls in free-ranging Campbell's monkeys as a function of their social bonds and genetic relatedness. We calculated three different indices to compare the similarities between the calls' frequency contours, the duration of grooming interactions and the microsatellite-based genetic relatedness between partners. We found a significantly positive relation between bond strength and acoustic similarity that was independent of genetic relatedness. Conclusion Genetic factors determine the general species-specific call repertoire of a primate species, while social factors can influence the fine structure of some the call types. The finding is in line with the more general hypothesis that human speech has evolved gradually from earlier primate-like vocal communication.

  10. Visualizing sound emission of elephant vocalizations: evidence for two rumble production types.

    Directory of Open Access Journals (Sweden)

    Angela S Stoeger

    Full Text Available Recent comparative data reveal that formant frequencies are cues to body size in animals, due to a close relationship between formant frequency spacing, vocal tract length and overall body size. Accordingly, intriguing morphological adaptations to elongate the vocal tract in order to lower formants occur in several species, with the size exaggeration hypothesis being proposed to justify most of these observations. While the elephant trunk is strongly implicated to account for the low formants of elephant rumbles, it is unknown whether elephants emit these vocalizations exclusively through the trunk, or whether the mouth is also involved in rumble production. In this study we used a sound visualization method (an acoustic camera to record rumbles of five captive African elephants during spatial separation and subsequent bonding situations. Our results showed that the female elephants in our analysis produced two distinct types of rumble vocalizations based on vocal path differences: a nasally- and an orally-emitted rumble. Interestingly, nasal rumbles predominated during contact calling, whereas oral rumbles were mainly produced in bonding situations. In addition, nasal and oral rumbles varied considerably in their acoustic structure. In particular, the values of the first two formants reflected the estimated lengths of the vocal paths, corresponding to a vocal tract length of around 2 meters for nasal, and around 0.7 meters for oral rumbles. These results suggest that African elephants may be switching vocal paths to actively vary vocal tract length (with considerable variation in formants according to context, and call for further research investigating the function of formant modulation in elephant vocalizations. Furthermore, by confirming the use of the elephant trunk in long distance rumble production, our findings provide an explanation for the extremely low formants in these calls, and may also indicate that formant lowering functions to

  11. Incapacidad vocal en docentes de la provincia de Huelva Voice handicap in Huelva's teachers

    Directory of Open Access Journals (Sweden)

    Francisco Javier Barbero-Díaz

    2010-03-01

    Full Text Available Introducción: La prevalencia de trastornos de la voz en docentes en nuestro entorno se sitúa entre el 34% y 57%. Desde el año 2006 la patología por nódulos de las cuerdas vocales se considera enfermedad profesional. El Índice de Incapacidad Vocal es una herramienta validada para valorar el menoscabo asociado a la disfonía que percibe la persona. Objetivos: Valorar el impacto de la disfonía y las posibles diferencias en la incapacidad vocal entre factores relacionados con la disfonía. Material y Métodos: Durante el examen de salud voluntario los docentes son interrogados sobre síntomas de disfonía y cumplimentan el Índice de Incapacidad Vocal. Resultados: Los docentes con incapacidad moderada y severa representan el 16,6% y 1,2% respectivamente. Un 50,9% han presentado síntomas de disfonía en algún momento de su vida laboral. Se encuentran diferencias significativas en la incapacidad vocal según el diagnostico de nódulos de cuerdas vocales, la presencia de síntomas y el número de síntomas. Conclusiones: la disfonía supone un importante impacto en la población estudiada. El diagnostico de nódulos de cuerdas vocales, la presencia de síntomas y el número de síntomas de disfonía conllevan diferencias al valorar el menoscabo. No es posible realizar la extrapolación.Introduction: The prevalence of voice disorders in teachers in our environment is between 34% and 57%. Since 2006, the pathology of vocal cord nodules is considered an occupational disease. Vocal Handicap Index is a validated tool to assess the impairment associated with the perceived dysphonia. Objectives: To assess the impact of dysphonia and the possible differences in the vocal disability in function of dysphonia-related factors in teachers. Methods: During the exam of health, volunteer teachers are interviewed about symptoms of dysphonia and complete the Vocal Handicap Index. Results: Teachers with moderate and severe disability represent 16.6% and 1

  12. Cord-Blood Banking

    Science.gov (United States)

    ... to Be Smart About Social Media Cord-Blood Banking KidsHealth > For Parents > Cord-Blood Banking Print A ... for you and your family. About Cord-Blood Banking Cord-blood banking basically means collecting and storing ...

  13. Testing the evolutionary conservation of vocal motoneurons in vertebrates.

    Science.gov (United States)

    Albersheim-Carter, Jacob; Blubaum, Aleksandar; Ballagh, Irene H; Missaghi, Kianoush; Siuda, Edward R; McMurray, George; Bass, Andrew H; Dubuc, Réjean; Kelley, Darcy B; Schmidt, Marc F; Wilson, Richard J A; Gray, Paul A

    2016-04-01

    Medullary motoneurons drive vocalization in many vertebrate lineages including fish, amphibians, birds, and mammals. The developmental history of vocal motoneuron populations in each of these lineages remains largely unknown. The highly conserved transcription factor Paired-like Homeobox 2b (Phox2b) is presumed to be expressed in all vertebrate hindbrain branchial motoneurons, including laryngeal motoneurons essential for vocalization in humans. We used immunohistochemistry and in situ hybridization to examine Phox2b protein and mRNA expression in caudal hindbrain and rostral spinal cord motoneuron populations in seven species across five chordate classes. Phox2b was present in motoneurons dedicated to sound production in mice and frogs (bullfrog, African clawed frog), but not those in bird (zebra finch) or bony fish (midshipman, channel catfish). Overall, the pattern of caudal medullary motoneuron Phox2b expression was conserved across vertebrates and similar to expression in sea lamprey. These observations suggest that motoneurons dedicated to sound production in vertebrates are not derived from a single developmentally or evolutionarily conserved progenitor pool.

  14. University Vocal Training and Vocal Health of Music Educators and Music Therapists

    Science.gov (United States)

    Baker, Vicki D.; Cohen, Nicki

    2017-01-01

    The purpose of this study was to describe the university vocal training and vocal health of music educators and music therapists. The participants (N = 426), music educators (n = 351) and music therapists (n = 75), completed a survey addressing demographics, vocal training, voice usage, and vocal health. Both groups reported singing at least 50%…

  15. The vocal monotony of monogamy

    Science.gov (United States)

    Thomas, Jeanette

    2003-04-01

    There are four phocids in waters around Antarctica: Weddell, leopard, crabeater, and Ross seals. These four species provide a unique opportunity to examine underwater vocal behavior in species sharing the same ecosystem. Some species live in pack ice, others in factice, but all are restricted to the Antarctic or sub-Antarctic islands. All breed and produce vocalizations under water. Social systems range from polygyny in large breeding colonies, to serial monogamy, to solitary species. The type of mating system influences the number of underwater vocalizations in the repertoire, with monogamous seals producing only a single call, polygynous species producing up to 35 calls, and solitary species an intermediate number of about 10 calls. Breeding occurs during the austral spring and each species carves-out an acoustic niche for communicating, with species using different frequency ranges, temporal patterns, and amplitude changes to convey their species-specific calls and presumably reduce acoustic competition. Some species exhibit geographic variations in their vocalizations around the continent, which may reflect discrete breeding populations. Some seals become silent during a vulnerable time of predation by killer whales, perhaps to avoid detection. Overall, vocalizations of these seals exhibit adaptive characteristics that reflect the co-evolution among species in the same ecosystem.

  16. An Investigation of Extinction-Induced Vocalizations

    Science.gov (United States)

    Valentino, Amber L.; Shillingsburg, M. Alice; Call, Nathan A.; Burton, Britney; Bowen, Crystal N.

    2011-01-01

    Children with autism have significant communication delays. Although some children develop vocalizations through shaping and differential reinforcement, others rarely exhibit vocalizations, and alternative methods are targeted in intervention. However, vocal language often remains a goal for caregivers and clinicians. Thus, strategies to increase…

  17. Vocal Modification Abilities and Brain Structures in Parrots – how do they Correlate?

    DEFF Research Database (Denmark)

    Harpøth, Solveig Walløe

    -­fronted conure and the budgerigar. Article 2: It has been suggested that the size of various brain regions is important for behavioral capability and also the number of neurons have been suggested to be important. Here we correlate the vocal modification ability of the peach-­fronted conure, the budgerigar......Behavioral capability and related brain structures has been linked many times. It is a relationship that may vary between individuals and species, depending on for example the level of sociality. This PhD-­thesis investigates this relationship using parrots as experimental subjects. Parrots...... independent studies where I 1) compare the level of vocal complexity (i.e. modification of the contact call in response to playback stimuli) with the social complexity of four different parrot species, 2) correlate the vocal modification ability of parrots with a brain region involved in vocal learning, i...

  18. Cetacean vocal learning and communication.

    Science.gov (United States)

    Janik, Vincent M

    2014-10-01

    The cetaceans are one of the few mammalian clades capable of vocal production learning. Evidence for this comes from synchronous changes in song patterns of baleen whales and experimental work on toothed whales in captivity. While baleen whales like many vocal learners use this skill in song displays that are involved in sexual selection, toothed whales use learned signals in individual recognition and the negotiation of social relationships. Experimental studies demonstrated that dolphins can use learned signals referentially. Studies on wild dolphins demonstrated how this skill appears to be useful in their own communication system, making them an interesting subject for comparative communication studies.

  19. Projections from the paralemniscal nucleus to the spinal cord in the mouse.

    Science.gov (United States)

    Liang, Huazheng; Duan, Deyi; Watson, Charles; Paxinos, George

    2013-09-01

    The present study investigated the projection from the paralemniscal nucleus (PL) to the spinal cord in the mouse by injecting the retrograde tracer fluoro-gold to different levels of the spinal cord and injecting the anterograde tracer biotinylated dextran amine into PL. We found that PL projects to the entire spinal cord with obvious contralateral predominance--420 neurons projected to the contralateral cervical cord and 270 to the contralateral lumbar cord. Fibers from PL descended in the dorsolateral funiculus on the contralateral side and terminated in laminae 5, 6, 7, and to a lesser extent in the dorsal and ventral horns. A smaller number of fibers also descended in the ventral funiculus on the ipsilateral side and terminated in laminae 7, 8 and, to a lesser extent in lamina 9. The present study is the first demonstration of the PL fiber termination in the spinal cord in mammals. The PL projection to the spinal cord may be involved in vocalization and locomotion.

  20. Objective assessment of vocal hyperfunction: an experimental framework and initial results.

    Science.gov (United States)

    Hillman, R E; Holmberg, E B; Perkell, J S; Walsh, M; Vaughan, C

    1989-06-01

    This report describes the experimental design and initial results of an ongoing clinical investigation of voice disorders. Its major focus is the development and use of quantitative measures to provide objective descriptions of conditions referred to as "vocal hyperfunction." The experimental design for this project is based on a descriptive theoretical framework, which holds that there are different types and stages of hyperfunctionally related voice disorders. Data consist of indirect measures derived from noninvasive aerodynamic and acoustic recordings including (a) parameters derived from inverse filtered approximations of the glottal air flow waveform; (b) estimates of transglottal pressure, average glottal air flow, glottal resistance and vocal efficiency; and (c) measures of vocal intensity and fundamental frequency. Initial results (based on comparisons among 15 voice patients and 45 normal speakers) support major assumptions that underlie the theoretical framework, and indicate that the measurement approach being utilized is capable of differentiating hyperfunctional from normal voices and hyperfunctional conditions from one another. Organic manifestations of vocal hyperfunction (nodules, polyps, contact ulcers) are accompanied by abnormally high values for the glottal waveform parameters of AC flow and maximum flow declination rate, suggesting increased potential for vocal fold trauma due to high vocal fold closure velocities and collision forces. In contrast, nonorganic manifestations of hyperfunction (functional disorders) tend to be associated with abnormally high levels of unmodulated DC flow, without high values for AC flow and maximum flow declination rate, suggesting reduced potential for vocal fold trauma. Measures also suggest different underlying mechanisms for nodules and polyps as compared to contact ulcers. Results are discussed relative to predictions based on the theoretical framework for vocal hyperfunction.

  1. Vocal Health for Physical Educators

    Science.gov (United States)

    Trout, Josh; McColl, Douglas

    2007-01-01

    Evidence suggests that teachers are often at risk for vocal disease and are more likely to change occupations because of their voice problems compared to non-teachers. Physical educators are especially at risk for voice problems due to the intense daily demands of voice projection. Chronic abuse can cause swelling and inflammation of the…

  2. Decomposition of vocal cycle length perturbations into vocal jitter and vocal microtremor, and comparison of their size in normophonic speakers.

    Science.gov (United States)

    Schoentgen, J

    2003-06-01

    A statistical method that enables raw vocal cycle length perturbations to be decomposed into perturbations ascribed to vocal jitter and vocal tremor is presented, together with a comparison of the size of jitter and tremor. The method is based on a time series model that splits the vocal cycle length perturbations into uncorrelated cycle-to-cycle perturbations ascribed to vocal jitter and supra-cycle perturbations ascribed to vocal tremor. The corpus was composed of 114 vocal cycle length time series for sustained vowels [a], [i], and [u] produced by 22 male and 16 female normophonic speakers. The results were the following. First, 100 out of 114 time series were decomposed successfully by means of the time series model. Second, vocal perturbations ascribed to tremor were significantly larger than perturbations ascribed to jitter. Third, the correlation between vocal jitter and vocal tremor was moderate, but statistically significant. Fourth, small but statistically significant differences were observed among the three vowel timbres in the relative jitter and the arithmetic difference of jitter and tremor. Fifth, the differences between male and female speakers were not statistically significant in the relative raw perturbations, the relative jitter, or the modulation level owing to tremor.

  3. Vocal similarity and familiarity determine response to potential flockmates in orange-fronted conures (Psittacidae)

    DEFF Research Database (Denmark)

    Balsby, Thorsten Johannes Skovbjerg; Adams, Danielle M.

    2011-01-01

    to discriminate others based on their vocalizations and associate knowledge with their vocal identity. Alternatively, this decision may be determined solely by the current interaction. In a playback experiment, we tested the ability of orange-fronted conures, Aratinga canicularis to discriminate between calls...... of familiar and unfamiliar females. Males were able to discriminate between familiar and unfamiliar calls from different females. Furthermore, test birds seemed to associate experience from the previous interaction with the vocal characteristics of the familiar call, but this result was marginally...... nonsignificant. The success of the playback in imitating the test bird’s contact call in the current interaction proved important, as high similarity between playback and the test bird’s contact calls elicited a stronger response from it. The importance of call imitation during current interactions probably...

  4. Vocal similarity and familiarity determine response to potential flockmates in orange-fronted conures (Psittacidae)

    DEFF Research Database (Denmark)

    Balsby, Thorsten Johannes Skovbjerg; Adams, Danielle M.

    2011-01-01

    to discriminate others based on their vocalizations and associate knowledge with their vocal identity. Alternatively, this decision may be determined solely by the current interaction. In a playback experiment, we tested the ability of orange-fronted conures, Aratinga canicularis to discriminate between calls...... of familiar and unfamiliar females. Males were able to discriminate between familiar and unfamiliar calls from different females. Furthermore, test birds seemed to associate experience from the previous interaction with the vocal characteristics of the familiar call, but this result was marginally...... nonsignificant. The success of the playback in imitating the test bird’s contact call in the current interaction proved important, as high similarity between playback and the test bird’s contact calls elicited a stronger response from it. The importance of call imitation during current interactions probably...

  5. Some aspects of vocal fold bowing.

    Science.gov (United States)

    Tanaka, S; Hirano, M; Chijiwa, K

    1994-05-01

    Bowing of the vocal fold frequently occurs in patients with vocal fold paralysis (VFP), those with sulcus vocalis, and those who have had laser surgery. Additionally, there are vocal folds that present bowing with no noticeable organic lesion. For the purpose of investigating the causes and mechanisms of vocal fold bowing, consecutive fiberscopic videorecordings of 127 patients with VFP, 33 with sulcus vocalis, 33 with laser surgery, and 33 with dysphonia having no clinically noticeable organic lesion were reviewed. Sixty-nine percent of the paralyzed vocal folds had bowing, and the occurrence of bowing was significantly related to the activity of the thyroarytenoid muscle as measured by electromyography. The cricothyroid activity had no significant relationship to vocal fold bowing. All vocal folds with sulcus presented with bowing. Thirty-five percent of the vocal folds that had had laser surgery had bowing. The extent of tissue removal was closely related to the occurrence of bowing. Twelve cases with no organic lesion had vocal fold bowing. Of these 12 patients, 8 were male and 9 were older than 60 years. Some aging process in the mucosa was presumed to be the cause of the bowing in this age group of patients without clinically noticeable organic lesions. Causes of vocal fold bowing in the younger group of patients without organic lesions were not determined in this study.

  6. Teacher's voice: vocal tract discomfort symptoms, vocal intensity and noise in the classroom.

    Science.gov (United States)

    Mendes, Amanda Louize Félix; Lucena, Brunna Thaís Luckwu de; De Araújo, Aline Menezes Guedes Dias; Melo, Luciana Pimentel Fernandes de; Lopes, Leonardo Wanderley; Silva, Maria Fabiana Bonfim de Lima

    2016-04-01

    To identify a possible correlation between teachers vocal intensity and the noise in the classroom, as well as between vocal intensity and the symptoms of vocal tract discomfort before and after classes. 27 Elementary School I teachers participated in the study. We used the questionnaires "Vocal Production Condition of the Teacher" and "Vocal Tract Discomfort Scale - VTD" which were applied before and after the class. A properly calibrated noise meter was used for measuring noise in the classroom and the teachers' vocal intensity. There was a moderate positive correlation between vocal intensity and noise and also a significant difference between the VTD scale and the teachers with and without vocal complaint before and after classes. When compared separately on both occasions, there was an increase in the group's scores for both groups and with and without complaints. We found association of the vocal tract symptoms before and after classes, frequency of burning, itching, sore throat and sensitive throat were observed. The intensity of symptoms was significant for sore throat, itching and feeling of lump in the throat. We observed significant values of vocal intensity and frequency and intensity of symptoms for sensitive throat and lump in the throat before the class, and sore throat and lump in the throat after the. The increase in teacher's vocal intensity correlates to high noise levels in the classroom. The evidence suggests correlation between vocal intensity and discomfort of the vocal tract, with most of the symptoms reported in greater frequency and intensity after the class.

  7. Cord blood testing

    Science.gov (United States)

    ... is born. The umbilical cord is the cord connecting the baby to the mother's womb. Cord blood ... ADAM Health Solutions. About MedlinePlus Site Map FAQs Customer Support Get email updates Subscribe to RSS Follow ...

  8. VOCALS-UK: An overview of UK VOCALS science (Invited)

    Science.gov (United States)

    Coe, H.; Vocals-Uk Science Team

    2010-12-01

    This paper will highlight a variety of process studies, observationally led studies and modelling studies, both completed and in progress, conducted by groups in the United Kingdom, working in collaboration with international partners on the VAMOS Ocean-Cloud-Atmosphere Land Study Regional Experiment (VOCALS-REx). The VOCALS field experiment was conducted out of Arica, Chile, between October and November, 2008. The study aims to better understand the nature and variability of interactions between the ocean, atmosphere and steep topography, as well as local and long-range transport of pollutants and aerosol, in the context of their role in controlling the climate of the South East Pacific - an important region in terms of the global energy budget and which is currently poorly characterised in global climate models. Specific highlights will include a statistical representation of the SEP marine boundary layer during VOCALS-Rex to inform future modelling; an analysis of the synoptic and large-scale dynamical influences on cloud in the SEP; results from improved Met Office Unified Model forecast runs which examine aerosol-cloud interactions with a comparison to results from WRF-CHEM; and large eddy modelling of simulated gravity waves and their potential to induce open cellular convection (create pockets of open cells). In addition, early results from a number of further studies will be presented.

  9. Comportamento vocal de cantores populares Vocal behavior of popular singers

    Directory of Open Access Journals (Sweden)

    Valquíria Zimmer

    2012-04-01

    Full Text Available OBJETIVO: investigar aspectos do histórico, hábitos e comportamentos vocais de cantores populares, conforme o sexo e as categorias profissional e amador. MÉTODO: entrevista com 47 cantores, 25 homens e 22 mulheres. RESULTADOS: significância estatística nos seguintes achados: MASCULINO - microfone nos ensaios, ausência de problemas vocais diagnosticados, ausência de orientações sobre higiene vocal, dor ou desconforto após cantar, ausência de alergias e problemas respiratórios; FEMININO - aulas de canto e conhecimento sobre postura; AMADOR - não cantar dançando, não imitar vozes, ausência de avaliação otorrinolaringológica, ausência de problemas vocais diagnosticados, ausência de terapia fonoaudiológica, ausência de orientações de anatomofisiologia vocal e não utilização de álcool nos ensaios; PROFISSIONAL - rouquidão, conhecimento sobre articulação, álcool durante os shows, "garganta suja" ou pigarro, dor após cantar. CONCLUSÕES: a comparação entre os sexos evidenciou que os homens utilizavam microfone no ensaio, não apresentavam problemas alérgicos ou respiratórios, nem problemas vocais diagnosticados, mas apresentavam sensação de dor ou desconforto após o canto e não possuíam noções sobre higiene vocal; e que as mulheres realizavam aulas de canto e possuíam orientações de postura. A comparação entre amadores e profissionais mostrou que os amadores não cantavam dançando, não imitavam vozes, não utilizavam álcool nos ensaios, e não apresentavam problemas vocais diagnosticados, mas não possuíam avaliação otorrinolaringológica, não realizavam terapia fonoaudiológica, e não possuíam conhecimento sobre anatomofisiologia vocal; e os profissionais apresentavam queixa de rouquidão, de "garganta suja" ou pigarro e de dor após cantar, e usavam álcool durante os shows, apesar de possuir conhecimento sobre articulação.PURPOSE: to investigate aspects of vocal history, vocal habits and

  10. Spinal Cord Contusion

    Institute of Scientific and Technical Information of China (English)

    Gong Ju; Jian Wang; Yazhou Wang; Xianghui Zhao

    2014-01-01

    Spinal cord injury is a major cause of disability with devastating neurological outcomes and lim-ited therapeutic opportunities, even though there are thousands of publications on spinal cord injury annually. There are two major types of spinal cord injury, transaction of the spinal cord and spinal cord contusion. Both can theoretically be treated, but there is no well documented treatment in human being. As for spinal cord contusion, we have developed an operation with fabulous result.

  11. Intraoperative handheld probe for 3D imaging of pediatric benign vocal fold lesions using optical coherence tomography (Conference Presentation)

    Science.gov (United States)

    Benboujja, Fouzi; Garcia, Jordan; Beaudette, Kathy; Strupler, Mathias; Hartnick, Christopher J.; Boudoux, Caroline

    2016-02-01

    Excessive and repetitive force applied on vocal fold tissue can induce benign vocal fold lesions. Children affected suffer from chronic hoarseness. In this instance, the vibratory ability of the folds, a complex layered microanatomy, becomes impaired. Histological findings have shown that lesions produce a remodeling of sup-epithelial vocal fold layers. However, our understanding of lesion features and development is still limited. Indeed, conventional imaging techniques do not allow a non-invasive assessment of sub-epithelial integrity of the vocal fold. Furthermore, it remains challenging to differentiate these sub-epithelial lesions (such as bilateral nodules, polyps and cysts) from a clinical perspective, as their outer surfaces are relatively similar. As treatment strategy differs for each lesion type, it is critical to efficiently differentiate sub-epithelial alterations involved in benign lesions. In this study, we developed an optical coherence tomography (OCT) based handheld probe suitable for pediatric laryngological imaging. The probe allows for rapid three-dimensional imaging of vocal fold lesions. The system is adapted to allow for high-resolution intra-operative imaging. We imaged 20 patients undergoing direct laryngoscopy during which we looked at different benign pediatric pathologies such as bilateral nodules, cysts and laryngeal papillomatosis and compared them to healthy tissue. We qualitatively and quantitatively characterized laryngeal pathologies and demonstrated the added advantage of using 3D OCT imaging for lesion discrimination and margin assessment. OCT evaluation of the integrity of the vocal cord could yield to a better pediatric management of laryngeal diseases.

  12. Does the ring species concept predict vocal variation in the crimson rosella, Platycercus elegans, complex?

    NARCIS (Netherlands)

    Ribot, Raoul F. H.; Berg, Mathew L.; Buchanan, Katherine L.; Komdeur, Jan; Joseph, Leo; Bennett, Andrew T. D.

    2009-01-01

    Vocal variation may be important in population divergence. We studied geographical variation in contact calls of parrots of the crimson rosella, Platycercus elegans, complex, which is characterized by striking geographical plumage coloration variation. This complex has long been considered a rare ex

  13. Acoustic detection of manatee vocalizations

    Science.gov (United States)

    Niezrecki, Christopher; Phillips, Richard; Meyer, Michael; Beusse, Diedrich O.

    2003-09-01

    The West Indian manatee (trichechus manatus latirostris) has become endangered partly because of a growing number of collisions with boats. A system to warn boaters of the presence of manatees, that can signal to boaters that manatees are present in the immediate vicinity, could potentially reduce these boat collisions. In order to identify the presence of manatees, acoustic methods are employed. Within this paper, three different detection algorithms are used to detect the calls of the West Indian manatee. The detection systems are tested in the laboratory using simulated manatee vocalizations from an audio compact disk. The detection method that provides the best overall performance is able to correctly identify ~96% of the manatee vocalizations. However, the system also results in a false alarm rate of ~16%. The results of this work may ultimately lead to the development of a manatee warning system that can warn boaters of the presence of manatees.

  14. Recording vocalizations with Bluetooth technology.

    Science.gov (United States)

    Gaona-González, Andrés; Santillán-Doherty, Ana María; Arenas-Rosas, Rita Virginia; Muñoz-Delgado, Jairo; Aguillón-Pantaleón, Miguel Angel; Ordoñez-Gómez, José Domingo; Márquez-Arias, Alejandra

    2011-06-01

    We propose a method for capturing vocalizations that is designed to avoid some of the limiting factors found in traditional bioacoustical methods, such as the impossibility of obtaining continuous long-term registers or analyzing amplitude due to the continuous change of distance between the subject and the position of the recording system. Using Bluetooth technology, vocalizations are captured and transmitted wirelessly into a receiving system without affecting the quality of the signal. The recordings of the proposed system were compared to those obtained as a reference, which were based on the coding of the signal with the so-called pulse-code modulation technique in WAV audio format without any compressing process. The evaluation showed p < .05 for the measured quantitative and qualitative parameters. We also describe how the transmitting system is encapsulated and fixed on the animal and a way to video record a spider monkey's behavior simultaneously with the audio recordings.

  15. Learned vocal variation is associated with abrupt cryptic genetic change in a parrot species complex.

    Directory of Open Access Journals (Sweden)

    Raoul F H Ribot

    Full Text Available Contact zones between subspecies or closely related species offer valuable insights into speciation processes. A typical feature of such zones is the presence of clinal variation in multiple traits. The nature of these traits and the concordance among clines are expected to influence whether and how quickly speciation will proceed. Learned signals, such as vocalizations in species having vocal learning (e.g. humans, many birds, bats and cetaceans, can exhibit rapid change and may accelerate reproductive isolation between populations. Therefore, particularly strong concordance among clines in learned signals and population genetic structure may be expected, even among continuous populations in the early stages of speciation. However, empirical evidence for this pattern is often limited because differences in vocalisations between populations are driven by habitat differences or have evolved in allopatry. We tested for this pattern in a unique system where we may be able to separate effects of habitat and evolutionary history. We studied geographic variation in the vocalizations of the crimson rosella (Platycercus elegans parrot species complex. Parrots are well known for their life-long vocal learning and cognitive abilities. We analysed contact calls across a ca 1300 km transect encompassing populations that differed in neutral genetic markers and plumage colour. We found steep clinal changes in two acoustic variables (fundamental frequency and peak frequency position. The positions of the two clines in vocal traits were concordant with a steep cline in microsatellite-based genetic variation, but were discordant with the steep clines in mtDNA, plumage and habitat. Our study provides new evidence that vocal variation, in a species with vocal learning, can coincide with areas of restricted gene flow across geographically continuous populations. Our results suggest that traits that evolve culturally can be strongly associated with reduced gene flow

  16. Ultrasonic vocalizations emitted by flying squirrels.

    Directory of Open Access Journals (Sweden)

    Meghan N Murrant

    Full Text Available Anecdotal reports of ultrasound use by flying squirrels have existed for decades, yet there has been little detailed analysis of their vocalizations. Here we demonstrate that two species of flying squirrel emit ultrasonic vocalizations. We recorded vocalizations from northern (Glaucomys sabrinus and southern (G. volans flying squirrels calling in both the laboratory and at a field site in central Ontario, Canada. We demonstrate that flying squirrels produce ultrasonic emissions through recorded bursts of broadband noise and time-frequency structured frequency modulated (FM vocalizations, some of which were purely ultrasonic. Squirrels emitted three types of ultrasonic calls in laboratory recordings and one type in the field. The variety of signals that were recorded suggest that flying squirrels may use ultrasonic vocalizations to transfer information. Thus, vocalizations may be an important, although still poorly understood, aspect of flying squirrel social biology.

  17. Universal vocal signals of emotion

    OpenAIRE

    Sauter, D.; Eisner, F.; Ekman, P.; Scott, S.

    2009-01-01

    Emotional signals allow for the sharing of important information with conspecifics, for example to warn them of danger. Humans use a range of different cues to communicate to others how they feel, including facial, vocal, and gestural signals. Although much is known about facial expressions of emotion, less research has focused on affect in the voice. We compare British listeners to individuals from remote Namibian villages who have had no exposure to Western culture, and examine recognition ...

  18. Vocal improvement after voice therapy in the treatment of benign vocal fold lesions

    OpenAIRE

    Schindler, A; MOZZANICA, F.; Ginocchio, D.; MARUZZI, P.; Atac, M.; OTTAVIANI, F.

    2012-01-01

    SUMMARY Benign vocal fold lesions are common in the general population, and have important public health implications and impact on patient quality of life. Nowadays, phonomicrosurgery is the most common treatment of these lesions. Voice therapy is generally associated in order to minimize detrimental vocal behaviours that increase the stress at the mid-membranous vocal folds. Nonetheless, the most appropriate standard of care for treating benign vocal fold lesion has not been established. Th...

  19. Vocal attractiveness increases by averaging.

    Science.gov (United States)

    Bruckert, Laetitia; Bestelmeyer, Patricia; Latinus, Marianne; Rouger, Julien; Charest, Ian; Rousselet, Guillaume A; Kawahara, Hideki; Belin, Pascal

    2010-01-26

    Vocal attractiveness has a profound influence on listeners-a bias known as the "what sounds beautiful is good" vocal attractiveness stereotype [1]-with tangible impact on a voice owner's success at mating, job applications, and/or elections. The prevailing view holds that attractive voices are those that signal desirable attributes in a potential mate [2-4]-e.g., lower pitch in male voices. However, this account does not explain our preferences in more general social contexts in which voices of both genders are evaluated. Here we show that averaging voices via auditory morphing [5] results in more attractive voices, irrespective of the speaker's or listener's gender. Moreover, we show that this phenomenon is largely explained by two independent by-products of averaging: a smoother voice texture (reduced aperiodicities) and a greater similarity in pitch and timbre with the average of all voices (reduced "distance to mean"). These results provide the first evidence for a phenomenon of vocal attractiveness increases by averaging, analogous to a well-established effect of facial averaging [6, 7]. They highlight prototype-based coding [8] as a central feature of voice perception, emphasizing the similarity in the mechanisms of face and voice perception.

  20. Contact dermatitis

    Science.gov (United States)

    Dermatitis - contact; Allergic dermatitis; Dermatitis - allergic; Irritant contact dermatitis; Skin rash - contact dermatitis ... There are 2 types of contact dermatitis. Irritant dermatitis: This ... with acids, alkaline materials such as soaps and detergents , ...

  1. Aesthetic and Culture Origin of Vocal Art

    Institute of Scientific and Technical Information of China (English)

    张延春

    2010-01-01

    As one of the most commonly and widely adopted art forms, vocal art has been closely related with national culture and the aesthetics trend. Traditional Chinese vocal art rooted from China' s long history and distinctive culture. On the contrary, Italian bel canto stems from the prospect of Italian Opera Art during the Renaissance period. This essay discusses the differences between East and West vocal art, from its aesthetic and culture origin.

  2. Evidence for a periaqueductal gray-nucleus retroambiguus spinal cord pathway in the rat

    NARCIS (Netherlands)

    Holstege, G.; Kerstens, Lenka; Moes, M.C.; Horst, V.G.J.M. van der

    1997-01-01

    The nucleus retroambiguus in the cat has been shown to receive strong projections from the periaqueductal gray and to send fibres to distinct motoneuronal cell groups in brainstem and spinal cord. The nucleus retroambiguus plays a role in the production of vocalization and possibly copulatory

  3. Can vocal conditioning trigger a semiotic ratchet in marmosets?

    Science.gov (United States)

    Turesson, Hjalmar K; Ribeiro, Sidarta

    2015-01-01

    The complexity of human communication has often been taken as evidence that our language reflects a true evolutionary leap, bearing little resemblance to any other animal communication system. The putative uniqueness of the human language poses serious evolutionary and ethological challenges to a rational explanation of human communication. Here we review ethological, anatomical, molecular, and computational results across several species to set boundaries for these challenges. Results from animal behavior, cognitive psychology, neurobiology, and semiotics indicate that human language shares multiple features with other primate communication systems, such as specialized brain circuits for sensorimotor processing, the capability for indexical (pointing) and symbolic (referential) signaling, the importance of shared intentionality for associative learning, affective conditioning and parental scaffolding of vocal production. The most substantial differences lie in the higher human capacity for symbolic compositionality, fast vertical transmission of new symbols across generations, and irreversible accumulation of novel adaptive behaviors (cultural ratchet). We hypothesize that increasingly-complex vocal conditioning of an appropriate animal model may be sufficient to trigger a semiotic ratchet, evidenced by progressive sign complexification, as spontaneous contact calls become indexes, then symbols and finally arguments (strings of symbols). To test this hypothesis, we outline a series of conditioning experiments in the common marmoset (Callithrix jacchus). The experiments are designed to probe the limits of vocal communication in a prosocial, highly vocal primate 35 million years far from the human lineage, so as to shed light on the mechanisms of semiotic complexification and cultural transmission, and serve as a naturalistic behavioral setting for the investigation of language disorders.

  4. Can vocal conditioning trigger a semiotic ratchet in marmosets?

    Directory of Open Access Journals (Sweden)

    Hjalmar Kosmos Turesson

    2015-10-01

    Full Text Available The complexity of human communication has often been taken as evidence that our language reflects a true evolutionary leap, bearing little resemblance to any other animal communication system. The putative uniqueness of the human language poses serious evolutionary and ethological challenges to a rational explanation of human communication. Here we review ethological, anatomical, molecular and computational results across several species to set boundaries for these challenges. Results from animal behavior, cognitive psychology, neurobiology, and semiotics indicate that human language shares multiple features with other primate communication systems, such as specialized brain circuits for sensorimotor processing, the capability for indexical (pointing and symbolic (referential signaling, the importance of shared intentionality for associative learning, affective conditioning and parental scaffolding of vocal production. The most substantial differences lie in the higher human capacity for symbolic compositionality, fast vertical transmission of new symbols across generations, and irreversible accumulation of novel adaptive behaviors (cultural ratchet. We hypothesize that increasingly-complex vocal conditioning of an appropriate animal model may be sufficient to trigger a semiotic ratchet, evidenced by progressive sign complexification, as spontaneous contact calls become indexes, then symbols and finally arguments (strings of symbols. To test this hypothesis, we outline a series of conditioning experiments in the common marmoset (Callithrix jacchus. The experiments are designed to probe the limits of vocal communication in a prosocial, highly vocal primate 35 million years far from the human lineage, so as to shed light on the mechanisms of semiotic complexification and cultural transmission, and serve as a naturalistic behavioral setting for the investigation of language disorders.

  5. Audio-vocal responses of vocal fundamental frequency and formant during sustained vowel vocalizations in different noises.

    Science.gov (United States)

    Lee, Shao-Hsuan; Hsiao, Tzu-Yu; Lee, Guo-She

    2015-06-01

    Sustained vocalizations of vowels [a], [i], and syllable [mə] were collected in twenty normal-hearing individuals. On vocalizations, five conditions of different audio-vocal feedback were introduced separately to the speakers including no masking, wearing supra-aural headphones only, speech-noise masking, high-pass noise masking, and broad-band-noise masking. Power spectral analysis of vocal fundamental frequency (F0) was used to evaluate the modulations of F0 and linear-predictive-coding was used to acquire first two formants. The results showed that while the formant frequencies were not significantly shifted, low-frequency modulations (production, the motor speech controls on F0 may depend on a feedback mechanism while articulation should rely more on a feedforward mechanism. Power spectral analysis of F0 might be applied to evaluate audio-vocal control for various hearing and neurological disorders in the future. Copyright © 2015 Elsevier B.V. All rights reserved.

  6. 听障儿童声带小结个案研究%A Case Study of a Hearing-impaired Child with Vocal Nodule

    Institute of Scientific and Technical Information of China (English)

    胡金秀; 白银婷; 黄昭鸣

    2011-01-01

    Objective To explore the effective vocal training for a hearing-impaired child with vocal nodule. Methods The child with vocal nodule received the vocal training. A single-subject experimental design was applied to analyze the acoustic parameters such as FO, jitter, shimmer and NNE before and after the treatment so as to monitor the training effect. Results There was a significant difference in F0(P0.05). Conclusion The integrated vocal training including laryngea! Massage, vocal cord relaxation and yawn-sigh technique, is an effective approach for hearing-impaired children with vocal nodule.%目的 探讨听障儿童声带小结发声训练的有效方法.方法 对一名患有声带小结的听障患儿进行发声训练,采用单一被试法分析治疗前后声学参数F0、jitter、shimmer、NNE,监控其训练效果.结果 基线期与处理期的F0有显著性差异(P0.05).结论 喉部按摩、声带放松训练、哈欠-叹息法等综合发声训练对改善听障儿童声带小结有着较好的效果.

  7. First Communion: The Emergence of Vocal Relationships.

    Science.gov (United States)

    Locke, John L.

    2001-01-01

    Proposes that vocal communion between infant and caregiver supports infants' language acquisition and connectedness with caregivers. Recommends research to determine whether social behaviors such as joint attention and vocal imitation are functionally related to language learning or are only symptomatic of a survival-centered caregiving…

  8. Phonetic characteristics of vocalizations during pain

    Directory of Open Access Journals (Sweden)

    Stefan Lautenbacher

    2017-06-01

    Conclusion:. Vocalization characteristics of pain seem to be best described by an increase in pitch and in loudness. Future studies using more specific and comprehensive phonetic analyses will surely help to provide an even more precise characterization of vocalizations because of pain.

  9. Comportamento vocal de cantores populares

    OpenAIRE

    Zimmer,Valquíria; Cielo,Carla Aparecida; Ferreira,Fernanda Mariotto

    2012-01-01

    OBJETIVO: investigar aspectos do histórico, hábitos e comportamentos vocais de cantores populares, conforme o sexo e as categorias profissional e amador. MÉTODO: entrevista com 47 cantores, 25 homens e 22 mulheres. RESULTADOS: significância estatística nos seguintes achados: MASCULINO - microfone nos ensaios, ausência de problemas vocais diagnosticados, ausência de orientações sobre higiene vocal, dor ou desconforto após cantar, ausência de alergias e problemas respiratórios; FEMININO - aulas...

