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High-speed digital imaging laryngoscopy of the neoglottis following supracricoid laryngectomy with cricohyoidoepiglottopexy

Published online by Cambridge University Press:  24 May 2010

S Hayashi ,
H Hirose ,
N Tayama ,
H Imagawa ,
M Nakayama ,
Y Seino ,
M Okamoto ,
M Kimura  and
T Nito
S Hayashi*
Affiliation:
Department of Otorhinolaryngology, Kitasato University School of Medicine, Sagamihara, Japan
H Hirose
Affiliation:
Faculty of Medicine, University of Tokyo, Japan
N Tayama
Affiliation:
Department of Otorhinolaryngology, International Medical Center of Tokyo, Japan
H Imagawa
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, University of Tokyo, Japan
M Nakayama
Affiliation:
Department of Otorhinolaryngology, Kitasato University School of Medicine, Sagamihara, Japan
Y Seino
Affiliation:
Department of Otorhinolaryngology, Kitasato University School of Medicine, Sagamihara, Japan
M Okamoto
Affiliation:
Department of Otorhinolaryngology, Kitasato University School of Medicine, Sagamihara, Japan
M Kimura
Affiliation:
Department of Otorhinolaryngology, International Medical Center of Tokyo, Japan
T Nito
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, University of Tokyo, Japan
*
Address for correspondence: Dr Seiichi Hayashi, Department of Otorhinolaryngology, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa 228-8555, Japan. Fax: +81 42 778 8441 E-mail: [email protected]
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Abstract

Objectives:

This study aimed to analyse vocal performance and to investigate the nature of the neoglottal sound source in patients who had undergone supracricoid laryngectomy with cricohyoidoepiglottopexy, using a high-speed digital imaging system.

Methods:

High-speed digital imaging analysis of neoglottal kinetics was performed in two patients who had undergone supracricoid laryngectomy with cricohyoidoepiglottopexy; laryngotopography, inverse filtering analysis and multiline kymography were also undertaken.

Results:

In case one, laryngotopography demonstrated two vibrating areas: one matched with the primary (i.e. fundamental) frequency (75 Hz) and the other with the secondary frequency (150 Hz) at the neoglottis. In case two, laryngotopography showed two vibrating areas matched with the fundamental frequency (172 Hz) at the neoglottis. The interaction between the two areas was considered to be the sound source in both patients. The waveform of the estimated volume flow at the neoglottis, obtained by inverse filtering analysis, corresponded well to the neoglottal vibration patterns derived by multiline kymography. These findings indicated that the specific sites identified at the neoglottis by the present method were likely to be the sound source in each patient.

Conclusions:

High-speed digital imaging analysis is effective in locating the sites responsible for voice production in patients who have undergone supracricoid laryngectomy with cricohyoidoepiglottopexy. This is the first study to clearly identify the neoglottal sound source in such patients, using a high-speed digital imaging system.

Keywords

LarynxSurgical ProceduresFourier AnalysisDiagnostic ImagingSound Spectrography
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 11 , November 2010 , pp. 1234 - 1238
Copyright
Copyright © JLO (1984) Limited 2010

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References

1 Bron, L, Pasche, P, Brossard, E, Monnier, P, Schweizer, V. Functional analysis after supracricoid partial laryngectomy with cricohyoidoepiglottopexy. Laryngoscope 2002;112:1289–93CrossRefGoogle ScholarPubMed
2 Crevier-Buchman, L, Laccourreye, O, Weinstein, G, Garcia, D, Jouffre, V, Brasnu, D. Evolution of speech and voice following supracricoid partial laryngectomy. J Laryngol Otol 1995;109:410–13CrossRefGoogle ScholarPubMed
3 Laccourreye, O, Crevier-Buchmann, L, Weinstein, G, Biacabe, B, Laccourreye, H, Brasnu, D. Duration and frequency characteristics of speech and voice following supracricoid partial laryngectomy. Ann Otol Rhinol Laryngol 1995;104:516–21CrossRefGoogle ScholarPubMed
4 Vincentiis, M, Minni, A, Gallo, A, Nardo, A. Supracricoid partial laryngectomies: oncologic and functional results. Head Neck 1998;20:504–93.0.CO;2-T>CrossRefGoogle ScholarPubMed
5 Weinstein, G, Laccourreye, O, Ruiz, C, Dooley, P, Chalian, A, Mirza, N. Larynx preservation with supracricoid partial laryngectomy with cricohyoidoepiglottopexy. Ann Otol Rhinol Laryngol 2002;111:1–6Google Scholar
6 Makeieff, M, Giovanni, A, Guerrier, B. Laryngostroboscopic evaluation after supracricoid partial laryngectomy. J Voice 2007;21:508–15Google Scholar
7 Kiritani, S, Hirose, H, Imagawa, H. High-speed digital image analysis of vocal cord vibration in diplophonia. Speech Communication 1993;13:23–32Google Scholar
8 Saito, M, Imagawa, H, Sakakibara, K, Tayama, N, Nibu, K, Amatsu, M. High-speed digital imaging and electroglottography of tracheoesophageal phonation by Amatsu's method. Acta Otolaryngol 2006;126:521–5CrossRefGoogle ScholarPubMed
9 Imagawa, H, Sakakibara, K, Kimura, M, Tayama, N. Laryngo-topographic analysis of vocal fold vibration patterns. Institute of Electronics, Information and Communication Engineers Technical Report 2009;109(99):23–8Google Scholar
10 Svec, JG, Schutte, HK. Videokymography. High-speed line scanning of vocal fold vibration. J Voice 1996;10:201–5Google Scholar
11 Hirano, M. Clinical Examination of Voice. New York: Springer Verlag, 1981Google Scholar
12 Japan Society of Logopedics and Phoniatrics. Examination of Phonatory Function. Tokyo: Ishiyaku, 2009Google Scholar
13 Nakayama, M, Okamoto, M, Miyamoto, S, Yokobori, S, Takeda, M, Masaki, T et al. Supracricoid laryngectomy with cricohyoidoepiglottopexy or cricohyoido-pexy: experience on 32 patients. Auris Nasus Larynx 2008;35:77–82Google Scholar
14 Luna-Ortiz, K, Nunez-Valencia, E, Tamez-Velarde, M, Granados-Garcia, M. Quality of life and functional evaluation after supracricoid partial laryngectomy with cricohyoidoepiglottopexy in Mexican patients. J Laryngol Otol 2004;118:284–8CrossRefGoogle ScholarPubMed
15 Kendall, K. High-speed laryngeal imaging compared with videostroboscopy in healthy subjects. Arch Otolaryngol Head Neck Surg 2009;135:274–81Google Scholar
16 Patel, R, Dailey, S, Bless, D. Comparison of high-speed digital imaging with stroboscopy for laryngeal imaging of glottal disorders. Ann Otol Rhinol Laryngol 2008;117:413–24CrossRefGoogle ScholarPubMed
17 Granqvist, S, Lindestad, PA. A method of applying Fourier analysis to high-speed laryngoscopy. J Acoust Soc Am 2001;110:3193–7Google Scholar