The influence of the position of the laryngeal endoscope laryngeal on videokymography

Videokymography is a new high-speed imaging technique to investigate vocal fold vibration. The system has been considered useful in the analysis of irregular signals, making it possible to observe left-right asymmetries, open quotient, propagation of mucosal waves, and movement of the upper and lower margins. The aim of the present study was to verify the correspondence of the videokymographic images with larynx exposition angle variation. Three Brazilian adult female subjects, with no vocal complains, were evaluated. Videokymographic images were obtained with the laryngeal endoscope 90o positioned on the measuring line, perpendicular to the glottal axis - zero degree, during a sustained ae vowel, using habitual frequency and intensity. The procedure was repeated twice and adjusted by rotating the camera in fifteen degrees from the perpendicular line to the right and to the left. The results showed clear differences depending on the position of the endoscope, suggesting the standardization of laryngeal exposition to interpretate videokymographic images correctly.A videoquimografia é considerada a mais recente tecnologia na semiologia avançada da laringe. A videoquimografia utiliza-se de tecnologia digital para a análise ultra-rápida da vibração das pregas vocais. A imagem apresentada é a referência de uma única linha, representando um estreito segmento horizontal da imagem laríngea. A videoquimografia avalia todos os tipos de irregularidades de vibração, identifica pequenas assimetrias esquerda-direita, diferenças no quociente de abertura ao longo das pregas vocais, propagação lateral da onda mucosa e movimentação das margens superior e inferior da onda de mucosa das pregas vocais. O objetivo do presente estudo foi verificar a correspondência das imagens obtidas na videoquimografia, com variação do ângulo de exposição da laringe em relação ao telescópio. Foram analisados três indivíduos do sexo feminino, sem queixa vocal. As imagens videoquimográficas foram registradas com o telescópio laríngeo de 90o posicionado na linha média, perpendicular à glote - zero grau, durante a emissão de uma vogal sustentada é, em freqüência e intensidade habituais. O procedimento foi repetido mais duas vezes, porém com rotação de quinze graus do telescópio, no sentido horário, deslocando-se o laringoscópio à direita da linha média do paciente e, no sentido anti-horário, à esquerda. Os resultados obtidos indicaram diferenças evidentes nas imagens obtidas, o que demanda uma padronização da exposição laríngea para a interpretação da videoquimografia.Universidade Federal de São Paulo (UNIFESP) EPM ORLUNIFESP CFFa CEVCentro de Estudos da Voz de São Paulo Curso de Especialização do CEVUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Otorrinolaringologia e Cirurgia de cabeça e pescoçoUNIFESP, EPM, ORLUNIFESP, CFFa CEVUNIFESP, EPM, Otorrinolaringologia e Cirurgia de cabeça e pescoçoSciEL

Accurate glottal model parametrization by integrating audio and high-speed endoscopic video data

The aim of this paper is to evaluate the effectiveness of using video data for voice source parametrization in the representation of voice production through physical modeling. Laryngeal imaging techniques can be effectively used to obtain vocal fold video sequences and to derive time patterns of relevant glottal cues, such as folds edge position or glottal area. In many physically based numerical models of the vocal folds, these parameters are estimated from the inverse filtered glottal flow waveform, obtained from audio recordings of the sound pressure at lips. However, this model inversion process is often problematic and affected by accuracy and robustness issues. It is here discussed how video analysis of the fold vibration might be effectively coupled to the parametric estimation algorithms based on voice recordings, to improve accuracy and robustness of model inversio

Pan European Voice Conference - PEVOC 11

The Pan European VOice Conference (PEVOC) was born in 1995 and therefore in 2015 it celebrates the 20th anniversary of its establishment: an important milestone that clearly expresses the strength and interest of the scientific community for the topics of this conference. The most significant themes of PEVOC are singing pedagogy and art, but also occupational voice disorders, neurology, rehabilitation, image and video analysis. PEVOC takes place in different European cities every two years (www.pevoc.org). The PEVOC 11 conference includes a symposium of the Collegium Medicorum Theatri (www.comet collegium.com

Fitting a biomechanical model of the folds to high-speed video data through bayesian estimation

High-speed video recording of the vocal folds during sustained phonation has become a widespread diagnostic tool, and the development of imaging techniques able to perform automated tracking and analysis of relevant glottal cues, such as folds edge position or glottal area, is an active research field. In this paper, a vocal folds vibration analysis method based on the processing of visual data through a biomechanical model of the layngeal dynamics is proposed. The procedure relies on a Bayesian non-stationary estimation of the biomechanical model parameters and state, to fit the folds edge position extracted from the high-speed video endoscopic data. This finely tuned dynamical model is then used as a state transition model in a Bayesian setting, and it allows to obtain a physiologically motivated estimation of upper and lower vocal folds edge position. Based on model prediction, an hypothesis on the lower fold position can be made even in complete fold occlusion conditions occurring during the end of the closed phase and the beginning of the open phase of the glottal cycle. To demonstrate the suitability of the procedure, the method is assessed on a set of audiovisual recordings featuring high-speed video endoscopic data from healthy subjects producing sustained voiced phonation with different laryngeal settings

Automated tracking of quantitative parameters from single line scanning of vocal folds: A case study of the 'messa di voce' exercise

This article presents a novel application of the 'single line scanning' of the vocal fold vibrations (kymography) in singing pedagogy, particularly in a specific technical voice exercise: the 'messa di voce'. It aims at giving the singer relevant and valid short-term feedback. A user-friendly automatic analysis program makes possible a precise, immediate quantification of the essential physiological parameters characterizing the changes in glottal impedance, concomitant with the progressive increase and decrease of the lung pressure. The data provided by the program show a strong correlation with the hand-made measurements. Additional measurements such as subglottic pressure and flow glottography by inverse filtering can be meaningfully correlated with the data obtained from the kymographic images

Quantitative analysis of videokymography in normal and pathological vocal folds: a preliminari study.

Videokymography (VKG) captures high-speed images of the vocal folds independently of the periodicity of the acoustic signal. The aim of this study was to preliminarily assess a software package that can objectively measure specific parameters of vocal fold vibration. From August 2009 until December 2010, we prospectively evaluated 40 subjects (Group A, 18 normal subjects; Group B, 14 patients with benign lesions of the middle third of the vocal fold, such as polyps and cysts; Group C, 8 patients treated by endoscopic excision of vocal fold benign lesions) by videoendoscopy, videolaryngostroboscopy, and VKG. A VKG camera was coupled to a 70 telescope and video was recorded during phonation. Images were objectively analyzed by a post-processing software tool (VKG-Analyser) with a user-friendly interface developed by our group. Different parameters were considered, including the ratio between the amplitude of the vibration of one vocal fold with respect to the contralateral (Ramp), the ratio between the period of one vocal fold vibration and the opposite one (Rper), and the ratio between the duration of the open and closed phase within a glottal cycle (Roc). Mean values for Ramp, Rper, and Roc in Group A were 1.05, 1.04, and 1.35, respectively; in Group B were 1.63, 0.92, and 0.97, respectively; and in Group C were 1.13, 0.91, and 1.85, respectively. Quantitative analysis of videokymograms by the herein presented tool, named VKG-Analyser, is useful for objective evaluation of the vibratory pattern in normal and pathologic vocal folds. Important future developments of this tool for the study of both physiologic and pathologic patterns of vocal fold vibration can be expected