  10. Auditory–vocal mirroring in songbirds

    Science.gov (United States)

    Mooney, Richard

    2014-01-01

    Mirror neurons are theorized to serve as a neural substrate for spoken language in humans, but the existence and functions of auditory–vocal mirror neurons in the human brain remain largely matters of speculation. Songbirds resemble humans in their capacity for vocal learning and depend on their learned songs to facilitate courtship and individual recognition. Recent neurophysiological studies have detected putative auditory–vocal mirror neurons in a sensorimotor region of the songbird's brain that plays an important role in expressive and receptive aspects of vocal communication. This review discusses the auditory and motor-related properties of these cells, considers their potential role on song learning and communication in relation to classical studies of birdsong, and points to the circuit and developmental mechanisms that may give rise to auditory–vocal mirroring in the songbird's brain. PMID:24778375

  11. Skin temperature changes in wild chimpanzees upon hearing vocalizations of conspecifics

    Science.gov (United States)

    Zuberbühler, Klaus; Davila-Ross, Marina; Dahl, Christoph D.

    2017-01-01

    A growing trend of research using infrared thermography (IRT) has shown that changes in skin temperature, associated with activity of the autonomic nervous system, can be reliably detected in human and non-human animals. A contact-free method, IRT provides the opportunity to uncover emotional states in free-ranging animals during social interactions. Here, we measured nose and ear temperatures of wild chimpanzees of Budongo Forest, Uganda, when exposed to naturally occurring vocalizations of conspecifics. We found a significant temperature decrease over the nose after exposure to conspecifics' vocalizations, whereas we found a corresponding increase for ear temperature. Our study suggests that IRT can be used in wild animals to quantify changes in emotional states in response to the diversity of vocalizations, their functional significance and acoustical characteristics. We hope that it will contribute to more research on physiological changes associated with social interactions in wild animals.

  12. Vocal signals in a tropical avian species, the redvented bulbul Pycnonotus cafer: their characteristics and importance

    Indian Academy of Sciences (India)

    Anil Kumar; Dinesh Bhatt

    2000-12-01

    Acoustic signals play an important role in the lives of birds. Almost all avian species produce vocal signals in a variety of contexts either in the form of calls or songs or both. In the present study different types of vocal signals of the tropical avian species Pycnonotus cafer were characterized on the basis of their physical characteristics and context of production. This species used six types of vocal signals: contact signals, roosting signals, alarm signals, twittering signals, distress signals and begging signals. Two types of alarm signals are produced based on predation pressure. These signals are dissimilar in all physical characteristics except for dominant frequency. Although alarm signal type I and roosting signals are phonetically similar, they have completely different sonogram characteristics.

  13. Heterogeneity of Opioid Binding Sites in Guinea Pig Spinal Cord

    Science.gov (United States)

    1984-11-30

    neuron . Thalamic projection neurons that receive enkephalin contacts in lamina V of the spinal cord are multipolar cells that received enkephalin...opioid terminals on thalamic projection neurons may have a functional organization was shown in recent work by Ruda and co-workers (1984). In this work...thalamic projection neurons in lamina I of spinal cord receive immunoreactive enkephalin staining contacts on the soma or proximal dendrites of the

  14. Pharmacology of Ultrasonic Vocalizations in adult Rats: Significance, Call Classification and Neural Substrate.

    Science.gov (United States)

    Brudzynski, Stefan M

    2015-01-01

    Pharmacological studies of emotional arousal and initiation of emotional states in rats measured by their ultrasonic vocalizations are reviewed. It is postulated that emission of vocalizations is an inseparable feature of emotional states and it evolved from mother-infant interaction. Positive emotional states are associated with emission of 50 kHz vocalizations that could be induced by rewarding situations and dopaminergic activation of the nucleus accumbens and are mediated by D1, D2, and partially D3 dopamine receptors. Three biologically significant subtypes of 50 kHz vocalizations have been identified, all expressing positive emotional states: (1) flat calls without frequency modulation that serve as contact calls during social interactions; (2) frequencymodulated calls without trills that signal rewarding and significantly motivated situation; and (3) frequency-modulated calls with trills or trills themselves that are emitted in highly emotional situations associated with intensive affective state. Negative emotional states are associated with emission of 22 kHz vocalizations that could be induced by aversive situations, muscarinic cholinergic activation of limbic areas of medial diencephalon and forebrain, and are mediated by M2 muscarinic receptors. Two biologically significant subtypes of 22 kHz vocalizations have been identified, both expressing negative emotional sates: (1) long calls that serve as alarm calls and signal external danger; and (2) short calls that express a state of discomfort without external danger. The positive and negative states with emission of vocalizations are initiated by two ascending reticular activating subsystems: the mesolimbic dopaminergic subsystem as a specific positive arousal system, and the mesolimbic cholinergic subsystem as a specific negative arousal system.

  15. Empirical Measurements of Biomechanical Anisotropy of the Human Vocal Fold Lamina Propria

    Science.gov (United States)

    Kelleher, Jordan E.; Siegmund, Thomas; Du, Mindy; Naseri, Elhum; Chan, Roger W.

    2013-01-01

    The vocal folds are known to be mechanically anisotropic due to the microstructural arrangement of fibrous proteins such as collagen and elastin in the lamina propria. Even though this has been known for many years, the biomechanical anisotropic properties have rarely been experimentally studied. We propose that an indentation procedure can be used with uniaxial tension in order to obtain an estimate of the biomechanical anisotropy within a single specimen. Experiments were performed on the lamina propria of three male and three female human vocal folds dissected from excised larynges. Two experiments were conducted: each specimen was subjected to cyclic uniaxial tensile loading in the longitudinal (i.e. anterior-posterior) direction, and then to cyclic indentation loading in the transverse (i.e. medial-lateral) direction. The indentation experiment was modeled as contact on a transversely isotropic half-space using the Barnett-Lothe tensors. The longitudinal elastic modulus EL was computed from the tensile test, and the transverse elastic modulus ET and longitudinal shear modulus GL were obtained by inverse analysis of the indentation force-displacement response. It was discovered that the average of EL/ET was 14 for the vocal ligament and 39 for the vocal fold cover specimens. Also, the average of EL/GL, a parameter important for models of phonation, was 28 for the vocal ligament and 54 for the vocal fold cover specimens. These measurements of anisotropy could contribute to more accurate models of fundamental frequency regulation and provide potentially better insights into the mechanics of vocal fold vibration. PMID:22886592

  16. [The effect of smoking and forced use of the voice to development of the vocal polyps].

    Science.gov (United States)

    Gnjatic, M; Stankovic, P; Djukić, V

    2009-01-01

    Dysphonia is often caused by polyps which are benign changes of pseudotumors. With their presence they are hampering with glotis oclusion. Laryngomicroscopy of general and endotracheal anaesthesia has been preformed on all of the patients. Microsurgical technique has been used to remove the polyps. Bioptic material was analyzed in pathophysiological laboratory of clinic of pathology in Banjaluka. All of the results were presented through tables and graphic representations. Frequency of polyps through age and sex groups, along with the examination of ethyological factors in emergence of polyps of vocal cords. Results are in accordance with the results of other authors who were involved in similar problematics. Through analysis of our data we percieve that the abuse of voice is part of ethiological factors that lead not only to emergence of vocal fold lesions but aswell as other benign changes.

  17. Language Contact.

    Science.gov (United States)

    Nelde, Peter Hans

    1995-01-01

    Examines the phenomenon of language contact and recent trends in linguistic contact research, which focuses on language use, language users, and language spheres. Also discusses the role of linguistic and cultural conflicts in language contact situations. (13 references) (MDM)

  18. The Risk of Vocal Fold Atrophy after Serial Corticosteroid Injections of the Vocal Fold.

    Science.gov (United States)

    Shi, Lucy L; Giraldez-Rodriguez, Laureano A; Johns, Michael M

    2016-11-01

    The aim of this study was to illustrate the risk of vocal fold atrophy in patients who receive serial subepithelial steroid injections for vocal fold scar. This study is a retrospective case report of two patients who underwent a series of weekly subepithelial infusions of 10 mg/mL dexamethasone for benign vocal fold lesion. Shortly after the procedures, both patients developed a weak and breathy voice. The first patient was a 53-year-old man with radiation-induced vocal fold stiffness. Six injections were performed unilaterally, and 1 week later, he developed unilateral vocal fold atrophy with new glottal insufficiency. The second patient was a 67-year-old woman with severe vocal fold inflammation related to laryngitis and calcinosis, Raynaud's phenomenon, esophagean dysmotility, sclerodactyly, and telangiectasia (CREST) syndrome. Five injections were performed bilaterally, and 1 week later, she developed bilateral vocal fold atrophy with a large midline glottal gap during phonation. In both cases, the steroid-induced vocal atrophy resolved spontaneously after 4 months. Serial subepithelial steroid infusions of the vocal folds, although safe in the majority of patients, carry the risk of causing temporary vocal fold atrophy when given at short intervals. Copyright © 2016 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  19. A Rat Excised Larynx Model of Vocal Fold Scar

    Science.gov (United States)

    Welham, Nathan V.; Montequin, Douglas W.; Tateya, Ichiro; Tateya, Tomoko; Choi, Seong Hee; Bless, Diane M.

    2009-01-01

    Purpose: To develop and evaluate a rat excised larynx model for the measurement of acoustic, aerodynamic, and vocal fold vibratory changes resulting from vocal fold scar. Method: Twenty-four 4-month-old male Sprague-Dawley rats were assigned to 1 of 4 experimental groups: chronic vocal fold scar, chronic vocal fold scar treated with 100-ng basic…

  20. Vocal Loading in Speaking a Foreign Language.

    Science.gov (United States)

    Järvinen, Kati; Laukkanen, Anne-Maria

    2015-01-01

    This study investigated whether speaking a foreign language affects the subjective notions of vocal fatigue, and whether acoustic measurements reveal a higher vocal loading. The speech samples of 20 native Finnish-speaking and 23 native English-speaking subjects were recorded in Finnish and in English. From the speech samples, fundamental frequency, equivalent sound level, total duration of voiced speech, speech rate, alpha ratio and L1-L0 level difference were analyzed. Vocal doses were calculated. According to subjective notions, the voice gets tired more quickly when speaking a foreign language. The mean fundamental frequency increased but the speech rate and total duration of voiced speech decreased significantly when speaking a foreign language. Thus, the vocal doses decreased. The subjective sensations of increased vocal fatigue may be due to increased mental stress rather than to higher vocal loading. However, a trend that speaking a foreign language may involve more loading was found in L1-L0 level difference and in the doses normalized to time dose. Longer speech samples should be studied. Voice quality-based indicators of vocal loading are worth testing in addition to the measures based on the amount of voicing in speech. © 2015 S. Karger AG, Basel.

  1. Discovery of a low frequency sound source in Mysticeti (baleen whales): anatomical establishment of a vocal fold homolog.

    Science.gov (United States)

    Reidenberg, Joy S; Laitman, Jeffrey T

    2007-06-01

    The mechanism of mysticete (baleen whale) vocalization has remained a mystery. Vocal folds (true vocal "cords"), the structures responsible for sound production in terrestrial mammals, were thought to be absent in whales. This study tests the hypothesis that the mysticete larynx possesses structures homologous to vocal folds and that they are capable of sound generation. Laryngeal anatomy was examined in 37 specimens representing 6 mysticete species. Results indicate the presence of a U-shaped fold (U-fold) in the lumen of the larynx. The U-fold is supported by arytenoid cartilages, controlled by skeletal muscles innervated by the recurrent laryngeal nerve, is adjacent to a diverticulum (laryngeal sac) covered with mucosa innervated by the superior laryngeal nerve, and contains a ligament-conditions that also define the vocal folds of terrestrial mammals and, therefore, supports homology. Unlike the vocal folds of terrestrial mammals, which are perpendicular to airflow, the mysticete U-fold is oriented parallel to airflow. U-fold adduction/abduction and elevation/depression may control airflow, and vibration of its edges may generate sounds. The walls of the laryngeal sac can expand and contract, may serve as a resonant space, and may also propagate vibrations generated by movements of the supporting arytenoid cartilages. The extensive musculature surrounding the laryngeal sac may enable rapid and forceful expulsion of air from the lumen of the sac into other respiratory spaces, or maintain a constant sac volume despite the effects of ambient pressure (e.g., changes during diving or ascent). The size and complexity of the mysticete larynx indicates an organ with multiple functions, including protection during breathing/swallowing, regulation of airflow and pressures in the respiratory spaces, and sound generation. The presence of a vocal fold homolog offers a new insight into both the mechanism of sound generation by mysticetes and the divergent evolution of

  2. Vocal ontogeny in neotropical singing mice (Scotinomys.

    Directory of Open Access Journals (Sweden)

    Polly Campbell

    Full Text Available Isolation calls produced by dependent young are a fundamental form of communication. For species in which vocal signals remain important to adult communication, the function and social context of vocal behavior changes dramatically with the onset of sexual maturity. The ontogenetic relationship between these distinct forms of acoustic communication is surprisingly under-studied. We conducted a detailed analysis of vocal development in sister species of Neotropical singing mice, Scotinomys teguina and S. xerampelinus. Adult singing mice are remarkable for their advertisement songs, rapidly articulated trills used in long-distance communication; the vocal behavior of pups was previously undescribed. We recorded 30 S. teguina and 15 S. xerampelinus pups daily, from birth to weaning; 23 S. teguina and 11 S. xerampelinus were recorded until sexual maturity. Like other rodent species with poikilothermic young, singing mice were highly vocal during the first weeks of life and stopped vocalizing before weaning. Production of first advertisement songs coincided with the onset of sexual maturity after a silent period of ≧2 weeks. Species differences in vocal behavior emerged early in ontogeny and notes that comprise adult song were produced from birth. However, the organization and relative abundance of distinct note types was very different between pups and adults. Notably, the structure, note repetition rate, and intra-individual repeatability of pup vocalizations did not become more adult-like with age; the highly stereotyped structure of adult song appeared de novo in the first songs of young adults. We conclude that, while the basic elements of adult song are available from birth, distinct selection pressures during maternal dependency, dispersal, and territorial establishment favor major shifts in the structure and prevalence of acoustic signals. This study provides insight into how an evolutionarily conserved form of acoustic signaling provides

  3. Vocal learning beyond imitation: mechanisms of adaptive vocal development in songbirds and human infants.

    Science.gov (United States)

    Tchernichovski, Ofer; Marcus, Gary

    2014-10-01

    Studies of vocal learning in songbirds typically focus on the acquisition of sensory templates for song imitation and on the consequent process of matching song production to templates. However, functional vocal development also requires the capacity to adaptively diverge from sensory templates, and to flexibly assemble vocal units. Examples of adaptive divergence include the corrective imitation of abnormal songs, and the decreased tendency to copy over-abundant syllables. Such frequency-dependent effects might mirror tradeoffs between the assimilation of group identity (culture) while establishing individual and flexibly expressive songs. Intriguingly, although the requirements for vocal plasticity vary across songbirds, and more so between birdsong and language, the capacity to flexibly assemble vocal sounds develops in a similar, stepwise manner across species. Therefore, universal features of vocal learning go well beyond the capacity to imitate. Copyright © 2014 Elsevier Ltd. All rights reserved.

  4. Development of auditory-vocal perceptual skills in songbirds.

    Directory of Open Access Journals (Sweden)

    Vanessa C Miller-Sims

    Full Text Available Songbirds are one of the few groups of animals that learn the sounds used for vocal communication during development. Like humans, songbirds memorize vocal sounds based on auditory experience with vocalizations of adult "tutors", and then use auditory feedback of self-produced vocalizations to gradually match their motor output to the memory of tutor sounds. In humans, investigations of early vocal learning have focused mainly on perceptual skills of infants, whereas studies of songbirds have focused on measures of vocal production. In order to fully exploit songbirds as a model for human speech, understand the neural basis of learned vocal behavior, and investigate links between vocal perception and production, studies of songbirds must examine both behavioral measures of perception and neural measures of discrimination during development. Here we used behavioral and electrophysiological assays of the ability of songbirds to distinguish vocal calls of varying frequencies at different stages of vocal learning. The results show that neural tuning in auditory cortex mirrors behavioral improvements in the ability to make perceptual distinctions of vocal calls as birds are engaged in vocal learning. Thus, separate measures of neural discrimination and behavioral perception yielded highly similar trends during the course of vocal development. The timing of this improvement in the ability to distinguish vocal sounds correlates with our previous work showing substantial refinement of axonal connectivity in cortico-basal ganglia pathways necessary for vocal learning.

  5. Development of auditory-vocal perceptual skills in songbirds.

    Science.gov (United States)

    Miller-Sims, Vanessa C; Bottjer, Sarah W

    2012-01-01

    Songbirds are one of the few groups of animals that learn the sounds used for vocal communication during development. Like humans, songbirds memorize vocal sounds based on auditory experience with vocalizations of adult "tutors", and then use auditory feedback of self-produced vocalizations to gradually match their motor output to the memory of tutor sounds. In humans, investigations of early vocal learning have focused mainly on perceptual skills of infants, whereas studies of songbirds have focused on measures of vocal production. In order to fully exploit songbirds as a model for human speech, understand the neural basis of learned vocal behavior, and investigate links between vocal perception and production, studies of songbirds must examine both behavioral measures of perception and neural measures of discrimination during development. Here we used behavioral and electrophysiological assays of the ability of songbirds to distinguish vocal calls of varying frequencies at different stages of vocal learning. The results show that neural tuning in auditory cortex mirrors behavioral improvements in the ability to make perceptual distinctions of vocal calls as birds are engaged in vocal learning. Thus, separate measures of neural discrimination and behavioral perception yielded highly similar trends during the course of vocal development. The timing of this improvement in the ability to distinguish vocal sounds correlates with our previous work showing substantial refinement of axonal connectivity in cortico-basal ganglia pathways necessary for vocal learning.

  6. Tethered Spinal Cord Syndrome

    Science.gov (United States)

    ... roots may be cut to relieve pain. In adults, surgery to free (detether) the spinal cord can reduce the size ... is a neurological disorder caused by tissue attachments that limit the movement of the spinal cord ...

  7. Spinal Cord Dysfunction (SCD)

    Data.gov (United States)

    Department of Veterans Affairs — The Spinal Cord Dysfunction (SCD) module supports the maintenance of local and national registries for the tracking of patients with spinal cord injury and disease...

  8. Human cerebral response to animal affective vocalizations

    National Research Council Canada - National Science Library

    Pascal Belin; Shirley Fecteau; Ian Charest; Nicholas Nicastro; Marc D Hauser; Jorge L Armony

    2008-01-01

    .... Here, we used functional magnetic resonance imaging in normal participants to measure cerebral activity during auditory stimulation with affectively valenced animal vocalizations, some familiar (cats) and others not (rhesus monkeys...

  9. Spinal Cord Injuries

    Science.gov (United States)

    ... your body and your brain. A spinal cord injury disrupts the signals. Spinal cord injuries usually begin with a blow that fractures or ... bone disks that make up your spine. Most injuries don't cut through your spinal cord. Instead, ...

  10. The evolution of coordinated vocalizations before language.

    Science.gov (United States)

    Bryant, Gregory A

    2014-12-01

    Ackermann et al. briefly point out the potential significance of coordinated vocal behavior in the dual pathway model of acoustic communication. Rhythmically entrained and articulated pre-linguistic vocal activity in early hominins might have set the evolutionary stage for later refinements that manifest in modern humans as language-based conversational turn-taking, joint music-making, and other behaviors associated with prosociality.

  11. Ultrasonic Vocalizations by Adult Rats (Rattus norvegicus)

    Science.gov (United States)

    1991-12-01

    begun. Diazepam , chlordiazepoxide , morphine, or naloxone was administered I.P. prior to placing the rat in the tailshock apparatus. Four different...by chlordiazepoxide and diazepam . Drug Dev. Res., 5, 185-193 (1985). Gardner, C.R., and Budhram, P. Effects of agents which interact with central... diazepam , and chlorpromazine, attenuate these vocalizations. Recent work by Kaltwasser (1990) examined the occurrence of vocalizations in response to

  12. VOCAL SEGMENT CLASSIFICATION IN POPULAR MUSIC

    OpenAIRE

    Feng, Ling; Nielsen, Andreas Brinch; Hansen, Lars Kai

    2008-01-01

    This paper explores the vocal and non-vocal music classification problem within popular songs. A newly built labeled database covering 147 popular songs is announced. It is designed for classifying signals from 1sec time windows. Features are selected for this particular task, in order to capture both the temporal correlations and the dependencies among the feature dimensions. We systematically study the performance of a set of classifiers, including linear regression, generalized linear mode...

  13. Vocal tract articulation in zebra finches.

    Directory of Open Access Journals (Sweden)

    Verena R Ohms

    Full Text Available BACKGROUND: Birdsong and human vocal communication are both complex behaviours which show striking similarities mainly thought to be present in the area of development and learning. Recent studies, however, suggest that there are also parallels in vocal production mechanisms. While it has been long thought that vocal tract filtering, as it occurs in human speech, only plays a minor role in birdsong there is an increasing number of studies indicating the presence of sound filtering mechanisms in bird vocalizations as well. METHODOLOGY/PRINCIPAL FINDINGS: Correlating high-speed X-ray cinematographic imaging of singing zebra finches (Taeniopygia guttata to song structures we identified beak gape and the expansion of the oropharyngeal-esophageal cavity (OEC as potential articulators. We subsequently manipulated both structures in an experiment in which we played sound through the vocal tract of dead birds. Comparing acoustic input with acoustic output showed that OEC expansion causes an energy shift towards lower frequencies and an amplitude increase whereas a wide beak gape emphasizes frequencies around 5 kilohertz and above. CONCLUSION: These findings confirm that birds can modulate their song by using vocal tract filtering and demonstrate how OEC and beak gape contribute to this modulation.

  14. Vocal health fitness to different music styles

    Directory of Open Access Journals (Sweden)

    Maria Cláudia Mendes Caminha Muniz

    2010-09-01

    Full Text Available Objective: To present genres and styles currently running on western music scene, focusing on the practice of singing voice. Methods: An observational and documental study for which were selected sound sources presenting musical genres and styles that are part of the experience of the researchers, which were analyzed considering origins, formative elements and vocal features. Alongside we carried out a review of literature grounded in databases research and free review of websites and classical books of the area. Results: The selected styles (Rock and Roll, Heavy Metal, Trash Metal, Grunge, Gothic Metal, Rap, Funk, Blues, R&B – Rhythm and Blues, Soul, Gospel, MPB, Samba, Forro, Sertanejo, Bossa Nova, Opera and Chamber Music were described, pointing the reasons for the speech therapist to be informed about them and about singing voice aspects. His guidance may minimize possible vocal damage caused by each style, since each of them carries its own patterns to which the interpreter must submit. Conclusions: We conclude that the singer will use a specific vocal pattern that resembles the musical style he intends to sing, regardless of any harm it may or may not cause to vocal health. When choosing a musical style, it is important that the singer has the knowledge and understanding of how the use of his vocal apparatus will cause or not cause injury to his voice. Also be aware that the technique in singing is necessary for vocal longevity.

  15. Vocal Imitation in Parrots Allows Addressing of Specific Individuals in a Dynamic Communication Network

    DEFF Research Database (Denmark)

    Balsby, T.J.S.; Momberg, J.V.; Dabelsteen, T.

    2012-01-01

    and faster than the other individual. This suggests that orange-fronted conures can use imitations of contact calls to address specific individuals of a flock. In the discussion we argue that the fission-fusion flock dynamics of many parrot species has been an important factor in evolving conures´ and other......Parrots in captivity are known for their ability to vocally imitate humans and recently it has been shown that wild-living orange-fronted conures are able to immediately imitate other individuals´ contact calls. The function of this exceptional ability to imitate remains unclear. However, orangeâ......€“fronted conures live in fission-fusion flocks where they encounter many different individuals every day, and it is possible that their vocal imitation ability is a flexible means to address a specific individual within a flock. We tested this via playback to short-term captive wild conures. Test birds were placed...

  16. High speed digital phonoscopy of selected extreme vocalization (Conference Presentation)

    Science.gov (United States)

    Izdebski, Krzysztof; Blanco, Matthew; Di Lorenzo, Enrico; Yan, Yuling

    2017-02-01

    We used HSDP (KayPENTAX Model 9710, NJ, USA) to capture the kinematics of vocal folds in the production of extreme vocalization used by heavy metal performers. The vibrations of the VF were captured at 4000 f/s using transoral rigid scope. Growl, scream and inhalatory phonations were recoded. Results showed that these extreme sounds are produced predominantly by supraglottic tissues rather than by the true vocal folds, which explains while these sounds do not injure the mucosa of the true vocal folds. In addition, the HSDI were processed using custom software (Vocalizer®) that clearly demonstrated the contribution of each vocal fold to the generation of the sound.

  17. Ultrasonic communication in rats: effects of morphine and naloxone on vocal and behavioral responses to playback of 50-kHz vocalizations.

    Science.gov (United States)

    Wöhr, Markus; Schwarting, Rainer K W

    2009-12-01

    Rats emit ultrasonic vocalizations and it was hypothesized that these vocalizations have an important role in intra-specific communication. Recently, we demonstrated that playback of 50-kHz ultrasonic vocalizations can induce social approach, indicating that 50-kHz calls can serve to (re)establish or to maintain social contact. It is known that endogenous opioids are implicated in the regulation of social behavior, particularly in rough and tumble play. Here, we tested whether administration of opioid ligands can affect social approach in response to playback of 50-kHz calls in juvenile and adult rats. Rats were either treated with 1mg/kg naloxone, 1mg/kg morphine, or with saline vehicle. Administration of opioid ligands affected social approach at both ages. Specifically, in juvenile and adult rats, social approach displayed in response to playback of 50-kHz calls was reduced in case of naloxone treatment, but enhanced with morphine. Furthermore, juvenile rats treated with saline or morphine emitted a substantial amount of ultrasonic vocalizations in response to the playback of 50-kHz calls. Such ultrasonic calling was not seen in naloxone treated rats. Importantly, these drug-dependent differences were stimulus-specific, i.e. seen only in response to playback of 50-kHz calls and not in response to playback of background noise. The present finding that opioid ligands can affect social approach and ultrasonic vocalizations induced by playback of 50-kHz calls, indicates that an important feature of social interaction in rats, namely ultrasonic communication, is at least partially regulated by endogenous opioids.

  18. Correlation between vocal functions and glottal measurements in patients with unilateral vocal fold paralysis.

    Science.gov (United States)

    Inagi, K; Khidr, A A; Ford, C N; Bless, D M; Heisey, D M

    1997-06-01

    Observations and analysis of glottal characteristics are critical in choosing the best modality for surgery in patients with unilateral vocal fold paralysis (UVP). This study suggests that multiple glottal characteristics influence the vocal product in patients with UVP. In addition to the horizontal position of the paralyzed vocal fold (deviation from the midline), the glottal area, degree of bowing of the paralyzed and contralateral vocal folds, maximum separation between vocal folds, compensatory glottal maneuvers, and the vertical glottic closure plane significantly influenced the quality of the voice. Clinicians should be aware of these observations to facilitate treatment planning and assessment of the results of surgical procedures used to improve voice quality in cases of UVP.

  19. Vocal imitation in parrots allows addressing of specific individuals in a dynamic communication network.

    Directory of Open Access Journals (Sweden)

    Thorsten J S Balsby

    Full Text Available Parrots in captivity are known for their ability to vocally imitate humans and recently it has been shown that wild-living orange-fronted conures are able to immediately imitate other individuals' contact calls. The function of this exceptional ability to imitate remains unclear. However, orange-fronted conures live in fission-fusion flocks where they encounter many different individuals every day, and it is possible that their vocal imitation ability is a flexible means to address a specific individual within a flock. We tested this via playback to short-term captive wild conures. Test birds were placed together in pairs in outdoor aviaries to form simple flocks. To simulate imitation of a specific individual these pairs received playback of contact calls that primarily imitate one of the two birds. Overall, individuals that received simulated vocal imitations of its calls responded more frequently and faster than the other individual. This suggests that orange-fronted conures can use imitations of contact calls to address specific individuals of a flock. In the discussion we argue that the fission-fusion flock dynamics of many parrot species has been an important factor in evolving conures' and other parrots' exceptional ability to imitate.

  20. Vocal imitation in parrots allows addressing of specific individuals in a dynamic communication network.

    Science.gov (United States)

    Balsby, Thorsten J S; Momberg, Jane Vestergaard; Dabelsteen, Torben

    2012-01-01

    Parrots in captivity are known for their ability to vocally imitate humans and recently it has been shown that wild-living orange-fronted conures are able to immediately imitate other individuals' contact calls. The function of this exceptional ability to imitate remains unclear. However, orange-fronted conures live in fission-fusion flocks where they encounter many different individuals every day, and it is possible that their vocal imitation ability is a flexible means to address a specific individual within a flock. We tested this via playback to short-term captive wild conures. Test birds were placed together in pairs in outdoor aviaries to form simple flocks. To simulate imitation of a specific individual these pairs received playback of contact calls that primarily imitate one of the two birds. Overall, individuals that received simulated vocal imitations of its calls responded more frequently and faster than the other individual. This suggests that orange-fronted conures can use imitations of contact calls to address specific individuals of a flock. In the discussion we argue that the fission-fusion flock dynamics of many parrot species has been an important factor in evolving conures' and other parrots' exceptional ability to imitate.

  1. Stuttering: A novel bullfrog vocalization

    Science.gov (United States)

    Simmons, Andrea; Suggs, Dianne

    2004-05-01

    The advertisement call of male bullfrogs (Rana catesbeiana) consists of a series of individual croaks, each of which contains multiple harmonics with a missing or attenuated fundamental frequency of approximately 100 Hz. The envelope of individual croaks has typically been represented in the literature as smooth and unmodulated. From an analysis of 5251 advertisement calls from 17 different choruses over two mating seasons, we show that males add an extra modulation (around 4 Hz) to the envelope of individual croaks, following specific rules. We term these extra modulations stutters. Neither single croak calls nor the first croak in multiple croak calls contains stutters. When stuttering begins, it does so with a croak containing a single stutter, and the number of stutters increases linearly (plus or minus 1 stutter, up to 4 stutters) with the number of croaks. This pattern is stable across individual males (N=10). Playback experiments reveal that vocal responses to stuttered and nonstuttered calls vary with proximity to the stimulus. Close males respond with nonstuttered calls, while far males respond with stuttered calls. The data suggest that nonstuttered calls are used for aggressive or territorial purposes, while stuttered calls are used to attract females.

  2. Elaborate Mimetic Vocal Displays by Female Superb Lyrebirds

    Directory of Open Access Journals (Sweden)

    Anastasia H Dalziell

    2016-04-01

    Full Text Available Some of the most striking vocalizations in birds are made by males that incorporate vocal mimicry in their sexual displays. Mimetic vocalization in females is largely undescribed, but it is unclear whether this is because of a lack of selection for vocal mimicry in females, or whether the phenomenon has simply been overlooked. These issues are thrown into sharp relief in the superb lyrebird, Menura novaehollandiae, a basal oscine passerine with a lek-like mating system and female uniparental care. The spectacular mimetic song display produced by courting male lyrebirds is a textbook example of a sexually selected trait, but the vocalizations of female lyrebirds are largely unknown. Here, we provide the first analysis of the structure and context of the vocalizations of female lyrebirds. Female lyrebirds were completely silent during courtship; however, females regularly produced sophisticated vocal displays incorporating both lyrebird-specific vocalizations and imitations of sounds within their environment. The structure of female vocalizations varied significantly with context. While foraging, females mostly produced a complex lyrebird-specific song, whereas they gave lyrebird-specific alarm calls most often during nest defense. Within their vocal displays females also included a variety of mimetic vocalizations, including imitations of the calls of dangerous predators, and of alarm calls and song of harmless heterospecifics. Females gave more mimetic vocalizations during nest defense than while foraging, and the types of sounds they imitated varied between these contexts, suggesting that mimetic vocalizations have more than one function. These results are inconsistent with previous portrayals of vocalizations by female lyrebirds as rare, functionless by-products of sexual selection on males. Instead, our results support the hypotheses that complex female vocalizations play a role in nest defense and mediate female-female competition for

  3. A vocal-tract model of American English /l/

    Science.gov (United States)

    Zhang, Zhaoyan; Espy-Wilson, Carol Y.

    2004-03-01

    The production of the lateral sounds involves airflow paths around the tongue produced by the laterally inward movement of the tongue toward the midsagittal plane. If contact is made with the palate, a closure is formed in the flow path along the midsagittal line. The effects of the lateral channels on the sound spectrum are not clear. In this study, a vocal-tract model with parallel lateral channels and a supralingual cavity was developed. Analysis shows that the lateral channels with dimensions derived from magnetic resonance images of an American English /l/ are able to produce a pole-zero pair in the frequency range of 2-5 kHz. This pole-zero pair, together with an additional pole-zero pair due to the supralingual cavity, results in a low-amplitude and relatively flat spectral shape in the F3-F5 frequency region of the /l/ sound spectrum.

  4. Spinal cord stimulation: Background and clinical application

    DEFF Research Database (Denmark)

    Meier, Kaare

    2014-01-01

    Background Spinal cord stimulation (SCS) is a surgical treatment for chronic neuropathic pain refractory to conventional treatment. SCS treatment consists of one or more leads implanted in the epidural space of the spinal canal, connected to an implantable pulse generator (IPG). Each lead carries...... is described in detail and illustrated with a series of intraoperative pictures. Finally, indications for SCS are discussed along with some of the controversies surrounding the therapy. Implications The reader is presented with a broad overview of spinal cord stimulation, including the historical...... a number of contacts capable of delivering a weak electrical current to the spinal cord, evoking a feeling of peripheral paresthesia. With correct indication and if implanted by an experienced implanter, success rates generally are in the range of about 50–75%. Common indications include complex regional...

  5. Viscoelastic properties of the false vocal fold

    Science.gov (United States)

    Chan, Roger W.

    2004-05-01

    The biomechanical properties of vocal fold tissues have been the focus of many previous studies, as vocal fold viscoelasticity critically dictates the acoustics and biomechanics of phonation. However, not much is known about the viscoelastic response of the ventricular fold or false vocal fold. It has been shown both clinically and in computer simulations that the false vocal fold may contribute significantly to the aerodynamics and sound generation processes of human voice production, with or without flow-induced oscillation of the false fold. To better understand the potential role of the false fold in phonation, this paper reports some preliminary measurements on the linear and nonlinear viscoelastic behavior of false vocal fold tissues. Linear viscoelastic shear properties of human false fold tissue samples were measured by a high-frequency controlled-strain rheometer as a function of frequency, and passive uniaxial tensile stress-strain response of the tissue samples was measured by a muscle lever system as a function of strain and loading rate. Elastic moduli (Young's modulus and shear modulus) of the false fold tissues were calculated from the measured data. [Work supported by NIH.

  6. Vocal effort and voice handicap among teachers.

    Science.gov (United States)

    Sampaio, Márcio Cardoso; dos Reis, Eduardo José Farias Borges; Carvalho, Fernando Martins; Porto, Lauro Antonio; Araújo, Tânia Maria

    2012-11-01

    The relationship between voice handicap and professional vocal effort was investigated among teachers in a cross-sectional study of census nature on 4496 teachers within the public elementary education network in Salvador, Bahia, Brazil. Voice handicap (the outcome of interest) was evaluated using the Voice Handicap Index 10. The main exposure, the lifetime vocal effort index, was obtained as the product of the number of years working as a teacher multiplied by the mean weekly working hours. The prevalence of voice handicap was 28.8% among teachers with high professional vocal effort and 21.3% among those with acceptable vocal effort, thus yielding a crude prevalence ratio (PR) of 1.36 (95% confidence interval [CI]=1.14-1.61). In the final logistic model, the prevalence of voice handicap was statistically associated with the professional vocal effort index (PR=1.47; 95% CI=1.19-1.82), adjusted according to sex, microphone availability in the classroom, excessive noise, pressure from the school management, heartburn, and rhinitis.

  7. Wavelet based detection of manatee vocalizations

    Science.gov (United States)

    Gur, Berke M.; Niezrecki, Christopher

    2005-04-01

    The West Indian manatee (Trichechus manatus latirostris) has become endangered partly because of watercraft collisions in Florida's coastal waterways. Several boater warning systems, based upon manatee vocalizations, have been proposed to reduce the number of collisions. Three detection methods based on the Fourier transform (threshold, harmonic content and autocorrelation methods) were previously suggested and tested. In the last decade, the wavelet transform has emerged as an alternative to the Fourier transform and has been successfully applied in various fields of science and engineering including the acoustic detection of dolphin vocalizations. As of yet, no prior research has been conducted in analyzing manatee vocalizations using the wavelet transform. Within this study, the wavelet transform is used as an alternative to the Fourier transform in detecting manatee vocalizations. The wavelet coefficients are analyzed and tested against a specified criterion to determine the existence of a manatee call. The performance of the method presented is tested on the same data previously used in the prior studies, and the results are compared. Preliminary results indicate that using the wavelet transform as a signal processing technique to detect manatee vocalizations shows great promise.

  8. Optical Measurements of Vocal Fold Tensile Properties: Implications for Phonatory Mechanics

    Science.gov (United States)

    Kelleher, Jordan E.; Siegmund, Thomas; Chan, Roger W.; Henslee, Erin A.

    2011-01-01

    In voice research, in vitro tensile stretch experiments of vocal fold tissues are commonly employed to determine the tissue biomechanical properties. In the standard stretch-release protocol, tissue deformation is computed from displacements applied to sutures inserted through the thyroid and arytenoid cartilages, with the cartilages assumed to be rigid. Here, a non-contact optical method was employed to determine the actual tissue deformation of vocal fold lamina propria specimens from three excised human larynges in uniaxial tensile tests. Specimen deformation was found to consist not only of deformation of the tissue itself, but also deformation of the cartilages, as well as suture alignment and tightening. Stress-stretch curves of a representative load cycle were characterized by an incompressible Ogden model. The initial longitudinal elastic modulus was found to be considerably higher if determined based on optical displacement measurements than typical values reported in the literature. The present findings could change the understanding of the mechanics underlying vocal fold vibration. Given the high longitudinal elastic modulus the lamina propria appeared to demonstrate a substantial level of anisotropy. Consequently, transverse shear could play a significant role in vocal fold vibration, and fundamental frequencies of phonation should be predicted by beam theories accounting for such effects. PMID:21497355

  9. Vocal Modification Abilities and Brain Structures in Parrots – how do they Correlate?

    DEFF Research Database (Denmark)

    Harpøth, Solveig Walløe

    .e. the oval nucleus of the mesopallium, MO and 3) investigate the effect of long-­term social and sound-isolation on the vocal modification ability and on the contact call of the peach-­fronted conure, Aratinga aurea. Article 1: The social complexity hypothesis states that with a complex social structure......-­fronted conure and the budgerigar. Article 2: It has been suggested that the size of various brain regions is important for behavioral capability and also the number of neurons have been suggested to be important. Here we correlate the vocal modification ability of the peach-­fronted conure, the budgerigar...... and the peach-faced lovebird with a brain nucleus, MO, involved in vocal learning. We show that the species with the highest level of vocal complexity (i.e. the peach-fronted conure) was also the species with the largest volume of MO and the highest number of neurons in MO. The budgerigar had the smallest...

  10. Impact of Vocal Tract Resonance on the Perception of Voice Quality Changes Caused by Varying Vocal Fold Stiffness

    Science.gov (United States)

    Signorello, Rosario; Zhang, Zhaoyan; Gerratt, Bruce; Kreiman, Jody

    2016-01-01

    Summary Experiments using animal and human larynx models are often conducted without a vocal tract. While it is often assumed that the absence of a vocal tract has only small effects on vocal fold vibration, it is not actually known how sound production and quality are affected. In this study, the validity of using data obtained in the absence of a vocal tract for voice perception studies was investigated. Using a two-layer self-oscillating physical model, three series of voice stimuli were created: one produced with conditions of left-right symmetric vocal fold stiffness, and two with left-right asymmetries in vocal fold body stiffness. Each series included a set of stimuli created with a physical vocal tract, and a second set created without a physical vocal tract. Stimuli were re-synthesized to equalize the mean F0 for each series and normalized for amplitude. Listeners were asked to evaluate the three series in a sort-and-rate task. Multidimensional scaling analysis was applied to examine the perceptual interaction between the voice source and the vocal tract resonances. The results showed that the presence or absence of a vocal tract can significantly affect perception of voice quality changes due to parametric changes in vocal fold properties, except when the parametric changes in vocal fold properties produced an abrupt shift in vocal fold vibratory pattern resulting in a salient quality change. PMID:27134616

  11. Umbilical cord and preeclampsia.

    Science.gov (United States)

    Olaya-C, M; Salcedo-Betancourt, J; Galvis, S H; Ortiz, A M; Gutierrez, S; Bernal, J E

    2016-01-01

    Preeclampsia is associated with abnormalities in the umbilical cord in several ways: morphological, biochemical and functional. Alteration in blood vessels of the placenta, decidua and circulatory system of the fetus might be related to factors that cause preeclampsia and may be associated with alterations of the umbilical cord. This study aimed to analyze the relationship between each type of umbilical cord abnormality and the different subtypes of hypertensive gestational disorders. We conducted a prospective study on consecutive autopsies and its placentas, looking for abnormalities in the umbilical cord's features and their clinical associations. Umbilical cord abnormalities including length, diameter, insertion, entanglements, knots and coils were associated with maternal gestational hypertension. In women with gestational hypertension, umbilical cord abnormalities are associated with fetal and neonatal consequences.

