Characteristics of normal larynges under flexible fiberscopic and stroboscopic examination: An Australian perspective

The purpose of this study was to investigate the structure and function of larynges of 35 subjects with normal voices. Volunteers aged between 20 and 50 years with no history of voice disorders or laryngeal surgery, no current allergies, no formal voice training, and no hyperactive gag reflex were required to perform various vocal manoeuvres that were carried out under continuous and stroboscopic light. An assessment form was devised to record the condition and function of the larynx. The videotapes of the procedure were rated by experienced judges. The Australian Fiberscopic Profile was devised to record the relevant parameters under continuous light. Videostroboscopic ratings were carried out using the Bless (1) protocol rating. High interjudge agreement was found across the two rating profiles.     

A report on alterations to the speaking and singing voices of four women following hormonal therapy with virilizing agents

Four women aged between 27 and 58 years sought otolaryngological examination due to significant alterations to their voices, the primary concerns being hoarseness in vocal quality, lowering of habitual pitch, difficulty projecting their speaking voices, and loss of control over their singing voices. Otolaryngological examination with a mirror or flexible laryngoscope revealed no apparent abnormality of vocal fold structure or function, and the women were referred for speech pathology with diagnoses of functional dysphonia. Objective acoustic measures using the Kay Visipitch indicated significant lowering of the mean fundamental frequency for each woman, and perceptual analysis of the patients' voices during quiet speaking, projected voice use, and comprehensive singing activities revealed a constellation of features typically noted in the pubescent male. The original diagnoses of a functional dysphonia were queried, prompting further exploration of each woman's medical history, revealing in each case onset of vocal symptoms shortly after commencing treatment for conditions with medications containing virilizing agents (eg, Danocrine (danazol), Deca-Durabolin (nandrolene decanoate), and testosterone). Although some of the vocal symptoms decreased in severity with the influences from 6 months voice therapy and after withdrawal from the drugs, a number of symptoms remained permanent, suggesting each subject had suffered significant alterations in vocal physiology, including muscle tissue changes, muscle coordination dysfunction, and propioceptive dysfunction. This retrospective study is presented in order to illustrate that it was both the projected speaking voice and the singing voice that proved so highly sensitive to the virilization effects. The implications for future prospective research studies and responsible clinical practice are discussed.     

The correlogram: a visual display of periodicity

Fundamental frequency (F0) extraction is often used in voice quality analysis. In pathological voices with a high degree of instability in F0, it is common for F0 extraction algorithms to fail. In such cases, the faulty F0 values might spoil the possibilities for further data analysis. This paper presents the correlogram, a new method of displaying periodicity. The correlogram is based on the waveform-matching techniques often used in F0 extraction programs, but with no mechanism to select an actual F0 value. Instead, several candidates for F0 are shown as dark bands. The result is presented as a 3D plot with time on the x axis, correlation delay inverted to frequency on the y axis, and correlation on the z axis. The z axis is represented in a gray scale as in a spectrogram. Delays corresponding to integer multiples of the period time will receive high correlation, thus resulting in candidates at F0, F0/2, F0/3, etc. While the correlogram adds little to F0 analysis of normal voices, it is useful for analysis of pathological voices since it illustrates the full complexity of the periodicity in the voice signal. Also, in combination with manual tracing, the correlogram can be used for semimanual F0 extraction. If so, F0 extraction can be performed on many voices that cause problems for conventional F0 extractors. To demonstrate the properties of the method it is applied to synthetic and natural voices, among them six pathological voices, which are characterized by roughness, vocal fry, gratings/scrape, hypofunctional breathiness and voice breaks, or combinations of these.     

