4.4 Article

The effects of dynamic laryngeal movements on pitch control

Journal

AMERICAN JOURNAL OF OTOLARYNGOLOGY
Volume 36, Issue 5, Pages 660-665

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.amjoto.2015.05.002

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Funding

  1. Fund of Biomedical Institute, Chonbuk National University Hospital

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Background and Objectives: Extralaryngeal structures have been known to not only play an important role in swallowing, but also have a significant influence on the voice during phonation. The aim of this study is to evaluate the effect of dynamic laryngeal movements on pitch control. Subjects and Methods: Videofluoroscopic examinations were analyzed. To accurately analyze the sequence of these movements, the recorded images were digitized using a computer program. The moving distances of the hyoid bone, thyroid cartilage, and cricoid cartilage were analyzed, and they were compared to the cricothyroid distance during pitch elevation. Results: The vertical movements of the hyoid bone, and cricoid and thyroid cartilages had an impact on the increase in the pitch with a decrease in the cricothyroid distance. All Ad-R-2 values for distance of the hyoid bone, and cricoid and thyroid cartilages were above 0.9, which showed a higher explanatory power than the cricothyroid distance, showing an AdR(2) value of 0.4. Conclusions: Upward movements of the larynx had a more dominant effect on pitch elevation than the cricothyroid distance. We suspect that the pitch is more affected by the antero-vertical movements of the larynx than the horizontal movement by cricothyroid muscle in human study. (C) 2015 Elsevier Inc. All rights reserved.

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