  12. Vocal Hygiene Habits and Vocal Handicap Among Conservatory Students of Classical Singing.

    Science.gov (United States)

    Achey, Meredith A; He, Mike Z; Akst, Lee M

    2016-03-01

    This study sought to assess classical singing students' compliance with vocal hygiene practices identified in the literature and to explore the relationship between self-reported vocal hygiene practice and self-reported singing voice handicap in this population. The primary hypothesis was that increased attention to commonly recommended vocal hygiene practices would correlate with reduced singing voice handicap. This is a cross-sectional, survey-based study. An anonymous survey assessing demographics, attention to 11 common vocal hygiene recommendations in both performance and nonperformance periods, and the Singing Voice Handicap Index 10 (SVHI-10) was distributed to classical singing teachers to be administered to their students at two major schools of music. Of the 215 surveys distributed, 108 were returned (50.2%), of which 4 were incomplete and discarded from analysis. Conservatory students of classical singing reported a moderate degree of vocal handicap (mean SVHI-10, 12; range, 0-29). Singers reported considering all 11 vocal hygiene factors more frequently when preparing for performances than when not preparing for performances. Of these, significant correlations with increased handicap were identified for consideration of stress reduction in nonperformance (P = 0.01) and performance periods (P = 0.02) and with decreased handicap for consideration of singing voice use in performance periods alone (P = 0.02). Conservatory students of classical singing report more assiduous attention to vocal hygiene practices when preparing for performances and report moderate degrees of vocal handicap overall. These students may have elevated risk for dysphonia and voice disorders which is not effectively addressed through common vocal hygiene recommendations alone. Copyright © 2016 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  13. VOCAL: Voice Oriented Curriculum Author Language. Technical Report No. 291.

    Science.gov (United States)

    Hinckley, Michael; And Others

    VOCAL (Voice Oriented Curriculum Author Language) is designed to facilitate the authoring of computer assisted curricula which incorporate highly interactive audio and text presentations. Lessons written in VOCAL are intended to be patterned after the style of informal classroom lectures. VOCAL contains features that allow the author to specify…

  14. Oral Breathing Challenge in Participants with Vocal Attrition

    Science.gov (United States)

    Sivasankar, Mahalakshmi; Fisher, Kimberly V.

    2003-01-01

    Vocal folds undergo osmotic challenge by mouth breathing during singing, exercising, and loud speaking. Just 15 min of obligatory oral breathing, to dry the vocal folds, increases phonation threshold pressure (P[subscript th]) and expiratory vocal effort in healthy speakers (M. Sivasankar & K. Fisher, 2002). We questioned whether oral breathing is…

  15. The Development and Validation of the Vocalic Sensitivity Test.

    Science.gov (United States)

    Villaume, William A.; Brown, Mary Helen

    1999-01-01

    Notes that presbycusis, hearing loss associated with aging, may be marked by a second dimension of hearing loss, a loss in vocalic sensitivity. Reports on the development of the Vocalic Sensitivity Test, which controls for the verbal elements in speech while also allowing for the vocalics to exercise their normal metacommunicative function of…

  16. Gestures, vocalizations and memory in language origins.

    Directory of Open Access Journals (Sweden)

    Francisco eAboitiz

    2012-02-01

    Full Text Available This article discusses the possible homologies between the human language networks and comparable auditory projection systems in the macaque brain, in an attempt to conciliate two existing views on language evolution: one that makes emphasis on hand control and gestures, and the other that makes emphasis on auditory-vocal mechanisms. The capacity for language is based on relatively well defined neural substrates whose rudiments have been traced into the non-human primate brain. In its core, this circuit makes up an auditory-vocal sensorimotor circuit with two main components, a ventral pathway connecting anterior auditory regions with anterior ventrolateral prefrontal areas, and a dorsal pathway connecting auditory areas with parietal areas and with posterior ventrolateral prefrontal areas via the arcuate fasciculus and the superior longitudinal fasciculus. In humans, the dorsal circuit is especially important for phonological processing and phonological working memory, capacities that are critical for language acquisition and for complex syntax processing. In the macaque, the homologue to the dorsal circuit overlaps with an inferior parietal-ventrolateral prefrontal network for hand and gestural action selection that is under voluntary control, while vocalizations are largely fixed and involuntary. The recruitment of this dorsal component for vocalization behavior in the human lineage, together with a direct cortical control of the subcortical vocalizing system, are proposed to have marked a fundamental innovation in human evolution, generating an inflection point that permitted the explosion of language and human communication. In this context, vocal communication and gesturing have a common history in primate communication.

  17. Angyomatous vocal polypus: a complete spontaneous regression

    Directory of Open Access Journals (Sweden)

    Edmir Américo Lourenço

    Full Text Available The authors describe a male patient who had malignant lymphoma seven years ago which remitted with chemotherapy.Two years ago he developed dysphonia. An unilateral, pediculate smooth red lesion on the right vocal fold was later discovered. Even without benefit of medicamentosus treatment, the patient refused surgery. In a reevaluation using rigid telescopy of the larynx two years later, the lesion had disappeared, completely and spontaneously. As there are no existing publications on this topic, this case report is an alert that surgery should be recommended with extreme caution in this type of vocal disease.

  18. VOCAL SEGMENT CLASSIFICATION IN POPULAR MUSIC

    DEFF Research Database (Denmark)

    Feng, Ling; Nielsen, Andreas Brinch; Hansen, Lars Kai

    2008-01-01

    This paper explores the vocal and non-vocal music classification problem within popular songs. A newly built labeled database covering 147 popular songs is announced. It is designed for classifying signals from 1sec time windows. Features are selected for this particular task, in order to capture......-validated training and test setup. The database is divided in two different ways: with/without artist overlap between training and test sets, so as to study the so called ‘artist effect’. The performance and results are analyzed in depth: from error rates to sample-to-sample error correlation. A voting scheme...

  19. The Importance of Vocal Parameters Correlation

    Directory of Open Access Journals (Sweden)

    Valentin Ghisa

    2016-06-01

    Full Text Available To analyze communication we need to study the main parameters that describe the vocal sounds from the point of view of information content transfer efficiency. In this paper we analyze the physical quality of the “on air" information transfer, according to the audio streaming parameters and from the particular phonetic nature of the human factor. Applying this statistical analysis we aim to identify and record the correlation level of the acoustical parameters with the vocal ones and the impact which the presence of this cross-correlation can have on communication structures’ improvement.

  20. Discrimination of ultrasonic vocalizations by CBA/CaJ mice (Mus musculus is related to spectrotemporal dissimilarity of vocalizations.

    Directory of Open Access Journals (Sweden)

    Erikson G Neilans

    Full Text Available The function of ultrasonic vocalizations (USVs produced by mice (Mus musculus is a topic of broad interest to many researchers. These USVs differ widely in spectrotemporal characteristics, suggesting different categories of vocalizations, although this has never been behaviorally demonstrated. Although electrophysiological studies indicate that neurons can discriminate among vocalizations at the level of the auditory midbrain, perceptual acuity for vocalizations has yet to be determined. Here, we trained CBA/CaJ mice using operant conditioning to discriminate between different vocalizations and between a spectrotemporally modified vocalization and its original version. Mice were able to discriminate between vocalization types and between manipulated vocalizations, with performance negatively correlating with spectrotemporal similarity. That is, discrimination performance was higher for dissimilar vocalizations and much lower for similar vocalizations. The behavioral data match previous neurophysiological results in the inferior colliculus (IC, using the same stimuli. These findings suggest that the different vocalizations could carry different meanings for the mice. Furthermore, the finding that behavioral discrimination matched neural discrimination in the IC suggests that the IC plays an important role in the perceptual discrimination of vocalizations.

  1. Vocal tract articulation revisited: the case of the monk parakeet.

    Science.gov (United States)

    Ohms, Verena R; Beckers, Gabriël J L; ten Cate, Carel; Suthers, Roderick A

    2012-01-01

    Birdsong and human speech share many features with respect to vocal learning and development. However, the vocal production mechanisms have long been considered to be distinct. The vocal organ of songbirds is more complex than the human larynx, leading to the hypothesis that vocal variation in birdsong originates mainly at the sound source, while in humans it is primarily due to vocal tract filtering. However, several recent studies have indicated the importance of vocal tract articulators such as the beak and oropharyngeal-esophageal cavity. In contrast to most other bird groups, parrots have a prominent tongue, raising the possibility that tongue movements may also be of significant importance in vocal production in parrots, but evidence is rare and observations often anecdotal. In the current study we used X-ray cinematographic imaging of naturally vocalizing monk parakeets (Myiopsitta monachus) to assess which articulators are possibly involved in vocal tract filtering in this species. We observed prominent tongue height changes, beak opening movements and tracheal length changes, which suggests that all of these components play an important role in modulating vocal tract resonance. Moreover, the observation of tracheal shortening as a vocal articulator in live birds has to our knowledge not been described before. We also found strong positive correlations between beak opening and amplitude as well as changes in tongue height and amplitude in several types of vocalization. Our results suggest considerable differences between parrot and songbird vocal production while at the same time the parrot's vocal articulation might more closely resemble human speech production in the sense that both make extensive use of the tongue as a vocal articulator.

  2. The Acoustic Properties of Low Intensity Vocalizations Match Hearing Sensitivity in the Webbed-Toed Gecko, Gekko subpalmatus

    Science.gov (United States)

    Chen, Jingfeng; Jono, Teppei; Cui, Jianguo; Yue, Xizi; Tang, Yezhong

    2016-01-01

    The design of acoustic signals and hearing sensitivity in socially communicating species would normally be expected to closely match in order to minimize signal degradation and attenuation during signal propagation. Nevertheless, other factors such as sensory biases as well as morphological and physiological constraints may affect strict correspondence between signal features and hearing sensitivity. Thus study of the relationships between sender and receiver characteristics in species utilizing acoustic communication can provide information about how acoustic communication systems evolve. The genus Gekko includes species emitting high-amplitude vocalizations for long-range communication (loud callers) as well as species producing only low-amplitude vocalizations when in close contact with conspecifics (quiet callers) which have rarely been investigated. In order to investigate relationships between auditory physiology and the frequency characteristics of acoustic signals in a quiet caller, Gekko subpalmatus we measured the subjects’ vocal signal characteristics as well as auditory brainstem responses (ABRs) to assess auditory sensitivity. The results show that G. subpalmatus males emit low amplitude calls when encountering females, ranging in dominant frequency from 2.47 to 4.17 kHz with an average at 3.35 kHz. The auditory range with highest sensitivity closely matches the dominant frequency of the vocalizations. This correspondence is consistent with the notion that quiet and loud calling species are under similar selection pressures for matching auditory sensitivity with spectral characteristics of vocalizations. PMID:26752301

  3. Social complexity parallels vocal complexity: a comparison of three nonhuman primate species

    Directory of Open Access Journals (Sweden)

    Hélène eBOUCHET

    2013-07-01

    Full Text Available Social factors play a key role in the structuring of vocal repertoires at the individual level, notably in nonhuman primates. Some authors suggested that, at the species level too, social life may have driven the evolution of communicative complexity, but this has rarely been empirically tested. Here, we use a comparative approach to address this issue. We investigated vocal variability, at both the call type and the repertoire levels, in three forest-dwelling species of Cercopithecinae presenting striking differences in their social systems, in terms of social organization as well as social structure. We collected female call recordings from twelve De Brazza’s monkeys (Cercopithecus neglectus, six Campbell’s monkeys (Cercopithecus campbelli and seven red-capped mangabeys (Cercocebus torquatus housed in similar conditions. First, we noted that the level of acoustic variability and individual distinctiveness found in several call types was related to their importance in social functioning. Contact calls, essential to intra-group cohesion, were the most individually distinctive regardless of the species, while threat calls were more structurally variable in mangabeys, the most ‘despotic’ of our three species. Second, we found a parallel between the degree of complexity of the species’ social structure and the size, diversity, and usage of its vocal repertoire. Mangabeys (most complex social structure called twice as often as guenons and displayed the largest and most complex repertoire. De Brazza’s monkeys (simplest social structure displayed the smallest and simplest repertoire. Campbell’s monkeys displayed an intermediate pattern. Providing evidence of higher levels of vocal variability in species presenting a more complex social system, our results are in line with the theory of a social-vocal coevolution of communicative abilities, opening new perspectives for comparative research on the evolution of communication systems in

  4. Spinal Cord Diseases

    Science.gov (United States)

    ... damages the vertebrae or other parts of the spine, this can also injure the spinal cord. Other spinal cord problems include Tumors Infections such as meningitis and polio Inflammatory diseases Autoimmune diseases Degenerative diseases such as amyotrophic lateral sclerosis and spinal ...

  5. Vocal improvement after voice therapy in the treatment of benign vocal fold lesions.

    Science.gov (United States)

    Schindler, A; Mozzanica, F; Ginocchio, D; Maruzzi, P; Atac, M; Ottaviani, F

    2012-10-01

    Benign vocal fold lesions are common in the general population, and have important public health implications and impact on patient quality of life. Nowadays, phonomicrosurgery is the most common treatment of these lesions. Voice therapy is generally associated in order to minimize detrimental vocal behaviours that increase the stress at the mid-membranous vocal folds. Nonetheless, the most appropriate standard of care for treating benign vocal fold lesion has not been established. The aim of this study was to analyze voice changes in a group of dysphonic patients affected by benign vocal fold lesions, evaluated with a multidimensional protocol before and after voice therapy. Sixteen consecutive patients, 12 females and 4 males, with a mean age of 49.7 years were enrolled. Each subject had 10 voice therapy sessions with an experienced speech/language pathologist for a period of 1-2 months, and was evaluated before and at the end of voice therapy with a multidimensional protocol that included self-assessment measures and videostroboscopic, perceptual, aerodynamic and acoustic ratings. Videostroboscopic examination did not reveal resolution of the initial pathology in any case. No improvement was observed in aerodynamic and perceptual ratings. A clear and significant improvement was visible on Wilcoxon signed-rank test for the mean values of Jitt%, Noise to Harmonic Ratio (NHR) and Voice Handicap Index (VHI) scores. Even if it is possible that, for benign vocal fold lesions, only a minor improvement of voice quality can be achieved after voice therapy, rehabilitation treatment still seems useful as demonstrated by improvement in self-assessment measures. If voice therapy is provided as an initial treatment to the patients with benign vocal fold lesions, this may lead to an improvement in the perceived voice quality, making surgical intervention unnecessary. This is one of the first reports on the efficacy of voice therapy in the management of benign vocal fold

  6. Risk factors for the appearance of minimal pathologic lesions on vocal folds in vocal professionals

    Directory of Open Access Journals (Sweden)

    Stojanović Jasmina

    2012-01-01

    Full Text Available Background/Aim. An excessive use or misuse of voice by vocal professionals may result in symptoms such are husky voice, hoarse voice, total loss of voice, or even organic changes taking place on vocal folds - minimal pathological lesions - MAPLs. The purpose of this study was to identify the type of MAPLs which affects vocal professionals, as well as to identify the risk factors that bring about these changes. Methods. There were 94 vocal professionals who were examined altogether, out of whom 46 were affected by MAPLs, whereas 48 of them were diagnosed with no MAPLs, so that they served as the control group. All these patients were clinically examined (anamnesis, clinical examination, bacteoriological examination of nose and pharynx, radiography of paranasal cavities, allergological processing, phoniatric examination, endo-video-stroboscopic examination, as well as gastroenterologic examination, and finally endocrinological and pulmological analyses. Results. The changes that occurred most often were identified as nodules (50%; n = 23/46 and polyps (24%; n = 11/46. Risk factors causing MAPLs in vocal professionals were as follows: age, which reduced the risk by 23.9% [OR 0.861 (0.786-0.942] whereas the years of career increase the risk [OR 1.114 (1.000-1.241], as well as the presence of a chronic respiratory disease [OR 7.310 (1.712- 31.218], and the presence of gastro-oesophageal reflux disease [OR 4.542 (1.263-16.334]. The following factors did not contribute to development of MAPLs in vocal professionals: sex, a place of residence, irritation, smoking, endocrinologic disease and the presence of poly-sinusitis. Conclusion. It is necessary to introduce comprehensive procedures for prevention of MAPLs, particularly in high-risk groups. Identification of the risk factors for MAPLs and prevention of their influence on vocal professionals (given that their income depends on their vocal ability is of the highest importance.

  7. Split Cord Malformations

    Directory of Open Access Journals (Sweden)

    Yurdal Gezercan

    2015-06-01

    Full Text Available Split cord malformations are rare form of occult spinal dysraphism in children. Split cord malformations are characterized by septum that cleaves the spinal canal in sagittal plane within the single or duplicated thecal sac. Although their precise incidence is unknown, split cord malformations are exceedingly rare and represent %3.8-5 of all congenital spinal anomalies. Characteristic neurological, urological, orthopedic clinical manifestations are variable and asymptomatic course is possible. Earlier diagnosis and surgical intervention for split cord malformations is associated with better long-term fuctional outcome. For this reason, diagnostic imaging is indicated for children with associated cutaneous and orthopedic signs. Additional congenital anomalies usually to accompany the split cord malformations. Earlier diagnosis, meticuolus surgical therapy and interdisciplinary careful evaluation and follow-up should be made for good prognosis. [Cukurova Med J 2015; 40(2.000: 199-207

  8. [Spontaneous spinal cord herniation].

    Science.gov (United States)

    Rivas, J J; de la Lama, A; Gonza Lez, P; Ramos, A; Zurdo, M; Alday, R

    2004-10-01

    Spontaneous spinal cord herniation through a dural defect is an unusual condition. This entity has been probably underestimated before the introduction of MRI. We report a case of a 49-year-old man with a progressive Brown-Sequard syndrome. MRI and CT myelogram showed a ventrally displaced spinal cord at level T6-T7 and expansion of the posterior subarachnoid space. Through a laminectomy, a spinal cord herniation was identified and reduced. The anterior dural defect was repaired with a patch of lyophilized dura. The patient recovered muscle power but there was no improvement of the sensory disturbance. The diagnosis of spontaneous spinal cord herniation must be considered when progressive myelopathy occurs in middle-aged patients, without signs of spinal cord compression and typical radiological findings. Surgical treatment may halt the progressive deficits and even yield improvement in many cases.

  9. Predicting Achievable Fundamental Frequency Ranges in Vocalization Across Species.

    Directory of Open Access Journals (Sweden)

    Ingo Titze

    2016-06-01

    Full Text Available Vocal folds are used as sound sources in various species, but it is unknown how vocal fold morphologies are optimized for different acoustic objectives. Here we identify two main variables affecting range of vocal fold vibration frequency, namely vocal fold elongation and tissue fiber stress. A simple vibrating string model is used to predict fundamental frequency ranges across species of different vocal fold sizes. While average fundamental frequency is predominantly determined by vocal fold length (larynx size, range of fundamental frequency is facilitated by (1 laryngeal muscles that control elongation and by (2 nonlinearity in tissue fiber tension. One adaptation that would increase fundamental frequency range is greater freedom in joint rotation or gliding of two cartilages (thyroid and cricoid, so that vocal fold length change is maximized. Alternatively, tissue layers can develop to bear a disproportionate fiber tension (i.e., a ligament with high density collagen fibers, increasing the fundamental frequency range and thereby vocal versatility. The range of fundamental frequency across species is thus not simply one-dimensional, but can be conceptualized as the dependent variable in a multi-dimensional morphospace. In humans, this could allow for variations that could be clinically important for voice therapy and vocal fold repair. Alternative solutions could also have importance in vocal training for singing and other highly-skilled vocalizations.

  10. Molecular mapping of brain areas involved in parrot vocal communication.

    Science.gov (United States)

    Jarvis, E D; Mello, C V

    2000-03-27

    Auditory and vocal regulation of gene expression occurs in separate discrete regions of the songbird brain. Here we demonstrate that regulated gene expression also occurs during vocal communication in a parrot, belonging to an order whose ability to learn vocalizations is thought to have evolved independently of songbirds. Adult male budgerigars (Melopsittacus undulatus) were stimulated to vocalize with playbacks of conspecific vocalizations (warbles), and their brains were analyzed for expression of the transcriptional regulator ZENK. The results showed that there was distinct separation of brain areas that had hearing- or vocalizing-induced ZENK expression. Hearing warbles resulted in ZENK induction in large parts of the caudal medial forebrain and in 1 midbrain region, with a pattern highly reminiscent of that observed in songbirds. Vocalizing resulted in ZENK induction in nine brain structures, seven restricted to the lateral and anterior telencephalon, one in the thalamus, and one in the midbrain, with a pattern partially reminiscent of that observed in songbirds. Five of the telencephalic structures had been previously described as part of the budgerigar vocal control pathway. However, functional boundaries defined by the gene expression patterns for some of these structures were much larger and different in shape than previously reported anatomical boundaries. Our results provide the first functional demonstration of brain areas involved in vocalizing and auditory processing of conspecific sounds in budgerigars. They also indicate that, whether or not vocal learning evolved independently, some of the gene regulatory mechanisms that accompany learned vocal communication are similar in songbirds and parrots.

  11. [Etiology, diagnosis, differential diagnosis and therapy of vocal fold paralysis].

    Science.gov (United States)

    Reiter, R; Hoffmann, T K; Rotter, N; Pickhard, A; Scheithauer, M O; Brosch, S

    2014-03-01

    Etiology of vocal fold paralysis is broad: e. g. iatrogenic/traumatic, associated with neoplasms or with systemic diseases. The cause of idiopathic paralysis is unknown. The main symptom of unilateral vocal fold paralysis is hoarseness because of a remaining glottic gap during phonation. Patients with bilateral vocal fold paralysis typically have no impairment of the voice but dyspnea. Examination of patients with an idopathic vocal fold paralysis is a CT of the vagal nerve and recurrent laryngeal nerve from skull base to neck and mediastinum. Serological tests are not obligatory. Differential diagnosis of vocal fold immobility is vocal fold paralysis/neurological causes and arthrogene causes such as arytenoid subluxation, interarytenoid adhesion and vocal fold fixation in laryngeal carcinomas. Voice therapy is a promising approach for patients with unilateral vocal fold paralysis, but not all patients benefit sufficiently. Temporary vocal fold augmentation by injection medialization results in satisfactory voice quality that is comparable with a thyroplasty. Patients with bilateral vocal fold immobility show typically dyspnea requiring immediate therapy such as temporary tracheotomy or reversible laterofixation of the paralyzed vocal chord. If the paralysis persists a definitive enlargement of the glottic airway by eg. arytenoidectomy needs to be performed.

  12. Female presence and estrous state influence mouse ultrasonic courtship vocalizations.

    Directory of Open Access Journals (Sweden)

    Jessica L Hanson

    Full Text Available The laboratory mouse is an emerging model for context-dependent vocal signaling and reception. Mouse ultrasonic vocalizations are robustly produced in social contexts. In adults, male vocalization during courtship has become a model of interest for signal-receiver interactions. These vocalizations can be grouped into syllable types that are consistently produced by different subspecies and strains of mice. Vocalizations are unique to individuals, vary across development, and depend on social housing conditions. The behavioral significance of different syllable types, including the contexts in which different vocalizations are made and the responses listeners have to different types of vocalizations, is not well understood. We examined the effect of female presence and estrous state on male vocalizations by exploring the use of syllable types and the parameters of syllables during courtship. We also explored correlations between vocalizations and other behaviors. These experimental manipulations produced four main findings: 1 vocalizations varied among males, 2 the production of USVs and an increase in the use of a specific syllable type were temporally related to mounting behavior, 3 the frequency (kHz, bandwidth, and duration of syllables produced by males were influenced by the estrous phase of female partners, and 4 syllable types changed when females were removed. These findings show that mouse ultrasonic courtship vocalizations are sensitive to changes in female phase and presence, further demonstrating the context-sensitivity of these calls.

  13. Modelling vocal anatomy's significant effect on speech

    NARCIS (Netherlands)

    de Boer, B.

    2010-01-01

    This paper investigates the effect of larynx position on the articulatory abilities of a humanlike vocal tract. Previous work has investigated models that were built to resemble the anatomy of existing species or fossil ancestors. This has led to conflicting conclusions about the relation between

  14. Gelada vocal sequences follow Menzerath's linguistic law.

    Science.gov (United States)

    Gustison, Morgan L; Semple, Stuart; Ferrer-I-Cancho, Ramon; Bergman, Thore J

    2016-05-10

    Identifying universal principles underpinning diverse natural systems is a key goal of the life sciences. A powerful approach in addressing this goal has been to test whether patterns consistent with linguistic laws are found in nonhuman animals. Menzerath's law is a linguistic law that states that, the larger the construct, the smaller the size of its constituents. Here, to our knowledge, we present the first evidence that Menzerath's law holds in the vocal communication of a nonhuman species. We show that, in vocal sequences of wild male geladas (Theropithecus gelada), construct size (sequence size in number of calls) is negatively correlated with constituent size (duration of calls). Call duration does not vary significantly with position in the sequence, but call sequence composition does change with sequence size and most call types are abbreviated in larger sequences. We also find that intercall intervals follow the same relationship with sequence size as do calls. Finally, we provide formal mathematical support for the idea that Menzerath's law reflects compression-the principle of minimizing the expected length of a code. Our findings suggest that a common principle underpins human and gelada vocal communication, highlighting the value of exploring the applicability of linguistic laws in vocal systems outside the realm of language.

  15. Path Models of Vocal Emotion Communication.

    Directory of Open Access Journals (Sweden)

    Tanja Bänziger

    Full Text Available We propose to use a comprehensive path model of vocal emotion communication, encompassing encoding, transmission, and decoding processes, to empirically model data sets on emotion expression and recognition. The utility of the approach is demonstrated for two data sets from two different cultures and languages, based on corpora of vocal emotion enactment by professional actors and emotion inference by naïve listeners. Lens model equations, hierarchical regression, and multivariate path analysis are used to compare the relative contributions of objectively measured acoustic cues in the enacted expressions and subjective voice cues as perceived by listeners to the variance in emotion inference from vocal expressions for four emotion families (fear, anger, happiness, and sadness. While the results confirm the central role of arousal in vocal emotion communication, the utility of applying an extended path modeling framework is demonstrated by the identification of unique combinations of distal cues and proximal percepts carrying information about specific emotion families, independent of arousal. The statistical models generated show that more sophisticated acoustic parameters need to be developed to explain the distal underpinnings of subjective voice quality percepts that account for much of the variance in emotion inference, in particular voice instability and roughness. The general approach advocated here, as well as the specific results, open up new research strategies for work in psychology (specifically emotion and social perception research and engineering and computer science (specifically research and development in the domain of affective computing, particularly on automatic emotion detection and synthetic emotion expression in avatars.

  16. Music Education Intervention Improves Vocal Emotion Recognition

    Science.gov (United States)

    Mualem, Orit; Lavidor, Michal

    2015-01-01

    The current study is an interdisciplinary examination of the interplay among music, language, and emotions. It consisted of two experiments designed to investigate the relationship between musical abilities and vocal emotional recognition. In experiment 1 (N = 24), we compared the influence of two short-term intervention programs--music and…

  17. Functional flexibility in wild bonobo vocal behaviour

    Directory of Open Access Journals (Sweden)

    Zanna Clay

    2015-08-01

    Full Text Available A shared principle in the evolution of language and the development of speech is the emergence of functional flexibility, the capacity of vocal signals to express a range of emotional states independently of context and biological function. Functional flexibility has recently been demonstrated in the vocalisations of pre-linguistic human infants, which has been contrasted to the functionally fixed vocal behaviour of non-human primates. Here, we revisited the presumed chasm in functional flexibility between human and non-human primate vocal behaviour, with a study on our closest living primate relatives, the bonobo (Pan paniscus. We found that wild bonobos use a specific call type (the “peep” across a range of contexts that cover the full valence range (positive-neutral-negative in much of their daily activities, including feeding, travel, rest, aggression, alarm, nesting and grooming. Peeps were produced in functionally flexible ways in some contexts, but not others. Crucially, calls did not vary acoustically between neutral and positive contexts, suggesting that recipients take pragmatic information into account to make inferences about call meaning. In comparison, peeps during negative contexts were acoustically distinct. Our data suggest that the capacity for functional flexibility has evolutionary roots that predate the evolution of human speech. We interpret this evidence as an example of an evolutionary early transition away from fixed vocal signalling towards functional flexibility.

  18. Patterns of Vocalization and Impression Formation

    Science.gov (United States)

    Hayes, Donald P.; Bouma, Gary D.

    1975-01-01

    This article discusses the interactive behavior that accompanies verbal exchange. It specifically describes a set of experiments designed to isolate an important subset of interactive behavior, the vocal (as opposed to the verbal) and to relate this information to a wide range of social impressions resulting from verbal exchange. (Available from…

  19. Patterns of Vocalization and Impression Formation

    Science.gov (United States)

    Hayes, Donald P.; Bouma, Gary D.

    1975-01-01

    This article discusses the interactive behavior that accompanies verbal exchange. It specifically describes a set of experiments designed to isolate an important subset of interactive behavior, the vocal (as opposed to the verbal) and to relate this information to a wide range of social impressions resulting from verbal exchange. (Available from…

  20. Music Education Intervention Improves Vocal Emotion Recognition

    Science.gov (United States)

    Mualem, Orit; Lavidor, Michal

    2015-01-01

    The current study is an interdisciplinary examination of the interplay among music, language, and emotions. It consisted of two experiments designed to investigate the relationship between musical abilities and vocal emotional recognition. In experiment 1 (N = 24), we compared the influence of two short-term intervention programs--music and…

  1. Audiovisual vocal outburst classification in noisy conditions

    NARCIS (Netherlands)

    Eyben, Florian; Petridis, Stavros; Schuller, Björn; Pantic, Maja

    2012-01-01

    In this study, we investigate an audiovisual approach for classification of vocal outbursts (non-linguistic vocalisations) in noisy conditions using Long Short-Term Memory (LSTM) Recurrent Neural Networks and Support Vector Machines. Fusion of geometric shape features and acoustic low-level descript

  2. VOCALIZATIONS AND BREEDING BEHAVIOUR OF PTYCHADENA ...

    African Journals Online (AJOL)

    also produced resuIarly and its production is dependent on the prCSCDCe of two or more individuals. ... analyser) within the frequency range 80 Hz-8 kHz using a wide band filter (300 Hz). ..... The evoked vocal response of the bullfrog. Res.

  3. Path Models of Vocal Emotion Communication.

    Science.gov (United States)

    Bänziger, Tanja; Hosoya, Georg; Scherer, Klaus R

    2015-01-01

    We propose to use a comprehensive path model of vocal emotion communication, encompassing encoding, transmission, and decoding processes, to empirically model data sets on emotion expression and recognition. The utility of the approach is demonstrated for two data sets from two different cultures and languages, based on corpora of vocal emotion enactment by professional actors and emotion inference by naïve listeners. Lens model equations, hierarchical regression, and multivariate path analysis are used to compare the relative contributions of objectively measured acoustic cues in the enacted expressions and subjective voice cues as perceived by listeners to the variance in emotion inference from vocal expressions for four emotion families (fear, anger, happiness, and sadness). While the results confirm the central role of arousal in vocal emotion communication, the utility of applying an extended path modeling framework is demonstrated by the identification of unique combinations of distal cues and proximal percepts carrying information about specific emotion families, independent of arousal. The statistical models generated show that more sophisticated acoustic parameters need to be developed to explain the distal underpinnings of subjective voice quality percepts that account for much of the variance in emotion inference, in particular voice instability and roughness. The general approach advocated here, as well as the specific results, open up new research strategies for work in psychology (specifically emotion and social perception research) and engineering and computer science (specifically research and development in the domain of affective computing, particularly on automatic emotion detection and synthetic emotion expression in avatars).

  4. Quantitative microlaryngoscopic measurements of vocal fold polyps, glottal gap and their relation to vocal function.

    Science.gov (United States)

    Uloza, Virgilijus; Kaseta, Marius; Pribuisiene, Rūta; Saferis, Viktoras; Jokūzis, Vytautas; Gelzinis, Adas; Bacauskiene, Marija

    2008-01-01

    The purpose of this study was to quantify the size of vocal fold polyps and to investigate the relationship between the glottal gap and parameters of acoustic voice analysis and phonetography. Eighty-one microlaryngoscopic images and digital recordings of voices (acoustic analysis and phonetogram) acquired from the patients with vocal fold polyps (VFPs) were employed in this study. Vocal fold (VF) images were collected during routine direct microlaryngoscopy using Moller-Wedel Universa 300 surgical microscope, 3-CCD Elmo 768 x 576-pixel color video camera and a 300 W Xenon light source. Acoustic voice analysis and phonetography were established using Dr. Speech (Tiger Electronics Inc.) software. Microlaryngoscopic images were processed by original software created by ELINTA and displayed on a monitor. The relative lengths and widths of vocal fold polyps as well as percentage area of VFP were calculated. The Pearson's correlation was applied to reveal the correlation between VFP dimensions and acoustic voice parameters. There were no statistically significant differences between the dimensions of left and right vocal folds and VFPs. Statistically significant slight to mild correlations between measured dimensions of VFP acoustic and phonetogram parameters were revealed, with HNR and phonetogram area showing the strongest correlation to the size of VFPs. The results of our study confirm that quantitative microlaryngoscopic measurements of vocal fold polyp and glottal gap dimensions may be a useful tool for objective assessment of glottic incompetence and voice impairment.

  5. Auditory lateralization of conspecific and heterospecific vocalizations in cats.

    Science.gov (United States)

    Siniscalchi, Marcello; Laddago, Serena; Quaranta, Angelo

    2016-01-01

    Auditory lateralization in response to both conspecific and heterospecific vocalizations (dog vocalizations) was observed in 16 tabby cats (Felis catus). Six different vocalizations were used: cat "purring," "meowing" and "growling" and dog typical vocalizations of "disturbance," "isolation" and "play." The head-orienting paradigm showed that cats turned their head with the right ear leading (left hemisphere activation) in response to their typical-species vocalization ("meow" and "purring"); on the other hand, a clear bias in the use of the left ear (right hemisphere activation) was observed in response to vocalizations eliciting intense emotion (dogs' vocalizations of "disturbance" and "isolation"). Overall these findings suggest that auditory sensory domain seems to be lateralized also in cat species, stressing the role of the left hemisphere for intraspecific communication and of the right hemisphere in processing threatening and alarming stimuli.

  6. Vocal learning in elephants: neural bases and adaptive context.

    Science.gov (United States)

    Stoeger, Angela S; Manger, Paul

    2014-10-01

    In the last decade clear evidence has accumulated that elephants are capable of vocal production learning. Examples of vocal imitation are documented in African (Loxodonta africana) and Asian (Elephas maximus) elephants, but little is known about the function of vocal learning within the natural communication systems of either species. We are also just starting to identify the neural basis of elephant vocalizations. The African elephant diencephalon and brainstem possess specializations related to aspects of neural information processing in the motor system (affecting the timing and learning of trunk movements) and the auditory and vocalization system. Comparative interdisciplinary (from behavioral to neuroanatomical) studies are strongly warranted to increase our understanding of both vocal learning and vocal behavior in elephants.

  7. Modeling spinal cord biomechanics

    Science.gov (United States)

    Luna, Carlos; Shah, Sameer; Cohen, Avis; Aranda-Espinoza, Helim

    2012-02-01

    Regeneration after spinal cord injury is a serious health issue and there is no treatment for ailing patients. To understand regeneration of the spinal cord we used a system where regeneration occurs naturally, such as the lamprey. In this work, we analyzed the stress response of the spinal cord to tensile loading and obtained the mechanical properties of the cord both in vitro and in vivo. Physiological measurements showed that the spinal cord is pre-stressed to a strain of 10%, and during sinusoidal swimming, there is a local strain of 5% concentrated evenly at the mid-body and caudal sections. We found that the mechanical properties are homogeneous along the body and independent of the meninges. The mechanical behavior of the spinal cord can be characterized by a non-linear viscoelastic model, described by a modulus of 20 KPa for strains up to 15% and a modulus of 0.5 MPa for strains above 15%, in agreement with experimental data. However, this model does not offer a full understanding of the behavior of the spinal cord fibers. Using polymer physics we developed a model that relates the stress response as a function of the number of fibers.

  8. Multidimensional Analysis on the Effect of Vocal Function Exercises on Aged Vocal Fold Atrophy.

    Science.gov (United States)

    Kaneko, Mami; Hirano, Shigeru; Tateya, Ichiro; Kishimoto, Yo; Hiwatashi, Nao; Fujiu-Kurachi, Masako; Ito, Juichi

    2015-09-01

    Age-related voice change is characterized as weak, harsh, and breathy. These changes are caused by histologic alteration of the lamina propria of the vocal fold mucosa as well as atrophy of the thyroarytenoid muscle. Several therapeutic strategies involving laryngeal framework surgery and injection laryngoplasty have been tried, but effects have been limited. Vocal function exercises (VFE) have been used to treat age-related vocal fold atrophy although the effectiveness has been shown with limited analysis. The present study aims to determine the effectiveness of VFE for the treatment of aged atrophy using multidimensional analysis. This is a retrospective study. Sixteen patients with vocal fold atrophy aged 65-81 years underwent voice therapy using VFE. Six patients with vocal fold atrophy aged 65-85 years were involved as a historical control group. The grade, roughness, breathiness, asthenia, strain (GRBAS) scale, stroboscopic examinations, aerodynamic assessment, acoustic analysis, and Voice Handicap Index-10 (VHI-10) were performed before and after VFE. Normalized mucosal wave amplitude (NMWA), normalized glottal gap (NGG), and bowing index (BI) were measured by image analysis during stroboscopic examinations. After VFE, significant improvements were shown in GRBAS, maximum phonation time, jitter, NMWA, NGG, and VHI-10 although BI has not changed significantly. There were no significant improvements in the historical control. The data suggest that VFE produces significant improvement in subjective, objective, and patient self-evaluation and deserves further attention as a treatment for aged atrophy of the vocal fold. It was also suggested that VFE does not improve the vocal fold bowing but may improve muscular function during voicing. Copyright © 2015 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  9. Improvement of Vocal Pathologies Diagnosis Using High-Speed Videolaryngoscopy

    Directory of Open Access Journals (Sweden)

    Tsuji, Domingos Hiroshi

    2014-04-01

    Full Text Available Introduction The study of the dynamic properties of vocal fold vibration is important for understanding the vocal production mechanism and the impact of organic and functional changes. The advent of high-speed videolaryngoscopy (HSV has provided the possibility of seeing the real cycle of vocal fold vibration in detail through high sampling rate of successive frames and adequate spatial resolution. Objective To describe the technique, advantages, and limitations of using HSV and digital videokymography in the diagnosis of vocal pathologies. Methods We used HSV and digital videokymography to evaluate one normophonic individual and four patients with vocal fold pathologies (nodules, unilateral paralysis of the left vocal fold, intracordal cyst, and adductor spasmodic dysphonia. The vocal fold vibration parameters (glottic closure, vibrational symmetry, periodicity, mucosal wave, amplitude, and glottal cycle phases were assessed. Results Differences in the vocal vibration parameters were observed and correlated with the pathophysiology. Conclusion HSV is the latest diagnostic tool in visual examination of vocal behavior and has considerable potential to refine our knowledge regarding the vocal fold vibration and voice production, as well as regarding the impact of pathologic conditions have on the mechanism of phonation.

