Journal article
Phonation Threshold Flow Measurements in Normal and Pathological Phonation
The Laryngoscope, Vol.119(4), pp.811-815
04/01/2009
DOI: 10.1002/lary.20165
PMCID: PMC2771177
PMID: 19263409
Abstract
Objectives/Hypothesis: Phonation threshold flow (PTF) may provide a tool to assess laryngeal function and could differentiate between normal and pathological voices. Both polyps and nodules contribute to an increased PTF by creating an incomplete glottal closure and increased vocal fold mass and thickness.
Study Design: Prospective study.
Methods: The Kay Elemetrics Phonatory Aerodynamic System (PAS) (Kay Elemetrics Corp., Lincoln Park, NJ) was used to collect mean flow rate (MFR) and PTF measurements from 40 normal subjects, 21 patients with vocal fold nodules, and 23 patients with vocal fold polyps. Gender-based differences were assessed using a t test. The effect of vocal pathology on PTF and MFR was determined with an ANOVA. Diagnostic potential was evaluated using a receiver operation characteristics (ROC) analysis.
Results: Both PTF (P = .047) and MFR (P = .008) were significantly affected by gender. Using a two-way ANOVA and correcting for gender differences, the influence of pathology on PTF was determined to be significant (P < .001). Post hoc tests found a significant difference between normal and polyp subjects (P < .001) but not normal and nodule subjects (P = .177) or nodule and polyp subjects (P = .246). ROC analysis found that PTF (area under the curve [AUC] = 0.691) and MFR (AUC = 0.684) had a similar diagnostic utility.
Conclusions: PTF can be used to differentiate between normal and pathological voices. As a parameter that is experimentally sensitive to the biomechanical parameters providing its theoretical basis, it could be used clinically to analyze laryngeal functionality. Future research could focus on measuring PTF in other pathologies, such as paralysis or scarring, which would also affect the effort required to produce voice.
Details
- Title: Subtitle
- Phonation Threshold Flow Measurements in Normal and Pathological Phonation
- Creators
- Peiyun Zhuang - University of Wisconsin–MadisonAlicia J. Sprecher - University of Wisconsin–MadisonMatthew R. Hoffman - University of Wisconsin School of Medicine and Public HealthYi Zhang - Obstetrics and Gynecology Hospital of Fudan UniversityMarios Fourakis - University of Wisconsin–MadisonJack J. Jiang - University of Wisconsin–MadisonChun Sheng Wei - Obstetrics and Gynecology Hospital of Fudan University
- Resource Type
- Journal article
- Publication Details
- The Laryngoscope, Vol.119(4), pp.811-815
- DOI
- 10.1002/lary.20165
- PMID
- 19263409
- PMCID
- PMC2771177
- NLM abbreviation
- Laryngoscope
- ISSN
- 0023-852X
- eISSN
- 1531-4995
- Publisher
- Wiley
- Number of pages
- 5
- Grant note
- R01 DC008153 / NIH National Institute on Deafness and Other Communication Disorders; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Deafness & Other Communication Disorders (NIDCD) R01DC008153 / NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Deafness & Other Communication Disorders (NIDCD)
- Language
- English
- Date published
- 04/01/2009
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984366366602771
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