Vocal fold bulging effects on phonation using a biophysical computer model

Glottal adduction is a primary laryngeal variable that helps to determine glottal configuration and phonatory output. Greater adduction of the vocal folds can be produced by narrowing the gap between the vocal processes or by bulging the medial surface of the vocal folds. This study examined phonatory effects due to changing the degree of bulging using a computational model. Bulging was modeled as a quadratic surface and was related to active muscle stress. Results indicated that bulging had a significant effect on glottal flow resistance, maximum glottal width and area, and mean glottal volume velocity. The results are discussed relative to clinical issues of hyperfunction.     

Intraglottal pressure profiles for a symmetric and oblique glottis with a divergence angle of 10 degrees

Human phonation does not always involve symmetric motions of the two vocal folds. Asymmetric motions can create slanted or oblique glottal angles. This study reports intraglottal pressure profiles for a Plexiglas model of the larynx with a glottis having a 10-degree divergence angle and either a symmetric orientation or an oblique angle of 15 degrees. For the oblique glottis, one side was divergent and the other convergent. The vocal fold surfaces had 14 pressure taps. The minimal glottal diameter was held constant at 0.04 cm. Results indicated that for either the symmetric or oblique case, the pressure profiles were different on the two sides of the glottis except for the symmetric geometry for a transglottal pressure of 3 cm H2O. For the symmetric case, flow separation created lower pressures on the side where the flow stayed attached to the wall, and the largest pressure differences between the two sides of the channel were 5%-6% of the transglottal pressure. For the oblique case, pressures were lower on the divergent glottal side near the glottal entry and exit, and the cross-channel pressures at the glottis entrance differed by 27% of the transglottal pressure. The empirical pressure distributions were supported by computational results. The observed aerodynamic asymmetries could be a factor contributing to normal jitter values and differences in vocal fold phasing.     

Pressure-flow relationships during phonation in the canine larynx

Measurements of air pressure and flow were made using an in vivo canine model of the larynx. Subglottic pressures at varying flow rates were taken during phonation induced by laryngeal nerve stimulation. Results showed that during constant vocal fold stiffness, subglottic pressure rose slightly with increased air flow. The larynx in the in vivo canine model exhibited a flow-dependent decrease in laryngeal airway resistance. Increasing flow rate was associated with an increase in frequency of phonation and open quotient, as measured glottographically. Results from this experiment were compared with a theoretical two-mass model of the larynx and other theoretical models of phonation. The influence of aerodynamic forces on glottal vibration is explained by increased lateral excursion of the vocal folds during the open interval and shortening of the closed interval during the glottal cycle.     

Optimal glottal configuration for ease of phonation

Recent experimental studies have shown the existence of optimalvalues of the glottal width and convergence angle, at which the phonation threshold pressure is minimum. These results indicate the existence of an optimal glottal configuration for ease of phonation, not predicted by the previous theory. In this paper, the origin of the optimal configuration is investigated using a low dimensional mathematical model of the vocal fold. Two phenomena of glottal aerodynamics are examined: pressure losses due to air viscosity, and air flow separation from a divergent glottis. The optimal glottal configuration seems to be a consequence of the combined effect of both factors. The results agree with the experimental data, showing that the phonation threshold pressure is minimum when the vocal folds are slightly separated in a near rectangular glottis.     

Simultaneous analysis of vocal fold vibration and transglottal airflow: exploring a new experimental setup

The purpose of this study was to develop an analysis system for studying the relationship between vocal fold vibration and the associated transglottal airflow. Recordings of airflow, electroglottography (EGG), oral air pressure, and acoustic signals were performed simultaneously with high-speed imaging at a rate of approximately 1900 frames/s. Inverse filtered airflow is compared with the simultaneous glottal area extracted from the high-speed image sequence. The accuracy of the synchronization between the camera images and the foot pedal synchronization pulse was examined, showing that potential synchronization errors increase with time distance to the synchronization pulse. Therefore, analysis was limited to material near the synchronization pulse. Results corroborate previous predictions that air flow lags behind area, but also they reveal that relationships between these two entities may be complex and apparently varying with phonation mode.     