  10. Improvement of vocal pathologies diagnosis using high-speed videolaryngoscopy.

    Science.gov (United States)

    Tsuji, Domingos Hiroshi; Hachiya, Adriana; Dajer, Maria Eugenia; Ishikawa, Camila Cristina; Takahashi, Marystella Tomoe; Montagnoli, Arlindo Neto

    2014-07-01

    Introduction The study of the dynamic properties of vocal fold vibration is important for understanding the vocal production mechanism and the impact of organic and functional changes. The advent of high-speed videolaryngoscopy (HSV) has provided the possibility of seeing the real cycle of vocal fold vibration in detail through high sampling rate of successive frames and adequate spatial resolution. Objective To describe the technique, advantages, and limitations of using HSV and digital videokymography in the diagnosis of vocal pathologies. Methods We used HSV and digital videokymography to evaluate one normophonic individual and four patients with vocal fold pathologies (nodules, unilateral paralysis of the left vocal fold, intracordal cyst, and adductor spasmodic dysphonia). The vocal fold vibration parameters (glottic closure, vibrational symmetry, periodicity, mucosal wave, amplitude, and glottal cycle phases) were assessed. Results Differences in the vocal vibration parameters were observed and correlated with the pathophysiology. Conclusion HSV is the latest diagnostic tool in visual examination of vocal behavior and has considerable potential to refine our knowledge regarding the vocal fold vibration and voice production, as well as regarding the impact of pathologic conditions have on the mechanism of phonation.

  11. Recording Mouse Ultrasonic Vocalizations to Evaluate Social Communication.

    Science.gov (United States)

    Ferhat, Allain-Thibeault; Torquet, Nicolas; Le Sourd, Anne-Marie; de Chaumont, Fabrice; Olivo-Marin, Jean-Christophe; Faure, Philippe; Bourgeron, Thomas; Ey, Elodie

    2016-06-05

    Mice emit ultrasonic vocalizations in different contexts throughout development and in adulthood. These vocal signals are now currently used as proxies for modeling the genetic bases of vocal communication deficits. Characterizing the vocal behavior of mouse models carrying mutations in genes associated with neuropsychiatric disorders such as autism spectrum disorders will help to understand the mechanisms leading to social communication deficits. We provide here protocols to reliably elicit ultrasonic vocalizations in pups and in adult mice. This standardization will help reduce inter-study variability due to the experimental settings. Pup isolation calls are recorded throughout development from individual pups isolated from dam and littermates. In adulthood, vocalizations are recorded during same-sex interactions (without a sexual component) by exposing socially motivated males or females to an unknown same-sex conspecific. We also provide a protocol to record vocalizations from adult males exposed to an estrus female. In this context, there is a sexual component in the interaction. These protocols are established to elicit a large amount of ultrasonic vocalizations in laboratory mice. However, we point out the important inter-individual variability in the vocal behavior of mice, which should be taken into account by recording a minimal number of individuals (at least 12 in each condition). These recordings of ultrasonic vocalizations are used to evaluate the call rate, the vocal repertoire and the acoustic structure of the calls. Data are combined with the analysis of synchronous video recordings to provide a more complete view on social communication in mice. These protocols are used to characterize the vocal communication deficits in mice lacking ProSAP1/Shank2, a gene associated with autism spectrum disorders. More ultrasonic vocalizations recordings can also be found on the mouseTube database, developed to favor the exchange of such data.

  12. Desvantagem vocal em cantores de igreja Vocal handicap of church singers

    Directory of Open Access Journals (Sweden)

    Tatiane Prestes

    2012-10-01

    Full Text Available OBJETIVO: avaliar a desvantagem vocal de cantores amadores de coros de igreja. MÉTODO: participaram 42 cantores de coros amadores de igrejas, sendo 20 homens e 22 mulheres, com idades entre 18 e 59 anos. Todos responderam a um questionário contendo perguntas sobre autopercepção vocal e práticas de canto, e ao protocolo Índice de Desvantagem para o Canto Moderno (IDCM, composto por 30 questões referentes às subescalas incapacidade, desvantagem e defeito. Foi realizada triagem perceptivo-auditiva para classificação das vozes em adaptadas ou alteradas e mensuração dos graus De alteração. RESULTADOS: a pontuação total média obtida no IDCM foi 23 pontos. Os maiores escores foram obtidos na subescala "defeito" (10,9, seguido por "incapacidade" (7,6 e "desvantagem" (4,5, com diferença entre elas (p= 0,001. Cantores que nunca realizaram aula de canto apresentaram maiores escores no domínio "desvantagem" (p=0,003. À medida que o escore total do IDCM aumentou, a nota atribuída pelo cantor em relação à própria voz diminuiu (p= 0,046. Participantes com qualidade vocal alterada apresentaram maiores escores nas subescalas incapacidade e desvantagem e no domínio total do IDCM quando comparados aos que apresentavam qualidade vocal adaptada (p=0,012, p=0,049 e p=0,015, respectivamente. Além disso, quanto maior o grau de alteração vocal, maiores foram os escores referentes à subescala incapacidade (p=0,022. CONCLUSÃO: cantores de igreja apresentam desvantagem vocal importante. Quando apresentam alterações vocais, esta desvantagem é ainda maior. Quanto maior o grau de alteração vocal, maiores as limitações referentes à voz cantada. Aulas de canto parecem minimizar a desvantagem vocal nessa população.PURPOSE: to evaluate the vocal handicap of amateur singers of church choirs. METHOD: we interviewed 42 amateur singers from church choirs, 20 men, and 22 women, between 18 and 59 year old. Everybody answered a questionnaire

  13. Spinal Cord Injury

    Science.gov (United States)

    ... indicated by a total lack of sensory and motor function below the level of injury. People who survive a spinal cord injury will most likely have medical complications such as chronic pain and bladder and bowel ...

  14. Spinal cord abscess

    Science.gov (United States)

    ... drugs The infection often begins in the bone ( osteomyelitis ). The bone infection may cause an epidural abscess ... Boils Cerebral spinal fluid (CSF) collection Epidural abscess Osteomyelitis Pulmonary tuberculosis Sepsis Spinal cord trauma Swelling Review ...

  15. Modal locking between vocal fold and vocal tract oscillations: Simulations in time domain

    CERN Document Server

    Aalto, Atte; Malinen, Jarmo; Aalto, Daniel; Vainio, Martti

    2015-01-01

    It is well known that during voiced speech, the human vocal folds interact with the vocal tract acoustics. The resulting source-filter coupling has been observed using mathematical and physical models as well as in in vivo phonation. We propose a computational time-domain model of the full speech apparatus that, in particular, contains a feedback mechanism from the vocal tract acoustics to the vocal fold oscillations. It is based on numerical solution of ordinary and partial differential equations defined on vocal tract geometries that have been obtained by Magnetic Resonance Imaging. The model is used to simulate rising and falling pitch glides of [a, i] in the fundamental frequency (f_0) interval [180 Hz, 360 Hz]. The interval contains the first formant F1 of [i] as well as the subformants F1/4 and F1/3 of [a]. The simulations reveal a locking pattern of the f_0-trajectory at F1 of [i] in falling and rising glides. The subformants of [a] produce perturbations in the waveforms of glottal signals but no locki...

  16. If horses entrain, don’t entirely reject vocal learning: An experience-based vocal learning hypothesis

    Directory of Open Access Journals (Sweden)

    Adena Schachner

    2013-08-01

    Full Text Available Bregman and colleagues describe methods for testing whether horses entrain their actions to an auditory beat. If horses can entrain, does this necessarily imply that there is no causal relationship between vocal learning and entrainment? I propose an alternative way in which vocal learning may relate to entrainment — one that is consistent with entrainment in some vocal non-learning species. Due to engaging in the developmental process of vocal learning, there may be early experiences common to vocal learners, but rare in vocal non-learning species. It is possible that it is these experiences that are critical for entrainment — not vocal learning itself, nor related genes. These experiences may result in critical changes in neural development, leading to the development of cognitive mechanisms necessary for both vocal learning and entrainment. This hypothesis changes the causal story from one of genetic change to one of changes in experience, and from a focus on evolution to a focus on individual ontogeny. Thus, if horses can entrain, we should not immediately reject the idea of a relationship between vocal learning and entrainment: First, we should consider whether some unusual aspect of the horses' experience effectively replicates the unusual experiences of vocal learning animals.

  17. Vocal training, levodopa, and environment effects on ultrasonic vocalizations in a rat neurotoxin model of Parkinson disease

    Science.gov (United States)

    Kelm-Nelson, Cynthia A.; Brauer, Alexander F.L.; Ciucci, Michelle R.

    2016-01-01

    Levodopa does not improve dysarthria in patients with Parkinson Disease (PD), although vocal exercise therapy, such as “LSVT/LOUD®”, does improve vocal communication. Most patients receive vocal exercise therapy while concurrently being treated with levodopa, although the interaction between levodopa and vocal exercise therapy on communication in PD is relatively unknown. Further, carryover of vocal exercise therapy to novel situations is critical for successful outcomes, but the influence of novel situations on rehabilitated vocal communication is not well understood. To address the influence of exercise, medications, and environment on vocal communication with precise experimental control, we employed the widely used 6-OHDA rat neurotoxin model of PD (infusion to the medial forebrain bundle), and assessed ultrasonic vocalizations after: vocal exercise, vocal exercise with levodopa, levodopa alone, and control conditions. We tested USVs in the familiar training environment of the home cage and a novel cage. We hypothesized that parkinsonian rats that undergo vocal exercise would demonstrate significant improvement of ultrasonic vocalization (USV) acoustic parameters as compared to the control exercise and levodopa-only treatment groups. We further hypothesized that vocal exercise in combination with levodopa administration, similar to what is common in humans, would lead to improvement in USV outcomes, particularly when tested in a familiar versus a novel environment. We found that the combination of exercise and levodopa lead to some improvement in USV acoustic parameters and these effects were stronger in a familiar vs. a novel environment. Our results suggest that although treatment can improve aspects of communication, environment can influence the benefits of these effects. PMID:27025445

  18. Amygdalar vocalization pathways in the squirrel monkey.

    Science.gov (United States)

    Jürgens, U

    1982-06-10

    In 22 squirrel monkeys (Saimiri sciureus) vocalization-eliciting electrodes were implanted into the amygdala and along the trajectory of the stria terminalis. Then, lesions were placed in the stria terminalis, its bed nucleus, the ventral amygdalofugal pathway and several di- and mesencephalic structures in order to find out the pathways along which the amygdala exerts its vocalization-controlling influence. It was found that different call types are controlled by different pathways. Purring and chattering calls, which express a self-confident, challenging attitude and an attempt to recruit fellow-combatants in intra-specific mobbing, respectively, are controlled via the stria terminalis; alarm peep and groaning calls, in contrast, which indicate flight motivation and resentment, respectively, are triggered via the ventral amygdalofugal fibre bundle. Both pathways traverse the dorsolateral and dorsomedial hypothalamus, respectively, and unite in the periaqueductal grey of the midbrain.

  19. Measurement of vocal doses in virtual classrooms

    DEFF Research Database (Denmark)

    Bottalico, Pasquale; Pelegrin Garcia, David

    2010-01-01

    different acoustical conditions, that combined different kind of background noise and virtual classroom acoustics. Readings from the vocal fold vibrations were registered with an Ambulatory Phonation Monitor device. The speech signal from the talker in the center of the facility was picked up with a head......This work shows the results of a preliminary study about the determination of the optimal acoustical conditions for speakers in small classrooms. An experiment was carried out in a laboratory facility with 22 untrained talkers, who read a text passage from “Goldilocks” during two minutes under 13...... with an artificial head (corresponding to the mouth-ears path) placed at the talker position while simulating the classrooms. Time histories of the vocal fold vibration readings, with the trend of the fundamental frequency and an estimation of the sound pressure level, sampled every 50 ms, were obtained. From...

  20. Vocal tract dynamics in an adult stutterer

    Directory of Open Access Journals (Sweden)

    Lesley Wolk

    1981-08-01

    Full Text Available The present study was motivated by the clinical observation of "laryngeal spasms" during dysfluency in an adult female  stutterer. The flexible fiberoptic nasolaryngoscope was employed in an attempt to assess this phenomenon objectively. Findings from fiberscopic and spectrographic investigations provided evidence for a disturbance in laryngeal behaviour, and in turn served to determine the nature of the treatment programme. Asymmetry of the vocal folds  and partial abductory laryngeal behaviour, reflecting  a conflict between adductory and abductory forces, characterized the dysfluency  in this patient. A subjective evaluation after treatment revealed a reduction in both severity and frequency of stuttering behaviour. Furthermore, fiberscopic examination carried out after treatment revealed an absence of the laryngeal disturbances noted previously. Results are considered in terms of vocal tract dynamics in stuttering and its clinical applicability.

  1. Vocal caricatures reveal signatures of speaker identity

    Science.gov (United States)

    López, Sabrina; Riera, Pablo; Assaneo, María Florencia; Eguía, Manuel; Sigman, Mariano; Trevisan, Marcos A.

    2013-12-01

    What are the features that impersonators select to elicit a speaker's identity? We built a voice database of public figures (targets) and imitations produced by professional impersonators. They produced one imitation based on their memory of the target (caricature) and another one after listening to the target audio (replica). A set of naive participants then judged identity and similarity of pairs of voices. Identity was better evoked by the caricatures and replicas were perceived to be closer to the targets in terms of voice similarity. We used this data to map relevant acoustic dimensions for each task. Our results indicate that speaker identity is mainly associated with vocal tract features, while perception of voice similarity is related to vocal folds parameters. We therefore show the way in which acoustic caricatures emphasize identity features at the cost of loosing similarity, which allows drawing an analogy with caricatures in the visual space.

  2. Phonetic characteristics of vocalizations during pain

    DEFF Research Database (Denmark)

    Lautenbacher, Stefan; Salinas-Ranneberg, Melissa; Niebuhr, Oliver

    2017-01-01

    Introduction and Objectives: There have, yet, been only few attempts to phonetically characterize the vocalizations of pain, although there is wide agreement that moaning, groaning, or other nonverbal utterance can be indicative of pain. We studied the production of vowels “u,” “a,” “i”, and “schwa......” (central vowel, sounding like a darker “e” as in hesitations like “ehm”)—as experimental approximations to natural vocalizations. Methods: In 50 students vowel production and self-report ratings were assessed during painful and nonpainful heat stimulation (hot water immersion) as well as during baseline...... (no-stimulation). The phonetic parameters extracted were pitch (mean F0), phonatory fluctuations (range F0) and loudness (acoustic energy level). Results: Only for the vowels “u” and “schwa,” which might be considered best approximations to moaning and groaning, did pitch and loudness increase during...

  3. Vocalization-correlated respiratory movements in the squirrel monkey.

    Science.gov (United States)

    Häusler, U

    2000-10-01

    Respiratory abdominal movements associated with vocalization were recorded in awake squirrel monkeys. Several call types, such as peeping, trilling, cackling, and err-chucks, were accompanied by large vocalization-correlated respiratory movements (VCRM) that started before vocalization. During purring, in contrast, only small VCRM were recorded that started later after vocal onset. VCRM during trill calls, a vocalization type with repetitive frequency modulation, showed a modulation in the rhythm of the frequency changes. A correlation with amplitude modulation was also present, but more variable. As high frequencies need a higher lung pressure for production than low frequencies, the modulation of VCRM seems to serve to optimize the lung pressure in relation to the vocalization frequency. The modulation, furthermore, may act as a mechanism to produce different trill variants. During err-chucks and staccato peeps, which show a large amplitude modulation, a nonmodulated VCRM occurred. This indicates the existence of a laryngeal amplitude-controlling mechanism that is independent from respiration.

  4. Human mutant huntingtin disrupts vocal learning in transgenic songbirds.

    Science.gov (United States)

    Liu, Wan-Chun; Kohn, Jessica; Szwed, Sarah K; Pariser, Eben; Sepe, Sharon; Haripal, Bhagwattie; Oshimori, Naoki; Marsala, Martin; Miyanohara, Atsushi; Lee, Ramee

    2015-11-01

    Speech and vocal impairments characterize many neurological disorders. However, the neurogenetic mechanisms of these disorders are not well understood, and current animal models do not have the necessary circuitry to recapitulate vocal learning deficits. We developed germline transgenic songbirds, zebra finches (Taneiopygia guttata) expressing human mutant huntingtin (mHTT), a protein responsible for the progressive deterioration of motor and cognitive function in Huntington's disease (HD). Although generally healthy, the mutant songbirds had severe vocal disorders, including poor vocal imitation, stuttering, and progressive syntax and syllable degradation. Their song abnormalities were associated with HD-related neuropathology and dysfunction of the cortical-basal ganglia (CBG) song circuit. These transgenics are, to the best of our knowledge, the first experimentally created, functional mutant songbirds. Their progressive and quantifiable vocal disorder, combined with circuit dysfunction in the CBG song system, offers a model for genetic manipulation and the development of therapeutic strategies for CBG-related vocal and motor disorders.

  5. Computational model for vocal tract dynamics in a suboscine bird

    Science.gov (United States)

    Assaneo, M. F.; Trevisan, M. A.

    2010-09-01

    In a recent work, active use of the vocal tract has been reported for singing oscines. The reconfiguration of the vocal tract during song serves to match its resonances to the syringeal fundamental frequency, demonstrating a precise coordination of the two main pieces of the avian vocal system for songbirds characterized by tonal songs. In this work we investigated the Great Kiskadee (Pitangus sulfuratus), a suboscine bird whose calls display a rich harmonic content. Using a recently developed mathematical model for the syrinx and a mobile vocal tract, we set up a computational model that provides a plausible reconstruction of the vocal tract movement using a few spectral features taken from the utterances. Moreover, synthetic calls were generated using the articulated vocal tract that accounts for all the acoustical features observed experimentally.

  6. Diffraction method of vocal chord oscillation sensing

    Science.gov (United States)

    Kuzmin, Sergey Y.; Tuchin, Valery V.

    1996-04-01

    A method of small-amplitude biovibrations detection is presented in the paper. The method uses a dependence of properties of speckle-structures formed by focused coherent light field diffraction from rough surfaces on the statistics and movement parameters of the surface. With the help of computer modeling the different components of skin surface vibration were analyzed and their influence on speckles dynamics was studied. Human vocal chord oscillations spectrum was monitored using the developed technique.

  7. The role of vocal individuality in conservation

    DEFF Research Database (Denmark)

    Terry, Andrew Mark Ryder; Peake, Thomas More; McGregor, Peter Kenneth

    2005-01-01

    Identifying the individuals within a population can generate information on life history parameters, generate input data for conservation models, and highlight behavioural traits that may affect management decisions and error or bias within census methods. Individual animals can be discriminated...... and techniques for using this to count and monitor populations over time. We present case studies in birds where vocal individuality has been applied to conservation and we discuss its role in mammals....

  8. Treatment of aging vocal folds: surgical approaches.

    Science.gov (United States)

    Seino, Yutomo; Allen, Jacqui E

    2014-12-01

    Aging may affect the voice through either physiological or pathological changes. Globally society is aging and the working lifetime is extending. Increasing numbers of elderly will present with voice issues. This review examines current thinking regarding surgical treatment of the aging voice. The mainstay of surgical treatment remains injection laryngoplasty and medialization thyroplasty. In-office injection laryngoplasty is increasingly common. Data suggest that patients with vocal fold atrophy do not achieve as much benefit from augmentation treatments as other causes of glottal incompetence. In addition the timing of injection laryngoplasty may influence the rate of subsequent medialization thyroplasty. Disease-specific treatments can provide some benefit to voice, such as deep brain stimulation in Parkinson's disease. Novel treatments including growth factor therapy are entering clinical practice and will provide new options for the clinician in future. Voice disorders affect approximately 20% of the elderly population. Causes include neurologic, malignant, iatrogenic and benign vocal fold disorders. These should be ruled out before accepting dysphonia is age-related in nature. Treatment should be specific to recognized vocal disorders but may also address physiologic changes in the glottis. Injection laryngoplasty and thyroplasty remain effective options for treating glottal incompetence but novel therapies are showing promising results.

  9. Vocally mediated social recognition in anurans

    Science.gov (United States)

    Bee, Mark A.

    2005-09-01

    Anuran amphibians (frogs and toads) are among the most vocal of vertebrates and have long served as model systems for investigating the mechanisms and evolution of acoustic communication. Compared to higher vertebrates, however, the role of cognition in anuran communication has received less attention, at least in part due to the lack of evidence that juvenile anurans learn to produce signals or associate them with particular social contexts. Recent studies of social recognition in two anuran families indicate that territorial male frogs in some species are able to learn about and recognize the individually distinctive properties of the calls of nearby neighbors. For example, male bullfrogs (ranidae) learn about the pitch of a neighbor's vocalizations (an individually distinct voice property) and associate a familiar pitch with the location of the neighbor's territory. As in songbirds, this form of vocally mediated social recognition allows territory holders to direct low levels of aggression toward well-established neighbors, while maintaining a readiness to respond aggressively to more threatening strangers that may attempt a territory takeover. A brief review of currently available data will be used to illustrate how anurans can serve as model systems for investigating the role of cognition in acoustic communication.

  10. Evidence of sound symbolism in simple vocalizations.

    Science.gov (United States)

    Parise, Cesare V; Pavani, Francesco

    2011-10-01

    The question of the arbitrariness of language is among the oldest in cognitive sciences, and it relates to the nature of the associations between vocal sounds and their meaning. Growing evidence seems to support sound symbolism, claiming for a naturally constrained mapping of meaning into sounds. Most of such evidence, however, comes from studies based on the interpretation of pseudowords, and to date, there is little empirical evidence that sound symbolism can affect phonatory behavior. In the present study, we asked participants to utter the letter /a/ in response to visual stimuli varying in shape, luminance, and size, and we observed consistent sound symbolic effects on vocalizations. Utterances' loudness was modulated by stimulus shape and luminance. Moreover, stimulus shape consistently modulated the frequency of the third formant (F3). This finding reveals an automatic mapping of specific visual attributes into phonological features of vocalizations. Furthermore, it suggests that sound-meaning associations are reciprocal, affecting active (production) as well as passive (comprehension) linguistic behavior.

  11. Singers' Vocal Function Knowledge Levels, Sensorimotor Self-awareness of Vocal Tract, and Impact of Functional Voice Rehabilitation on the Vocal Function Knowledge and Self-awareness of Vocal Tract.

    Science.gov (United States)

    Sielska-Badurek, Ewelina; Osuch-Wójcikiewicz, Ewa; Sobol, Maria; Kazanecka, Ewa; Niemczyk, Kazimierz

    2017-01-01

    This study investigated vocal function knowledge and vocal tract sensorimotor self-awareness and the impact of functional voice rehabilitation on vocal function knowledge and self-awareness. This is a prospective, randomized study. Twenty singers (study group [SG]) completed a questionnaire before and after functional voice rehabilitation. Twenty additional singers, representing the control group, also completed the questionnaire without functional voice rehabilitation at a 3-month interval. The questionnaire consisted of three parts. The first part evaluated the singers' attitude to the anatomical and physiological knowledge of the vocal tract and their self-esteem of the knowledge level. The second part assessed the theoretical knowledge of the singers' vocal tract physiology. The third part of the questionnaire assessed singers' sensorimotor self-awareness of the vocal tract. The results showed that most singers indicated that knowledge of the vocal tract's anatomy and physiology is useful (59% SG, 67% control group). However, 75% of all participants defined their knowledge of the vocal tract's anatomy and physiology as weak or inadequate. In the SG, vocal function knowledge at the first assessment was 45%. After rehabilitation, the level increased to 67.7%. Vocal tract sensorimotor self-awareness initially was 38.9% in SG but rose to 66.7%. Findings of the study suggest that classical singers lack knowledge about the physiology of the vocal mechanism, especially the breathing patterns. In addition, they have low sensorimotor self-awareness of their vocal tract. The results suggest that singers would benefit from receiving services from phoniatrists and speech-language pathologists during their voice training. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  12. The anuran vocal sac: a tool for multimodal signalling

    OpenAIRE

    STARNBERGER, IRIS; Preininger, Doris; Hödl, Walter

    2014-01-01

    Although in anurans the predominant mode of intra- and intersexual communication is vocalization, modalities used in addition to or instead of acoustic signals range from seismic and visual to chemical. In some cases, signals of more than one modality are produced through or by the anuran vocal sac. However, its role beyond acoustics has been neglected for some time and nonacoustic cues such as vocal sac movement have traditionally been seen as an epiphenomenon of sound production. The divers...

  13. The Value of Vocal Extent Measure (VEM) Assessing Phonomicrosurgical Outcomes in Vocal Fold Polyps.

    Science.gov (United States)

    Salmen, Tatjana; Ermakova, Tatiana; Möller, Andreas; Seipelt, Matthias; Weikert, Sebastian; Rummich, Julius; Gross, Manfred; Nawka, Tadeus; Caffier, Philipp P

    2017-01-01

    This study aimed to present vocal extent measure (VEM), demonstrate its changes with phonomicrosurgical treatment in patients with vocal fold polyps (VFPs), and to compare its performance to that of established vocal parameters. This is an individual cohort study. Microlaryngoscopic ablation was executed in 61 patients with manifestation of VFP (28 male, 33 female; 45 ± 13 years [mean ± SD]). Analysis of treatment outcome was based on pre- and postoperative voice function diagnostics and videolaryngostroboscopy. Examination instruments were: auditory-perceptual voice assessment (roughness, breathiness, and overall hoarseness [RBH]-status), voice range profile (VRP), acoustic-aerodynamic analysis, and patients' self-assessment of voice using the voice handicap index. The VEM, a parameter not yet commonly established in phoniatric diagnostics, was calculated from area and shape of the VRP to be compared with the dysphonia severity index (DSI) concerning diagnostic suitability. All polyps were completely excised. Three months postoperatively, mucosal wave propagation had recovered. All subjective and most objective acoustic and aerodynamic parameters showed highly significant improvement. The VHI-9i-score decreased from 15 ± 8 to 6 ± 7 points. The average total vocal range extended by 4 ± 5 semitones, the mean speaking pitch decreased by 1 ± 2 semitones. The DSI increased on average from 2.6 ± 2.1 to 4.0 ± 2.2, VEM from 83 ± 28 to 107 ± 21 (P VRP evaluation. This positive measure of vocal function seems to be a compelling diagnostic addition for objective quantification of vocal performance. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  14. Idiopathic ulcerative laryngitis causing midmembranous vocal fold granuloma.

    Science.gov (United States)

    Sinclair, Catherine F; Sulica, Lucian

    2013-02-01

    Idiopathic ulcerative laryngitis (IUL) is characterized by bilateral midmembranous vocal fold ulceration, which follows upper respiratory infection with cough. In contrast, granuloma of the membranous vocal fold can occur rarely following microlaryngoscopy, presumably secondary to surgical violation of deep tissue planes. We report a novel case of noniatrogenic membranous vocal fold granulation developing in a patient with IUL. Although the presence of granulation implied injury to the entire microstructure of the vibratory portion of the vocal fold, the lesion resolved with conservative management without adverse sequelae.

  15. Vocal-tract filtering by lingual articulation in a parrot.

    Science.gov (United States)

    Beckers, Gabriël J L; Nelson, Brian S; Suthers, Roderick A

    2004-09-07

    Human speech and bird vocalization are complex communicative behaviors with notable similarities in development and underlying mechanisms. However, there is an important difference between humans and birds in the way vocal complexity is generally produced. Human speech originates from independent modulatory actions of a sound source, e.g., the vibrating vocal folds, and an acoustic filter, formed by the resonances of the vocal tract (formants). Modulation in bird vocalization, in contrast, is thought to originate predominantly from the sound source, whereas the role of the resonance filter is only subsidiary in emphasizing the complex time-frequency patterns of the source (e.g., but see ). However, it has been suggested that, analogous to human speech production, tongue movements observed in parrot vocalizations modulate formant characteristics independently from the vocal source. As yet, direct evidence of such a causal relationship is lacking. In five Monk parakeets, Myiopsitta monachus, we replaced the vocal source, the syrinx, with a small speaker that generated a broad-band sound, and we measured the effects of tongue placement on the sound emitted from the beak. The results show that tongue movements cause significant frequency changes in two formants and cause amplitude changes in all four formants present between 0.5 and 10 kHz. We suggest that lingual articulation may thus in part explain the well-known ability of parrots to mimic human speech, and, even more intriguingly, may also underlie a speech-like formant system in natural parrot vocalizations.

  16. Continuous Vocalization during Kendo Exercises Suppresses Expiration of CO2.

    Science.gov (United States)

    Arikawa, H; Terada, T; Takahashi, T; Kizaki, K; Imai, H; Era, S

    2015-06-01

    One distinctive trait of kendo, the Japanese martial art of fencing, is the execution of sustained, high-effort vocalizations during actions. The purpose of this study was to determine the effect of these vocalizations on respiratory functions. First, the intensity of 3 kendo exercises was quantified by measuring oxygen uptake (V̇O2) and comparing it with V̇O2max measured during treadmill tests of 8 university kendo athletes. Respiratory variables of these 8 athletes were then analyzed using a portable breath gas analyzer during the most intensive kendo exercise, kakari-keiko, with and without vocalization. Breathing frequency (fB) increased regardless of vocalization, but in trials with vocalization, fB and ventilation were significantly lower, and expiration time was significantly longer. Components of expired gases were also affected by vocalization. Although there was no significant difference in oxygen uptake, vocalization yielded a reduction in carbon dioxide output (V̇CO2) and an increase in fraction of end-tidal carbon dioxide (FetCO2). We thus conclude that these vocalizations greatly affect expiration breathing patterns in kendo. Moreover, repetition of kakari-keiko caused a reduction in V̇CO2 and an increase in FetCO2 and CO2 storage. We consider the possibility that the sustained high-effort vocalizations of kendo also increase cerebral blood flow.

  17. Vocal Emotion of Humanoid Robots: A Study from Brain Mechanism

    Directory of Open Access Journals (Sweden)

    Youhui Wang

    2014-01-01

    Full Text Available Driven by rapid ongoing advances in humanoid robot, increasing attention has been shifted into the issue of emotion intelligence of AI robots to facilitate the communication between man-machines and human beings, especially for the vocal emotion in interactive system of future humanoid robots. This paper explored the brain mechanism of vocal emotion by studying previous researches and developed an experiment to observe the brain response by fMRI, to analyze vocal emotion of human beings. Findings in this paper provided a new approach to design and evaluate the vocal emotion of humanoid robots based on brain mechanism of human beings.

  18. Perceptual and acoustic parameters of vocal nodules in children.

    Science.gov (United States)

    Gramuglia, Andréa Cristina Joia; Tavares, Elaine L M; Rodrigues, Sérgio Augusto; Martins, Regina H G

    2014-02-01

    Vocal nodules constitute the major cause of dysphonia during childhood. Auditory-perceptual and acoustic vocal analyses have been used to differentiate vocal nodules from normal voice in children. To study the value of auditory-perceptual and acoustic vocal analyses in assessments of children with nodules. Diagnostic test study. A comparative study was carried out including 100 children with videolaryngoscopic diagnosis of vocal nodules (nodule group-NG); and 100 children without vocal symptoms and with normal videolaryngoscopic exams (control group-CG). The age range of both groups was between 4 and 11 years. All children underwent auditory-perceptual vocal analyses (GRBASI scale); maximum phonation time and s/z ratio were calculated, and acoustic vocal analysis (MDVP software) were carried out. There was no difference in the values of maximum phonation time and s/z ratio between groups. Auditory-perceptual analysis indicated greater compromising of voice parameters for NG, compared to CG: G (79 versus 24), R (53 versus 3), B (67 versus 23) and S (35 versus 1). The values of acoustic parameters jitter, PPQ, shimmer, APQ, NHR and SPI were higher for NG for CG. The parameter f0 did not differ between groups. Compromising of auditory-perceptual (G, R, B and S) and acoustic vocal parameters (jitter, PPQ, shimmer, APQ, NHR and SPI) was greater for children with nodules than for those of the control group, which makes them important methods for assessing child dysphonia. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  19. Frequency and significance of vocalizations in Sydenham's chorea.

    Science.gov (United States)

    de Teixeira, Antonio Lúcio; Cardoso, Francisco; Maia, Débora P; Sacramento, Daniel R; Mota, Cleonice de Carvalho Coelho; Meira, Zilda Maria Alves; Lees, Andrew

    2009-01-01

    Sydenham's chorea (SC) is a complication of Streptococcus infection characterized by a combination of motor and non-motor features. We have investigated the presence of vocalizations in 89 consecutive patients with SC evaluated during a one-year period in the UFMG Movement Disorders Clinic. Seven (4/3 M/F) of the 89 patients (29/60 M/F) presented with simple vocalizations not preceded by premonitory sensations but in association with facial chorea in five patients. These findings suggest that vocalizations are not a common feature in SC and their phenomenology is quite distinct from the characteristics of vocal tics in tic disorders.

  20. [Potentialities of conservative therapy of vocal disorders in children].

    Science.gov (United States)

    Radtsig, E Yu; Bogomilsky, M R

    2007-01-01

    The article concerns problems of classification and treatment of various vocal problems in children, presents treatment outcomes in patients with functional and organic dysphonia using complex homeopathic drugs.

  1. Diagnostic and therapeutic pitfalls in benign vocal fold diseases

    Directory of Open Access Journals (Sweden)

    Bohlender, Jörg

    2013-12-01

    Full Text Available [english] More than half of patients presenting with hoarseness show benign vocal fold changes. The clinician should be familiar with the anatomy, physiology and functional aspects of voice disorders and also the modern diagnostic and therapeutic possibilities in order to ensure an optimal and patient specific management. This review article focuses on the diagnostic and therapeutic limitations and difficulties of treatment of benign vocal fold tumors, the management and prevention of scarred vocal folds and the issue of unilateral vocal fold paresis.

  2. Effects of deep brain stimulation on vocal fold immobility in Parkinson's disease

    Science.gov (United States)

    Arocho-Quinones, Elsa V.; Hammer, Michael J.; Bock, Jonathan M.; Pahapill, Peter A.

    2017-01-01

    Background: Vocal fold (VF) immobility is a rare, potentially fatal complication of advanced Parkinson's disease (PD). Previous reports suggest that subthalamic nucleus deep brain stimulation (STN-DBS) may influence laryngeal function, yet the role of STN-DBS on VF immobility remains unexplored. Case Description: We report a case of a patient with advanced PD and bilateral VF immobility ultimately requiring a tracheostomy. To assess the effects of STN-DBS on vocal cord function and to correlate these effects with peripheral motor symptoms at different stimulation settings, the patient was evaluated before and after initiation of bilateral STN-DBS. Measures included direct observation of VF mobility via transnasal laryngoscopy, levodopa equivalent dose of anti-PD medication, and motor scores. High frequency (150 Hz) STN-DBS resulted in improved motor scores, reduced medication requirement, and modestly improved right VF abduction although insufficient for safe decannulation. Low frequency (60 Hz) stimulation resulted in lower motor scores, but without worsening VF abduction. Conclusions: STN-DBS may play an important role in the neuromodulation of PD-induced laryngeal dysfunction, including VF mobility. Characterization of these axial symptoms is important when programming and evaluating responsiveness to DBS. PMID:28303202

  3. Effect of Performance Time of the Semi-Occluded Vocal Tract Exercises in Dysphonic Children.

    Science.gov (United States)

    Ramos, Lorena de Almeida; Gama, Ana Cristina Côrtes

    2017-05-01

    This study aimed to verify the effects of execution time on auditory-perceptual and acoustic responses in children with dysphonia completing straw phonation exercises. A randomized, prospective, comparative intra-subject study design was used. Twenty-seven children, ranging from 5 to 10 years of age, diagnosed with vocal cord nodules or cysts, were enrolled in the study. All subjects included in the Experimental Group were also included in the Control Group which involved complete voice rest. Sustained vowels (/a/e/ε/e/) counting from 1 to 10 were recorded before the exercises (m0) and then again after the first (m1), third (m3), fifth (m5), and seventh (m7) minutes of straw phonation exercises. The recordings were randomized and presented to five speech therapists, who evaluated vocal quality based on the Grade Roughness Breathiness Asthenia/Strain Instability scale. For acoustic analysis, fundamental frequency, jitter, shimmer, glottal to noise excitation ratio, and noise parameters were analyzed. Reduced roughness, breathiness, and noise measurements as well as increased glottal to noise excitation ratio were observed in the Experimental Group after 3 minutes of exercise. Reduced grade of dysphonia and breathiness were noted after 5 minutes. The ideal duration of straw phonation in children with dysphonia is from 3 to 5 minutes. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  4. Computational acoustic modeling of cetacean vocalizations

    Science.gov (United States)

    Gurevich, Michael Dixon

    A framework for computational acoustic modeling of hypothetical vocal production mechanisms in cetaceans is presented. As a specific example, a model of a proposed source in the larynx of odontocetes is developed. Whales and dolphins generate a broad range of vocal sounds, but the exact mechanisms they use are not conclusively understood. In the fifty years since it has become widely accepted that whales can and do make sound, how they do so has remained particularly confounding. Cetaceans' highly divergent respiratory anatomy, along with the difficulty of internal observation during vocalization have contributed to this uncertainty. A variety of acoustical, morphological, ethological and physiological evidence has led to conflicting and often disputed theories of the locations and mechanisms of cetaceans' sound sources. Computational acoustic modeling has been used to create real-time parametric models of musical instruments and the human voice. These techniques can be applied to cetacean vocalizations to help better understand the nature and function of these sounds. Extensive studies of odontocete laryngeal morphology have revealed vocal folds that are consistently similar to a known but poorly understood acoustic source, the ribbon reed. A parametric computational model of the ribbon reed is developed, based on simplified geometrical, mechanical and fluid models drawn from the human voice literature. The physical parameters of the ribbon reed model are then adapted to those of the odontocete larynx. With reasonable estimates of real physical parameters, both the ribbon reed and odontocete larynx models produce sounds that are perceptually similar to their real-world counterparts, and both respond realistically under varying control conditions. Comparisons of acoustic features of the real-world and synthetic systems show a number of consistencies. While this does not on its own prove that either model is conclusively an accurate description of the source, it

  5. 接触式细胞共培养诱导人脐带华通胶间充质干细胞向类髓核细胞分化%Differentiation of human umbilical cord Wharton's jelly-derived mesenchymal stem cells into nucleus pulposus-like cells by coculture with cell-cell contact in vitro

    Institute of Scientific and Technical Information of China (English)

    张燕; 阮狄克; 张超; 王德利; 李海峰; 吴剑宏; 刘玥; 王超峰; 何勍

    2012-01-01

    目的:观察接触式细胞共培养条件下,人髓核细胞对脐带华通胶间充质干细胞(Wharton's jelly-derived mesenchymal stem cells,WJMSCs)的诱导分化效应,为椎间盘退变性疾病的治疗寻找种子细胞来源.方法:取足月产健康新生儿脐带约30cm,分离、纯化、培养WJMSCs;取人椎间盘髓核组织,酶消化法分离培养髓核细胞.取第三代稳定增殖的WJMSCs,利用流式细胞方法检测细胞免疫表型CD73/CD90/CD 105/CD34/CD45/HLA-ABC/HLA-DR.用羧基荧光素乙酰乙酸琥珀酰亚胺酯(CFSE)标记WJMSCs,与髓核细胞以1:1比例进行混合,在6孔板中进行接触式细胞共培养;以单独培养的WJMSCs为对照组.培养7d后利用高速流式细胞仪分选荧光标记阳性的WJMSCs,提取细胞总RNA,进行反转录获得cDNA,利用Real-Time PCR方法检测其Ⅰ型胶原、Ⅱ型胶原、Ⅵ型胶原、蛋白多糖、SOX-9和多能聚糖基因的相对表达,管家基因GAPDH作为内参,单独培养的WJMSCs作为对照,利用2-ΔΔCt方法计算基因相对表达变化.结果:WJMSCs原代细胞接种24h可见部分细胞贴壁生长,形态为梭形和多角形,1周后形成集落,2周时细胞融合达到90%.流式细胞检测结果显示CD73/CD90/CD1 05/和HLA-ABC(+),CD34/CD45和HLA-DR(-).与髓核细胞共培养7d后WJMSCs的Ⅱ型胶原、蛋白多糖和SOX-9基因相对表达较对照组显著性增加(P<0.01),Ⅰ型胶原、Ⅵ型胶原和多能聚糖基因相对表达未见显著性变化(P>0.05).结论:通过接触式细胞共培养人脐带WJMSCs能够被髓核细胞诱导分化为类髓核细胞,可为组织工程技术和细胞治疗修复退变椎间盘提供种子细胞来源.%Objectives: To investigate the differentiation of human Wharton's jelly-derived mesenhymal stem cells(WJMSCs) into nucleus pulposus-like cells by coculture with cell-cell contact in vitro. Methods: Umbilical cord was obtained from normal birth, and the mesenchyamal stem cells were isolated from the

  6. Ultrasound, color - normal umbilical cord (image)

    Science.gov (United States)

    ... is a normal color Doppler ultrasound of the umbilical cord performed at 30 weeks gestation. The cord is ... the cord, two arteries and one vein. The umbilical cord is connected to the placenta, located in the ...