Sources of listener disagreement in voice quality assessment

Traditional interval or ordinal rating scale protocols appear to be poorly suited to measuring vocal quality. To investigate why this might be so, listeners were asked to classify pathological voices as having or not having different voice qualities. It was reasoned that this simple task would allow listeners to focus on the kind of quality a voice had, rather than how much of a quality it possessed, and thus might provide evidence for the validity of traditional vocal qualities. In experiment 1, listeners judged whether natural pathological voice samples were or were not primarily breathy and rough. Listener agreement in both tasks was above chance, but listeners agreed poorly that individual voices belonged in particular perceptual classes. To determine whether these results reflect listeners' difficulty agreeing about single perceptual attributes of complex stimuli, listeners in experiment 2 classified natural pathological voices and synthetic stimuli (varying in f0 only) as low pitched or not low pitched. If disagreements derive from difficulties dividing an auditory continuum consistently, then patterns of agreement should be similar for both kinds of stimuli. In fact, listener agreement was significantly better for the synthetic stimuli than for the natural voices. Difficulty isolating single perceptual dimensions of complex stimuli thus appears to be one reason why traditional unidimensional rating protocols are unsuited to measuring pathologic voice quality. Listeners did agree that a few aphonic voices were breathy, and that a few voices with prominent vocal fry and/or interharmonics were rough. These few cases of agreement may have occurred because the acoustic characteristics of the voices in question corresponded to the limiting case of the quality being judged. Values of f0 that generated listener agreement in experiment 2 were more extreme for natural than for synthetic stimuli, consistent with this interpretation.     

The contribution of aryepiglottic constriction to “ringing” voice quality—A videolaryngoscopic study with acoustic analysis

Fiberscopic video laryngoscopy was performed on five professional singers to determine the presence or absence of aryepiglottic narrowing as a function of voice quality. Each sang “Happy Birthday” and parts of the “Star Spangled Banner” in six different voice qualities: speech, falsetto, sob (a low larynx with a vocal tract expanded by relaxing the middle constrictors), twang, belting, and opera. Several features were found to be common among the subjects and related to specific qualities. Aryepiglottic constriction was present in all singers in twang, belting, and opera qualities. Spectrographic analysis related the constriction to the presence of the “singer's formant.” The presence of this type of constrictive behavior will require further research to ascertain the possible benefits to those for whom a louder voice is essential and to understand the relationship of this constrictive maneuver to the natural closure functions of the larynx.     

Vocal stability in functional dysphonic versus healthy voices at different times of voice loading

Functional (nonorganic) dysphonia is often characterized by vocal instability. The purpose of the prospective study was to examine whether there is a difference in vocal instability of functional dysphonic voices compared with healthy ones, this means whether electroglottographic perturbation values differ (1) between healthy and dysphonic voices and (2) between two subgroups of the dysphponic voices (hpertonic and hypotonic dysphonic voices). Twenty-three patients with hypertonic functional dysphonia, 9 with hypotonic functional dysphonia and 31 healthy nonsmokers, were each examined electroglottographically before (Ex 1), immediately after (Ex 2), and 1 hour after (Ex 3) voice loading. Perturbations of frequency, amplitude, quasi-open-quotient, and contact-index were calculated from the EGG signal. At all three times of examination, hypertonic dysphonic voices showed higher perturbations than healthy voices, and they had higher perturbations than hypotonic dysphonic voices before and 1 hour after voice loading. Hypotonic dysphonic voices showed higher perturbations than healthy voices only 1 hour after voice loading. Voice loading induced different reactions in dysphonic voices: Some voices showed increased perturbations, and others exhibited normal or even decreased perturbation immediately after voice loading. Examination of electroglottographic-derived perturbations immediately after voice loading seems not to be useful. Differentiation of hypertonic and hypotonic dysphonic voices was possible with an estimated sensitivity of 88.9% and a specificity of 87.0% by using the sum of the amplitude-perturbation and the quasi-open-quotient-perturbation measured before voice loading.     

Clinical relevance of the fractal dimension of F0perturbations computed by the box-counting method

The box-counting method for determining the fractal dimension (D_fj)was applied to the fundamental frequency (F₀) perturbations in normal and pathological voices in order to assess its clinical value. The upper limit of these D_fj values was similar for both groups, but the distribution for pathological voices extended to lower values than for the normal voices. However, these lower values were most probably the result of one or a few outlying frequency points due to incorrect determination of the vocal period. The D_fj of normal voices were within the range of values found for randomly varying F₀ values. It was concluded, that the vocal perturbations in pathological voices are also more or less randomly distributed. So, the D_fj, at that least determined with the box-counting method, do not contain clinically relevant information in addition to the traditional measures for the extent of the vocal period perturbations. An exception is special perturbation types like diplophonia. The result of the computation is very sensitive for voice breaks and vibrato and depends on the number of periods.     