The effect of glottal angle on intraglottal pressure

Intraglottal pressure distributions depend upon glottal shape, size, and diameter. This study reports the effects of varying glottal angle on intraglottal and transglottal pressures using a three-dimensional Plexiglas model with a glottis having nine symmetric glottal angles and a constant minimal glottal diameter of 0.06 cm. The empirical data were supported by computational results using FLUENT. The results suggested that (1) the greater the convergent glottal angle, the greater outward driving forces (higher intraglottal pressures) on the vocal folds; (2) flow resistance was greatest for the uniform glottis, and least for the 10 degrees divergent glottis; (3) the greatest negative pressure in the glottis and therefore the greatest pressure recovery for diverging glottal shapes occurred for an angle of 10 degrees; (4) the smaller the convergent angle, the greater the flow resistance; (5) FLUENT was highly accurate in predicting the empirical pressures of this model; (6) flow separation locations (given by FLUENT) for the divergent glottis moved upstream for larger flows and larger glottal angles. The results suggest that phonatory efficiency related to aerodynamics may be enhanced with vocal fold oscillations that include large convergent angles during glottal opening and small (5 degrees - 10 degrees) divergent angles during glottal closing.     

Glottal flow through a two-mass model: comparison of Navier-Stokes solutions with simplified models

A new numerical model of the vocal folds is presented based on the well-known two-mass models of the vocal folds. The two-mass model is coupled to a model of glottal airflow based on the incompressible Navier-Stokes equations. Glottal waves are produced using different initial glottal gaps and different subglottal pressures. Fundamental frequency, glottal peak flow, and closed phase of the glottal waves have been compared with values known from the literature. The phonation threshold pressure was determined for different initial glottal gaps. The phonation threshold pressure obtained using the flow model with Navier-Stokes equations corresponds better to values determined in normal phonation than the phonation threshold pressure obtained using the flow model based on the Bernoulli equation. Using the Navier-Stokes equations, an increase of the subglottal pressure causes the fundamental frequency and the glottal peak flow to increase, whereas the fundamental frequency in the Bernoulli-based model does not change with increasing pressure.     

Flow visualization and pressure distributions in a model of the glottis with a symmetric and oblique divergent angle of 10 degrees

Modeling the human larynx can provide insights into the nature of the flow and pressures within the glottis. In this study, the intraglottal pressures and glottal jet flow were studied for a divergent glottis that was symmetric for one case and oblique for another. A Plexiglas model of the larynx (7.5 times life size) with interchangeable vocal folds was used. Each vocal fold had at least 11 pressure taps. The minimal glottal diameter was held constant at 0.04 cm. The glottis had an included divergent angle of 10 degrees. In one case the glottis was symmetric. In the other case, the glottis had an obliquity of 15 degrees. For each geometry, transglottal pressure drops of 3, 5, 10, and 15 cm H2O were used. Pressure distribution results, suggesting significantly different cross-channel pressures at glottal entry for the oblique case, replicate the data in another study by Scherer et al. [J. Acoust. Soc. Am. 109, 1616-1630 (2001b)]. Flow visualization using a LASER sheet and seeded airflow indicated separated flow inside the glottis. Separation points did not appear to change with flow for the symmetric glottis, but for the oblique glottis moved upstream on the divergent glottal wall as flow rate increased. The outgoing glottal jet was skewed off-axis for both the symmetric and oblique cases. The laser sheet showed asymmetric circulating regions in the downstream region. The length of the laminar core of the glottal jet was less than approximately 0.6 cm, and decreased in length as flow increased. The results suggest that the glottal obliquity studied here creates significantly different driving forces on the two sides of the glottis (especially at the entrance to the glottis), and that the skewed glottal jet characteristics need to be taken into consideration for modeling and aeroacoustic purposes.     