  7. medical management of suspected serious acute spinal cord ...

    African Journals Online (AJOL)

    Injury to the spinal cord during rugby is rare but remains an emo- tionally charged issue ... jury cannot be totally avoided in a contact sport, it does appear that there are ..... injury prevention programme on serious spinal injuries in New Zealand.

  8. The structure and usage of female and male mouse ultrasonic vocalizations reveal only minor differences.

    Directory of Open Access Journals (Sweden)

    Kurt Hammerschmidt

    Full Text Available Ultrasonic vocalizations (USV of mice are increasingly recognized as informative dependent variables in studies using mouse models of human diseases. While pup vocalizations primarily serve to re-establish contact with the mother, adult male "songs" were considered to be courtship signals. Alternatively, mouse USVs may generally function as territorial signals. To distinguish between these two hypotheses, we compared the structure and usage of adult male and female USVs in staged resident-intruder encounters. If calls function primarily as courtship signals, males should respond stronger than females, specifically when presented with a female intruder. Refuting this hypothesis, we found that in response to female intruders, females called more than males (228±32 calls/min vs. 71±15 calls/min, and males called more to female than to male intruders (14±7.5 calls/min. There were no significant differences in the acoustic characteristics of the calls given by females and males. To control for the influence of the intruder's behavior on calling, we repeated the experiments using anaesthetized intruders. Again, females produced more calls to female than male intruders (173±17 calls/min vs. 71±15 calls/min, while males called more in response to female than male intruders (39±17 calls/min, and there were no acoustic differences in female and male calls. The vocal activity did not differ significantly with regard to intruder state (awake or anaesthetized, while the acoustic structure exhibited significant differences. Taken together, our findings support the view that calls do not mainly function as courtship signals, although they might serve both a territorial (sex-independent and a courtship function. The comparison of responses to awake vs. anaesthetized intruders suggests that the latter are sufficient to elicit vocal activity. The subtle acoustic differences, however, indicate that the subject differentiates between intruder states.

  9. Vocal repertoire of the New Zealand kea parrot Nestor notabilis

    Institute of Scientific and Technical Information of China (English)

    Raoul SCHWING; Stuart PARSONS; Ximena J.NELSON

    2012-01-01

    The unique alpine-living kea parrot Nestor notabilis has been the focus of numerous cognitive studies,but its communication system has so far been largely neglected.We examined 2,884 calls recorded in New Zealand's Southern Alps.Based on audio and visual spectrographic differences,these calls were categorised into seven distinct call types:the non-oscillating ‘screech' contact call and ‘mew'; and the oscillating ‘trill',‘chatter',‘warble' and ‘whistle'; and a hybrid ‘screech-trill'.Most of these calls contained aspects that were individually unique,in addition to potentially encoding for an individual's sex and age.Additionally,for each recording,the sender's previous and next calls were noted,as well as any response given by conspecifics.We found that the previous and next calls made by the sender were most often of the same type,and that the next most likely preceding and/or following call type was the screech call,a contact call which sounds like the 'kee-ah' from which the bird's name derives.As a social bird capable of covering large distances over visually obstructive terrain,long distance contact calls may be of considerable importance for social cohesion.Contact calls allow kea to locate conspecifics and congregate in temporary groups for social activities.The most likely response to any given call was a screech,usually followed by the same type of call as the initial call made by the sender,although responses differed depending on the age of the caller.The exception was the warble,the kea's play call,to which the most likely response was another warble.Being the most common call type,as well as the default response to another call,it appears that the ‘contagious' screech contact call plays a central role in kea vocal communication and social cohesion.

  10. Vocal repertoire of the New Zealand kea parrot Nestor notabilis

    Directory of Open Access Journals (Sweden)

    Raoul SCHWING, Stuart PARSONS, Ximena J. NELSON

    2012-10-01

    Full Text Available The unique alpine-living kea parrot Nestor notabilis has been the focus of numerous cognitive studies, but its communication system has so far been largely neglected. We examined 2,884 calls recorded in New Zealand’s Southern Alps. Based on audio and visual spectrographic differences, these calls were categorised into seven distinct call types: the non-oscillating ‘screech’ contact call and ‘mew’; and the oscillating ‘trill’, ‘chatter’, ‘warble’ and ‘whistle’; and a hybrid ‘screech-trill’. Most of these calls contained aspects that were individually unique, in addition to potentially encoding for an individual’s sex and age. Additionally, for each recording, the sender’s previous and next calls were noted, as well as any response given by conspecifics. We found that the previous and next calls made by the sender were most often of the same type, and that the next most likely preceding and/or following call type was the screech call, a contact call which sounds like the ‘kee-ah’ from which the bird’s name derives. As a social bird capable of covering large distances over visually obstructive terrain, long distance contact calls may be of considerable importance for social cohesion. Contact calls allow kea to locate conspecifics and congregate in temporary groups for social activities. The most likely response to any given call was a screech, usually followed by the same type of call as the initial call made by the sender, although responses differed depending on the age of the caller. The exception was the warble, the kea’s play call, to which the most likely response was another warble. Being the most common call type, as well as the default response to another call, it appears that the ‘contagious’ screech contact call plays a central role in kea vocal communication and social cohesion [Current Zoology 58 (5: 727-740, 2012].

  11. In vivo measurement of vocal fold surface resistance.

    Science.gov (United States)

    Mizuta, Masanobu; Kurita, Takashi; Dillon, Neal P; Kimball, Emily E; Garrett, C Gaelyn; Sivasankar, M Preeti; Webster, Robert J; Rousseau, Bernard

    2017-10-01

    A custom-designed probe was developed to measure vocal fold surface resistance in vivo. The purpose of this study was to demonstrate proof of concept of using vocal fold surface resistance as a proxy of functional tissue integrity after acute phonotrauma using an animal model. Prospective animal study. New Zealand White breeder rabbits received 120 minutes of airflow without vocal fold approximation (control) or 120 minutes of raised intensity phonation (experimental). The probe was inserted via laryngoscope and placed on the left vocal fold under endoscopic visualization. Vocal fold surface resistance of the middle one-third of the vocal fold was measured after 0 (baseline), 60, and 120 minutes of phonation. After the phonation procedure, the larynx was harvested and prepared for transmission electron microscopy. In the control group, vocal fold surface resistance values remained stable across time points. In the experimental group, surface resistance (X% ± Y% relative to baseline) was significantly decreased after 120 minutes of raised intensity phonation. This was associated with structural changes using transmission electron microscopy, which revealed damage to the vocal fold epithelium after phonotrauma, including disruption of the epithelium and basement membrane, dilated paracellular spaces, and alterations to epithelial microprojections. In contrast, control vocal fold specimens showed well-preserved stratified squamous epithelia. These data demonstrate the feasibility of measuring vocal fold surface resistance in vivo as a means of evaluating functional vocal fold epithelial barrier integrity. Device prototypes are in development for additional testing, validation, and for clinical applications in laryngology. NA Laryngoscope, 127:E364-E370, 2017. © 2017 The American Laryngological, Rhinological and Otological Society, Inc.

  12. Effects of Parental Interaction on Infant Vocalization Rate, Variability and Vocal Type

    Science.gov (United States)

    Franklin, Beau; Warlaumont, Anne S.; Messinger, Daniel; Bene, Edina; Iyer, Suneeti Nathani; Lee, Chia-Chang; Lambert, Brittany; Oller, D. Kimbrough

    2014-01-01

    Examination of infant vocalization patterns across interactive and noninteractive contexts may facilitate better understanding of early communication development. In the current study, with 24 infant-parent dyads, infant volubility increased significantly when parent interaction ceased (presenting a "still face," or SF) after a period of…

  13. Vocal Patterns in Infants with Autism Spectrum Disorder: Canonical Babbling Status and Vocalization Frequency

    Science.gov (United States)

    Patten, Elena; Belardi, Katie; Baranek, Grace T.; Watson, Linda R.; Labban, Jeffrey D.; Oller, D. Kimbrough

    2014-01-01

    Canonical babbling is a critical milestone for speech development and is usually well in place by 10 months. The possibility that infants with autism spectrum disorder (ASD) show late onset of canonical babbling has so far eluded evaluation. Rate of vocalization or "volubility" has also been suggested as possibly aberrant in infants with…

  14. Modeling the Pathophysiology of Phonotraumatic Vocal Hyperfunction With a Triangular Glottal Model of the Vocal Folds.

    Science.gov (United States)

    Galindo, Gabriel E; Peterson, Sean D; Erath, Byron D; Castro, Christian; Hillman, Robert E; Zañartu, Matías

    2017-09-18

    Our goal was to test prevailing assumptions about the underlying biomechanical and aeroacoustic mechanisms associated with phonotraumatic lesions of the vocal folds using a numerical lumped-element model of voice production. A numerical model with a triangular glottis, posterior glottal opening, and arytenoid posturing is proposed. Normal voice is altered by introducing various prephonatory configurations. Potential compensatory mechanisms (increased subglottal pressure, muscle activation, and supraglottal constriction) are adjusted to restore an acoustic target output through a control loop that mimics a simplified version of auditory feedback. The degree of incomplete glottal closure in both the membranous and posterior portions of the folds consistently leads to a reduction in sound pressure level, fundamental frequency, harmonic richness, and harmonics-to-noise ratio. The compensatory mechanisms lead to significantly increased vocal-fold collision forces, maximum flow-declination rate, and amplitude of unsteady flow, without significantly altering the acoustic output. Modeling provided potentially important insights into the pathophysiology of phonotraumatic vocal hyperfunction by demonstrating that compensatory mechanisms can counteract deterioration in the voice acoustic signal due to incomplete glottal closure, but this also leads to high vocal-fold collision forces (reflected in aerodynamic measures), which significantly increases the risk of developing phonotrauma.

  15. The relationship between pitch discrimination and vocal production: comparison of vocal and instrumental musicians.

    Science.gov (United States)

    Nikjeh, Dee A; Lister, Jennifer J; Frisch, Stefan A

    2009-01-01

    Auditory pitch discrimination and vocal pitch accuracy are fundamental abilities and essential skills of a professional singer; yet, the relationship between these abilities, particularly in trained vocal musicians, has not been the subject of much research. Difference limens for frequency (DLFs) and pitch production accuracy (PPA) were examined among 20 vocalists, 21 instrumentalists, and 21 nonmusicians. All were right-handed young adult females with normal hearing. Stimuli were harmonic tone complexes simulating piano tones and represented the mid-frequency of the untrained female vocal range, F0=261.63-392 Hz (C4-G4). DLFs were obtained by an adaptive psychophysical paradigm. Vocal pitch recordings were analyzed to determine PPA. Musicians demonstrated superior pitch discrimination and production accuracy compared to nonmusicians. These abilities did not distinguish instrumentalists and vocalists. DLF and PPA were significantly correlated with each other only for musicians with instrumental training; however, PPA was most consistent with minimal variance for vocalists. It would appear that a relationship between DLF and PPA develops with musical training, and these abilities can be differentially influenced by the type of specialty training.

  16. [Spinal cord infarction].

    Science.gov (United States)

    Naumann, N; Shariat, K; Ulmer, S; Stippich, C; Ahlhelm, F J

    2012-05-01

    Infarction of the spinal cord can cause a variety of symptoms and neurological deficits because of the complex vascular supply of the myelon. The most common leading symptom is distal paresis ranging from paraparesis to tetraplegia caused by arterial ischemia or infarction of the myelon. Venous infarction, however, cannot always be distinguished from arterial infarction based on the symptoms alone.Modern imaging techniques, such as computed tomography angiography (CTA) and magnetic resonance angiography (MRA) assist in preoperative planning of aortic operations to reliably identify not only the most important vascular structure supplying the spinal cord, the artery of Adamkiewicz, but also other pathologies such as tumors or infectious disorders. In contrast to CT, MRI can reliably depict infarction of the spinal cord.

  17. Mobbing vocalizations as a coping response in the common marmoset.

    Science.gov (United States)

    Cross, N; Rogers, L J

    2006-02-01

    Using a non-invasive method of sampling saliva followed by assay for cortisol levels, we found that common marmosets (Callithrix jacchus) show a decrease in cortisol levels after seeing a snake-model stimulus that reliably elicits mobbing (tsik) calls. In fact, there was a significant positive correlation between the number of tsik vocalizations made and the magnitude of the decrease in the cortisol concentrations. Furthermore, marmosets with higher levels of cortisol prior to being exposed to the stimulus produce more tsik calls than those with lower levels of cortisol. Subsequent experiments showed that, in response to 15 min of isolation with no visual or auditory contact with conspecifics (a traditional stressor), cortisol levels increased significantly. However, playback of the mobbing calls of a familiar conspecific to individual isolated marmosets not only prevented the rise in cortisol, but also actually caused a decrease in the levels of this hormone. This suggests that the mobbing calls serve to calm the marmoset after experiencing a stressful situation. This finding results in a greater understanding as to the role of physiological responses during communication in this species and could have implications for the welfare of marmosets in captivity.

  18. Prioritized Contact Transport Stream

    Science.gov (United States)

    Hunt, Walter Lee, Jr. (Inventor)

    2015-01-01

    A detection process, contact recognition process, classification process, and identification process are applied to raw sensor data to produce an identified contact record set containing one or more identified contact records. A prioritization process is applied to the identified contact record set to assign a contact priority to each contact record in the identified contact record set. Data are removed from the contact records in the identified contact record set based on the contact priorities assigned to those contact records. A first contact stream is produced from the resulting contact records. The first contact stream is streamed in a contact transport stream. The contact transport stream may include and stream additional contact streams. The contact transport stream may be varied dynamically over time based on parameters such as available bandwidth, contact priority, presence/absence of contacts, system state, and configuration parameters.

  19. Spinal cord swelling and candidiasis

    Energy Technology Data Exchange (ETDEWEB)

    Ho, K.; Gronseth, G.; Aldrich, M.; Williams, A.

    1982-11-01

    Fusiform swelling of the spinal cord was noted myelographically in a patient with Hodgkin's disease. Autopsy revealed that the swelling was caused by Candida infection of the spinal cord. It is suggested that fungal infection be included in the differential diagnosis of spinal cord swelling in the immunosuppressed cancer patient.

  20. An Analysis of Vocal Stereotypy and Therapist Fading

    Science.gov (United States)

    Athens, Elizabeth S.; Vollmer, Timothy R.; Sloman, Kimberly N.; Pipkin, Claire St. Peter

    2008-01-01

    A functional analysis for a boy with Down syndrome and autism suggested that vocal stereotypy was maintained by automatic reinforcement. The analysis also showed that instructions and noncontingent attention suppressed vocal stereotypy. A treatment package consisting of noncontingent attention, contingent demands, and response cost effectively…

  1. The Effect of Vocalization on Melodic Memory Conservation.

    Science.gov (United States)

    Pembrook, Randall G.

    1987-01-01

    Reports on a study which reinforces prior findings on melodic memory that show a majority of students do not sing accurately enough after only one hearing of a melody to benefit from vocalization memory techniques. Questions whether vocalization can be a memory reinforcer in melodies that are shorter and simpler than those used in this research.…

  2. Noncry Vocal Production in Infancy: A Bibliographic Review.

    Science.gov (United States)

    Proctor, Adele

    This bibliographic review aims to present a single comprehensive source of references to facilitate clinical application of data obtained on the vocal activity of normal infants and to facilitate continued research on prelinguistic vocal output. The bibliography cites the published observational, empirical, and theoretical reports that examine the…

  3. Vocal Nonverbal Communication Skill and Deliberate Social Influence.

    Science.gov (United States)

    Hall, Judith A.

    An experiment tested the hypothesis that the outcome of a vocal nonverbal persuasion attempt can be affected by the participants' skills in nonverbal communication. Subjects' vocal sending or decoding abilities were pretested. Senders and decoders (N=54) were agents and recipients of social influence, respectively, in a field experiment in which…

  4. Genetic and Environmental Effects on Vocal Symptoms and Their Intercorrelations

    Science.gov (United States)

    Nybacka, Ida; Simberg, Susanna; Santtila, Pekka; Sala, Eeva; Sandnabba, N. Kenneth

    2012-01-01

    Purpose: Recently, Simberg et al. (2009) found genetic effects on a composite variable consisting of 6 vocal symptom items measuring dysphonia. The purpose of the present study was to determine genetic and environmental effects on the individual vocal symptoms in a population-based sample of Finnish twins. Method: The sample comprised 1,728 twins…

  5. Quantifying the Effects of Propagation on Classification of Cetacean Vocalizations

    Science.gov (United States)

    2014-09-30

    of Cetacean Vocalizations Paul C. Hines Department of Electrical and Computer Engineering 5269 Morris St. Morray Building, Room 200 PO Box...of cetacean species in diverse ocean environments. OBJECTIVES In previous work as part of ONR grant N000141210139 a unique automatic classifier...successfully classify anthropogenic transients, and vocalizations from five cetacean species. Although this is a significant achievement, successful

  6. Effects of Music on Vocal Stereotypy in Children with Autism

    Science.gov (United States)

    Lanovaz, Marc J.; Sladeczek, Ingrid E.; Rapp, John T.

    2011-01-01

    We examined the effects of manipulating the intensity (i.e., volume) of music on engagement in vocal stereotypy in 2 children with autism. Noncontingent access to music decreased immediate engagement in vocal stereotypy for each participant, but it produced only marginal effects on subsequent engagement in the behavior (i.e., after withdrawal).…

  7. Bupropion XL-induced motor and vocal tics.

    Science.gov (United States)

    Kayhan, Fatih; Uguz, Faruk; Kayhan, Ayşegül; Toktaş, Fikriye Ilay

    2014-01-01

    Tics are stereotypical repetitive involuntary movements (motor tics) or sounds (vocal tics). Although the emergence of tics were reported in a few cases with the use of selective serotonin reuptake inhibitors, there was no case with bupropion extended-release (Bupropion XL). The current case report presents a male patient developing motor and vocal tics with the use of bupropion XL.

  8. Mechanisms underlying the social enhancement of vocal learning in songbirds.

    Science.gov (United States)

    Chen, Yining; Matheson, Laura E; Sakata, Jon T

    2016-06-14

    Social processes profoundly influence speech and language acquisition. Despite the importance of social influences, little is known about how social interactions modulate vocal learning. Like humans, songbirds learn their vocalizations during development, and they provide an excellent opportunity to reveal mechanisms of social influences on vocal learning. Using yoked experimental designs, we demonstrate that social interactions with adult tutors for as little as 1 d significantly enhanced vocal learning. Social influences on attention to song seemed central to the social enhancement of learning because socially tutored birds were more attentive to the tutor's songs than passively tutored birds, and because variation in attentiveness and in the social modulation of attention significantly predicted variation in vocal learning. Attention to song was influenced by both the nature and amount of tutor song: Pupils paid more attention to songs that tutors directed at them and to tutors that produced fewer songs. Tutors altered their song structure when directing songs at pupils in a manner that resembled how humans alter their vocalizations when speaking to infants, that was distinct from how tutors changed their songs when singing to females, and that could influence attention and learning. Furthermore, social interactions that rapidly enhanced learning increased the activity of noradrenergic and dopaminergic midbrain neurons. These data highlight striking parallels between humans and songbirds in the social modulation of vocal learning and suggest that social influences on attention and midbrain circuitry could represent shared mechanisms underlying the social modulation of vocal learning.

  9. Vocal matching by orange-fronted conures (Aratinga canicularis)

    DEFF Research Database (Denmark)

    Balsby, Thorsten J S; Bradbury, Jack W

    2009-01-01

    The functions of vocal matching have been clarified in territorial songbirds, compositionally stable groups of birds and mammals, and species with multiple alarm or assembly signals. The functions of vocal matching are less well understood in fission/fusion species that are non-territorial, live...

  10. Spinal Cord Stimulation

    DEFF Research Database (Denmark)

    Meier, Kaare

    2014-01-01

    pain after failed back surgery syndrome (FBSS)(4), pain due to peripheral nerve injury, stump pain(5), peripheral vascular disease(6) and diabetic neuropathy(7,8); whereas phantom pain(9), postherpetic neuralgia(10), chronic visceral pain(11), and pain after partial spinal cord injury(12) remain more......Spinal cord stimulation (SCS) is a surgical treatment for chronic neuropathic pain that is refractory to other treatment. Originally described by Shealy et al. in 1967(1), it is used to treat a range of conditions such as complex regional pain syndrome (CRPS I)(2), angina pectoris(3), radicular...

  11. Facial and vocal expressions of emotion.

    Science.gov (United States)

    Russell, James A; Bachorowski, Jo-Anne; Fernandez-Dols, Jose-Miguel

    2003-01-01

    A flurry of theoretical and empirical work concerning the production of and response to facial and vocal expressions has occurred in the past decade. That emotional expressions express emotions is a tautology but may not be a fact. Debates have centered on universality, the nature of emotion, and the link between emotions and expressions. Modern evolutionary theory is informing more models, emphasizing that expressions are directed at a receiver, that the interests of sender and receiver can conflict, that there are many determinants of sending an expression in addition to emotion, that expressions influence the receiver in a variety of ways, and that the receiver's response is more than simply decoding a message.

  12. Dynamics of zebra finch and mockingbird vocalizations

    Science.gov (United States)

    Cimenser, Aylin

    Along with humans, whales, and bats, three groups of birds which include songbirds (oscines) such as the Zebra Finch (Taeniopygia guttata) and Mockingbird (Mimus polyglottos) are the only creatures known to learn sounds by imitation. Numerous similarities between human and songbird vocalizations exist and, recently, it has been shown that Zebra Finch in particular possesses a gene, FoxP2, known to be involved in human language. This thesis investigates song development in Zebra Finches, as well as the temporal dynamics of song in Mockingbirds. Zebra Finches have long been the system of choice for studying vocal development, ontogeny, and complexity in birdsong. Physicists find them intriguing because the spectrally complex vocalizations of the Zebra Finch can exhibit sudden transitions to chaotic dynamics, period doubling & mode-locking phenomena. Mockingbirds, by contrast, provide an ideal system to examine the richness of an avian repertoire, since these musically versatile songbirds typically know upwards of 200 songs. To analyse birdsong data, we have developed a novel clustering algorithm that can be applied to the bird's syllables, tracing their dynamics back to the earliest stages of vocal development. To characterize birdsong we have used Fourier techniques, based upon multitaper spectral analysis, to optimally work around the constraints imposed by (Heisenberg's) time-frequency uncertainty principle. Furthermore, estimates that provide optimal compromise between frequency and temporal resolution have beautiful connections with solutions to the Helmholtz wave equation in prolate spheroidal coordinates. We have used this connection to provide firm foundation for certain heuristics used in the literature to compute associated spectral derivatives and supply a pedagogical account here in this thesis. They are of interest because spectral derivatives emphasize sudden changes in the dynamics of the underlying phenomenon, and often provide a nice way to visualize

  13. A child with ictal vocalizations and generalized epilepsy.

    Science.gov (United States)

    Kurian, Mary; Heritier Barras, Anne-Chantal; Korff, Christian M

    2015-03-01

    Ictal vocalizations in the form of both articulate speech and non-speech vocalizations have been described in focal epilepsies, with seizures originating mainly from the frontal and temporal lobe, however, this phenomenon has not been described in generalized epilepsies. We report the case of an adolescent boy with juvenile-onset generalized epilepsy who presented with ictal "ovine vocalizations" (resembling the bleating of sheep). The ictal EEG revealed a clear correlate of vocalizations with time-locked generalized spikes and polyspike discharges. The 3T cerebral MRI ruled out any focal lesion. The boy is currently seizure-free under valproic acid, after twelve months of follow-up. We conclude that ictal non-speech vocalizations may be observed not only in focal or structural epilepsies, but also in generalized epilepsies; the exact underlying mechanism of this phenomenon needs to be further delineated. [Published with video sequence].

  14. Dynamical origin of spectrally rich vocalizations in birdsong

    Science.gov (United States)

    Sitt, J. D.; Amador, A.; Goller, F.; Mindlin, G. B.

    2008-07-01

    Birdsong is a model system for learned vocal behavior with remarkable parallels to human vocal development and sound production mechanisms. Upper vocal tract filtering plays an important role in human speech, and its importance has recently also been recognized in birdsong. However, the mechanisms of how the avian sound source might contribute to spectral richness are largely unknown. Here we show in the most widely studied songbird, the zebra finch (Taeniopygia guttata), that the broad range of upper harmonic content in different low-frequency song elements is the fingerprint of the dynamics displayed by its vocal apparatus, which can be captured by a two-dimensional dynamical model. As in human speech and singing, the varying harmonic content of birdsong is not only the result of vocal tract filtering but of a varying degree of tonality emerging from the sound source. The spectral content carries a strong signature of the intrinsic dynamics of the sound source.

  15. Delayed cord clamping and cord gas analysis at birth.

    Science.gov (United States)

    Xodo, Serena; Xodo, Luigi; Berghella, Vincenzo

    2017-09-16

    Delayed cord clamping for at least 60 seconds in both term and preterm babies is a major recent change in clinical care. Delayed cord clamping has several effects on other possible interventions. One of these is the effect of delayed cord clamping on umbilical artery gas analysis. When indicated, umbilical artery gas analysis can safely be done either with early cord clamping, or, probably most of the times it is necessary, during delayed cord clamping with the cord still unclamped. Paired blood samples (one from the umbilical artery and one from the umbilical vein) can be taken from the pulsating and unclamped cord, immediately after birth, during delayed cord clamping, without any effect on either the accuracy of umbilical artery gas analysis or on the transfusion of blood through delayed cord clamping. Umbilical artery gas analysis should instead not be done after delayed cord clamping, since delayed cord clamping alters several acid-based parameters and lactate values. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  16. Vocal activity of lesser galagos (Galago spp.) at zoos.

    Science.gov (United States)

    Schneiderová, Irena; Zouhar, Jan; Štefanská, Lucie; Bolfíková, Barbora Černá; Lhota, Stanislav; Brandl, Pavel

    2016-01-01

    Almost nothing is known about the natural vocal behavior of lesser galagos living in zoos. This is perhaps because they are usually kept in nocturnal exhibits separated from the visitors by a transparent and acoustically insulating glass barrier. The aim of the present study was therefore to fill this gap in knowledge of the vocal behavior of lesser galagos from zoos. This knowledge might be beneficial because the vocalizations of these small primates can be used for species determination. We performed a 10-day-long acoustic monitoring of vocal activity in each of seven various groups of Galago senegalensis and G. moholi living at four zoos. We quantitatively evaluated the occurrence of four loud vocalization types present in both species, including the most species-specific advertisement call. We found that qualitative as well as quantitative differences exist in the vocal behavior of the studied groups. We confirmed that the observed vocalization types can be collected from lesser galagos living at zoos, and the success can be increased by selecting larger and more diverse groups. We found two distinct patterns of diel vocal activity in the most vocally active groups. G. senegalensis groups were most vocally active at the beginning and at the end of their activity period, whereas one G. moholi group showed an opposite pattern. The latter is surprising, as it is generally accepted that lesser galagos emit advertisement calls especially at dawn and dusk, i.e., at the beginning and at the end of their diel activity. © 2016 Wiley Periodicals, Inc.

  17. Comparative gene expression analysis among vocal learners (Bengalese finch and budgerigar and non-learners (quail and ring dove reveals variable cadherin expressions in the vocal system

    Directory of Open Access Journals (Sweden)

    Eiji eMatsunaga

    2011-04-01

    Full Text Available Birds use various vocalizations to communicate with one another, and some are acquired through learning. So far, three families of birds (songbirds, parrots, and hummingbirds have been identified as having vocal learning ability. Previously, we found that cadherins, a large family of cell-adhesion molecules, show vocal control-area-related expression in a songbird, the Bengalese finch. To investigate the molecular basis of evolution in avian species, we conducted comparative analysis of cadherin expressions in the vocal and other neural systems among vocal learners (Bengalese finch and budgerigar and a non-learner (quail and ring dove. The gene expression analysis revealed that cadherin expressions were more variable in vocal and auditory areas compared to vocally unrelated areas such as the visual areas among these species. Thus, it appears that such diverse cadherin expressions might have been related to generating species diversity in vocal behavior during the evolution of avian vocal learning. 

  18. Vocal fold elasticity of the Rocky Mountain elk (Cervus elaphus nelsoni) - producing high fundamental frequency vocalization with a very long vocal fold

    National Research Council Canada - National Science Library

    Riede, Tobias; Titze, Ingo R

    2008-01-01

    .... If fundamental frequency were to be predicted by a simple vibrating string formula, as is often done for the human larynx, such long vocal folds would bear enormous stress to produce the species...

  19. 两种无尾类发声器官的初步观察%Preliminary observation of vocal organs of two anurans (Rana chensinensis and Bufo raddei)(Anura)

    Institute of Scientific and Technical Information of China (English)

    张雷; 赵梓伊; 陆宇燕; 李丕鹏; 宋阳; 周正彦; 周兵; 杨宝田; 董丙君

    2012-01-01

    Vocal organs in Rana chensinensis were preliminarily compared with Bufo raddei with anatomic and histological methods. The results shown that Rana chensinensis had cartilago prearytenoedeas and pulvinaria vocalias, but Bufo raddei did not have. The lateral portions of vocal cords in Bufo raddei were a pair of membranes composed of dense regular connective tissues, and in the mid of medial portion of vocal cords in Bufo raddei there are a pair of fibrious masses. At the end of laryngeal chambers Bufo raddei there are also a pair of posterior membrances. But the lateral portions of vocal cords in Rana chensinensis were composed of dense irregular connective tissues and had no posterior membrances. The difference of areas in medial portions of vocal cords were apparent in Rana chensinensis but in Bufo raddei no this character. The type of vocal sacs in Rana chensinensis was inner vocal sacs lateral to pharynx, but in Bufo raddei it was inner vocal sacs under pharynx. Compared with the two(Rana chensinensis and Bufo raddei) relative length and width of medial portions of vocal cords and laryngeal chambers, the results have statistics significance. In discussion, we analysized the influence of both vocal organs on sound production and it would supply basic information to understand the sounds difference in Bufonids and Ranids.%应用大体解剖和组织学方法对中国林蛙(Rana chensinensis)和花背蟾蜍(Bufo raddei)的发声器官进行了初步观察和比较.结果表明:中国林蛙有独立的前杓状软骨和枕声带,而花背蟾蜍则没有上述结构.花背蟾蜍的声带侧部为规则致密结缔组织构成的膜状结构,并且前端有一对肉质化的纤维小球,喉室末端有一对后膜,而中国林蛙的声带侧部由无规则致密结缔组织构成的肉质化纤维柱状结构,喉室的末端无后膜结构.前者的声带中部为一对厚度均匀的膜系结构.而后者声带中部在不同区域也存在明显的差异,中国林

  20. Spinal Cord Stimulation

    DEFF Research Database (Denmark)

    Meier, Kaare

    2014-01-01

    pain after failed back surgery syndrome (FBSS)(4), pain due to peripheral nerve injury, stump pain(5), peripheral vascular disease(6) and diabetic neuropathy(7,8); whereas phantom pain(9), postherpetic neuralgia(10), chronic visceral pain(11), and pain after partial spinal cord injury(12) remain more...

  1. Generalized perceptual features for animal vocalization classification

    Science.gov (United States)

    Clemins, Patrick J.; Johnson, Michael T.

    2001-05-01

    Two sets of generalized, perceptual-based features are investigated for use in classifying animal vocalizations. Since many species, especially mammals, share similar physical sound perception mechanisms which vary in size, two features sets commonly used in human speech processing, mel-frequency cepstral coefficients (MFCCs) and perceptual linear prediction (PLP) analysis, are modified for use in other species. One modification made to the feature extraction process is incorporating the frequency range of hearing and length of the basilar membrane of the animal in order to correctly determine the width and location of the critical band filters used for signal processing. Experimentally determined critical bands (equivalent rectangular bandwidth) and equal loudness curves (audiograms) can also be incorporated directly into the feature extraction process. Experiments are performed on African elephant (Loxodonta africana) vocalizations using a hidden Markov model (HMM) based classifier showing increased classification accuracy when using features sets based on the specific animals perceptual abilities compared to the original human perception-based feature sets.

  2. A study of vocal nonlinearities in humpback whale songs: from production mechanisms to acoustic analysis

    OpenAIRE

    Dorian Cazau; Olivier Adam; Thierry Aubin; Laitman, Jeffrey T.; Reidenberg, Joy S.

    2016-01-01

    International audience; Although mammalian vocalizations are predominantly harmonically structured, they can exhibit an acoustic complexity with nonlinear vocal sounds, including deterministic chaos and frequency jumps. Such sounds are normative events in mammalian vocalizations, and can be directly traceable to the nonlinear nature of vocal-fold dynamics underlying typical mammalian sound production. In this study, we give qualitative descriptions and quantitative analyses of nonlinearities ...

  3. THE VOCALIZATION MECHANISM OF THE FLORIDA MANATEE (TRICHECHUS MANATUS LATIROSTRIS

    Directory of Open Access Journals (Sweden)

    Charles J. Grossman

    2014-01-01

    Full Text Available The mechanism by which Florida manatees produce vocalizations is unknown. Anatomically, the laryngeal region in manatees lacks clearly defined vocal folds. Initially we developed a method to visualize the entire manatee upper respiratory system. We then forced air through fresh necropsied manatee larynxes and generated artificial vocalizations which closely duplicated the normal vocalizations produced by live manatees, both in fundamental frequency and structure of harmonics. Here we report that sound is generated in the larynx when air vibrates bilateral strips of tissue embedded in the lateral laryngeal walls which are in close approximation anteriorly but which diverge posteriorly. We propose that these strips of tissue are the modified vocal folds containing ligaments and we support this through histological stained sections and because they are connected anteriorly to the posterior side of the thyroid cartilage and posteriorly with the arytenoidal cartilages. We also suggest that these vocalizations are then modified within the resonance cavities in the frontal area of the head and the air used to generate these vocalizations also causes a transient deformation of this region before being conserved and returned to the lungs.

  4. Vocal fold ion transport and mucin expression following acrolein exposure.

    Science.gov (United States)

    Levendoski, Elizabeth Erickson; Sivasankar, M Preeti

    2014-05-01

    The vocal fold epithelium is exposed to inhaled particulates including pollutants during breathing in everyday environments. Yet, our understanding of the effects of pollutants on vocal fold epithelial function is extremely limited. The objective of this study was to investigate the effect of the pollutant acrolein on two vocal fold epithelial mechanisms: ion transport and mucin (MUC) synthesis. These mechanisms were chosen as each plays a critical role in vocal defense and in maintaining surface hydration which is necessary for optimal voice production. Healthy, native porcine vocal folds (N = 85) were excised and exposed to an acrolein or sham challenge. A 60-min acrolein, but not sham challenge significantly reduced ion transport and inhibited cyclic adenosine monophosphate-dependent, increases in ion transport. Decreases in ion transport were associated with reduced sodium absorption. Within the same timeline, no significant acrolein-induced changes in MUC gene or protein expression were observed. These results improve our understanding of the effects of acrolein on key vocal fold epithelial functions and inform the development of future investigations that seek to elucidate the impact of a wide range of pollutant exposures on vocal fold health.

  5. The impact of intraglottal vortices on vocal fold dynamics

    Science.gov (United States)

    Erath, Byron; Pirnia, Alireza; Peterson, Sean

    2016-11-01

    During voiced speech a critical pressure is produced in the lungs that separates the vocal folds and creates a passage (the glottis) for airflow. As air passes through the vocal folds the resulting aerodynamic loading, coupled with the tissue properties of the vocal folds, produces self-sustained oscillations. Throughout each cycle a complex flow field develops, characterized by a plethora of viscous flow phenomena. Air passing through the glottis creates a jet, with periodically-shed vortices developing due to flow separation and the Kelvin-Helmholtz instability in the shear layer. These vortices have been hypothesized to be a crucial mechanism for producing vocal fold vibrations. In this study the effect of vortices on the vocal fold dynamics is investigated experimentally by passing a vortex ring over a flexible beam with the same non-dimensional mechanical properties as the vocal folds. Synchronized particle image velocimetry data are acquired in tandem with the beam dynamics. The resulting impact of the vortex ring loading on vocal fold dynamics is discussed in detail. This work was supported by the National Science Foundation Grant CBET #1511761.

  6. Spontaneous motor entrainment to music in multiple vocal mimicking species.

    Science.gov (United States)

    Schachner, Adena; Brady, Timothy F; Pepperberg, Irene M; Hauser, Marc D

    2009-05-26

    The human capacity for music consists of certain core phenomena, including the tendency to entrain, or align movement, to an external auditory pulse [1-3]. This ability, fundamental both for music production and for coordinated dance, has been repeatedly highlighted as uniquely human [4-11]. However, it has recently been hypothesized that entrainment evolved as a by-product of vocal mimicry, generating the strong prediction that only vocal mimicking animals may be able to entrain [12, 13]. Here we provide comparative data demonstrating the existence of two proficient vocal mimicking nonhuman animals (parrots) that entrain to music, spontaneously producing synchronized movements resembling human dance. We also provide an extensive comparative data set from a global video database systematically analyzed for evidence of entrainment in hundreds of species both capable and incapable of vocal mimicry. Despite the higher representation of vocal nonmimics in the database and comparable exposure of mimics and nonmimics to humans and music, only vocal mimics showed evidence of entrainment. We conclude that entrainment is not unique to humans and that the distribution of entrainment across species supports the hypothesis that entrainment evolved as a by-product of selection for vocal mimicry.

  7. Motor planning for vocal production in common marmosets.

    Science.gov (United States)

    Miller, Cory T; Eliades, Steven J; Wang, Xiaoqin

    2009-11-01

    The vocal motor plan is one of the most fundamental and poorly understood elements of primate vocal production. Here we tested whether a single vocal motor plan comprises the full length of a vocalization. We hypothesized that if a single motor plan was determined at vocal onset, the acoustic features early in the call should be predictive of the subsequent call structure. Analyses were performed on two classes of features in marmoset phee calls: continuous and discrete. We first generated correlation matrices of all the continuous features of phee calls. Results showed that the start frequency of a phee's first pulse significantly correlated with all subsequent spectral features. Moreover, significant correlations were evident within the spectral features as well as within the temporal features, but there was little relationship between these measures. Using a discrete feature, 'the number of pulses in the phee call', a discriminant function was able to correctly classify the number of pulses in the calls well above chance based solely on the acoustic structure of the call's first pulse. Together, these data suggest that a vocal motor plan for the complete call structure is established at call onset. These findings provide a key insight into the mechanisms underlying vocal production in nonhuman primates.

  8. A comparative neurological approach to emotional expressions in primate vocalizations.

    Science.gov (United States)

    Gruber, Thibaud; Grandjean, Didier

    2017-02-01

    Different approaches from different research domains have crystallized debate over primate emotional processing and vocalizations in recent decades. On one side, researchers disagree about whether emotional states or processes in animals truly compare to those in humans. On the other, a long-held assumption is that primate vocalizations are innate communicative signals over which nonhuman primates have limited control and a mirror of the emotional state of the individuals producing them, despite growing evidence of intentional production for some vocalizations. Our goal is to connect both sides of the discussion in deciphering how the emotional content of primate calls compares with emotional vocal signals in humans. We focus particularly on neural bases of primate emotions and vocalizations to identify cerebral structures underlying emotion, vocal production, and comprehension in primates, and discuss whether particular structures or neuronal networks solely evolved for specific functions in the human brain. Finally, we propose a model to classify emotional vocalizations in primates according to four dimensions (learning, control, emotional, meaning) to allow comparing calls across species.