The influence of perceived sexual orientation on fricative identification

Listeners are more likely to hear a synthetic fricative ambiguous between /s/ and /integral/ as /integral/ if it is appended to a woman's voice than a man's voice [Strand and Johnson, in Natural Language Processing and Speech Technology: Results of the 3rd KONVENS Conference (Mouton de Gruyter, Berlin, 1996), pp. 14-26]. This study expanded on this finding by replicating the result with a much larger group of male and female talkers than had been examined previously, by examining whether phonetic context mediates the influence of talker sex on fricative identification, and by examining whether talkers' perceived sexual orientation influences fricative identification. Stimuli were created by pairing a synthetic nine-step /s/-/integral/ continuum with tokens of /ae k/ and /Ip/ taken from productions of shack and ship by 44 talkers whose perceived sexual orientation had been reported previously [Munson et al., J. Phonetics (in press)]. Listeners participated in a series of two-alternative sack-shack and sip-ship identification experiments. Listeners identified more /integral/ tokens for women's voices than for men's voices for both continua. Lesbian/bisexual-sounding women elicited more sack and sip responses than heterosexual-sounding women. No consistent influence of perceived sexual orientation on fricative identification was noted for men's voices. Results suggest that listeners are sensitive to the association between fricatives' center frequencies and perceived sexual orientation in women's voices, but not in men's voices.     

Comparison of microphone and neck-mounted accelerometer monitoring of the performing voice

One method for monitoring individuals in live performances may be the use of vibration sensors, or accelerometers, rather than using microphones that pick up environmental noises as well as the vocal signals of interest. This study was concerned with a comparison of microphone and accelerometer monitoring of the amplitude characteristics of singers' voices. From the results obtained it appears that accelerometers are not applicable for monitoring amplitude characteristics of the voice, but are useful for periodicity measures. In addition, accelerometers may be of use in verifying the kinesthetic patterns sensed by a performer during the process of “singing into a mask” or producing the singer's “ring.”     

Detection of the potential tumor marker of AFP using surface‐enhanced Raman scattering‐based immunoassay

The development of rapid, highly sensitive detection methods for α‐fetoprotein (AFP) is very important. As hepatocellular carcinoma is closely related to the level of AFP in the blood, it is necessary to maintain an AFP concentration below the safety limit. In this paper, we propose a universal, rapid, sensitive, and highly specific immunoassay system utilizing gold nanoparticles (AuNPs) and surface‐enhanced Raman scattering (SERS). This new system features a sandwich structure combining mercaptobenzoic acid‐labeled immunogold nanoparticles with the antigen and the antibody atop a pre‐designed substrate made of a glass slide modified with AuNPs. This SERS‐based immunoassay can detect AFP concentrations as low as 100 pg/ml, which is a significant improvement on the capabilities of the enzyme‐linked immunosorbent assay method. A good linear relationship between the SERS peak intensity and the logarithm of antigen concentrations (from 1 ng/ml to 100 ng/ml) was observed. This technique provides an effective model for the detection of biomarkers in medical diagnostics, criminal investigation, and other fields. Copyright © 2013 John Wiley & Sons, Ltd.     

Dimensionality in Voice Quality

This study concerns speaking voice quality in a group of male teachers (n = 35) and male actors (n = 36), as the purpose was to investigate normal and supranormal voices. The goal was the development of a method of valid perceptual evaluation for normal to supranormal and resonant voices. The voices (text reading at two loudness levels) had been evaluated by 10 listeners, for 15 vocal characteristics using VA scales. In this investigation, the results of an exploratory factor analysis of the vocal characteristics used in this method are presented, reflecting four dimensions of major importance for normal and supranormal voices. Special emphasis is placed on the effects on voice quality of a change in the loudness variable, as two loudness levels are studied. Furthermore, the vocal characteristics Sonority and Ringing voice quality are paid special attention, as the essence of the term "resonant voice" was a basic issue throughout a doctoral dissertation where this study was included.     