The effect of entrance radii on intraglottal pressure distributions in the divergent glottis

Modeling laryngeal aerodynamics requires specification of the glottal geometry. Changing the glottal exit radius alters the intraglottal pressure distributions in the converging glottis [Scherer et al., J. Acoust. Soc. Am. 110, 2267-2269 (2001)]. This study examined the effects of the glottal entrance radius on the intraglottal pressure distributions for divergent angles of 5°, 10°, 20°, 30°, and 40°. Glottal airflow and minimal glottal diameter were held constant at 73.2 cm(3)/s and 0.02 cm, respectively. The computational code FLUENT was used to obtain the pressure distributions. Results suggest that a smaller glottal entrance radius tends to (1) lower the transglottal pressure (reduce glottal flow resistance), although this is angle dependent, (2) make the pressure dip near the glottal entrance more negative in value, (3) increase the slope of the pressure distribution just upstream of the glottal entrance, and (4) make the initial pressure recovery (rise) in the glottis steeper. A general empirical equation for transglottal pressure as a function of radius, angle, and separation point location is offered. These results suggest that glottal entrance curvature for the divergent glottis significantly affects the driving pressures on the vocal folds, and needs to be well specified when building computational and physical models.     

Effect of inferior surface angle on the self-oscillation of a computational vocal fold model

Geometry of the human vocal folds strongly influences their oscillatory motion. While the effect of intraglottal geometry on phonation has been widely investigated, the study of the geometry of the inferior surface of the vocal folds has been limited. In this study the way in which the inferior vocal fold surface angle affects vocal fold vibration was explored using a two-dimensional, self-oscillating finite element vocal fold model. The geometry was parameterized to create models with five different inferior surface angles. Four of the five models exhibited self-sustained oscillations. Comparisons of model motion showed increased vertical displacement and decreased glottal width amplitude with decreasing inferior surface angle. In addition, glottal width and air flow rate waveforms changed as the inferior surface angle was varied. Structural, rather than aerodynamic, effects are shown to be the cause of the changes in model response as the inferior surface angle was varied. Supporting data including glottal pressure distribution, average intraglottal pressure, energy transfer, and flow separation point locations are discussed, and suggestions for future research are given.     

Instantaneous orifice discharge coefficient of a physical, driven model of the human larynx

The quasisteady approximation is often made in the study of phonatory aerodynamics to facilitate the modeling of time-varying air flows through the self-oscillating vocal folds. The unsteady, pulsating flow is approximated by a sequence of steady flows through representative configurations of the vocal folds at rest. Previous studies have discussed the accuracy of this approximation for a range of orifice geometries, and flow conditions. The purpose of the present study was to further evaluate the quasisteady approximation experimentally using an improved procedure, from a direct comparison between the discharge coefficients of steady jets through fixed orifices and unsteady jets through modulated orifices of identical shape, area, and transglottal pressures at a given time. Life-scale convergent and divergent glottis-shaped rubber orifices were used in a rigid-walled tube and a low Mach number flow representative of human phonation. It was found that the quasisteady approximation is valid during 70% of the duty cycle, when the Reynolds number was above 3000, for a frequency of oscillations of 100 Hz. The steady form of Bernoulli's equation along a streamline, and Bernoulli's flow obstruction theory were found to be reasonably accurate for the unsteady flows. These models break down at low Reynolds numbers, near the beginning and the end of the duty cycle, due to viscous effects and to the influence of flow displaced by the motion of the walls.     

Glottal airflow and transglottal air pressure measurements for male and female speakers in low, normal, and high pitch

Measurements on the inverse filtered airflow waveform and of estimated average transglottal pressure and glottal airflow were made from syllable sequences in low, normal, and high pitch for 25 male and 20 female speakers. Correlation analyses indicated that several of the airflow measurements were more directly related to voice intensity than to fundamental frequency (F₀). Results suggested that pressure may have different influences in low and high pitch in this speech task. It is suggested that unexpected results of increased pressure in low pitch were related to maintaining voice quality, that is, avoiding vocal fry. In high pitch, the increased pressure may serve to maintain vocal fold vibration. The findings suggested different underlying laryngeal mechanisms and vocal adjustments for increasing and decreasing F₀ from normal pitch.     

