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计算机断层扫描在功能性发声障碍和假声中的声道设定研究。

A Computerized Tomography Study of Vocal Tract Setting in Hyperfunctional Dysphonia and in Belting.

机构信息

University of Chile, Santiago, Chile.

Department of Communication Sciences, Universidad de los Andes, Chile; Department of Otolaryngology, Clinica Las Condes; University of Chile, Santiago, Chile.

出版信息

J Voice. 2019 Jul;33(4):412-419. doi: 10.1016/j.jvoice.2018.02.001. Epub 2018 Apr 3.

Abstract

BACKGROUND

Vocal tract setting in hyperfunctional patients is characterized by a high larynx and narrowing of the epilaryngeal and pharyngeal region. Similar observations have been made for various singing styles, eg, belting. The voice quality in belting has been described to be loud, speech like, and high pitched. It is also often described as sounding "pressed" or "tense". The above mentioned has led to the hypothesis that belting may be strenuous to the vocal folds. However, singers and teachers of belting do not regard belting as particularly strenuous.

PURPOSE

This study investigates possible similarities and differences between hyperfunctional voice production and belting. This study concerns vocal tract setting.

METHODS

Four male patients with hyperfunctional dysphonia and one male contemporary commercial music singer were registered with computerized tomography while phonating on [a:] in their habitual speaking pitch. Additionally, the singer used the pitch G4 in belting. The scannings were studied in sagittal and transversal dimensions by measuring lengths, widths, and areas.

RESULTS

Various similarities were found between belting and hyperfunction: high vertical larynx position, small hypopharyngeal width, and epilaryngeal outlet. On the other hand, belting differed from dysphonia (in addition to higher pitch) by a wider lip and jaw opening, and larger volumes of the oral cavity.

CONCLUSIONS

Belting takes advantage of "megaphone shape" of the vocal tract. Future studies should focus on modeling and simulation to address sound energy transfer. Also, they should consider aerodynamic variables and vocal fold vibration to evaluate the "price of decibels" in these phonation types.

摘要

背景

高功能患者的声道设置特点是高位喉和会厌及咽腔区域变窄。在各种歌唱风格中也观察到类似的现象,例如,喊声唱法。喊声唱法的音质被描述为响亮、类似言语的、高音调。它也常被描述为听起来“紧绷”或“紧张”。上述情况导致了这样一种假设,即喊声唱法可能对声带造成很大的负担。然而,喊声唱法的歌手和教师并不认为喊声唱法特别费力。

目的

本研究调查高功能发声与喊声唱法之间可能存在的相似之处和差异。本研究关注声道设置。

方法

4 名男性高功能发声障碍患者和 1 名男性当代流行音乐歌手在以其日常说话音高发出[a:]音时,使用计算机断层扫描进行注册。此外,歌手在喊声唱法中使用 G4 音高。通过测量长度、宽度和面积,在矢状和横切维度上研究扫描结果。

结果

在喊声唱法和高功能方面发现了各种相似之处:高位喉、小下咽宽度和会厌出口。另一方面,喊声唱法与发声障碍(除了更高的音高外)的区别在于更大的唇和颌开口以及更大的口腔体积。

结论

喊声唱法利用了声道的“扩音器形状”。未来的研究应集中在建模和模拟上,以解决声能传递问题。此外,它们还应考虑气动变量和声带振动,以评估这些发音类型的“分贝代价”。

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