A new quantitative method to measure activity of ice structuring proteins using differential scanning calorimetry

There are very few quantitative assays to measure the activity of antifreeze proteins (AFPs, or Ice Structuring Proteins, ISPs) and these can be prone to various inaccuracies and inconsistencies. Some methods rely only on unassisted visual assessment. When microscopy is used to measure ice crystal size, it is critical that standardized procedures be adopted, especially when image analysis software is used to quantify sizes. Differential Scanning Calorimetry (DSC) has been used to measure the thermal hysteresis activity (TH) of AFPs. In this study, DSC was used isothermally to measure enthalpic changes associated with structural rearrangements as a function of time. Differences in slopes of isothermal heat flow vs. time between winter wheat ISP or AFP type I containing samples, and those without ISP or AFP type I were demonstrated. ISP or AFP type I containing samples had significantly higher slopes compared to those without ISP or AFP type I. Samples with higher concentration of ISP or AFP type I showed higher slope values during the first hour and took up to 3 hr to attain equilibrium. Differences were attributed to activity of the proteins at the ice interface. Proteinaceous activity of ISPs or AFP type I was confirmed by loss of activity after treatment with protease.     

Effect of Dysphonia and Cognitive-Perceptual Listener Strategies on Speech Intelligibility

There is a high prevalence of dysphonia among professional voice users and the impact of the disordered voice on the speaker is well documented. However, there is minimal research on the impact of the disordered voice on the listener. Considering that professional voice users include teachers and air-traffic controllers, among others, it is imperative to determine the impact of a disordered voice on the listener. To address this, the objectives of the current study included: (1) determine whether there are differences in speech intelligibility between individuals with healthy voices and those with dysphonia; (2) understand whether cognitive-perceptual strategies increase speech intelligibility for dysphonic speakers; and (3) determine the relationship between subjective voice quality ratings and speech intelligibility. Sentence stimuli were recorded from 12 speakers with dysphonia and four age- and gender-matched typical, healthy speakers and presented to 129 healthy listeners divided into one of three strategy groups (ie, control, acknowledgement, and listener strategies). Four expert raters also completed a perceptual voice assessment using the Consensus Assessment Perceptual Evaluation of Voice for each speaker. Results indicated that dysphonic voices were significantly less intelligible than healthy voices (P ≤ 0.001) and the use of cognitive-perceptual strategies provided to the listener did not significantly improve speech intelligibility scores (P = 0.602). Using the subjective voice quality ratings, regression analysis found that breathiness was able to predict 41% of the variance associated with number of errors (P = 0.008). Overall results of the study suggest that speakers with dysphonia demonstrate reduced speech intelligibility and that providing the listener with specific strategies may not result in improved intelligibility.     

Effects on the glottal voice source of vocal loudness variation in untrained female and male voices

Subglottal pressure is one of the main voice control factors, controlling vocal loudness. In this investigation the effects of subglottal pressure variation on the voice source in untrained female and male voices phonating at a low, a middle, and a high fundamental frequency are analyzed. The subjects produced a series of /pae/ syllables at varied degrees of vocal loudness, attempting to keep pitch constant. Subglottal pressure was estimated from the oral pressure during the /p/ occlusion. Ten subglottal pressure values, approximately equidistantly spaced within the pressure range used, were identified, and the voice source of the vowels following these pressure values was analyzed by inverse filtering the airflow signal as captured by a Rothenberg mask. The maximum flow declination rate (MFDR) was found to increase linearly with subglottal pressure, but a given subglottal pressure produced lower values for female than for male voices. The closed quotient increased quickly with subglottal pressure at low pressures and slowly at high pressures, such that the relationship can be approximated by a power function. For a given subglottal pressure value, female voices reached lower values of closed quotient than male voices.     

基于唾液的拉曼光谱检测进行肝癌诊断的研究

表面增强拉曼光谱技术是近年来快速发展的一种痕量特征标记性物质检测技术, 达到了分子识别水平, 具有很高的灵敏度, 能够精确地分析和了解物质结构和成分。人体唾液中含有大量体征相关的特异性蛋白质和分泌物质。唾液检测具有无创、获取方便、适合开展大规模普查等优点。表面增强拉曼光谱检测技术可以快速地对唾液进行检测, 二者的结合, 有可能成为一种癌症诊断的新方法。本文利用表面增强光谱技术对肝癌患者进行实验研究, 通过对肝癌患者唾液的采集、样品的处理、光谱的采集及光谱分析, 肝癌特异性标记物AFP(alpha fetoprotein)的检测及分析等过程得到肝癌相关特征信息, 表明肝癌患者与正常人的唾液样本分类良好, 灵敏度及特异性较好; 进一步验证了AFP抗原的分子组成, 且AFP抗原的拉曼强度基本随浓度的递增呈递减趋势; 对肝癌患者的唾液样本及AFP抗原的拉曼光谱进行比对分析, 提示利用表面增强拉曼光谱检测唾液有可能诊断早期癌症。     