Pressure and velocity profiles in a static mechanical hemilarynx model

This study examined pressure and velocity profiles in a hemilarynx mechanical model of phonation. The glottal section had parallel walls and was fabricated from hard plastic. Twelve pressure taps were created in the vocal fold surface and connected to a differential pressure transducer through a pressure switch. The glottal gap was measured with feeler gauges and the uniform glottal duct was verified by use of a laser system. Eight pressure transducers were placed in the flat wall opposite the vocal fold. Hot-wire anemometry was used to obtain velocity profiles upstream and downstream of the glottis. The results indicate that the pressure distribution on the vocal fold surface was consistent with pressure change along a parallel duct, whereas the pressures on the opposite flat wall typically were lower (by 8%-40% of the transglottal pressure just past mid-glottis). The upstream velocity profiles were symmetric regardless of the constriction shape and size. The jet flow downstream of the glottis was turbulent even for laminar upstream conditions. The front of the jet was consistently approximately 1.5 mm from the flat wall for glottal gaps of 0.4, 0.8 and 1.2 mm. The turbulence intensity also remained approximately at the same location of about 4 mm from the flat wall for the two larger gaps.     

A preliminary study of particle velocity during phonation in an in vivo canine model

The particle velocity across the glottis was measured with simultaneous electroglottography, photoglottography, and subglottic pressure in an in vivo canine model of phonation. A constant temperature anemometer measured flow velocity at five midline anterior to posterior glottal positions. Tracheal input air flow was varied in five steps from 175 to 500 cc/s, while vocal fold approximation was achieved by constant electrical stimulation of the laryngeal nerves. For all levels of air flow, a decreasing peak velocity gradient was observed from the anterior commissure to the arytenoids. Time-varying features of the flow velocity are discussed in relation to glottal vibratory events and aerodynamics.     

Relationship among glottal area, static supraglottic compression, and laryngeal function studies in unilateral vocal fold paresis and paralysis

In this study, we evaluated the relationship between laryngeal function measures and glottal gap ratio and normalized measures of supraglottic behaviors in patients with unilateral vocal fold paresis (UVFP). Thirty-one patients were found to have unilateral vocal fold paresis by videoendoscopy and laryngeal electromyography, and 13 controls participated in this study. Patients with UVFP demonstrated significantly larger glottal gap ratios (p = 0.016) than control subjects. The nonparalyzed or contralateral vocal fold was associated with significantly more static false vocal fold compression (p = 0.03) compared with the paralyzed vocal fold or with the controls. Patients with unilateral vocal fold paresis were divided into subgroups: those with normal or abnormal maximum phonation time, flow, or pressure measures. Smaller glottal gap ratios were identified in patients with normal maximum phonation times and flow measures. Greater false vocal fold activity was identified in unilateral vocal fold paresis patients with normal laryngeal function measures than in unilateral vocal fold paresis patients with abnormal measures. These findings suggest that some patients with documented unilateral paresis and glottal incompetence can compensate for vocal fold weakness such that their acoustic and aerodynamic measures are normal.     

