Quantification of Vocal Fold Vibration in Various Laryngeal Disorders Using High-Speed Digital Imaging

详细信息    查看全文

• 作者：Akihito Yamauchi^&lowast ; ; ^{drachilles23@yahoo.co.jp" class="auth_mail" title="E-mail the corresponding author} ; Hisayuki Yokonishi^&dagger ; ; Hiroshi Imagawa^&lowast ; ; Ken-Ichi Sakakibara^&Dagger ; ; Takaharu Nito^&lowast ; ; Niro Tayama^§ ; ; Tatsuya Yamasoba^&lowast ;
• 关键词：Vocal fold polyp ; Vocal fold nodule ; Laryngeal leukoplakia ; Laryngeal cancer ; Reinke edema ; Laryngeal granuloma ; Laryngeal papilloma ; Vocal fold cyst ; High-speed digital imaging
• 刊名：Journal of Voice
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：30
• 期：2
• 页码：205-214
• 全文大小：1019 K

文摘

To quantify vibratory characteristics of various laryngeal disorders seen by high-speed digital imaging (HSDI).

Methods

HSDI was performed on 78 patients with various laryngeal disorders (20 with polyp, 16 with carcinoma, 13 with leukoplakia, 6 with vocal fold nodule, and 33 with others) and 29 vocally healthy subjects. Obtained data were quantitatively evaluated by frame-by-frame analysis, laryngotopography, digital kymography, and glottal area waveform.

Results

Overall, patients with laryngeal pathologies showed greater asymmetry in amplitude, mucosal wave and phase, smaller mucosal wave, and poorer glottal closure than vocally healthy subjects. Furthermore, disease-specific vibratory disturbances that generally agreed with the findings in the literature were quantified: comparing polyp with nodule, differences were noted in longitudinal phase difference, amplitude, and mucosal wave. In comparison with leukoplakia and cancer, nonvibrating area was more frequently noted in cancer.

Conclusions

The HSDI analysis of various voice disorders using multiple methods can help phonosurgeons to properly diagnose various laryngeal pathologies and to estimate the degree of their vocal disturbances.