Laryngeal High-speed Videoendoscopy Research Articles

Automated measurement of vocal fold vibratory asymmetry from high-speed videoendoscopy recordings.

In prior work, a manually derived measure of vocal fold vibratory phase asymmetry correlated to varying degrees with visual judgments made from laryngeal high-speed videoendoscopy (HSV) recordings. This investigation extended this work by establishing an automated HSV-based framework to quantify 3 categories of vocal fold vibratory asymmetry. HSV-based analysis provided for cycle-to-cycle estimates of left-right phase asymmetry, left-right amplitude asymmetry, and axis shift during glottal closure for 52 speakers with no vocal pathology producing comfortable and pressed phonation. An initial cross-validation of the automated left-right phase asymmetry measure was performed by correlating the measure with other objective and subjective assessments of phase asymmetry. Vocal fold vibratory asymmetry was exhibited to a similar extent in both comfortable and pressed phonations. The automated measure of left-right phase asymmetry strongly correlated with manually derived measures and moderately correlated with visual-perceptual ratings. Correlations with the visual-perceptual ratings remained relatively consistent as the automated measure was derived from kymograms taken at different glottal locations. An automated HSV-based framework for the quantification of vocal fold vibratory asymmetry was developed and initially validated. This framework serves as a platform for investigating relationships between vocal fold tissue motion and acoustic measures of voice function.

Source‐filter interaction in the opposite direction: Subglottal coupling and the influence of vocal fold mechanics on vowel spectra during the closed phase.

Studies of speech source-filter interaction usually investigate the effect of the speech transfer function (loading) on vocal fold vibration and the voice source. In this study we explore how vocal fold mechanics affect the transfer function throughout the glottal cycle, with emphasis on the closed phase. Coupling between the subglottal and supraglottal airways is modulated by the laryngeal impedance. Although coupling is generally thought to occur only during the open phase of vocal fold vibration, a posterior glottal opening and the vocal fold tissue itself can allow sound transmission, thereby introducing coupling during the closed phase as well. The impedance of the vocal fold tissue at closure is shown to be small enough to permit coupling throughout the phonatory cycle, even in the absence of a posterior glottal opening. Open- and closed-phase coupling is characterized using mathematical models of the subglottal and supraglottal airways, and the parallel laryngeal impedances of the membranous glottis, posterior glottal opening, and vocal fold tissue. Examples from sustained vowels are presented, using synchronous recordings of neck skin acceleration, laryngeal high-speed videoendoscopy, electroglottography, and radiated acoustic pressure.

Endoscope Motion Compensation for Laryngeal High-Speed Videoendoscopy

The purpose of this study was to develop and evaluate a method for automatic endoscopic motion compensation (MC) specialized for laryngeal high-speed videoendoscopy (HSV) of sustained phonation. Specifically, the left-right and posterior-anterior endoscopic shifts were addressed. The method is based on the hypothesis that the difference between endoscopic and vocal fold dynamics is sufficient for accurate estimation of the endoscopic motion relative to the vocal folds. The research questions of particular interest were as follows: is MC of laryngeal HSV possible at the subpixel level, and what are the validity, reliability, and accuracy of the proposed MC method? First, the MC accuracy was assessed on simulated HSV data with exactly known motion trajectories. Then, the accuracy and reliability of MC were evaluated on real HSV data. Finally, the validity of MC was established by correlating objective to perceptual ratings. The method demonstrated subpixel accuracy and reliable performance when tested on both simulated and real data. Perceptual ratings of the endoscopic motion demonstrated high intrarater and interrater reliabilities. Perceptual and quantitative assessments of endoscopic motion were in agreement. The reported result is encouraging for resolving a persistent problem toward building better methods for visual and quantitative voice assessment.