Phonatory Function in Vocal Nodules \ Differences between Cases with and without Posterior Glottal Chink \ Yuko Shiba1), Gentaro Mizojiri2), Toshitsug
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1 Phonatory Function in Vocal Nodules \ Differences between Cases with and without Posterior Glottal Chink \ Yuko Shiba1), Gentaro Mizojiri2), Toshitsugu Nozaki3) Abstract: A variety of closure patterns in cases of vocal nodules, including posterior glottal chink, has been noted. According to laryngoscopic examination we divided 31 cases of vocal nodules into 2 groups. One group consisted of 16 cases with a posterior glottal chink (PGC+group), and the other consisted of 15 cases without a posterior glottal chink (PGC-group). Clinical features, psychoacoustic evaluation of hoarseness, computed acoustic analysis, aerodynamic measurements and phonatory functions were investigated in each case and the differences between the 2 groups were examined and discussed. Results were as follows: 1. Vocal misusages such as hard glottal attack and hyperadduction of vocal cords were commonly observed in the PGC+group.
2 2. The quality of hoarseness of both groups as evaluated by GRBAS scales was characterized by breathiness. The overall degree of hoarseness (Scale G) of the PGC+group was slightly worse than that of the PGC-group. 3. Computed acoustic analysis showed no differences between the 2 groups. 4. The mean flow rate was larger and the maximum phonatoon time was shorter in the PGC+group, because the area of the glottal gap of the PGC+group was larger than that of the PGC-group. Key words : vocal nodule, posterior glottal chink, phonatory function, hard glottal attack, vocal hyperadduction
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7 1) Sð±dersten, M., Lindestad, P-A.: Glottal closure and perceived breathiness during phonation in normally speaking subjects. Journal of Speech and Hearing Research. 33: , ) Peppard, R.C., Bless, D.M., Milenkovic, P. Comparison of young adult singers and nonsingers with vocal nodules. Journal of Voice, 2 : , ) Rammage, L.A., Peppard, R.C., Bless, D.M.: Aerodynamic, laryngoscopic, and perceptual
8 acoustic characteristics in dysphonic females with posterior glottal chinks: a retrospective study. Journal of Voice, 6: 64-78, ) Morrison, M.D., Rammage, L.A., Belisle, G. M., Pullan, C.B., Nichol, H.: Muscular tension dysphonia. The Journal of Otolaryngology, 12: , ) Linville, S.E.: Glottal gap configurations in 7) Kasuya, H. Ogawa., S, Mashima, K., et al.: Normalized noise energy as an acoustic measure to evaluate pathologic voice. J. Acoust. Soc. Am., 80: , ) Bless, D.M.: Stroboscopic evaluation of the larynx: Training seminar on videostroboscopy for laryngologists/speech pathologists. Chicago Bruel & Kj aer ) Kleinsasser, O.: Microlaryngoscopic and Histologic Appearances of Polyps, Nodules, Cysts, Reinkes Edema, and Granulomas of the Vocal Cords. pp.51-55, In: Kirchner, J.A., ed. Vocal Folds Histopathology. Boston: College Hill Press, ) Biever, D.M., Bless, D.M.: Vibratory Characteristics of the vocal folds in young adult and geriatric women. Journal of Voice, 3: , ) Bless, D.M., Biever, D.M., Shaik, A.: Comparisons of vibratory characteristics of young adult males and females. p.117, In: Proceedings of International Conference on Voice. Kurume, Japan, two age groups of women. Journal of Speech and Hearing Research, 35: , ) Schutte, H.K.: Aerodynamics of phonation. Acta Oto Rhino Laryngologica Belgica. 40:
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