  9. A new instrument for intraoperative assessment of individual vocal folds.

    Science.gov (United States)

    Heaton, James T; Kobler, James B; Hillman, Robert E; Zeitels, Steven M

    2005-07-01

    Intraoperative assessment of vocal fold vibration during phonomicrosurgery performed under general anesthesia may enhance surgical decision-making. We therefore developed and bench-tested a new device we refer to as the aerodynamic vocal fold driver (AVFD). The AVFD comprises a hand-held probe that uses airflow to drive individual vocal folds into phonatory-like vibration. This permits stroboscopic visualization of mucosal waves with simultaneous control of subglottal air pressure. In initial experiments to validate the technique, AVFD driven phonation and conventional whole-larynx phonation were compared using excised canine larynges (n = 14). Single vocal fold phonation using the AVFD and whole larynx phonation yielded similar, positive correlations between subglottal pressure and both amplitude and frequency of vibration. Experiments simulating vocal fold scar-related mucosal stiffening by subepithelial injection of fixative showed the expected elevation of phonation threshold pressures as measured with the AVFD. Likewise, unilateral tissue compression injury disrupted vocal fold vibration, and the AVFD was useful for quantifying improvement in the damaged vocal fold after repair with injection of cross-linked hyaluronic acid gel. These results show that this new instrument has the potential to provide novel and useful information for laryngeal experimentation and to improve phonosurgery.

  10. Acoustic Vocal Tract Model of One-year-old Children

    Directory of Open Access Journals (Sweden)

    M. Vojnović

    2014-11-01

    Full Text Available The physical shape of vocal tract and its formant (resonant frequencies are directly related. The study of this functional connectivity is essential in speech therapy practice with children. Most of the perceived children’s speech anomalies can be explained on a physical level: malfunctioning movement of articulation organs. The current problem is that there is no enough data on the anatomical shape of children’s vocal tract to create its acoustic model. Classical techniques for vocal tract shape imaging (X-ray, magnetic resonance, etc. are not appropriate for children. One possibility is to start from the shape of the adult vocal tract and correct it based on anatomical, morphological and articulatory differences between children and adults. This paper presents a method for vocal tract shape estimation of the child aged one year. The initial shapes of the vocal tract refer to the Russian vowels spoken by an adult male. All the relevant anatomical and articulation parameters, that influence the formant frequencies, are analyzed. Finally, the hypothetical configurations of the children’s vocal tract, for the five vowels, are presented.

  11. Efeito imediato de técnicas vocais em mulheres sem queixa vocal Immediate effect of vocal techniques in women without vocal complaint

    Directory of Open Access Journals (Sweden)

    Eliane Cristina Pereira

    2011-10-01

    Full Text Available OBJETIVO: verificar o efeito imediato das técnicas vocais vibração, som nasal e sobrearticulação na voz e na laringe de mulheres sem queixas vocais. MÉTODO: participaram da pesquisa 32 sujeitos do sexo feminino, com idades entre 20 e 45 anos, sem queixas vocais, com qualidade vocal avaliada entre normal e alteração de grau leve Os sujeitos foram submetidos à análise perceptivo-auditiva pela escala visual analógica da vogal /ε/ e fala espontânea, análise acústica e laringoestroboscopia antes e após a realização das técnicas. RESULTADOS: a análise perceptivo-auditiva revelou melhora significante dos parâmetros impressão global da voz, rouquidão e estabilidade na vogal /ε/ e articulação na fala espontânea. A análise acústica evidenciou melhora significante do jitter e shimmer. A laringoestroboscopia evidenciou significante melhora no fechamento glótico e melhora na movimentação muco-ondulatória das pregas vocais. CONCLUSÃO: as técnicas vocais estudadas são capazes de proporcionar melhora imediata significante da qualidade vocal e da configuração laríngea.PURPOSE: to check the immediate effect of vocal techniques: vibration, nasal sound and overarticulation. METHOD: 32 female subjects with normal to mild dysphonia took part in the study, with ages from 20 to 45 years. Subjects were submitted to perceptual analysis and laryngostroboscopic exams before and after the use of vocal techniques. RESULTS: subjects' vocal classification in perceptual analysis after accomplishing the vocal techniques showed significant improvement on parameters voice global impression, hoarseness and stability; and, in spontaneous speech, one showed a significant improvement on the parameter articulation. The acoustic analysis evidenced significant improvement of the jitter and shimmer. Laryngostroboscopic examination evidenced a significant increase in the glottic closing and an increase in the mucondulatory movement of the vocal folds

  12. Structural Classification of Wild Boar (Sus scrofa) Vocalizations.

    Science.gov (United States)

    Garcia, Maxime; Gingras, Bruno; Bowling, Daniel L; Herbst, Christian T; Boeckle, Markus; Locatelli, Yann; Fitch, W Tecumseh

    2016-04-01

    Determining whether a species' vocal communication system is graded or discrete requires definition of its vocal repertoire. In this context, research on domestic pig (Sus scrofa domesticus) vocalizations, for example, has led to significant advances in our understanding of communicative functions. Despite their close relation to domestic pigs, little is known about wild boar (Sus scrofa) vocalizations. The few existing studies, conducted in the 1970s, relied on visual inspections of spectrograms to quantify acoustic parameters and lacked statistical analysis. Here, we use objective signal processing techniques and advanced statistical approaches to classify 616 calls recorded from semi-free ranging animals. Based on four spectral and temporal acoustic parameters-quartile Q25, duration, spectral flux, and spectral flatness-extracted from a multivariate analysis, we refine and extend the conclusions drawn from previous work and present a statistically validated classification of the wild boar vocal repertoire into four call types: grunts, grunt-squeals, squeals, and trumpets. While the majority of calls could be sorted into these categories using objective criteria, we also found evidence supporting a graded interpretation of some wild boar vocalizations as acoustically continuous, with the extremes representing discrete call types. The use of objective criteria based on modern techniques and statistics in respect to acoustic continuity advances our understanding of vocal variation. Integrating our findings with recent studies on domestic pig vocal behavior and emotions, we emphasize the importance of grunt-squeals for acoustic approaches to animal welfare and underline the need of further research investigating the role of domestication on animal vocal communication.

  13. A nomenclature paradigm for benign midmembranous vocal fold lesions.

    Science.gov (United States)

    Rosen, Clark A; Gartner-Schmidt, Jackie; Hathaway, Bridget; Simpson, C Blake; Postma, Gregory N; Courey, Mark; Sataloff, Robert T

    2012-06-01

    There is a significant lack of uniform agreement regarding nomenclature for benign vocal fold lesions (BVFLs). This confusion results in difficulty for clinicians communicating with their patients and with each other. In addition, BVFL research and comparison of treatment methods are hampered by the lack of a detailed and uniform BVFL nomenclature. Clinical consensus conferences were held to develop an initial BVFL nomenclature paradigm. Perceptual video analysis was performed to validate the stroboscopy component of the paradigm. The culmination of the consensus conferences and the video-perceptual analysis was used to evaluate the BVFL nomenclature paradigm using a retrospective review of patients with BVFL. An initial BVFL nomenclature paradigm was proposed utilizing detailed definitions relating to vocal fold lesion morphology, stroboscopy, response to voice therapy and intraoperative findings. Video-perceptual analysis of stroboscopy demonstrated that the proposed binary stroboscopy system used in the BVFL nomenclature paradigm was valid and widely applicable. Retrospective review of 45 patients with BVFL followed to the conclusion of treatment demonstrated that slight modifications of the initial BVFL nomenclature paradigm were required. With the modified BVFL nomenclature paradigm, 96% of the patients fit into the predicted pattern and definitions of the BVFL nomenclature system. This study has validated a multidimensional BVFL nomenclature paradigm. This vocal fold nomenclature paradigm includes nine distinct vocal fold lesions: vocal fold nodules, vocal fold polyp, pseudocyst, vocal fold cyst (subepithelial or ligament), nonspecific vocal fold lesion, vocal fold fibrous mass (subepithelial or ligament), and reactive lesion. Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.

  14. Effect of hydration and vocal rest on the vocal fatigue in amateur karaoke singers.

    Science.gov (United States)

    Yiu, Edwin M L; Chan, Rainy M M

    2003-06-01

    Karaoke singing is a very popular entertainment among young people in Asia. It is a leisure singing activity with the singer's voice amplified with special acoustic effects in the backdrop of music. Music video and song captions are shown on television screen to remind the singers during singing. It is not uncommon to find participants singing continuously for four to five hours each time. As most of the karaoke singers have no formal training in singing, these amateur singers are more vulnerable to developing voice problems under these intensive singing activities. This study reports the performance of 20 young amateur singers (10 males and 10 females, aged between 20-25 years) on a series of phonatory function tasks carried out during continuous karaoke singing. Half of the singers were given water to drink and short duration of vocal rests at regular intervals during singing and the other half sang continuously without taking any water or rest. The subjects who were given hydration and vocal rests sang significantly longer than those who did not take any water or rest. The voice quality, as measured by perceptual and acoustic measures, and vocal function, as measured by phonetogram, did not show any significant changes during singing in the subjects who were given water and rest during the singing. However, subjects who sang continuously without drinking water and taking rests showed significant changes in the jitter measure and the highest pitch they could produce during singing. These results suggest that hydration and vocal rests are useful strategies to preserve voice function and quality during karaoke singing. This information is useful educational information for karaoke singers.

  15. Modeling of the transient responses of the vocal fold lamina propria

    OpenAIRE

    Zhang, Kai; Siegmund, Thomas; Chan, Roger W.

    2009-01-01

    The human voice is produced by flow-induced self-sustained oscillation of the vocal fold lamina propria. The mechanical properties of vocal fold tissues are important for understanding phonation, including the time-dependent and transient changes in fundamental frequency (F0). Cyclic uniaxial tensile tests were conducted on a group of specimens of the vocal fold lamina propria, including the superficial layer (vocal fold cover) (5 male, 5 female) and the deeper layers (vocal ligament) (6 male...

  16. A singing voices synthesis system to characterize vocal registers using ARX-LF model

    OpenAIRE

    Motoda, Hiroki; Akagi, Masato

    2013-01-01

    This paper proposes a singing voices synthesis system to synthesize singing voices having characteristics of vocal registers, such as vocal fly, modal and falsetto. Human can sing songs naturally in wide range of frequency by training how to use vocal fold vibrations to represent vocal registers. However, even state-of-the-art singing voices synthesis systems cannot produce vocal registers appropriately. Naturalness of the synthesized singing voices using these systems is reduced in low and h...

  17. Auditory-motor entrainment in vocal mimicking species: Additional ontogenetic and phylogenetic factors

    OpenAIRE

    Schachner, Adena

    2010-01-01

    We have recently found robust evidence of motor entrainment to auditory stimuli in multiple species of non-human animal, all of which were capable of vocal mimicry. In contrast, the ability remained markedly absent in many closely related species incapable of vocal mimicry. This suggests that vocal mimicry may be a necessary precondition for entrainment. However, within the vocal mimicking species, entrainment appeared non-randomly, suggesting that other components besides vocal mimicry play ...

  18. Deep Brain Stimulation for Essential Vocal Tremor: A Technical Report.

    Science.gov (United States)

    Ho, Allen L; Choudhri, Omar; Sung, C Kwang; DiRenzo, Elizabeth E; Halpern, Casey H

    2015-03-01

    Essential vocal tremor (EVT) is the presence of a tremulous voice that is commonly associated with essential tremor. Patients with EVT often report a necessary increase in vocal effort that significantly worsens with stress and anxiety and can significantly impact quality of life despite optimal medical and behavioral treatment options. Deep brain stimulation (DBS) has been proposed as an effective therapy for vocal tremor, but very few studies exist in the literature that comprehensively evaluate the efficacy of DBS for specifically addressing EVT. We present a technical report on our multidisciplinary, comprehensive operative methodology for treatment of EVT with frameless, awake deep brain stimulation (DBS).

  19. Vocal mechanisms in birds and bats: a comparative view

    Directory of Open Access Journals (Sweden)

    Suthers Roderick A.

    2004-01-01

    Full Text Available Vocal signals play a very important role in the life of both birds and echolocating bats, but these two unrelated groups of flying vertebrates have very different vocal systems. They nevertheless must solve many of the same problems in producing sound. This brief review examines avian and microchiropteran motor mechanisms for: 1 coordinating the timing of phonation with the vocal motor pattern that controls its acoustic properties, and 2 achieving respiratory strategies that provide adequate ventilation for pulmonary gas exchange, while also facilitating longer duration songs or trains of sonar pulses.

  20. Especializaciones cognitivas: El caso del procesamiento de consonantes y vocales

    Directory of Open Access Journals (Sweden)

    Juan Manuel Toro

    2010-08-01

    Full Text Available Las consonantes y la vocales parecen tener funciones diferentes. Mientras las consonantes están más directamente implicadas en el procesamiento léxico, las vocales tienden a marcar rasgos sintácticos. Estudios recientes con lenguajes artificiales confirman esta hipótesis. Los resultados muestran que las palabras se reconocen más fácilmente sobre las consonantes, mientras que se extraen y generalizan reglas más fácilmente sobre las vocales

  1. Personality traits inventory in patients with vocal nodules.

    Science.gov (United States)

    Mattei, Alexia; Revis, Joana; Giovanni, Antoine

    2017-04-01

    The objective of the study was to analyze temperament and character in females with vocal nodules (VN) compared to a vocally healthy control population. 61 females were examined over a 17-month period for dysphonia with VN (mean age 46 years, duration of vocal complaints from 2 months to 6 years). 71 control females were recruited in their environment (mean age 34 years). The validated French Version of the Temperament and Character Inventory (TCI) was used. Patients with VN had significantly (p personality-specific maladaptive behaviors. A possible personalized approach to voice therapy could be organized on the basis of the TCI findings.

  2. Quantitative histopathological evaluation of vocal cord dysplasia with particular emphasis on nuclear orientation.

    Science.gov (United States)

    Stenersen, T C; Boysen, M; Juhng, S W; Reith, A

    1992-06-01

    We have applied morphometry on formaldehyde-fixed, H & E-stained diagnostic laryngeal biopsies from 7 patients with mild dysplasia and 7 with severe dysplasia/carcinoma in situ, in search of objective parameters required for reproducible histopathological grading of epithelial dysplasias. Special emphasis has been put upon the individual nuclear polarity as a spatial variable. Also included were 4 specimens with normal epithelium. By means of a semiautomatic digitizing tablet, the nuclear and epithelial area, formfactor and the polarity variation between the longitudinal axes of adjacent nuclei were measured in the basal, parabasal, middle and luminal layers of the epithelium. N:C-ratio, mean values of nuclear area, formfactor or their coefficient of variation could not distinguish between mild and severe dysplasia. The variations in neighboring nuclear polarity, however, revealed a highly significant distinction between mild and severe dysplasia (p less than 0.001). This parameter may therefore have diagnostic potential.

  3. Lipstick Induced Contact Leucoderma

    OpenAIRE

    Gupta Lalit Kumar; Jain Suresh Kumar; Khare Ashok Kumar

    2001-01-01

    Lipstick is a commonly used cosmetic. Its use may sometimes lead to contact dermatitis. Contact leucoderma to lipsticks however, is not common. We report a patient developing contact leucoderma to lipstick in association with contact dermatitis.

  4. Lipstick Induced Contact Leucoderma

    Directory of Open Access Journals (Sweden)

    Gupta Lalit Kumar

    2001-01-01

    Full Text Available Lipstick is a commonly used cosmetic. Its use may sometimes lead to contact dermatitis. Contact leucoderma to lipsticks however, is not common. We report a patient developing contact leucoderma to lipstick in association with contact dermatitis.

  5. Structural-functional organization of multilayered squamous epithelium of vocal сords of larynx at the persons of mature age

    Directory of Open Access Journals (Sweden)

    Gasyuk Y.А.

    2009-01-01

    Full Text Available On the basis of the conducted morphological researches it is set, that in cellular elements of multilayered squamous epithelium of vocal cords of larynx is observed layer stage of processes of keratinization, therefore even in a norm it has a tendency to the cornification. It physiological regeneration takes a place due to the proliferation of cells of basale layer and parallel tearing away of grainy cells. On logarithms of volume of nucleus of cellular elements of different layers of multilayered squamous epithelium make the row of differentiation: 0,75; 0,95; 1,45; 1,15 and 0,85, which corresponds the nuclearmetrical laws.

  6. PARESIA O PARALISIS DE LAS CUERDAS VOCALES. DESPUÉS DE LA TIROIDECTOMÍA CON RUTINARIA IDENTIFICACIÓN. DEL NERVIO RECURRENTE.

    Directory of Open Access Journals (Sweden)

    Paúl Coronel

    2007-02-01

    Full Text Available RESUMENAntecedentes. La paresia o parálisis de las cuerdas vocales es una de las complicaciones más frecuente después de las operaciones en la glándula tiroides.Objetivos: Valorar el riesgo de las lesiones de los nervios recurrentes durante la tiroidectomías.Diseño: Estudio descriptivo, transversal retrospectivo no randomizado. Ambiente. Servicio de Cirugía General número 1 hospital Universitario Miquel Pérez Carreño Universidad Central de VenezuelaPacientes y métodos: La presente investigación estuvo limitada a 651 pacientes, femeninos 77,3%, masculinos 22,6%. En el 66,7% se realizó lobectomía total, en 33,2%, tiroidectomía total. Los porcentajes de parálisis temporal o permanente de las cuerdas vocales fueron analizados de acuerdo a si la intervención se realizó por enfermedad benigna, cáncer, o reintervención. Se excluyeron 26 pacientes con diagnóstico de cáncer del tiroides en los cuales se sacrifico el nervio.En 40 pacientes (6,1% se presentó parálisis post operatoria. La recuperación del nervio fue documentada en el 94,6%, en quienes la integridad de los nervios se comprobó durante la cirugía. El tiempo de recuperación de la parálisis temporal fue entre 3 días y 6 meses. La frecuencia de parálisis temporal o permanente fue: 4,0 % / 0,2 %, en enfermedad benigna, 2,0% / 0,7%, en el cáncer, 12,0%/ 1,1%. En la enfermedad de Graves Bassedow, y entre el 10,8% / 8,1% en las reintervenciones.Las operaciones por cáncer, enfermedad de Graves Bassedow, o bocios recurrentes tienen un alto porcentaje de parálisis. La invasión de los nervios fue identificada en un 19,4% de los pacientes intervenidos por cáncer del tiroides. ABSTRACT: CORD PARÁLISIS AND PARESIA AFTER THYROIDECTOMY WITH ROUTINE IDENFIFICATION OF RECURRENT LARYNGEAL NERVE.The aim of this study was assess the risk of recurrent laryngeal nerve palsy after thyroidectomy with routine identification of the recurrent laryngeal nerve during the operation

  7. Voz e posição de prega vocal em homens com paralisia unilateral de prega vocal Voice and vocal fold position in men with unilateral vocal fold paralysis

    Directory of Open Access Journals (Sweden)

    Karine Schwarz

    2011-12-01

    Full Text Available O posicionamento da prega vocal paralisada e o grau de disfonia são fatores importantes para decidir as opções de tratamento na paralisia de prega vocal unilateral (PPVU. OBJETIVO: Verificar as características perceptivo-auditivas da voz e a posição da prega vocal paralisada, em homens, com PPVU. MATERIAIS E MÉTODOS: Estudo retrospectivo, coorte histórica, com corte transversal, com dados de 24 homens com PPVU, com média de 60,7 anos, submetidos à avaliação vocal perceptivo-auditiva da voz, por três juízas fonoaudiólogas e perceptivo-visual das imagens laríngeas, com a classificação da posição da prega vocal paralisada, por três juízes otorrinolaringologistas. RESULTADOS: A prega vocal paralisada em posição paramediana ocorreu em 45,83% dos casos; a intermediária, em 25%; a lateral, em 20,83%, e a mediana, em 4,16%; a disfonia resultante da PPVU foi caracterizada pela rouquidão, aspereza e tensão, de grau moderado; soprosidade (maior frequência do grau grave; astenia e instabilidade (maior frequência do grau leve; a posição da prega vocal paralisada influenciou significativamente o grau geral de desvio vocal. CONCLUSÃO: O grau geral de disfonia está relacionado com a posição da prega vocal paralisada; a disfonia é caracterizada pela presença de rouquidão, soprosidade, aspereza e tensão de grau moderado a grave.The paralyzed vocal fold positioning and the degree of dysphonia are important inputs when one is deciding upon treatment options for unilateral vocal fold paralysis (UVFP. OBJECTIVE: To check voice characteristics and paralyzed vocal fold position in men with UVFP. MATERIALS AND METHODS: This is a retrospective historical cross-sectional cohort study, with data from 24 men with UVFP with mean age of 60.7 years, submitted to voice assessment by three speech therapists and three ENT physicians used laryngeal images to classify the position of the paralyzed vocal fold. RESULTS: The paralyzed vocal fold

  8. Self-Organization of Early Vocal Development in Infants and Machines: The Role of Intrinsic Motivation

    Directory of Open Access Journals (Sweden)

    Clément eMoulin-Frier

    2014-01-01

    Full Text Available We bridge the gap between two issues in infant development: vocal development and intrinsic motivation. We propose and experimentally test the hypothesis that general mechanisms of intrinsically motivated spontaneous exploration, also called curiosity-driven learning, can self-organize developmental stages during early vocal learning. We introduce a computational model of intrinsically motivated vocal exploration, which allows the learner to autonomously structure its own vocal experiments, and thus its own learning schedule, through a drive to maximize competence progress. This model relies on a physical model of the vocal tract, the auditory system and the agent's motor control as well as vocalizations of social peers. We present computational experiments that show how such a mechanism can explain the adaptive transition from vocal self-exploration with little influence from the speech environment, to a later stage where vocal exploration becomes influenced by vocalizations of peers. Within the initial self-exploration phase, we show that a sequence of vocal production stages self-organizes, and shares properties with data from infant developmental psychology: the vocal learner first discovers how to control phonation, then focuses on vocal variations of unarticulated sounds, and finally automatically discovers and focuses on babbling with articulated proto-syllables. As the vocal learner becomes more proficient at producing complex sounds, imitating vocalizations of peers starts to provide high learning progress explaining an automatic shift from self-exploration to vocal imitation.

  9. Measurement of vocal doses in virtual classrooms

    DEFF Research Database (Denmark)

    Bottalico, Pasquale; Pelegrin Garcia, David

    2010-01-01

    This work shows the results of a preliminary study about the determination of the optimal acoustical conditions for speakers in small classrooms. An experiment was carried out in a laboratory facility with 22 untrained talkers, who read a text passage from “Goldilocks” during two minutes under 13...... different acoustical conditions, that combined different kind of background noise and virtual classroom acoustics. Readings from the vocal fold vibrations were registered with an Ambulatory Phonation Monitor device. The speech signal from the talker in the center of the facility was picked up with a head......-worn microphone, convolved in real time with the impulse response of the chosen classroom, and reproduced through 29 loudspeakers placed around the subject. In particular, two different primary school classrooms were selected, with very low and very high reverberation time and, for each of them, two speaker...

  10. Vocal dose in teachers: correlation with dysphonia.

    Science.gov (United States)

    Gama, Ana Cristina Côrtes; Santos, Juliana Nunes; Pedra, Elisângela de Fátima Pereira; Rabelo, Alessandra Terra Vasconcelos; Magalhães, Max de Castro; Casas, Estevam Barbosa de Las

    2016-04-01

    Teachers are professionals with high prevalence of dysphonia, whose main risk factors are the large work hours in classrooms with the presence of background noise. The purpose of the study was to calculate the phonation time and the cycle dose of teachers with dysphonia and teachers without voice disorders during the class. There were two groups analyzed: five teachers with functional dysphonia were the first group and five teachers without voice disorders were the second group. For the data was used the VoxLog® dosimeter and the parameters were: intensity; fundamental frequency; phonation time and cycle dose. The statistical analysis used ANOVA, Student's T-test, and Kruskal-Wallis test. Dysphonic teachers showed major values of phonation time and cycle dose compared with teachers without voice disorders. The dysphonia is related to extended period of speech time and greater exposure of the tissue of the vocal fold to phonotrauma.

  11. Cultural relativity in perceiving emotion from vocalizations.

    Science.gov (United States)

    Gendron, Maria; Roberson, Debi; van der Vyver, Jacoba Marieta; Barrett, Lisa Feldman

    2014-04-01

    A central question in the study of human behavior is whether certain emotions, such as anger, fear, and sadness, are recognized in nonverbal cues across cultures. We predicted and found that in a concept-free experimental task, participants from an isolated cultural context (the Himba ethnic group from northwestern Namibia) did not freely label Western vocalizations with expected emotion terms. Responses indicate that Himba participants perceived more basic affective properties of valence (positivity or negativity) and to some extent arousal (high or low activation). In a second, concept-embedded task, we manipulated whether the target and foil on a given trial matched in both valence and arousal, neither valence nor arousal, valence only, or arousal only. Himba participants achieved above-chance accuracy only when foils differed from targets in valence only. Our results indicate that the voice can reliably convey affective meaning across cultures, but that perceptions of emotion from the voice are culturally variable.

  12. BREATH OF USE AND VOCAL TRAINING

    Directory of Open Access Journals (Sweden)

    Nuran ACAR

    2016-10-01

    Full Text Available Breathable, who escorted us in every aspect of our lives and our survival is our primary activity, allowing for quality of life in a healthy way. quality of breaths taken the right technique, you need both health professional sense should perhaps take advantage of individuals who want to achieve success in life is the primary rule. When the diaphragm is born with assisted breathing lungs of every person's life starts to grow to keep up with the flurry lose this special and important skills. First and foremost, which is important for our body health, including every aspect of proper breathing, especially correct use of the voice carries particular importance. In this article, breathing subject discussed, correct breathing and our lives have tried to give us information about the benefits of both vocal training.

  13. When internal communication becomes multi-vocal

    DEFF Research Database (Denmark)

    Madsen, Vibeke Thøis

    The aim of this paper is to present the findings of an exploratory case study of communication on internal social media within the Danish bank, Jyske Bank. The study involved an analysis of staff interaction on internal social media over three months, as well as interviews with 17 of the bank’s...... employees. The study not only answers questions about who participates in internal social media and the content of their communication, it also shows that when organizational culture and management support coworker communication, internal social media becomes a multi-vocal rhetorical arena where coworkers...... are likely to converse about how to solve product and customer-related challenges, and to discuss working conditions. In addition, this study shows that coworkers co-construct organizational identity when they discuss questions such as: Who are we as an organization? Which products should we provide...

  14. EDITORIAL: Close contact Close contact

    Science.gov (United States)

    Demming, Anna

    2010-07-01

    The development of scanning probe techniques, such as scanning tunnelling microscopy [1], has often been touted as the catalyst for the surge in activity and progress in nanoscale science and technology. Images of nanoscale structural detail have served as an invaluable investigative resource and continue to fascinate with the fantastical reality of an intricate nether world existing all around us, but hidden from view of the naked eye by a disparity in scale. As is so often the case, the invention of the scanning tunnelling microscope heralded far more than just a useful new apparatus, it demonstrated the scope for exploiting the subtleties of electronic contact. The shrinking of electronic devices has been a driving force for research into molecular electronics, in which an understanding of the nature of electronic contact at junctions is crucial. In response, the number of experimental techniques in molecular electronics has increased rapidly in recent years. Scanning tunnelling microscopes have been used to study electron transfer through molecular films on a conducting substrate, and the need to monitor the contact force of scanning tunnelling electrodes led to the use of atomic force microscopy probes coated in a conducting layer as studied by Cui and colleagues in Arizona [2]. In this issue a collaboration of researchers at Delft University and Leiden University in the Netherlands report a new device architecture for the independent mechanical and electrostatic tuning of nanoscale charge transport, which will enable thorough studies of molecular transport in the future [3]. Scanning probes can also be used to pattern surfaces, such as through spatially-localized Suzuki and Heck reactions in chemical scanning probe lithography. Mechanistic aspects of spatially confined Suzuki and Heck chemistry are also reported in this issue by researchers in Oxford [4]. All these developments in molecular electronics fabrication and characterization provide alternative

  15. Singers' and Nonsingers' Perception of Vocal Vibrato.

    Science.gov (United States)

    Reddy, A Anita; Subramanian, Uma

    2015-09-01

    Vibrato, a small, nevertheless an important component in the singing voice is known to enrich the overall singing voice quality. However, in the perception of overall performance, it is often neglected. Singing performance is often appreciated by a mixed audience of those who love music, but not necessarily sing and other singers who may or may not be teachers of singing. The objectives of the present study were aimed at investigating singers' and nonsingers' perception of vocal vibrato and its effect on the ratings of singer's overall performance. Prerecorded audio samples of the chorus of a hymn (How Great Thou Art) as sung by 10 singers (both men and women) were played via a speaker to two groups of judges which consisted of three experienced singers and three experienced nonsingers. The singer judges (SJs) were vocal instructors in Western classical, music theater, pop, and contemporary styles. Seven parameters (presence of vibrato, rate, extent, conspicuousness, quality, periodicity, and type) related to vibrato were evaluated through auditory perception by these two groups of judges on a rating scale developed specifically for the study, and one parameter evaluated singer's overall performance. Cohen's Kappa statistical analysis was used for inter-rater reliability within groups. Nonsinger judges (NSJs) within the group showed varied ratings as did SJs, yet SJs did have higher agreement than NSJs. Chi-square analysis was used across groups. Both groups were distinct from each other in their perception of vibrato. Ratings of singer's overall performance were not affected for NSJs, but certainly affected for SJ. It could not be concluded that ratings on singer's overall performance was affected as a result of vibrato. Since vibrato is often over-ridden by the singer's voice. But a rare occasion can arise where a vibrato may not sound pleasant and can affect the listener's perception of the singer's performance. Often a feedback from listeners would help monitor

  16. Is early cord clamping, delayed cord clamping or cord milking best?

    Science.gov (United States)

    Vatansever, Binay; Demirel, Gamze; Ciler Eren, Elif; Erel, Ozcan; Neselioglu, Salim; Karavar, Hande Nur; Gundogdu, Semra; Ulfer, Gozde; Bahadir, Selcen; Tastekin, Ayhan

    2017-03-20

    To compare the antioxidant status of three cord clamping procedures (early clamping, delayed clamping and milking) by analyzing the thiol-disulfide balance. This randomized controlled study enrolled 189 term infants who were divided into three groups according to the cord clamping procedure: early clamping, delayed clamping and milking. Blood samples were collected from the umbilical arteries immediately after clamping, and the thiol/disulfide homeostasis was analyzed. The native and total thiol levels were significantly (p cord clamping group compared with the other two groups. The disulfide/total thiol ratio was significantly (p = .026) lower in the delayed cord clamping and milking groups compared with the early clamping groups. Early cord clamping causes the production of more disulfide bonds and lower thiol levels, indicating that oxidation reactions are increased in the early cord clamping procedure compared with the delayed cord clamping and milking procedures. The oxidant capacity is greater with early cord clamping than with delayed clamping or cord milking. Delayed cord clamping or milking are beneficial in neonatal care, and we suggest that they be performed routinely in all deliveries.

  17. Sonography of the umbilical cord.

    Science.gov (United States)

    Dudiak, C M; Salomon, C G; Posniak, H V; Olson, M C; Flisak, M E

    1995-09-01

    Knowledge of the development, normal sonographic appearance, and potential abnormalities of the umbilical cord is important in fetal assessment. The umbilical cord can be visualized throughout most of gestation and is detectable sonographically soon after visualization of the fetal pole. The normal umbilical cord is 50-60 cm long and may coil as many as 40 times, usually to the left. Abnormalities in umbilical cord size, degree of coiling, attachment, and position can have important implications for the outcome of the pregnancy. Structural abnormalities of the umbilical cord such as single umbilical artery, knots, cysts, and tumors may be associated with fetal distress or malformations. Color Doppler ultrasound (US) is useful in the identification and evaluation of structural abnormalities of the cord. By allowing measurement of blood flow velocity in the umbilical artery, duplex Doppler US may provide additional information in the evaluation of intrauterine growth retardation and twin-twin transfusion syndrome.

  18. Pain following spinal cord injury

    OpenAIRE

    2004-01-01

    The aims of this thesis were to assess and characterise nociceptive and neuropathic pain, the use of pharmacological and non-pharmacological pain treatment, and the influence of pain on the quality of sleep in a population following spinal cord injury (SCI). This thesis is divided into five separate studies: I. Pain in a Swedish spinal cord injury population. II. Gender related differences in pain in spinal cord injured individuals. III. Use of analgesic drugs in indi...

  19. Using Vocal and Silent Reading Approaches for the Enhancement ...

    African Journals Online (AJOL)

    Nekky Umera

    of teaching reading skills in English Language through the use of vocal and silent reading ... Performance, English Language, Effective Teaching and Learning. Introduction. Language ..... Reflections on Nigeria's literacy culture. The. Guardian ...

  20. Vocal acrobatics in a Chinese frog, Amolops tormotus

    Science.gov (United States)

    Feng, Albert; Narins, Peter; Xu, Chun-He

    2002-06-01

    Although amphibians are highly vocal, they generally emit only a limited number of acoustic communication signals. We report here the extraordinarily rich vocal repertoire of Amolops tormotus, a ranid species in China. These frogs produce countless vocalizations, some of which share features of birdsong or primate calls, e.g., ultrasonic frequency components, multiple upward and downward FM sweeps, and sudden onset and offset of selective harmonic components within a call note. Frame-by-frame video analysis of the frog's calling behavior suggests the presence of two pairs of vocal sacs that may contribute to the remarkable call-note complexity in this species. Electronic supplementary material to this paper can be obtained by using the Springer LINK server located at http://dx.doi.org/10.1007/s00114-002-0335-x.

  1. Corrigendum: Cultural Relativity in Perceiving Emotion From Vocalizations.

    Science.gov (United States)

    2014-12-01

    Gendron, M., Roberson, D., van der Vyver, J. M., & Barrett, L. F. (2014). Cultural relativity in perceiving emotion from vocalizations. Psychological Science, 25, 911-920. (Original DOI: 10.1177/0956797613517239 ).

  2. Semiotic aspects of human nonverbal vocalizations: a functional imaging study.

    Science.gov (United States)

    Dietrich, Susanne; Hertrich, Ingo; Alter, Kai; Ischebeck, Anja; Ackermann, Hermann

    2007-12-03

    Humans produce a variety of distinct nonverbal vocalizations. Whereas affective bursts, for example, laughter, have an intrinsic communicative role bound to social behavior, vegetative sounds, for example, snoring, just signal autonomic-physiological states. However, the latter events, for example, belching, may also be used as intentional communicative actions (vocal gestures), characterized by an arbitrary culture-dependent sound-to-meaning (semiotic) relationship, comparable to verbal utterances. Using a decision task, hemodynamic responses to affective bursts, vegetative sounds, and vocal gestures were measured by means of functional magnetic resonance imaging. Affective bursts elicited activation of anterior left superior temporal gyrus. In contrast, arbitrary vocal gestures yielded hemodynamic reactions of the left temporo-parietal junction. Conceivably, a listener's interpretation of nonverbal utterances as intentional events depends upon a left-hemisphere temporo-parietal 'auditory-to-meaning interface' related to our mechanisms of speech processing.

  3. A HMM-Based Method for Vocal Fold Pathology Diagnosis

    Directory of Open Access Journals (Sweden)

    Vahid Majidnezhad

    2012-11-01

    Full Text Available Acoustic analysis is a proper method in vocal fold pathology diagnosis so that it can complement and in some cases replace the other invasive, based on direct vocal fold observations methods. There are different approaches for vocal fold pathology diagnosis. This paper presents a method based on hidden markov model which classifies speeches into two classes: the normal and the pathological. Two hidden markov models are trained based on these two classes of speech and then the trained models are used to classify the dataset. The proposed method is able to classify the speeches with an accuracy of 93.75%. The results of this algorithm provide insights that can help biologists and computer scientists design high-performance system for detection of vocal fold pathology diagnosis.

  4. [Management of T1a vocal fold carcinoma].

    Science.gov (United States)

    Reiter, R; Brosch, S; Smith, E; Pickhard, A

    2013-12-01

    About 2/3 of the larynx carcinomas affect the vocal chords. The main risk factor is smoking. Carcinomas in this localisation often arise from leukoplakias with dysplasia. A typical symptom is dysphonia. Arrest of vibration in microlaryngostroboscopy is a hint that a carcinoma could be present. Transoral laser cordectomy or radiotherapy show equivalent oncological results and results in quality of voice in the treatment of vocal fold carcinoma (T1a). As lymph node and distant metastasis are very rare, follow-up can concentrate on microlaryngoscopy. In case of a suspicious area on the vocal fold, biopsy of the affected tissue is needed to plan correct treatment. The prognosis of the T1 vocal chord carcinoma is quite good with a 5-year survival rate of almost 100%.

  5. Vocal tract filtering and sound radiation in a songbird

    National Research Council Canada - National Science Library

    Nelson, Brian S; Beckers, Gabriël J L; Suthers, Roderick A

    2005-01-01

    .... Several studies have described the dynamics with which birds actively vary beak gape while singing and it has been hypothesized that birds vary beak gape as a mechanism for varying vocal tract resonances...

  6. Dynamic expression of cadherins regulates vocal development in a songbird.

    Directory of Open Access Journals (Sweden)

    Eiji Matsunaga

    Full Text Available BACKGROUND: Since, similarly to humans, songbirds learn their vocalization through imitation during their juvenile stage, they have often been used as model animals to study the mechanisms of human verbal learning. Numerous anatomical and physiological studies have suggested that songbirds have a neural network called 'song system' specialized for vocal learning and production in their brain. However, it still remains unknown what molecular mechanisms regulate their vocal development. It has been suggested that type-II cadherins are involved in synapse formation and function. Previously, we found that type-II cadherin expressions are switched in the robust nucleus of arcopallium from cadherin-7-positive to cadherin-6B-positive during the phase from sensory to sensorimotor learning stage in a songbird, the Bengalese finch. Furthermore, in vitro analysis using cultured rat hippocampal neurons revealed that cadherin-6B enhanced and cadherin-7 suppressed the frequency of miniature excitatory postsynaptic currents via regulating dendritic spine morphology. METHODOLOGY/PRINCIPAL FINDINGS: To explore the role of cadherins in vocal development, we performed an in vivo behavioral analysis of cadherin function with lentiviral vectors. Overexpression of cadherin-7 in the juvenile and the adult stages resulted in severe defects in vocal production. In both cases, harmonic sounds typically seen in the adult Bengalese finch songs were particularly affected. CONCLUSIONS/SIGNIFICANCE: Our results suggest that cadherins control vocal production, particularly harmonic sounds, probably by modulating neuronal morphology of the RA nucleus. It appears that the switching of cadherin expressions from sensory to sensorimotor learning stage enhances vocal production ability to make various types of vocalization that is essential for sensorimotor learning in a trial and error manner.

  7. Social ultrasonic vocalization in awake head-restrained mouse

    Directory of Open Access Journals (Sweden)

    Benjamin Weiner

    2016-12-01

    Full Text Available Numerous animal species emit vocalizations in response to various social stimuli. The neural basis of vocal communication has been investigated in monkeys, songbirds, rats, bats and invertebrates resulting in deep insights into motor control, neural coding and learning. Mice, which recently became very popular as a model system for mammalian neuroscience, also utilize ultrasonic vocalizations (USVs during mating behavior. However, our knowledge is lacking of both the behavior and its underlying neural mechanism. We developed a novel method for head-restrained male mice (HRMM to interact with non-restrained female mice (NRFM and show that mice can emit USVs in this context. We first recorded USVs in free arena with non-restrained male mice (NRMM and NRFM. Of the NRMM, which vocalized in the free arena, the majority could be habituated to also vocalize while head-restrained but only when a female mouse was present in proximity. The USVs emitted by HRMM are similar to the USVs of NRMM in the presence of a female mouse in their spectral structure, inter syllable interval distribution and USV sequence length, and therefore are interpreted as social USVs. By analyzing vocalizations of NRMM, we established criteria to predict which individuals are likely to vocalize while head fixed based on the USV rate and average syllable duration. To characterize the USVs emitted by HRMM, we analyzed the syllable composition of HRMM and NRMM and found that USVs emitted by HRMM have higher proportions of USVs with complex spectral representation, supporting previous studies showing that mice social USVs are context dependent. Our results suggest a way to study the neural mechanisms of production and control of social vocalization in mice using advanced methods requiring head fixation.