Analysis of temporal fluctuations in Bach’s sinfonias

The correlation structures in 15 Bach’s sinfonias were analyzed. Each sinfonia is characterized by the superposition of three voices. Each voice is a sequence of pitches. Each voice was transformed in a time series, in which the sampling time was given by the smallest pitch duration in that voice. The scaling properties of the three voices of each sinfonia was quantified by means of the estimate of the scaling exponent, performed using the power spectral density (PSD) and the detrended fluctuation analysis (DFA). The results show that the voice time series are persistent. The DFA was applied not only to any single voice time series, but also to couples (2-DFA) of voices and to the triple (3-DFA) of voices. It was found that the first voice of each sinfonia modulates the scaling behavior of the whole sinfonia.     

Laryngeal and pharyngeal behavior in countertenor and baritone singing—A videofiberscopic study

Changes in vocal tract configuration during singing were studied in four semiprofessional countertenors and one professional bass-baritone, by means of fiberoptic laryngoscopy. All of the countertenors showed a marked narrowing of the lower pharynx with increasing pitch when they used their countertenor voice (CT voice) but only a slight narrowing when using their baritone voice (B voice). The bass-baritone's pharynx remained unchanged with increasing pitch. Increasing loudness gave a widening of the pharynx in three of the four countertenors' CT voices, whereas no change was observed for the countertenors' B voices or for the bass-baritone voice. Vocal fold length seemed to decrease in one countertenor's B voice and in the bass-baritone with increasing loudness. Thus, the countertenors in this study exhibit several characteristic patterns of vocal tract gestures in countertenor voice that differ from both their own baritone voices and from the bass-baritone.     

The Speaker's Formant

The current study concerns speaking voice quality in two groups of professional voice users, teachers (n = 35) and actors (n = 36), representing trained and untrained voices. The voice quality of text reading at two intensity levels was acoustically analyzed. The central concept was the speaker's formant (SPF), related to the perceptual characteristics "better normal voice quality" (BNQ) and "worse normal voice quality" (WNQ). The purpose of the current study was to get closer to the origin of the phenomenon of the SPF, and to discover the differences in spectral and formant characteristics between the two professional groups and the two voice quality groups. The acoustic analyses were long-term average spectrum (LTAS) and spectrographical measurements of formant frequencies. At very high intensities, the spectral slope was rather quandrangular without a clear SPF peak. The trained voices had a higher energy level in the SPF region compared with the untrained, significantly so in loud phonation. The SPF seemed to be related to both sufficiently strong overtones and a glottal setting, allowing for a lowering of F4 and a closeness of F3 and F4. However, the existence of SPF also in LTAS of the WNQ voices implies that more research is warranted concerning the formation of SPF, and concerning the acoustic correlates of the BNQ voices.     

Singer's Formant in Sopranos: Fact or Fiction?

Although it is generally agreed that the singer's formant (F_S) is a prerequisite for successful stage performance, the results of this research do not support its presence in the soprano voices of trained female singers. Results are based on a recent investigation testing 10 advanced/professional sopranos in two groups singing sustained vowels at three frequencies: high (932 Hz), mid (622 Hz), and low (261 Hz). Spectrographic analysis shows that the nature of harmonic energy varies in relation to pitch. A resonance band somewhat resembling the tenor F_S was usually evident in vowels sung at low and mid pitch. However, unlike the F_S of typically less than 1 kHz bandwidth associated with tenors, sopranos singing similar pitches produced corresponding bandwidths which were significantly broader, usually at least 2-kHz wide. Vowels sung by sopranos at high-pitch levels exhibited strong fundamental frequency production with strong reinforcement of adjacent harmonics extending to 5 kHz and beyond. This type of production in essence nullifies the necessity for a typical F_S. Absence of the F_S in strong soprano voices might also imply the adaptation of a sufficiently different overall vocal tract configuration, so that techniques geared to developing maximal projection should not be the same as those developed to maximize the F_S in other voices.