In Vivo Quantification of the Intraglottal Pressure: Modal Phonation and Voice Onset

Intraglottal pressure is the driving force of vocal fold vibration. Its time course during the open phase of the vibratory cycle is essential in the mechanics of phonation, but measuring it directly is difficult and may hinder spontaneous voicing. However, it can be computed from the in vivo measured transglottal flow and glottal area (hence the air particle velocity) on the basis of the Bernoulli energy law and the interaction with the inertance of the vocal tract. As to sustained modal phonation, calculations are presented for the two possible shapes of glottal duct: convergent and divergent, including absolute calibration in order to obtain quantitative physical values. Whatever the glottal duct configuration, the calculations based on measured values of glottal area and air flow show that the integrated intraglottal pressure during the opening phase systematically exceeds that during the closing phase, which is the basic condition for sustaining vocal fold oscillation. The key point is that the airflow curve is skewed to the right relative to the glottal area curve. The skewing results from air compressibility and vocal tract inertance. The intraglottal pressure becomes negative during the closing phase. As to the soft (or physiological) voice onset, a similar approach shows that the integrated pressure differences (opening phase − closing phase) actually increase as the onset progresses, and this applies to the results based on Bernoulli's energy law as well as to those based on the interaction with the inertance of the vocal tract. Furthermore and similarly, the phase lead of the pressure wave with respect to the glottal opening progressively increases. The underlying explanation lies in the progressively increasing skewing of the airflow curve to the right with respect to the glottal area curve.     

Pressure measurements during speech production using semiconductor miniature pressure transducers: impact on models for speech production

It appears that temperature instabilities are a major obstacle hindering the use of semiconductor strain gauge pressure transducers in speech research, especially when absolute pressure data are mandatory. In this paper a simple and reliable method for an in vivo calibration of this kind of transducer is described. The most important error source, the drift of the zero pressure level due to temperature changes, is discussed, and an estimation of the measurement accuracy which can be obtained is given. Moreover, some registrations of subglottal, supraglottal, and transglottal pressure are presented. It is shown that the pressure recordings allow us to obtain estimates of the volume flow in the trachea and pharynx. Analysis of those waveforms appears to lead to new insights into the physical processes underlying voice production. Specifically, an independent glottal contribution to the skewing of the glottal flow pulses is identified.     

The membranous contact quotient: A new phonatory measure of glottal competence

The membranous contact quotient (MCQ) is introduced as a measure of dynamic glottal competence. It is defined as the ratio of the membranous contact glottis (the anterior-posterior length of contact between the two membranous vocal folds) and the membranous vocal fold length. An elliptical approximation to the vocal fold contour during phonation was used to predict MCQ values as a function of vocal process gap (adduction), maximum glottal width, and membranous glottal length. MCQ is highly dependent on the vocal process gap and the maximum glottal width, but not on vocal fold length. Five excised larynges were used to obtain MCQ data for a wide range of vocal process gaps and maximum glottal widths. Predicted and measured MCQ values had a correlation of 0.93, with an average absolute difference of 9.6% (SD = 10.5%). The model is better at higher values of MCQ. The theory for MCQ is also expressed as a function of vocal process gap and subglottal pressure to suggest production control potential. The MCQ measure is obtainable with the use of stroboscopy and appears to be a potentially useful clinical measure.     

Theoretical assessment of unsteady aerodynamic effects in phonation

This paper ranks the importance of unsteady aerodynamic mechanisms in glottal flow. Particular emphasis is given to separation point motion, acceleration of glottal airflow by vocal fold motion, and viscous blockage. How nondimensional parameters such as the Reynolds, Strouhal, and Womersley numbers help in this ranking is also addressed. An equation of motion is derived which includes terms explicitly describing the effects of interest, assuming (1) a symmetrical glottis, (2) zero pressure recovery downstream of the vocal folds, and (3) a quasisteady glottal jet. Estimating the order of magnitude of the terms in this equation, it is shown that the flow is characterized by two temporal regimes: (1) a flow initiation/shutoff regime where local unsteady acceleration and wall motion dominate, and (2) a "quasisteady" regime where the flow is dominated by convective acceleration. In the latter case, separation point motion and viscous blockage are shown to be out of phase with motion of the vocal folds, thereby impacting the shape of the glottal volume flow waveform. The analysis suggests that glottal flow may be considered quasisteady only insofar as traditional assumptions concerning glottal jet behavior can be confirmed.