  8. Anatomical Study Of Minor Alterations In Neonate Vocal Folds.

    OpenAIRE

    Adriano Rezende Silva; Almiro José Machado Júnior; Agrício Nubiato Crespo

    2015-01-01

    INTRODUCTION: Minor structural alterations of the vocal fold cover are frequent causes of voice abnormalities. They may be difficult to diagnose, and are expressed in different manners. Cases of intracordal cysts, sulcus vocalis, mucosal bridge, and laryngeal micro-diaphragm form the group of minor structural alterations of the vocal fold cover investigated in the present study. The etiopathogenesis and epidemiology of these alterations are poorly known. OBJECTIVE: To evaluate the existe...

  9. Vocal Characteristics and Laryngoscopic Findings in Future Musical Theater Performers.

    Science.gov (United States)

    D'haeseleer, Evelien; Claeys, Sofie; Meerschman, Iris; Bettens, Kim; Degeest, Sofie; Dijckmans, Caroline; De Smet, Joke; Luyten, Anke; Van Lierde, Kristiane

    2017-07-01

    Musical theater performers are a special group of elite vocal performers with a high vocal load as they combine singing, acting, and physical performance. As they are absolutely depending on their voice quality and vocal capacities for their studies and their future profession, an optimal voice production is very important. The purpose of this study was to determine the voice quality of musical theater students. The voice quality of seven students was then reevaluated 1 year after the first assessment. Observational study. Thirty-one musical students (7 men and 24 women) with a mean age of 20 years participated in the study. To determine the voice quality, objective (aerodynamic measurements, voice range profile, acoustic analysis, and Dysphonia Severity Index) and subjective (videolaryngostroboscopy, Voice Handicap Indexes, and questionnaires regarding voice symptoms and risk factors) voice measurements were performed. The median Dysphonia Severity Index in male and female musical students was respectively 5.3 and 5.7, both corresponding with an overall good voice quality. The questionnaires revealed the presence of vocal fatigue, dryness of the throat, vocal tract discomfort, and harmful vocal habits in the majority of students. In 45% of the subjects, videolaryngostroboscopic evaluation of the vocal folds showed an organic lesion. The majority of these lesions are inflammatory lesions (26%). In 68% of the subjects, a certain degree of supraglottic constriction was observed. Despite the overall good voice quality, videolaryngostroboscopy showed a high presence of vocal fold lesions and supraglottic constriction during phonation. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  10. Vocal accuracy and neural plasticity following micromelody-discrimination training.

    Directory of Open Access Journals (Sweden)

    Jean Mary Zarate

    Full Text Available BACKGROUND: Recent behavioral studies report correlational evidence to suggest that non-musicians with good pitch discrimination sing more accurately than those with poorer auditory skills. However, other studies have reported a dissociation between perceptual and vocal production skills. In order to elucidate the relationship between auditory discrimination skills and vocal accuracy, we administered an auditory-discrimination training paradigm to a group of non-musicians to determine whether training-enhanced auditory discrimination would specifically result in improved vocal accuracy. METHODOLOGY/PRINCIPAL FINDINGS: We utilized micromelodies (i.e., melodies with seven different interval scales, each smaller than a semitone as the main stimuli for auditory discrimination training and testing, and we used single-note and melodic singing tasks to assess vocal accuracy in two groups of non-musicians (experimental and control. To determine if any training-induced improvements in vocal accuracy would be accompanied by related modulations in cortical activity during singing, the experimental group of non-musicians also performed the singing tasks while undergoing functional magnetic resonance imaging (fMRI. Following training, the experimental group exhibited significant enhancements in micromelody discrimination compared to controls. However, we did not observe a correlated improvement in vocal accuracy during single-note or melodic singing, nor did we detect any training-induced changes in activity within brain regions associated with singing. CONCLUSIONS/SIGNIFICANCE: Given the observations from our auditory training regimen, we therefore conclude that perceptual discrimination training alone is not sufficient to improve vocal accuracy in non-musicians, supporting the suggested dissociation between auditory perception and vocal production.

  11. Peripheral nerve grafts support regeneration after spinal cord injury.

    Science.gov (United States)

    Côté, Marie-Pascale; Amin, Arthi A; Tom, Veronica J; Houle, John D

    2011-04-01

    Traumatic insults to the spinal cord induce both immediate mechanical damage and subsequent tissue degeneration leading to a substantial physiological, biochemical, and functional reorganization of the spinal cord. Various spinal cord injury (SCI) models have shown the adaptive potential of the spinal cord and its limitations in the case of total or partial absence of supraspinal influence. Meaningful recovery of function after SCI will most likely result from a combination of therapeutic strategies, including neural tissue transplants, exogenous neurotrophic factors, elimination of inhibitory molecules, functional sensorimotor training, and/or electrical stimulation of paralyzed muscles or spinal circuits. Peripheral nerve grafts provide a growth-permissive substratum and local neurotrophic factors to enhance the regenerative effort of axotomized neurons when grafted into the site of injury. Regenerating axons can be directed via the peripheral nerve graft toward an appropriate target, but they fail to extend beyond the distal graft-host interface because of the deposition of growth inhibitors at the site of SCI. One method to facilitate the emergence of axons from a graft into the spinal cord is to digest the chondroitin sulfate proteoglycans that are associated with a glial scar. Importantly, regenerating axons that do exit the graft are capable of forming functional synaptic contacts. These results have been demonstrated in acute injury models in rats and cats and after a chronic injury in rats and have important implications for our continuing efforts to promote structural and functional repair after SCI.

  12. The Effect of Vocal Hygiene and Behavior Modification Instruction on the Self-Reported Vocal Health Habits of Public School Music Teachers

    Science.gov (United States)

    Hackworth, Rhonda S.

    2007-01-01

    This study examined the effects of vocal hygiene and behavior modification instruction on self-reported behaviors of music teachers. Subjects (N = 76) reported daily behaviors for eight weeks: water consumption, warm-up, talking over music/noise, vocal rest, nonverbal commands, and vocal problems. Subjects were in experimental group 1 or 2, or the…

  13. Exploring vocal recovery after cranial nerve injury in Bengalese finches.

    Science.gov (United States)

    Urbano, Catherine M; Peterson, Jennifer R; Cooper, Brenton G

    2013-02-08

    Songbirds and humans use auditory feedback to acquire and maintain their vocalizations. The Bengalese finch (Lonchura striata domestica) is a songbird species that rapidly modifies its vocal output to adhere to an internal song memory. In this species, the left side of the bipartite vocal organ is specialized for producing louder, higher frequencies (≥2.2kHz) and denervation of the left vocal muscles eliminates these notes. Thus, the return of higher frequency notes after cranial nerve injury can be used as a measure of vocal recovery. Either the left or right side of the syrinx was denervated by resection of the tracheosyringeal portion of the hypoglossal nerve. Histologic analyses of syringeal muscle tissue showed significant muscle atrophy in the denervated side. After left nerve resection, songs were mainly composed of lower frequency syllables, but three out of five birds recovered higher frequency syllables. Right nerve resection minimally affected phonology, but it did change song syntax; syllable sequence became abnormally stereotyped after right nerve resection. Therefore, damage to the neuromuscular control of sound production resulted in reduced motor variability, and Bengalese finches are a potential model for functional vocal recovery following cranial nerve injury.

  14. Modulation frequency and modulation level owing to vocal microtremor.

    Science.gov (United States)

    Schoentgen, Jean

    2002-08-01

    Vocal microtremor designates a normal slow modulation of the vocal cycle lengths of speakers who do not suffer from pathological tremor of the limbs and whose voices are not perceived as tremulous. Vocal microtremor is therefore distinct from pathological vocal tremor. The objective is to report data about the modulation frequency and modulation level owing to vocal microtremor. The modulation data have been obtained for vowels [a], [i], and [u] sustained by normophonic and mildly dysphonic male and female speakers. The results are the following. First, modulation frequencies and relative modulation levels do not differ significantly for male and female speakers, normophonic and mildly dysphonic speakers, as well as for vowel timbres [a], [i], and [u]. Second, the typical interquartile intervals of the modulation frequency and modulation level are equal to 2.0-4.7 Hz and 0.4%-1.3%, respectively. Third, dissimilarities between data reported by different studies are due to different cutoff frequencies below which spectral peaks are considered not to contribute to vocal microtremor.

  15. Vocal copying of individually distinctive signature whistles in bottlenose dolphins

    Science.gov (United States)

    King, Stephanie L.; Sayigh, Laela S.; Wells, Randall S.; Fellner, Wendi; Janik, Vincent M.

    2013-01-01

    Vocal learning is relatively common in birds but less so in mammals. Sexual selection and individual or group recognition have been identified as major forces in its evolution. While important in the development of vocal displays, vocal learning also allows signal copying in social interactions. Such copying can function in addressing or labelling selected conspecifics. Most examples of addressing in non-humans come from bird song, where matching occurs in an aggressive context. However, in other animals, addressing with learned signals is very much an affiliative signal. We studied the function of vocal copying in a mammal that shows vocal learning as well as complex cognitive and social behaviour, the bottlenose dolphin (Tursiops truncatus). Copying occurred almost exclusively between close associates such as mother–calf pairs and male alliances during separation and was not followed by aggression. All copies were clearly recognizable as such because copiers consistently modified some acoustic parameters of a signal when copying it. We found no evidence for the use of copying in aggression or deception. This use of vocal copying is similar to its use in human language, where the maintenance of social bonds appears to be more important than the immediate defence of resources. PMID:23427174

  16. Vocal interaction between children with Down syndrome and their parents.

    Science.gov (United States)

    Thiemann-Bourque, Kathy S; Warren, Steven F; Brady, Nancy; Gilkerson, Jill; Richards, Jeffrey A

    2014-08-01

    The purpose of this study was to describe differences in parent input and child vocal behaviors of children with Down syndrome (DS) compared with typically developing (TD) children. The goals were to describe the language learning environments at distinctly different ages in early childhood. Nine children with DS and 9 age-matched TD children participated; 4 children in each group were ages 9-11 months, and 5 were between 25 and 54 months. Measures were derived from automated vocal analysis. A digital language processor measured the richness of the child's language environment, including number of adult words, conversational turns, and child vocalizations. Analyses indicated no significant differences in words spoken by parents of younger versus older children with DS and significantly more words spoken by parents of TD children than parents of children with DS. Differences between the DS and TD groups were observed in rates of all vocal behaviors, with no differences noted between the younger versus older children with DS, and the younger TD children did not vocalize significantly more than the younger DS children. Parents of children with DS continue to provide consistent levels of input across the early language learning years; however, child vocal behaviors remain low after the age of 24 months, suggesting the need for additional and alternative intervention approaches.

  17. Emancipation of the voice: Vocal complexity as a fitness indicator.

    Science.gov (United States)

    Locke, John L

    2017-02-01

    Although language is generally spoken, most evolutionary proposals say little about any changes that may have induced vocal control. Here I suggest that the interaction of two changes in our species-one in sociality, the other in life history-liberated the voice from its affective moorings, enabling it to serve as a fitness cue or signal. The modification of life history increased the helplessness of infants, thus their competition for care, pressuring them to emit, and parents (and others) to evaluate, new vocal cues in bids for attention. This change elaborated and formalized the care communication system that was used in infancy and, because of parental adoption of social criteria, extended it into childhood, supporting the extrafamilial relationships that intensify in those stages. The remodeling of life history, in conjunction with intensified sociality, also enhanced vocal signaling in adolescence-a second stage that is unique to humans-and adulthood. Building on the new vocal skills and fitness criteria that emerged earlier, I claim that males with ornamented speech enjoyed advantages in their pursuit of dominance and reproductive opportunities in evolutionary history, as they do today. There are implications of this scenario for the mechanistic level of vocal diversification. Today, intentionality plays a role both in the instrumental crying of infants and the modulated vocalizations of adults. In evolutionary history, I claim that in both cases, spontaneously emitted behavioral cues elicited perceptible responses, giving rise to strategic signals that were sent, and processed, under a new and fundamentally different neural regime.

  18. Phonology and vocal behavior in toddlers with autism spectrum disorders.

    Science.gov (United States)

    Schoen, Elizabeth; Paul, Rhea; Chawarska, Katarzyna

    2011-06-01

    The purpose of this study is to examine the phonological and other vocal productions of children, 18-36 months, with autism spectrum disorder (ASD) and to compare these productions to those of age-matched and language-matched controls. Speech samples were obtained from 30 toddlers with ASD, 11 age-matched toddlers and 23 language-matched toddlers during either parent-child or clinician-child play sessions. Samples were coded for a variety of speech-like and nonspeech vocalization productions. Toddlers with ASD produced speech-like vocalizations similar to those of language-matched peers, but produced significantly more atypical nonspeech vocalizations when compared to both control groups. Toddlers with ASD show speech-like sound production that is linked to their language level, in a manner similar to that seen in typical development. The main area of difference in vocal development in this population is in the production of atypical vocalizations. Findings suggest that toddlers with ASDs do not tune into the language model of their environment. Failure to attend to the ambient language environment negatively impacts the ability to acquire spoken language. Copyright © 2011, International Society for Autism Research, Wiley Periodicals, Inc.

  19. Implicitly perceived vocal attractiveness modulates prefrontal cortex activity.

    Science.gov (United States)

    Bestelmeyer, Patricia E G; Latinus, Marianne; Bruckert, Laetitia; Rouger, Julien; Crabbe, Frances; Belin, Pascal

    2012-06-01

    Social interactions involve more than "just" language. As important is a more primitive nonlinguistic mode of communication acting in parallel with linguistic processes and driving our decisions to a much higher degree than is generally suspected. Amongst the "honest signals" that influence our behavior is perceived vocal attractiveness. Not only does vocal attractiveness reflect important biological characteristics of the speaker, it also influences our social perceptions according to the "what sounds beautiful is good" phenomenon. Despite the widespread influence of vocal attractiveness on social interactions revealed by behavioral studies, its neural underpinnings are yet unknown. We measured brain activity while participants listened to a series of vocal sounds ("ah") and performed an unrelated task. We found that voice-sensitive auditory and inferior frontal regions were strongly correlated with implicitly perceived vocal attractiveness. While the involvement of auditory areas reflected the processing of acoustic contributors to vocal attractiveness ("distance to mean" and spectrotemporal regularity), activity in inferior prefrontal regions (traditionally involved in speech processes) reflected the overall perceived attractiveness of the voices despite their lack of linguistic content. These results suggest the strong influence of hidden nonlinguistic aspects of communication signals on cerebral activity and provide an objective measure of this influence.

  20. The effect of superior auditory skills on vocal accuracy

    Science.gov (United States)

    Amir, Ofer; Amir, Noam; Kishon-Rabin, Liat

    2003-02-01

    The relationship between auditory perception and vocal production has been typically investigated by evaluating the effect of either altered or degraded auditory feedback on speech production in either normal hearing or hearing-impaired individuals. Our goal in the present study was to examine this relationship in individuals with superior auditory abilities. Thirteen professional musicians and thirteen nonmusicians, with no vocal or singing training, participated in this study. For vocal production accuracy, subjects were presented with three tones. They were asked to reproduce the pitch using the vowel /a/. This procedure was repeated three times. The fundamental frequency of each production was measured using an autocorrelation pitch detection algorithm designed for this study. The musicians' superior auditory abilities (compared to the nonmusicians) were established in a frequency discrimination task reported elsewhere. Results indicate that (a) musicians had better vocal production accuracy than nonmusicians (production errors of 1/2 a semitone compared to 1.3 semitones, respectively); (b) frequency discrimination thresholds explain 43% of the variance of the production data, and (c) all subjects with superior frequency discrimination thresholds showed accurate vocal production; the reverse relationship, however, does not hold true. In this study we provide empirical evidence to the importance of auditory feedback on vocal production in listeners with superior auditory skills.

  1. Vocal tract resonances in speech, singing, and playing musical instruments.

    Science.gov (United States)

    Wolfe, Joe; Garnier, Maëva; Smith, John

    2009-01-01

    IN BOTH THE VOICE AND MUSICAL WIND INSTRUMENTS, A VALVE (VOCAL FOLDS, LIPS, OR REED) LIES BETWEEN AN UPSTREAM AND DOWNSTREAM DUCT: trachea and vocal tract for the voice; vocal tract and bore for the instrument. Examining the structural similarities and functional differences gives insight into their operation and the duct-valve interactions. In speech and singing, vocal tract resonances usually determine the spectral envelope and usually have a smaller influence on the operating frequency. The resonances are important not only for the phonemic information they produce, but also because of their contribution to voice timbre, loudness, and efficiency. The role of the tract resonances is usually different in brass and some woodwind instruments, where they modify and to some extent compete or collaborate with resonances of the instrument to control the vibration of a reed or the player's lips, andor the spectrum of air flow into the instrument. We give a brief overview of oscillator mechanisms and vocal tract acoustics. We discuss recent and current research on how the acoustical resonances of the vocal tract are involved in singing and the playing of musical wind instruments. Finally, we compare techniques used in determining tract resonances and suggest some future developments.

  2. Vocal Interaction between Children with Down syndrome and their Parents

    Science.gov (United States)

    Thiemann-Bourque, Kathy S.; Warren, Steven F.; Brady, Nancy; Gilkerson, Jill; Richards, Jeffrey A.

    2014-01-01

    Purpose The purpose of this study was to describe differences in parent input and child vocal behaviors of children with Down syndrome (DS) compared to typically developing (TD) children. The goals were to describe the language learning environments at distinctly different ages in early childhood. Method Nine children with DS and 9 age-matched TD children participated; four children in each group were ages 9–11 months and five were between 25–54 months. Measures were derived from automated vocal analysis. A digital language processer measured the richness of the child’s language environment, including number of adult words, conversational turns, and child vocalizations. Results Analyses indicated no significant differences in words spoken by parents of younger vs. older children with DS, and significantly more words spoken by parents of TD children than parents of children with DS. Differences between the DS and TD groups were observed in rates of all vocal behaviors; with no differences noted between the younger vs. older children with DS, and the younger TD children did not vocalize significantly more than the younger DS children. Conclusions Parents of children with DS continue to provide consistent levels of input across the early language learning years; however, child vocal behaviors remain low after the age of 24 months suggesting the need for additional and alternative intervention approaches. PMID:24686777

  3. The anuran vocal sac: a tool for multimodal signalling

    Science.gov (United States)

    Starnberger, Iris; Preininger, Doris; Hödl, Walter

    2014-01-01

    Although in anurans the predominant mode of intra- and intersexual communication is vocalization, modalities used in addition to or instead of acoustic signals range from seismic and visual to chemical. In some cases, signals of more than one modality are produced through or by the anuran vocal sac. However, its role beyond acoustics has been neglected for some time and nonacoustic cues such as vocal sac movement have traditionally been seen as an epiphenomenon of sound production. The diversity in vocal sac coloration and shape found in different species is striking and recently its visual properties have been given a more important role in signalling. Chemosignals seem to be the dominant communication mode in newts, salamanders and caecilians and certainly play a role in the aquatic life phase of anurans, but airborne chemical signalling has received less attention. There is, however, increasing evidence that at least some terrestrial anuran species integrate acoustic, visual and chemical cues in species recognition and mate choice and a few secondarily mute anuran species seem to fully rely on volatile chemical cues produced in glands on the vocal sac. Within vertebrates, frogs in particular are suitable organisms for investigating multimodal communication by means of experiments, since they are tolerant of disturbance by observers and can be easily manipulated under natural conditions. Thus, the anuran vocal sac might be of great interest not only to herpetologists, but also to behavioural biologists studying communication systems. PMID:25389375

  4. Ontogeny of swift fox Vulpes velox vocalizations: production, usage and response

    DEFF Research Database (Denmark)

    Darden, Safi-Kirstine Klem; Dabelsteen, Torben

    2006-01-01

    Three processes, production, usage, and response, can be used to describe vocal ontogeny. They may develop independently of each other for a given vocalization and a given species as a result of the different selective pressures associated with each process. We have investigated vocal ontogeny...... in the swift fox Vulpes velox, using recordings and observations of captive foxes from the time of natal den emergence (age 3-4 weeks) to the time of natal dispersal in the wild (age 4-5 months). We first classified adult vocalizations used during the mating and pup rearing seasons into vocal types (19 types....... Two of the 3 adult vocalizations not observed in juveniles appear to be associated with mating and possibly territoriality and the third is a high intensity alarm vocalization. Apart from 3 vocal types (1 alarm and 2 non-agonistic), once vocalizations had appeared in the juvenile repertoire, they did...

  5. Comparative analysis of mineralocorticoid receptor expression among vocal learners (Bengalese finch and budgerigar) and non-vocal learners (quail and ring dove) has implications for the evolution of avian vocal learning.

    Science.gov (United States)

    Matsunaga, Eiji; Suzuki, Kenta; Kobayashi, Tetsuya; Okanoya, Kazuo

    2011-12-01

    Mineralocorticoid receptor is the receptor for corticosteroids such as corticosterone or aldosterone. Previously, we found that mineralocorticoid receptor was highly expressed in song nuclei of a songbird, Bengalese finch (Lonchura striata var. domestica). Here, to examine the relationship between mineralocorticoid receptor expression and avian vocal learning, we analyzed mineralocorticoid receptor expression in the developing brain of another vocal learner, budgerigar (Melopsittacus undulatus) and non-vocal learners, quail (Coturnix japonica) and ring dove (Streptopelia capicola). Mineralocorticoid receptor showed vocal control area-related expressions in budgerigars as Bengalese finches, whereas no such mineralocorticoid receptor expressions were seen in the telencephalon of non-vocal learners. Thus, these results suggest the possibility that mineralocorticoid receptor plays a role in vocal development of parrots as songbirds and that the acquisition of mineralocorticoid receptor expression is involved in the evolution of avian vocal learning.

  6. Slowing down facial movements and vocal sounds enhances facial expression recognition and facial-vocal imitation in children with autism

    OpenAIRE

    Tardif, Carole; Lainé, France; Rodriguez, Mélissa; Gepner, Bruno

    2007-01-01

    International audience; This study examined the effects of slowing down presentation of facial expressions and their corresponding vocal sounds on facial expression recognition and facial and/or vocal imitation in children with autism. Twelve autistic children and twenty-four normal control children were presented with emotional and non-emotional facial expressions on CD-Rom, under audio or silent conditions, and under dynamic visual conditions (slowly, very slowly, at normal speed) plus a st...

  7. Envelhecimento vocal em idosos instucionalizados Vocal aging of institutionalized elderly people

    Directory of Open Access Journals (Sweden)

    Letícia Neiva de Menezes

    2007-03-01

    Full Text Available OBJETIVOS: avaliar de forma perceptivo-auditiva as características vocais de idosos institucionalizados, identificar se essas características interferem no processo de comunicação e correlacioná-las com a avaliação das estruturas do sistema estomatognático e do padrão de fala. MÉTODOS: estudo clínico do tipo transversal, no qual foram realizadas anamneses e avaliações fonoaudiológicas em uma amostra aleatória de 48 indivíduos idosos, residentes na Casa do Ancião Francisco Azevedo - Belo Horizonte/MG, que não apresentavam nenhum tipo de alteração neurológica, uma vez que, buscou-se traçar as manifestações fonoaudiológicas de idosos em processo de envelhecimento sadio. Utilizou-se protocolos específicos, desenvolvidos pelas autoras, de acordo com os aspectos pertinentes aos objetivos do presente estudo. RESULTADOS: na avaliação perceptivo-auditiva da qualidade vocal, constatou-se predominantemente qualidade vocal rouca (70,8%, em grau moderado (33,3%, loudness reduzida (56,2%, pitch grave (62,5% e tempos máximos de fonação reduzidos (81,2%. Dos 48 participantes, 85,4% relataram que a voz não interfere no processo de comunicação. Em relação aos padrões de fala, predominaram inteligibilidade preservada (83,3%, articulação preservada (72,9% e precisão articulatória preservada (83,3%. CONCLUSÕES: existem alterações nos parâmetros referentes à voz decorrentes da idade, sendo que elas não interferem na comunicação e mantêm relação diversa com outras mudanças nas estruturas do sistema estomatognático. Este estudo veio complementar as pesquisas na área de voz envolvendo indivíduos da terceira idade, sob processo de envelhecimento sadio e residentes em instituições de longa permanência.PURPOSES: to investigate vocal aspects related to healthy aging in the institutionalized elderly people, and to identify if these aspects interfer with communication and correlate vocal changes with motor oral system

  8. Auditory responses in the amygdala to social vocalizations

    Science.gov (United States)

    Gadziola, Marie A.

    The underlying goal of this dissertation is to understand how the amygdala, a brain region involved in establishing the emotional significance of sensory input, contributes to the processing of complex sounds. The general hypothesis is that communication calls of big brown bats (Eptesicus fuscus) transmit relevant information about social context that is reflected in the activity of amygdalar neurons. The first specific aim analyzed social vocalizations emitted under a variety of behavioral contexts, and related vocalizations to an objective measure of internal physiological state by monitoring the heart rate of vocalizing bats. These experiments revealed a complex acoustic communication system among big brown bats in which acoustic cues and call structure signal the emotional state of a sender. The second specific aim characterized the responsiveness of single neurons in the basolateral amygdala to a range of social syllables. Neurons typically respond to the majority of tested syllables, but effectively discriminate among vocalizations by varying the response duration. This novel coding strategy underscores the importance of persistent firing in the general functioning of the amygdala. The third specific aim examined the influence of acoustic context by characterizing both the behavioral and neurophysiological responses to natural vocal sequences. Vocal sequences differentially modify the internal affective state of a listening bat, with lower aggression vocalizations evoking the greatest change in heart rate. Amygdalar neurons employ two different coding strategies: low background neurons respond selectively to very few stimuli, whereas high background neurons respond broadly to stimuli but demonstrate variation in response magnitude and timing. Neurons appear to discriminate the valence of stimuli, with aggression sequences evoking robust population-level responses across all sound levels. Further, vocal sequences show improved discrimination among stimuli

  9. Role of vocal tract characteristics in individual discrimination by Japanese macaques (Macaca fuscata)

    Science.gov (United States)

    Furuyama, Takafumi; Kobayasi, Kohta I.; Riquimaroux, Hiroshi

    2016-01-01

    The Japanese macaque (Macaca fuscata) exhibits a species-specific communication sound called the “coo call” to locate group members and maintain within-group contact. Monkeys have been demonstrated to be capable of discriminating between individuals based only on their voices, but there is still debate regarding how the fundamental frequencies (F0) and filter properties of the vocal tract characteristics (VTC) contribute to individual discrimination in nonhuman primates. This study was performed to investigate the acoustic keys used by Japanese macaques in individual discrimination. Two animals were trained with standard Go/NoGo operant conditioning to distinguish the coo calls of two unfamiliar monkeys. The subjects were required to continue depressing a lever until the stimulus changed from one monkey to the other. The test stimuli were synthesized by combining the F0s and VTC from each individual. Both subjects released the lever when the VTC changed, whereas they did not when the F0 changed. The reaction times to the test stimuli were not significantly different from that to the training stimuli that shared the same VTC. Our data suggest that vocal tract characteristics are important for the identification of individuals by Japanese macaques. PMID:27550840

  10. Biomarkers in spinal cord injury.

    NARCIS (Netherlands)

    Pouw, M.H.; Hosman, A.J.F.; Middendorp, J.J. van; Verbeek, M.M.; Vos, P.E.; Meent, H. van de

    2009-01-01

    STUDY DESIGN: Literature review. OBJECTIVES: In traumatic spinal cord injury (SCI), much effort has been put into the evaluation of SCI severity and the prediction of recovery potential. An accurate prediction of the initial damage of the spinal cord that differentiates between the severities of SCI

  11. Cutting the Cord-2

    Science.gov (United States)

    2004-01-01

    This animation shows the view from the rear hazard avoidance cameras on the Mars Exploration Rover Spirit as the rover turns 45 degrees clockwise. This maneuver is the first step in a 3-point turn that will rotate the rover 115 degrees to face west. The rover must make this turn before rolling off the lander because airbags are blocking it from exiting from the front lander petal. Before this crucial turn took place, engineers instructed the rover to cut the final cord linking it to the lander. The turn took around 30 minutes to complete.

  12. Cutting the Cord

    Science.gov (United States)

    2004-01-01

    This animation shows the view from the front hazard avoidance cameras on the Mars Exploration Rover Spirit as the rover turns 45 degrees clockwise. This maneuver is the first step in a 3-point turn that will rotate the rover 115 degrees to face west. The rover must make this turn before rolling off the lander because airbags are blocking it from exiting off the front lander petal. Before this crucial turn could take place, engineers instructed the rover to cut the final cord linking it to the lander. The turn took around 30 minutes to complete.

  13. Non-song vocalizations of pygmy blue whales in Geographe Bay, Western Australia.

    Science.gov (United States)

    Recalde-Salas, A; Salgado Kent, C P; Parsons, M J G; Marley, S A; McCauley, R D

    2014-05-01

    Non-song vocalizations of migrating pygmy blue whales (Balaenoptera musculus brevicauda) in Western Australia are described. Simultaneous land-based visual observations and underwater acoustic recordings detected 27 groups in Geographe Bay, WA over 2011 to 2012. Six different vocalizations were recorded that were not repeated in a pattern or in association with song, and thus were identified as non-song vocalizations. Five of these were not previously described for this population. Their acoustic characteristics and context are presented. Given that 56% of groups vocalized, 86% of which produced non-song vocalizations and 14% song units, the inclusion of non-song vocalizations in passive-acoustic monitoring is proposed.

  14. Resting-associated vocalization emitted by captive Asian house shrews (Suncus murinus: acoustic structure and variability in an unusual mammalian vocalization.

    Directory of Open Access Journals (Sweden)

    Irena Schneiderová

    Full Text Available Shrews have rich vocal repertoires that include vocalizations within the human audible frequency range and ultrasonic vocalizations. Here, we recorded and analyzed in detail the acoustic structure of a vocalization with unclear functional significance that was spontaneously produced by 15 adult, captive Asian house shrews (Suncus murinus while they were lying motionless and resting in their nests. This vocalization was usually emitted repeatedly in a long series with regular intervals. It showed some structural variability; however, the shrews most frequently emitted a tonal, low-frequency vocalization with minimal frequency modulation and a low, non-vocal click that was clearly noticeable at its beginning. There was no effect of sex, but the acoustic structure of the analyzed vocalizations differed significantly between individual shrews. The encoded individuality was low, but it cannot be excluded that this individuality would allow discrimination of family members, i.e., a male and female with their young, collectively resting in a common nest. The question remains whether the Asian house shrews indeed perceive the presence of their mates, parents or young resting in a common nest via the resting-associated vocalization and whether they use it to discriminate among their family members. Additional studies are needed to explain the possible functional significance of resting-associated vocalizations emitted by captive Asian house shrews. Our study highlights that the acoustic communication of shrews is a relatively understudied topic, particularly considering that they are highly vocal mammals.

  15. Retraining the injured spinal cord

    Science.gov (United States)

    Edgerton, V. R.; Leon, R. D.; Harkema, S. J.; Hodgson, J. A.; London, N.; Reinkensmeyer, D. J.; Roy, R. R.; Talmadge, R. J.; Tillakaratne, N. J.; Timoszyk, W.; Tobin, A.

    2001-01-01

    The present review presents a series of concepts that may be useful in developing rehabilitative strategies to enhance recovery of posture and locomotion following spinal cord injury. First, the loss of supraspinal input results in a marked change in the functional efficacy of the remaining synapses and neurons of intraspinal and peripheral afferent (dorsal root ganglion) origin. Second, following a complete transection the lumbrosacral spinal cord can recover greater levels of motor performance if it has been exposed to the afferent and intraspinal activation patterns that are associated with standing and stepping. Third, the spinal cord can more readily reacquire the ability to stand and step following spinal cord transection with repetitive exposure to standing and stepping. Fourth, robotic assistive devices can be used to guide the kinematics of the limbs and thus expose the spinal cord to the new normal activity patterns associated with a particular motor task following spinal cord injury. In addition, such robotic assistive devices can provide immediate quantification of the limb kinematics. Fifth, the behavioural and physiological effects of spinal cord transection are reflected in adaptations in most, if not all, neurotransmitter systems in the lumbosacral spinal cord. Evidence is presented that both the GABAergic and glycinergic inhibitory systems are up-regulated following complete spinal cord transection and that step training results in some aspects of these transmitter systems being down-regulated towards control levels. These concepts and observations demonstrate that (a) the spinal cord can interpret complex afferent information and generate the appropriate motor task; and (b) motor ability can be defined to a large degree by training.

  16. Acoustic, respiratory kinematic and electromyographic effects of vocal training

    Science.gov (United States)

    Mendes, Ana Paula De Brito Garcia

    The longitudinal effects of vocal training on the respiratory, phonatory and articulatory systems were investigated in this study. During four semesters, fourteen voice major students were recorded while speaking and singing. Acoustic, temporal, respiratory kinematic and electromyographic parameters were measured to determine changes in the three systems as a function of vocal training. Acoustic measures of the speaking voice included fundamental frequency, sound pressure level (SPL), percent jitter and shimmer, and harmonic-to-noise ratio. Temporal measures included duration of sentences, diphthongs and the closure durations of stop consonants. Acoustic measures of the singing voice included fundamental frequency and sound pressure level of the phonational range, vibrato pulses per second, vibrato amplitude variation and the presence of the singer's formant. Analysis of the data revealed that vocal training had a significant effect on the singing voice. Fundamental frequency and SPL of the 90% level and 90--10% of the phonational range increased significantly during four semesters of vocal training. Physiological data was collected from four subjects during three semesters of vocal training. Respiratory kinematic measures included lung volume, rib cage and abdominal excursions extracted from spoken sung samples. Descriptive statistics revealed that rib cage and abdominal excursions increased from the 1st to the 2nd semester and decrease from the 2nd to the 3rd semester of vocal training. Electromyographic measures of the pectoralis major, rectus abdominis and external obliques muscles revealed that burst duration means decreased from the 1st to the 2nd semester and increased from the 2nd to the 3rd semester. Peak amplitude means increased from the 1st to the 2nd and decreased from the 2nd to the 3rd semester of vocal training. Chest wall excursions and muscle force generation of the three muscles increased as the demanding level and the length of the phonatory

  17. Projections from the 'cingular' vocalization area in the squirrel monkey.

    Science.gov (United States)

    Müller-Preuss, P; Jürgens, U

    1976-02-13

    In 5 squirrel monkeys the anatomical projections from the 'cingular' vocalization area were studied by the autoradiographic tracing technique. The 'cingular' vocalization area lies around the sulcus cinguli at the level of the genu of the corpus callosum; its electrical stimulation yields purring and cackling calls. The following efferent connections were found: corticocortical fibers could be traced into the orbital cortex (areas 10 and 11), dorsomedial frontal cortex (areas 9, 8 and 6), limbic cortex (areas 25, 24 and 23), Broca's area (area 44), frontal operculum (area 50), insula (areas 13 and 14), and auditory association cortex (area 22). Subcortical terminal fields within the telencephalon were found in the nucleus caudatus, putamen, claustrum, globus pallidus, olfactory tubercle, preoptic region and nucleus centralis and basolateralis amygdalae. Fibers reached most of these structures along different trajectories. In the diencephalon terminal fields lay in the dorsal hypothalamus, the subthalamus, lateral habenular nucleus, and the following thalamic nuclei: nucleus reticularis, ventralis anterior, centralis medialis, centralis superior lateralis, centralis inferior, submedius, medialis dorsalis and centrum medianum. In the midbrain, the periaqueductal gray was the only projection area, extending into the parabrachial nuclei at the pontomesencephalic transition. The most caudal terminal field was found in the medial pontine gray. No terminals were detected in the nucleus ambiguus, nucleus n. hypoglossi or in any other cranial motor nucleus involved in phonation processes. A comparison of this projection system with the whole of structures producing vocalization when electrically stimulated yielded only partial overlap. Not all vocalization areas lie within the 'cingular' projection system, and inversely, not the whole projection system yielded vocalization. Overlap took place in the anterior limbic cortex, preoptic region, central amygdaloid nucleus

  18. Measurement of Young's modulus of vocal folds by indentation.

    Science.gov (United States)

    Chhetri, Dinesh K; Zhang, Zhaoyan; Neubauer, Juergen

    2011-01-01

    To assess the accuracy of the indentation method for stiffness measurements and to estimate the Young's modulus of the vocal fold using this technique. Basic science. Indentation tests were performed using a range of indenter diameters and indentation depths on single- and double-layer silicone rubber models with various cover-layer thicknesses with known geometry and Young's moduli. Measurements were repeated on intact vocal folds and isolated muscle and cover-layer samples from three cadaveric human larynges. Indentation on single-layer rubber models yielded Young's moduli with acceptable accuracy when the indentation depth was equal to or smaller than the indenter diameter, and both were smaller than the physical dimensions of the material sample. On two-layer models, the stiffness estimation was similarly influenced by indenter diameter and indentation depth, and acceptable accuracy was reached when indentation depth was much smaller than the height of the top cover layer. Measurements on midmembranous vocal fold tissue revealed location-dependent Young's moduli (in kPa) as follows: intact hemilarynx, 8.6 (range=5.3-13.1); isolated inferior medial surface cover, 7.5 (range=7-7.9); isolated medial surface cover, 4.8 (range=3.9-5.7); isolated superior surface cover, 2.9 (range=2.7-3.2); and isolated thyroarytenoid muscle, 2.0 (range=1.3-2.7). Indenter diameter, indentation depth, and material thickness are important parameters in the measurement of vocal fold stiffness using the indentation technique. Measurements on human larynges showed location-dependent differences in stiffness. The stiffness of the vocal folds was also found to be higher when the vocal fold structure was still attached to the laryngeal framework compared with that when the vocal fold was separated from the framework. Copyright © 2011 The Voice Foundation. Published by Mosby, Inc. All rights reserved.

  19. Finite element modelling of vocal tract changes after voice therapy

    Directory of Open Access Journals (Sweden)

    Vampola T.

    2011-06-01

    Full Text Available Two 3D finite element (FE models were constructed, based on CT measurements of a subject phonating on [a:] before and after phonation into a tube. Acoustic analysis was performed by exciting the models with acoustic flow velocity at the vocal folds. The generated acoustic pressure of the response was computed in front of the mouth and inside the vocal tract for both FE models. Average amplitudes of the pressure oscillations inside the vocal tract and in front of the mouth were compared to display the cost-efficiency of sound energy transfer at different formant frequencies. The formants F1–F3 correspond to classical vibration modes also solvable by 1D vocal tract model. However, for higher formants, there occur more complicated transversal modes which require 3D modelling. A special attention is given to the higher frequency range (above 3.5 Hz where transversal modes exist between piriform sinuses and valleculae. Comparison of the pressure oscillation inside and outside the vocal tract showed that formants differ in their efficiency, F4 (at about 3.5 kHz, i.e. at the speaker’s or singer’s formant region being the most effective. The higher formants created a clear formant cluster around 4 kHz after the vocal exercise with the tube. Since the human ear is most sensitive to frequencies between 2 and 4 kHz concentration of sound energy in this frequency region (F4–F5 is effective for communication. The results suggest that exercising using phonation into tubes help in improving the vocal economy.

  20. SMART IRRIGATION TECHNIQUE USING VOCAL COMMANDS

    Directory of Open Access Journals (Sweden)

    V.Divya

    2013-02-01

    Full Text Available In this wireless communication era, mobile phones have become a necessity in the common man’s life. Besides being capable of making calls and sending messages, the latest advancements in mobile phones facilitate them to connect to the internet also. With these capabilities, there has been an unprecedented use of mobile phones in many areas of automation. One such area where mobile phone can help with the automation is irrigation process. The main aim of the work is to simplify the method of irrigation using vocal commands through the mobile phone. The Farmer just needs to call a fixed number and utter the control commands through his phone. The control system at the field involves a PIC microcontroller interfaced with GSM modem to receive the command from the farmer and a voice recognition unit which decodes it. The motor is turned on/off according to the decoded commands by the controller. In addition, the system also sends back a message to the farmer’s mobile about the action that has taken place. The power detection and battery backup unit helps in detecting the power availability in the field and inform the farmer about the same, even if the there is no supply at the field. The moisture sensor attached to the system helps in collecting the moisture content of the soil and switch off the motor after it reaches the required value.

