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The Laryngoscope
Article
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The Laryngoscope
Article . 2018 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
The Laryngoscope
Article . 2019
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Dynamics of Intrinsic Laryngeal Muscle Contraction

Authors: Andrew M. Vahabzadeh‐Hagh; Pranati Pillutla; Zhaoyan Zhang; Dinesh K. Chhetri;

Dynamics of Intrinsic Laryngeal Muscle Contraction

Abstract

Objectives Laryngeal function requires neuromuscular activation of the intrinsic laryngeal muscles (ILMs). Rapid activation of the ILMs occurs in cough, laughter, and voice‐unvoiced‐voiced segments in speech and singing. Abnormal activation is observed in hyperfunctional disorders such as vocal tremor and dystonia. In this study, we evaluate the dynamics of ILM contraction. Study/Design Basic science study in an in vivo canine model. Methods The following ILMs were stimulated: thyroarytenoid (TA), lateral cricoarytenoid/interarytenoid (LCA/IA), cricothyroid (CT), all laryngeal adductors (LCA/IA/TA), and the posterior cricoarytenoid (PCA). Neuromuscular stimulation was performed via the respective nerves at current levels needed to achieve maximum vocal fold posture change. Muscle contraction and posture changes were recorded with high speed video (HSV). HSV frames were then analyzed to measure response times required from the onset of muscle contraction to the time the vocal folds achieved maximum posture change. Results In all muscles, the onset of posture change occurred within 10 to 12 milliseconds after neuromuscular stimulation. The average times ( ± standard deviation) to achieve final posture were as follows: TA 34.5 ± 6 ms (N = 15), LCA/IA 55 ± 12 ms (N = 14), recurrent laryngeal nerve 43 ± 8 ms (N = 18), CT 100.8 ± 17 ms (N = 26), and PCA 91.2 ± 8 ms (N = 3). Data distribution appeared normal. Conclusion Results showed a difference in muscle activation time between different ILMs consistent with reported differences in muscle fiber composition. These data also provide an estimate of the limits of laryngeal contraction frequency in physiologic and pathologic laryngeal states. Level of Evidence NA Laryngoscope , 129:E21–E25, 2019

Country
United States
Keywords

Time Factors, Intrinsic laryngeal muscles, Clinical Sciences, Neurosciences, Vocal Cords, Neurodegenerative, Electric Stimulation, Biomechanical Phenomena, Dystonia, Rare Diseases, Dogs, Tracheostomy, prephonatory posture, Otorhinolaryngology, muscle activation times, in vivo canine, Animals, Prospective Studies, Laryngeal Muscles, Muscle Contraction

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
15
Top 10%
Top 10%
Average
Green
bronze