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Diplophonia
Diplophonia, also known as diphthongia, is a phenomenon in which a voice is perceived as being produced with two concurrent pitches. Diplophonia is a result of vocal fold vibrations that are quasi-periodic in nature. It has been reported from old days, but there is no uniform interpretation of established mechanisms. It has been established that diplophonia can be caused by various vocal fold pathologies, such as vocal folds polyp, vocal fold nodule, recurrent laryngeal nerve paralysis or vestibular fold hypertrophy. The Voice Quality Symbol Voice Quality Symbols (VoQS) are a set of phonetic symbols used to transcribe disordered speech for what in speech pathology is known as "voice quality". This phrase is usually synonymous with phonation in phonetics, but in speech pathology encom ... for diplophonia is V̬‼. References Respiratory diseases {{Med-stub ...
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Vestibular Fold
The vestibular fold (ventricular fold, superior or false vocal cord) is one of two thick folds of mucous membrane, each enclosing a narrow band of fibrous tissue, the vestibular ligament, which is attached in front to the angle of the thyroid cartilage immediately below the attachment of the epiglottis, and behind to the antero-lateral surface of the arytenoid cartilage, a short distance above the vocal process. The lower border of this ligament, enclosed in mucous membrane, forms a free crescentic margin, which constitutes the upper boundary of the ventricle of the larynx. They are lined with respiratory epithelium, while true vocal cords have stratified squamous epithelium. Function The vestibular folds of the larynx play a significant role in the maintenance of the laryngeal functions of breathing and preventing food and drink from entering the airway during swallowing. They aid phonation (speech) by suppressing dysphonia. In some ethnic singing and chanting styles, such as ...
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Voice Quality Symbol
Voice Quality Symbols (VoQS) are a set of phonetic symbols used to transcribe disordered speech for what in speech pathology is known as "voice quality". This phrase is usually synonymous with phonation in phonetics, but in speech pathology encompasses secondary articulation as well. VoQS symbols are normally combined with curly braces that span a section of speech, just as with prosody notation in the extended IPA. The symbols may be modified with a digit to convey relative degree of the quality. For example, is used for harsh voice, and indicates that the intervening speech is very harsh. indicates a lowered larynx. Thus, indicates that the intervening speech is less harsh with a lowered larynx. VoQS use mostly IPA or extended IPA diacritics on capital letters for the element being modified: V for 'voice'/articulation, L for 'larynx', and J for 'jaw'. Degree is marked 1 for slight, 2 for moderate, and 3 for extreme. Symbols The following combinations of letters and diacriti ...
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Vocal Folds
In humans, vocal cords, also known as vocal folds or voice reeds, are folds of throat tissues that are key in creating sounds through vocalization. The size of vocal cords affects the pitch of voice. Open when breathing and vibrating for speech or singing, the folds are controlled via the recurrent laryngeal branch of the vagus nerve. They are composed of twin infoldings of mucous membrane stretched horizontally, from back to front, across the larynx. They vibrate, modulating the flow of air being expelled from the lungs during phonation. The 'true vocal cords' are distinguished from the 'false vocal folds', known as vestibular folds or ''ventricular folds'', which sit slightly superior to the more delicate true folds. These have a minimal role in normal phonation, but can produce deep sonorous tones, screams and growls. The length of the vocal fold at birth is approximately six to eight millimeters and grows to its adult length of eight to sixteen millimeters by adolescence. ...
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Polyp (medicine)
In anatomy, a polyp is an abnormal growth of tissue projecting from a mucous membrane. If it is attached to the surface by a narrow elongated stalk, it is said to be ''pedunculated''; if it is attached without a stalk, it is said to be ''sessile''. Polyps are commonly found in the colon, stomach, nose, ear, sinus(es), urinary bladder, and uterus. They may also occur elsewhere in the body where there are mucous membranes, including the cervix, vocal folds, and small intestine. Some polyps are tumors (neoplasms) and others are non-neoplastic, for example hyperplastic or dysplastic, which are benign. The neoplastic ones are usually benign, although some can be pre-malignant, or concurrent with a malignancy. The name is of ancient origin, in use in English from about 1400 for a nasal polyp, from Latin ''polypus'' through Greek. The animal of similar appearance called polyp is attested from 1742, although the word was earlier used for an octopus. Digestive polyps Relative ...
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Vocal Fold Nodule
Vocal cord nodules are bilaterally symmetrical benign white masses that form at the midpoint of the vocal folds. Although diagnosis involves a physical examination of the head and neck, as well as perceptual voice measures, visualization of the vocal nodules via laryngeal endoscopy remains the primary diagnostic method. Vocal fold nodules interfere with the vibratory characteristics of the vocal folds by increasing the mass of the vocal folds and changing the configuration of the vocal fold closure pattern. Due to these changes, the quality of the voice may be affected. As such, the major perceptual signs of vocal fold nodules include vocal hoarseness and breathiness. Other common symptoms include vocal fatigue, soreness or pain lateral to the larynx, and reduced frequency and intensity range. Airflow levels during speech may also be increased. Vocal fold nodules are thought to be the result of vocal fold tissue trauma caused by excessive mechanical stress, including repeated or ch ...
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Recurrent Laryngeal Nerve
The recurrent laryngeal nerve (RLN) is a branch of the vagus nerve (cranial nerve X) that supplies all the intrinsic muscles of the larynx, with the exception of the cricothyroid muscles. There are two recurrent laryngeal nerves, right and left. The right and left nerves are not symmetrical, with the left nerve looping under the aortic arch, and the right nerve looping under the right subclavian artery then traveling upwards. They both travel alongside the trachea. Additionally, the nerves are among the few nerves that follow a ''recurrent'' course, moving in the opposite direction to the nerve they branch from, a fact from which they gain their name. The recurrent laryngeal nerves supply sensation to the larynx below the vocal cords, give cardiac branches to the deep cardiac plexus, and branch to the trachea, esophagus and the inferior constrictor muscles. The posterior cricoarytenoid muscles, the only muscles that can open the vocal folds, are innervated by this nerve. Th ...
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