  1. [Vocal care: question of prevention and health].

    Science.gov (United States)

    Guimarães, Valeriana de Castro; Viana, Maria Aparecida do Divino Espírito Santo Reis; Barbosa, Maria Alves; Paiva, Maria Luiza de Faria; Tavares, João Antonio Gomes; Camargo, Leandro Azevedo de

    2010-09-01

    Planned by Brazilian doctors, the National Week of the Voice (Semana Nacional da Voz) conquered the world due to the huge reached success. This study has the objective to demonstrate the results reached during the 9th National Week of the Voice (9ª Semana Nacional da Voz) that took place in the Hospital das Clínicas of the Federal University of Goiás. During the event, 125 patients had been selected by the phonoaudiology team and manually filled a questionnaire elaborated for the campaign in the validity of possible pharyngolaryngeal alterations. The patients had been examined by the otorhinolaryngologist using indirect laryngoscopy and, when necessary, submitted to videolaryngoscopy. After medical evaluation, it was observed that 52 people (41.6%) had presented alterations in the speech organs or in proximal regions, in one patient paralysis of left vocal fold was detected and one patient presented tumoral injury. Considering all the patients attended, only one presented malignant neoplasm (squamous cell carcinoma), confirmed later by biopsy.

  2. Quantification of the vocal folds’ dynamic displacements

    Science.gov (United States)

    del Socorro Hernández-Montes, María; Muñoz, Silvino; De La Torre, Manuel; Flores, Mauricio; Pérez, Carlos; Mendoza-Santoyo, Fernando

    2016-05-01

    Fast dynamic data acquisition techniques are required to investigate the motional behavior of the vocal folds (VFs) when they are subjected to a steady air-flow through the trachea. High-speed digital holographic interferometry (DHI) is a non-invasive full-field-of-view technique that has proved its usefulness to study rapid and non-repetitive object movements. Hence it is an ideal technique used here to measure VF displacements and vibration patterns at 2000 fps. Analyses from a set of 200 displacement images showed that VFs’ vibration cycles are established along their width (y) and length (x). Furthermore, the maximum deformation for the right and left VFs’ area may be quantified from these images, which in itself represents an important result in the characterization of this structure. At a controlled air pressure, VF displacements fall within the range ~100-1740 nm, with a calculated precision and accuracy that yields a variation coefficient of 1.91%. High-speed acquisition of full-field images of VFs and their displacement quantification are on their own significant data in the study of their functional and physiological behavior since voice quality and production depend on how they vibrate, i.e. their displacement amplitude and frequency. Additionally, the use of high speed DHI avoids prolonged examinations and represents a significant scientific and technological alternative contribution in advancing the knowledge and working mechanisms of these tissues.

  3. Facial biases on vocal perception and memory.

    Science.gov (United States)

    Boltz, Marilyn G

    2017-06-01

    Does a speaker's face influence the way their voice is heard and later remembered? This question was addressed through two experiments where in each, participants listened to middle-aged voices accompanied by faces that were either age-appropriate, younger or older than the voice or, as a control, no face at all. In Experiment 1, participants evaluated each voice on various acoustical dimensions and speaker characteristics. The results showed that facial displays influenced perception such that the same voice was heard differently depending on the age of the accompanying face. Experiment 2 further revealed that facial displays led to memory distortions that were age-congruent in nature. These findings illustrate that faces can activate certain social categories and preconceived stereotypes that then influence vocal and person perception in a corresponding fashion. Processes of face/voice integration are very similar to those of music/film, indicating that the two areas can mutually inform one another and perhaps, more generally, reflect a centralized mechanism of cross-sensory integration. Copyright © 2017 Elsevier B.V. All rights reserved.

  4. Colored Contact Lens Dangers

    Medline Plus

    Full Text Available ... Vision and Daily Eye Drops After One Use Facts About Colored Contacts and Halloween Safety Colored Contact Lens Facts Over-the-Counter Costume Contacts May Contain Chemicals ...

  5. Colored Contact Lens Dangers

    Medline Plus

    Full Text Available ... One Use Facts About Colored Contacts and Halloween Safety Colored Contact Lens Facts Over-the-Counter Costume ... use of colored contact lenses , from the U.S. Food and Drug Administration (FDA). Are the colored lenses ...

  6. Umbilical cord blood transplantation.

    Science.gov (United States)

    Koo, Hong Hoe; Ahn, Hyo Seop

    2012-07-01

    Since the first umbilical cord blood transplantation (CBT) in 1998, cord blood (CB) has now become one of the most commonly used sources of hematopoietic stem cells for transplantation. CBT has advantages of easy procurement, no risk to donor, low risk of transmitting infections, immediate availability and immune tolerance allowing successful transplantation despite human leukocyte antigen disparity. Several studies have shown that the number of cells transplanted is the most important factor for engraftment in CBT, and it limits the wide use of CB in adult patients. New strategies for facilitating engraftment and reducing transplantation-related mortality are ongoing in the field of CBT and include the use of a reduced-intensity conditioning regimen, double-unit CBT, ex vivo expansion of CB, and co-transplantation of CB and mesenchymal stem cells. Recently, the results of two international studies with large sample sizes showed that CB is an acceptable alternative source of hematopoietic stem cells for adult recipients who lack human leukocyte antigen-matched adult donors. Along with the intensive researches, development in banking process of CB will amplify the use of CB and offer the chance for cure in more patients.

  7. Umbilical cord blood transplantation

    Directory of Open Access Journals (Sweden)

    Hong Hoe Koo

    2012-07-01

    Full Text Available Since the first umbilical cord blood transplantation (CBT in 1998, cord blood (CB has now become one of the most commonly used sources of hematopoietic stem cells for transplantation. CBT has advantages of easy procurement, no risk to donor, low risk of transmitting infections, immediate availability and immune tolerance allowing successful transplantation despite human leukocyte antigen disparity. Several studies have shown that the number of cells transplanted is the most important factor for engraftment in CBT, and it limits the wide use of CB in adult patients. New strategies for facilitating engraftment and reducing transplantation-related mortality are ongoing in the field of CBT and include the use of a reduced-intensity conditioning regimen, double-unit CBT, ex vivo expansion of CB, and co-transplantation of CB and mesenchymal stem cells. Recently, the results of two international studies with large sample sizes showed that CB is an acceptable alternative source of hematopoietic stem cells for adult recipients who lack human leukocyte antigen-matched adult donors. Along with the intensive researches, development in banking process of CB will amplify the use of CB and offer the chance for cure in more patients.

  8. Linear Classifier with Reject Option for the Detection of Vocal Fold Paralysis and Vocal Fold Edema

    Science.gov (United States)

    Kotropoulos, Constantine; Arce, Gonzalo R.

    2009-12-01

    Two distinct two-class pattern recognition problems are studied, namely, the detection of male subjects who are diagnosed with vocal fold paralysis against male subjects who are diagnosed as normal and the detection of female subjects who are suffering from vocal fold edema against female subjects who do not suffer from any voice pathology. To do so, utterances of the sustained vowel "ah" are employed from the Massachusetts Eye and Ear Infirmary database of disordered speech. Linear prediction coefficients extracted from the aforementioned utterances are used as features. The receiver operating characteristic curve of the linear classifier, that stems from the Bayes classifier when Gaussian class conditional probability density functions with equal covariance matrices are assumed, is derived. The optimal operating point of the linear classifier is specified with and without reject option. First results using utterances of the "rainbow passage" are also reported for completeness. The reject option is shown to yield statistically significant improvements in the accuracy of detecting the voice pathologies under study.

  9. Attitudes Towards Individuals with Spinal Cord Injuries

    Science.gov (United States)

    Conway, Cassandra Sligh D.; Gooden, Randy; Nowell, Jennifer; Wilson, Navodda

    2010-01-01

    This paper will shed light on the lives of persons with spinal cord injuries by revealing the literature on spinal cord injuries that focuses on research that can shed light on attitudes towards persons with spinal cord injuries. The background literature related to incidences, the definition of spinal cord injury, and vocational opportunities are…

  10. Understanding Vocalization Might Help to Assess Stressful Conditions in Piglets

    Directory of Open Access Journals (Sweden)

    Diego Pereira Neves

    2013-09-01

    Full Text Available Assessing pigs’ welfare is one of the most challenging subjects in intensive pig farming. Animal vocalization analysis is a noninvasive procedure and may be used as a tool for assessing animal welfare status. The objective of this research was to identify stress conditions in piglets reared in farrowing pens through their vocalization. Vocal signals were collected from 40 animals under the following situations: normal (baseline, feeling cold, in pain, and feeling hunger. A unidirectional microphone positioned about 15 cm from the animals’ mouth was used for recording the acoustic signals. The microphone was connected to a digital recorder, where the signals were digitized at the 44,100 Hz frequency. The collected sounds were edited and analyzed. The J48 decision tree algorithm available at the Weka® data mining software was used for stress classification. It was possible to categorize diverse conditions from the piglets’ vocalization during the farrowing phase (pain, cold and hunger, with an accuracy rate of 81.12%. Results indicated that vocalization might be an effective welfare indicator, and it could be applied for assessing distress from pain, cold and hunger in farrowing piglets.

  11. Effect of Vocal Fry on Voice and on Velopharyngeal Sphincter

    Directory of Open Access Journals (Sweden)

    Elias, Vanessa Santos

    2016-01-01

    Full Text Available Introduction It is known that the basal sound promotes shortening and adduction of the vocal folds and leaves the mucosa looser. However there are few studies that address the supralaryngeal physiological findings obtained using the technique. Objective To check the effectiveness of using vocal fry on the voice and velopharingeal port closure of five adult subjects, whose cleft palate has been corrected with surgery. Methods Case study with five subjects who underwent otolaryngology examination by means of nasopharyngoscopy for imaging and measurement of the region of velopharyngeal port closure before and after using the vocal fry technique for three minutes. During the exam, the subjects sustained the isolated vowel /a:/ in their usual pitch and loudness. The emission of the vowel /a:/ was also used for perceptual analysis and spectrographic evaluation of their voices. Results Four subjects had an improvement in the region of velopharyngeal port closure; the results of the spectrographic evaluation were indicative of decreased hypernasality, and the results of the auditory-perceptual analysis suggested improved overall vocal quality, adequacy of loudness, decreased hypernasality, improvement of type of voice and decreased hoarseness. Conclusion This study showed a positive effect of vocal fry on voice and greater velopharyngeal port closure.

  12. Different Vocal Parameters Predict Perceptions of Dominance and Attractiveness.

    Science.gov (United States)

    Hodges-Simeon, Carolyn R; Gaulin, Steven J C; Puts, David A

    2010-12-01

    Low mean fundamental frequency (F(0)) in men's voices has been found to positively influence perceptions of dominance by men and attractiveness by women using standardized speech. Using natural speech obtained during an ecologically valid social interaction, we examined relationships between multiple vocal parameters and dominance and attractiveness judgments. Male voices from an unscripted dating game were judged by men for physical and social dominance and by women in fertile and non-fertile menstrual cycle phases for desirability in short-term and long-term relationships. Five vocal parameters were analyzed: mean F(0) (an acoustic correlate of vocal fold size), F(0) variation, intensity (loudness), utterance duration, and formant dispersion (D(f), an acoustic correlate of vocal tract length). Parallel but separate ratings of speech transcripts served as controls for content. Multiple regression analyses were used to examine the independent contributions of each of the predictors. Physical dominance was predicted by low F(0) variation and physically dominant word content. Social dominance was predicted only by socially dominant word content. Ratings of attractiveness by women were predicted by low mean F(0), low D(f), high intensity, and attractive word content across cycle phase and mating context. Low D(f) was perceived as attractive by fertile-phase women only. We hypothesize that competitors and potential mates may attend more strongly to different components of men's voices because of the different types of information these vocal parameters provide.

  13. Superfast vocal muscles control song production in songbirds.

    Directory of Open Access Journals (Sweden)

    Coen P H Elemans

    Full Text Available Birdsong is a widely used model for vocal learning and human speech, which exhibits high temporal and acoustic diversity. Rapid acoustic modulations are thought to arise from the vocal organ, the syrinx, by passive interactions between the two independent sound generators or intrinsic nonlinear dynamics of sound generating structures. Additionally, direct neuromuscular control could produce such rapid and precisely timed acoustic features if syringeal muscles exhibit rare superfast muscle contractile kinetics. However, no direct evidence exists that avian vocal muscles can produce modulations at such high rates. Here, we show that 1 syringeal muscles are active in phase with sound modulations during song over 200 Hz, 2 direct stimulation of the muscles in situ produces sound modulations at the frequency observed during singing, and that 3 syringeal muscles produce mechanical work at the required frequencies and up to 250 Hz in vitro. The twitch kinematics of these so-called superfast muscles are the fastest measured in any vertebrate muscle. Superfast vocal muscles enable birds to directly control the generation of many observed rapid acoustic changes and to actuate the millisecond precision of neural activity into precise temporal vocal control. Furthermore, birds now join the list of vertebrate classes in which superfast muscle kinetics evolved independently for acoustic communication.

  14. Vocal tract dimensional characteristics of professional male and female singers with different types of singing voices.

    Science.gov (United States)

    Yan, Nan; Ng, Manwa L; Man, Mok Ka; To, Tsz Hin

    2013-10-01

    The present study examined the possible relationship between classification of professional singing voices and their vocal tract parameters including vocal tract length and volume, and vowel formant frequencies. Acoustic reflection technology (ART) was used to measure vocal tract length and volume of 107 professional singers: 32 tenors, 25 baritones, 27 sopranos, and 23 mezzo-sopranos. The first three formant frequencies (F1-F3) of the English vowels /a, æ, i/ produced by the professional singers were also obtained. Results indicated significantly shorter oral and vocal tract length, and smaller oral and vocal tract volume associated with sopranos when compared with mezzo-sopranos. Acoustically, sopranos had higher F1, F2, and F3 values than mezzo-sopranos. The present findings suggest that, in addition to vocal tract length, vocal tract volume may also affect formant frequencies, implying the possibility that classifying professional singing voices is based on both vocal tract length and volume information.

  15. The vocal repertoire of the African Penguin (Spheniscus demersus): structure and function of calls

    National Research Council Canada - National Science Library

    Favaro, Livio; Ozella, Laura; Pessani, Daniela

    2014-01-01

    The African Penguin (Spheniscus demersus) is a highly social and vocal seabird. However, currently available descriptions of the vocal repertoire of African Penguin are mostly limited to basic descriptions of calls...

  16. Viscous flow features in scaled-up physical models of normal and pathological vocal phonation

    Energy Technology Data Exchange (ETDEWEB)

    Erath, Byron D., E-mail: berath@purdue.ed [School of Mechanical Engineering, Purdue University, 585 Purdue Mall, West Lafayette, IN 47907 (United States); Plesniak, Michael W., E-mail: plesniak@gwu.ed [Department of Mechanical and Aerospace Engineering, George Washington University, 801 22nd Street NW, Suite 739, Washington, DC 20052 (United States)

    2010-06-15

    Unilateral vocal fold paralysis results when the recurrent laryngeal nerve, which innervates the muscles of the vocal folds becomes damaged. The loss of muscle and tension control to the damaged vocal fold renders it ineffectual. The mucosal wave disappears during phonation, and the vocal fold becomes largely immobile. The influence of unilateral vocal fold paralysis on the viscous flow development, which impacts speech quality within the glottis during phonation was investigated. Driven, scaled-up vocal fold models were employed to replicate both normal and pathological patterns of vocal fold motion. Spatial and temporal velocity fields were captured using particle image velocimetry, and laser Doppler velocimetry. Flow parameters were scaled to match the physiological values associated with human speech. Loss of motion in one vocal fold resulted in a suppression of typical glottal flow fields, including decreased spatial variability in the location of the flow separation point throughout the phonatory cycle, as well as a decrease in the vorticity magnitude.

  17. Adult Vampire Bats Produce Contact Calls When Isolated: Acoustic Variation by Species, Population, Colony, and Individual

    Science.gov (United States)

    Carter, Gerald G.; Logsdon, Ryane; Arnold, Bryan D.; Menchaca, Angelica; Medellin, Rodrigo A.

    2012-01-01

    Background Bat pups produce individually distinct isolation calls to facilitate maternal recognition. Increasing evidence suggests that, in group-living bat species, adults often use similar calls to maintain contact. We investigated if isolated adults from all three species of the highly cooperative vampire bats (Phyllostomidae: Desmodontinae) would produce vocally distinct contact calls when physically isolated. Methods/Principal Findings We assessed variation in contact calls recorded from isolated captive and wild-caught adult common vampire bats (Desmodus rotundus), white-winged vampire bats (Diaemus youngi) and hairy-legged vampire bats (Diphylla ecaudata). We compared species-typical contact call structure, and used information theory and permuted discriminate function analyses to examine call structure variation, and to determine if the individuality of contact calls is encoded by different call features across species and populations. We found that isolated adult vampire bats produce contact calls that vary by species, population, colony, and individual. However, much variation occurred within a single context and individual. We estimated signature information for captive Diaemus (same colony), captive Desmodus (same colony), and wild Desmodus (different colonies) at 3.21, 3.26, and 3.88 bits, respectively. Contact calls from a captive colony of Desmodus were less individually distinct than calls from wild-caught Desmodus from different colonies. Both the degree of individuality and parameters encoding individuality differed between the bats from a single captive colony and the wild-caught individuals from different groups. This result is consistent with, but not sufficient evidence of, vocal convergence in groups. Conclusion Our results show that adult vampire bats of all three species produce highly variable contact calls when isolated. Contact calls contain sufficient information for vocal discrimination, but also possess more intra-individual variation

  18. Adult vampire bats produce contact calls when isolated: acoustic variation by species, population, colony, and individual.

    Directory of Open Access Journals (Sweden)

    Gerald G Carter

    Full Text Available BACKGROUND: Bat pups produce individually distinct isolation calls to facilitate maternal recognition. Increasing evidence suggests that, in group-living bat species, adults often use similar calls to maintain contact. We investigated if isolated adults from all three species of the highly cooperative vampire bats (Phyllostomidae: Desmodontinae would produce vocally distinct contact calls when physically isolated. METHODS/PRINCIPAL FINDINGS: We assessed variation in contact calls recorded from isolated captive and wild-caught adult common vampire bats (Desmodus rotundus, white-winged vampire bats (Diaemus youngi and hairy-legged vampire bats (Diphylla ecaudata. We compared species-typical contact call structure, and used information theory and permuted discriminate function analyses to examine call structure variation, and to determine if the individuality of contact calls is encoded by different call features across species and populations. We found that isolated adult vampire bats produce contact calls that vary by species, population, colony, and individual. However, much variation occurred within a single context and individual. We estimated signature information for captive Diaemus (same colony, captive Desmodus (same colony, and wild Desmodus (different colonies at 3.21, 3.26, and 3.88 bits, respectively. Contact calls from a captive colony of Desmodus were less individually distinct than calls from wild-caught Desmodus from different colonies. Both the degree of individuality and parameters encoding individuality differed between the bats from a single captive colony and the wild-caught individuals from different groups. This result is consistent with, but not sufficient evidence of, vocal convergence in groups. CONCLUSION: Our results show that adult vampire bats of all three species produce highly variable contact calls when isolated. Contact calls contain sufficient information for vocal discrimination, but also possess more intra

  19. The effects of physiological adjustments on the perceptual and acoustical characteristics of simulated laryngeal vocal tremor

    OpenAIRE

    Rosemary A Lester; Story, Brad H.

    2015-01-01

    The purpose of this study was to determine if adjustments to the voice source [i.e., fundamental frequency (F0), degree of vocal fold adduction] or vocal tract filter (i.e., vocal tract shape for vowels) reduce the perception of simulated laryngeal vocal tremor and to determine if listener perception could be explained by characteristics of the acoustical modulations. This research was carried out using a computational model of speech production that allowed for precise control and manipulati...

  20. Caracterização vocal de pacientes com hipertireoidismo e hipotireoidismo Vocal characterization of patients with hyperthyroidism and hypothyroidism

    Directory of Open Access Journals (Sweden)

    Roberta Werlang Isolan-Cury

    2007-06-01

    Full Text Available OBJETIVO: Caracterizar a qualidade vocal, por meio de análise computadorizada e perceptivo-auditiva, de pacientes com hipertireoidismo (grupo A e hipotireoidismo (grupo B. MÉTODOS: Vinte mulheres não fumantes, com idades entre 18 e 55 anos, atendidas no Ambulatório de Endocrinologia da instituição, foram avaliadas após o diagnóstico clínico e laboratorial de hipertireoidismo ou hipotireoidismo. Os parâmetros investigados foram: tempo da doença, presença de queixa vocal, tempos máximos de fonação /a/, /s/ e /z/, freqüência fundamental (F0, ruído glótico (GNE. Os aspectos avaliados na análise perceptivo-auditiva, foram: coordenação pneumo-fonoarticulatória (coordenada ou incoordenada, pitch, loudness, ataque vocal, ressonância, velocidade de fala e qualidade vocal, que poderia ter até duas das seguintes classificações: neutra, rouca, soprosa, áspera ou tensa, e grau: leve, moderado ou severo. Os dados foram tabulados e analisados estatisticamente através do programa EPI-INFO 6.04b, método qualitativo Fisher, com nível de significância menor do que 0.05. RESULTADOS: A análise perceptivo-auditiva mostrou que sete pacientes hipotireoideos e nove pacientes hipertireoideos apresentaram alteração na qualidade vocal. Oito pacientes em ambos os grupos apresentaram incoordenação pneumo-fonoarticulatória. Oito pacientes do grupo A e seis pacientes do grupo B referiam queixas vocais como rouquidão e voz grossa, respectivamente. Na análise acústica, nove pacientes apresentaram o ruído glótico alterado. CONCLUSÃO: Os resultados evidenciaram grande incidência de alteração vocal nos grupos estudados (grupos dos pacientes com hipertireoidismo e com hipotireoidismo, o que demonstra a relação entre disfonia e disfunções tireoideanas.PURPOSE: To characterize the vocal quality of subjects with hyperthyroidism (group A, and hypothyroidism (group B through a computer-aided and auditory-perceptive analysis. METHODS

  1. A Canonical Biomechanical Vocal Fold Model

    Science.gov (United States)

    Bhattacharya, Pinaki; Siegmund, Thomas H.

    2012-01-01

    Summary The present article aimed at constructing a canonical geometry of the human vocal fold (VF) from subject-specific image slice data. A computer-aided design approach automated the model construction. A subject-specific geometry available in literature, three abstractions (which successively diminished in geometric detail) derived from it, and a widely used quasi two-dimensional VF model geometry were used to create computational models. The first three natural frequencies of the models were used to characterize their mechanical response. These frequencies were determined for a representative range of tissue biomechanical properties, accounting for underlying VF histology. Compared with the subject-specific geometry model (baseline), a higher degree of abstraction was found to always correspond to a larger deviation in model frequency (up to 50% in the relevant range of tissue biomechanical properties). The model we deemed canonical was optimally abstracted, in that it significantly simplified the VF geometry compared with the baseline geometry but can be recalibrated in a consistent manner to match the baseline response. Models providing only a marginally higher degree of abstraction were found to have significant deviation in predicted frequency response. The quasi two-dimensional model presented an extreme situation: it could not be recalibrated for its frequency response to match the subject-specific model. This deficiency was attributed to complex support conditions at anterior-posterior extremities of the VFs, accentuated by further issues introduced through the tissue biomechanical properties. In creating canonical models by leveraging advances in clinical imaging techniques, the automated design procedure makes VF modeling based on subject-specific geometry more realizable. PMID:22209063

  2. International Spinal Cord Injury

    DEFF Research Database (Denmark)

    Dvorak, M F; Itshayek, E; Fehlings, M G

    2015-01-01

    the final version. RESULTS: The data set consists of nine variables: (1) Intervention/Procedure Date and start time (2) Non-surgical bed rest and external immobilization, (3) Spinal intervention-closed manipulation and/or reduction of spinal elements, (4) Surgical procedure-approach, (5) Date and time......STUDY DESIGN: Survey of expert opinion, feedback and final consensus. OBJECTIVE: To describe the development and the variables included in the International Spinal Cord Injury (SCI) Spinal Interventions and Surgical Procedures Basic Data set. SETTING: International working group. METHODS...... of the completion of the intervention or surgical closure; (6) Surgical procedure-open reduction, (7) Surgical procedure-direct decompression of neural elements, and (8 and 9) Surgical procedure-stabilization and fusion (spinal segment number and level). All variables are coded using numbers or characters. Each...

  3. Facial, Olfactory, and Vocal Cues to Female Reproductive Value

    Directory of Open Access Journals (Sweden)

    Susanne Röder

    2013-04-01

    Full Text Available Facial, olfactory, and vocal cues may advertise women's fertility. However, most of the evidence for this proposal has come from studies of changes in young adult women's attractiveness over the menstrual cycle. By contrast with this emphasis on changes in attractiveness over the menstrual cycle, possible changes in women's attractiveness over their lifespan have received little attention. The present study investigated men's ratings of young girls' (11–15 years old, adult women's (19–30 years old and circum-menopausal women's (50–65 years old facial, body odor, and vocal attractiveness and femininity. Faces and voices, but not body odors, of young girls and adult women were perceived to be significantly more attractive and feminine than those of circum-menopausal women. These data suggest that facial and vocal cues may be cues to women's reproductive value, but that body odor cues do not necessarily advertise this information.

  4. Neurons controlling voluntary vocalization in the macaque ventral premotor cortex.

    Directory of Open Access Journals (Sweden)

    Gino Coudé

    Full Text Available The voluntary control of phonation is a crucial achievement in the evolution of speech. In humans, ventral premotor cortex (PMv and Broca's area are known to be involved in voluntary phonation. In contrast, no neurophysiological data are available about the role of the oro-facial sector of nonhuman primates PMv in this function. In order to address this issue, we recorded PMv neurons from two monkeys trained to emit coo-calls. Results showed that a population of motor neurons specifically fire during vocalization. About two thirds of them discharged before sound onset, while the remaining were time-locked with it. The response of vocalization-selective neurons was present only during conditioned (voluntary but not spontaneous (emotional sound emission. These data suggest that the control of vocal production exerted by PMv neurons constitutes a newly emerging property in the monkey lineage, shedding light on the evolution of phonation-based communication from a nonhuman primate species.

  5. Perceptual fluency and judgments of vocal aesthetics and stereotypicality.

    Science.gov (United States)

    Babel, Molly; McGuire, Grant

    2015-05-01

    Research has shown that processing dynamics on the perceiver's end determine aesthetic pleasure. Specifically, typical objects, which are processed more fluently, are perceived as more attractive. We extend this notion of perceptual fluency to judgments of vocal aesthetics. Vocal attractiveness has traditionally been examined with respect to sexual dimorphism and the apparent size of a talker, as reconstructed from the acoustic signal, despite evidence that gender-specific speech patterns are learned social behaviors. In this study, we report on a series of three experiments using 60 voices (30 females) to compare the relationship between judgments of vocal attractiveness, stereotypicality, and gender categorization fluency. Our results indicate that attractiveness and stereotypicality are highly correlated for female and male voices. Stereotypicality and categorization fluency were also correlated for male voices, but not female voices. Crucially, stereotypicality and categorization fluency interacted to predict attractiveness, suggesting the role of perceptual fluency is present, but nuanced, in judgments of human voices.

  6. Vocal changes in patients undergoing radiation therapy for glottic carcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Miller, S.; Harrison, L.B.; Solomon, B.; Sessions, R.B. (Memorial Sloan-Kettering Cancer Center, New York, NY (USA))

    1990-06-01

    A prospective evaluation of vocal changes in patients receiving radiation therapy for T1 and T2 (AJC) glottic carcinoma was undertaken in January 1987. Vocal analysis was performed prior to radiotherapy and at specific intervals throughout the radiation treatment program. The voicing ratio was extrapolated from a sustained vowel phonation using the Visipitch interfaced with the IBM-PC. Preliminary observations suggested three distinct patterns of vocal behavior: 1. reduced voicing ratio with precipitous improvement within the course of treatment, 2. high initial voicing ratio with reduction secondary to radiation induced edema, with rapid improvement in the voicing component after the edema subsided, and 3. fluctuating voicing ratio during and following treatment. Enrollment of new patients and a 2-year follow-up of current patients was undertaken.

  7. Non-Linguistic Vocal Event Detection Using Online Random

    DEFF Research Database (Denmark)

    Abou-Zleikha, Mohamed; Tan, Zheng-Hua; Christensen, Mads Græsbøll

    2014-01-01

    Accurate detection of non-linguistic vocal events in social signals can have a great impact on the applicability of speech enabled interactive systems. In this paper, we investigate the use of random forest for vocal event detection. Random forest technique has been successfully employed in many...... areas such as object detection, face recognition, and audio event detection. This paper proposes to use online random forest technique for detecting laughter and filler and for analyzing the importance of various features for non-linguistic vocal event classification through permutation. The results...... show that according to the Area Under Curve measure the online random forest achieved 88.1% compared to 82.9% obtained by the baseline support vector machines for laughter classification and 86.8% to 83.6% for filler classification....

  8. Vocal Function in Introverts and Extraverts during a Psychological Stress Reactivity Protocol

    Science.gov (United States)

    Dietrich, Maria; Verdolini Abbott, Katherine

    2012-01-01

    Purpose: To examine the proposal that introversion predictably influences extralaryngeal and vocal behavior in vocally healthy individuals compared with individuals with extraversion and whether differences are of a nature that may support a risk hypothesis for primary muscle tension dysphonia. Method: Fifty-four vocally healthy female adults…

  9. Audio-vocal interaction in single neurons of the monkey ventrolateral prefrontal cortex.

    Science.gov (United States)

    Hage, Steffen R; Nieder, Andreas

    2015-05-06

    Complex audio-vocal integration systems depend on a strong interconnection between the auditory and the vocal motor system. To gain cognitive control over audio-vocal interaction during vocal motor control, the PFC needs to be involved. Neurons in the ventrolateral PFC (VLPFC) have been shown to separately encode the sensory perceptions and motor production of vocalizations. It is unknown, however, whether single neurons in the PFC reflect audio-vocal interactions. We therefore recorded single-unit activity in the VLPFC of rhesus monkeys (Macaca mulatta) while they produced vocalizations on command or passively listened to monkey calls. We found that 12% of randomly selected neurons in VLPFC modulated their discharge rate in response to acoustic stimulation with species-specific calls. Almost three-fourths of these auditory neurons showed an additional modulation of their discharge rates either before and/or during the monkeys' motor production of vocalization. Based on these audio-vocal interactions, the VLPFC might be well positioned to combine higher order auditory processing with cognitive control of the vocal motor output. Such audio-vocal integration processes in the VLPFC might constitute a precursor for the evolution of complex learned audio-vocal integration systems, ultimately giving rise to human speech.

  10. Neural Networks Involved in Voluntary and Involuntary Vocal Pitch Regulation in Experienced Singers

    Science.gov (United States)

    Zarate, Jean Mary; Wood, Sean; Zatorre, Robert J.

    2010-01-01

    In an fMRI experiment, we tested experienced singers with singing tasks to investigate neural correlates of voluntary and involuntary vocal pitch regulation. We shifted the pitch of auditory feedback (plus or minus 25 or 200 cents), and singers either: (1) ignored the shift and maintained their vocal pitch or (2) changed their vocal pitch to…

  11. Impact of Visual, Vocal, and Lexical Cues on Judgments of Counselor Qualities

    Science.gov (United States)

    Strahan, Carole; Zytowski, Donald G.

    1976-01-01

    Undergraduate students (N=130) rated Carl Rogers via visual, lexical, vocal, or vocal-lexical communication channels. Lexical cues were more important in creating favorable impressions among females. Subsequent exposure to combined visual-vocal-lexical cues resulted in warmer and less distant ratings, but not on a consistent basis. (Author)

  12. Peripheral Mechanisms for Vocal Production in Birds--Differences and Similarities to Human Speech and Singing

    Science.gov (United States)

    Riede, Tobias; Goller, Franz

    2010-01-01

    Song production in songbirds is a model system for studying learned vocal behavior. As in humans, bird phonation involves three main motor systems (respiration, vocal organ and vocal tract). The avian respiratory mechanism uses pressure regulation in air sacs to ventilate a rigid lung. In songbirds sound is generated with two independently…

  13. Coos, booms, and hoots: The evolution of closed-mouth vocal behavior in birds.

    Science.gov (United States)

    Riede, Tobias; Eliason, Chad M; Miller, Edward H; Goller, Franz; Clarke, Julia A

    2016-08-01

    Most birds vocalize with an open beak, but vocalization with a closed beak into an inflating cavity occurs in territorial or courtship displays in disparate species throughout birds. Closed-mouth vocalizations generate resonance conditions that favor low-frequency sounds. By contrast, open-mouth vocalizations cover a wider frequency range. Here we describe closed-mouth vocalizations of birds from functional and morphological perspectives and assess the distribution of closed-mouth vocalizations in birds and related outgroups. Ancestral-state optimizations of body size and vocal behavior indicate that closed-mouth vocalizations are unlikely to be ancestral in birds and have evolved independently at least 16 times within Aves, predominantly in large-bodied lineages. Closed-mouth vocalizations are rare in the small-bodied passerines. In light of these results and body size trends in nonavian dinosaurs, we suggest that the capacity for closed-mouth vocalization was present in at least some extinct nonavian dinosaurs. As in birds, this behavior may have been limited to sexually selected vocal displays, and hence would have co-occurred with open-mouthed vocalizations. © 2016 The Author(s). Evolution © 2016 The Society for the Study of Evolution.

  14. The Relationship between Perception of Vocal Effort and Relative Fundamental Frequency during Voicing Offset and Onset

    Science.gov (United States)

    Stepp, Cara E.; Sawin, Devon E.; Eadie, Tanya L.

    2012-01-01

    Purpose: In this study, the authors aimed to determine the relationship between relative fundamental frequency (RFF) and listener perception of vocal effort in individuals with varying degrees of vocal hyperfunction. Method: Thirty women diagnosed with voice disorders commonly associated with vocal hyperfunction and 10 healthy women provided…

  15. Apoptosis and Vocal Fold Disease: Clinically Relevant Implications of Epithelial Cell Death

    Science.gov (United States)

    Novaleski, Carolyn K.; Carter, Bruce D.; Sivasankar, M. Preeti; Ridner, Sheila H.; Dietrich, Mary S.; Rousseau, Bernard

    2017-01-01

    Purpose: Vocal fold diseases affecting the epithelium have a detrimental impact on vocal function. This review article provides an overview of apoptosis, the most commonly studied type of programmed cell death. Because apoptosis can damage epithelial cells, this article examines the implications of apoptosis on diseases affecting the vocal fold…

  16. Effects of Three Types of Noncontingent Auditory Stimulation on Vocal Stereotypy in Children with Autism

    Science.gov (United States)

    Saylor, Sharyn; Sidener, Tina M.; Reeve, Sharon A.; Fetherston, Anne; Progar, Patrick R.

    2012-01-01

    We evaluated the effects of 3 types of noncontingent auditory stimulation (music, white noise, recordings of vocal stereotypy) on 2 children with autism who engaged in high rates of vocal stereotypy. For both participants, the music condition was the most effective in decreasing vocal stereotypy to near-zero levels, resulted in the highest parent…

  17. Contact Dermatitis in Pediatrics.

    Science.gov (United States)

    Pelletier, Janice L; Perez, Caroline; Jacob, Sharon E

    2016-08-01

    Contact dermatitis is an umbrella term that describes the skin's reaction to contacted noxious or allergenic substances. The two main categories of contact dermatitis are irritant type and allergic type. This review discusses the signs, symptoms, causes, and complications of contact dermatitis. It addresses the testing, treatment, and prevention of contact dermatitis. Proper management of contact dermatitis includes avoidance measures for susceptible children. Implementation of a nickel directive (regulating the use of nickel in jewelry and other products that come into contact with the skin) could further reduce exposure to the most common allergens in the pediatric population. [Pediatr Ann. 2016;45(8):e287-e292.].

  18. Differential expression of glutamate receptors in avian neural pathways for learned vocalization.

    Science.gov (United States)

    Wada, Kazuhiro; Sakaguchi, Hironobu; Jarvis, Erich D; Hagiwara, Masatoshi

    2004-08-01

    Learned vocalization, the substrate for human language, is a rare trait. It is found in three distantly related groups of birds-parrots, hummingbirds, and songbirds. These three groups contain cerebral vocal nuclei for learned vocalization not found in their more closely related vocal nonlearning relatives. Here, we cloned 21 receptor subunits/subtypes of all four glutamate receptor families (AMPA, kainate, NMDA, and metabotropic) and examined their expression in vocal nuclei of songbirds. We also examined expression of a subset of these receptors in vocal nuclei of hummingbirds and parrots, as well as in the brains of dove species as examples of close vocal nonlearning relatives. Among the 21 subunits/subtypes, 19 showed higher and/or lower prominent differential expression in songbird vocal nuclei relative to the surrounding brain subdivisions in which the vocal nuclei are located. This included relatively lower levels of all four AMPA subunits in lMAN, strikingly higher levels of the kainite subunit GluR5 in the robust nucleus of the arcopallium (RA), higher and lower levels respectively of the NMDA subunits NR2A and NR2B in most vocal nuclei and lower levels of the metabotropic group I subtypes (mGluR1 and -5) in most vocal nuclei and the group II subtype (mGluR2), showing a unique expression pattern of very low levels in RA and very high levels in HVC. The splice variants of AMPA subunits showed further differential expression in vocal nuclei. Some of the receptor subunits/subtypes also showed differential expression in hummingbird and parrot vocal nuclei. The magnitude of differential expression in vocal nuclei of all three vocal learners was unique compared with the smaller magnitude of differences found for nonvocal areas of vocal learners and vocal nonlearners. Our results suggest that evolution of vocal learning was accompanied by differential expression of a conserved gene family for synaptic transmission and plasticity in vocal nuclei. They also suggest

  19. HVC contributes toward conspecific contact call responding in male Bengalese finches.

    Science.gov (United States)

    Urbano, Catherine M; Aston, Avery E; Cooper, Brenton G

    2016-05-04

    The processes of producing and acquiring birdsong, like human speech, utilize interdependent neural systems for vocal learning and production. In addition to song, these brain areas are undoubtedly used for other affiliative behaviors. Oscine sound production is lateralized because their vocal organ contains two independently controlled sound sources. Therefore, songbirds offer a unique opportunity to study the biological relevance of lateralized behavioral control. Bengalese finches (Lonchura striata domestica) produce different types of sound with each sound source: the left sound generator produces tonal frequencies from 1 to 4 kHz and the right sound source produces the lower frequency (<2 kHz) tonal and broadband sounds. We sought to investigate whether the premotor nucleus HVC contributes toward lateralized auditory processing of conspecific vocalizations. We ablated either the left or the right HVC and tested birds with the callback paradigm using female contact calls that were filtered to accentuate particular frequency ranges. The results show that (a) the acoustic frequency of call stimuli drives different patterns of calling behavior and that (b) both HVC nuclei contribute toward contact call production, but HVC ablation does not alter the number of short calls produced upon hearing a female contact call. These data are consistent with the emerging view that the motor production and auditory processing are linked and suggest that HVC may contribute toward affiliative behaviors by promoting the production of contact call responses.

  20. Adaptive vocal behavior drives perception by echolocation in bats

    DEFF Research Database (Denmark)

    Moss, Cynthia F; Chiu, Chen; Surlykke, Annemarie

    2011-01-01

    Echolocation operates through adaptive sensorimotor systems that collectively enable the bat to localize and track sonar objects as it flies. The features of sonar signals used by a bat to probe its surroundings determine the information available to its acoustic imaging system. In turn, the bat......'s perception of a complex scene guides its active adjustments in the features of subsequent sonar vocalizations. Here, we propose that the bat's active vocal-motor behaviors play directly into its representation of a dynamic auditory scene....