Sanders I, Han Y, Wang J, Biller H
Grabscheid Voice Center, Department of Otolaryngology, Mount Sinai Medical Center, New York, New York 10029, USA.
J Voice. 1998 Mar;12(1):7-16. doi: 10.1016/s0892-1997(98)80070-2.
It is hypothesized that different parts of the thyroarytenoid muscle (TA) are functionally specialized. Specifically, the TA is divided into a lateral muscularis compartment and a medial vocalis compartment. This study examined the distribution of muscle spindles throughout the human TA as an indicator of these functional differences. Histological cross-sections from the anterior, middle, and posterior regions of five human membranous vocal folds were examined for the number and location of muscle spindles. There was an average of 6.1 muscle spindles in sections from each region with no significant variation between the different regions (p < .05). However, in sections from all three regions, the muscle spindles were always found to be concentrated in the superior medial quadrant of the TA (mean 85.9%, p < .01). The inferior medial, superior lateral, and inferior lateral quadrants of the TA contained 11.96%, 2.17%, and 0%, respectively, of the total muscle spindles. Within the superior medial quadrant, most of the muscle spindles were localized in the most superficial part of the muscle. The results of this study demonstrate that the majority of TA muscle spindles are concentrated in its superior medial quadrant, an area we have termed the superior vocalis subcompartment (SC). This finding suggests that the superior vocalis SC is functionally distinct from the remainder of the TA. It is hypothesized that tension in the superior vocalis SC can be controlled independently from the remainder of the TA, and this capability is used to effect the biomechanics of vocal fold vibration during phonation.
据推测,甲杓肌(TA)的不同部分具有功能特异性。具体而言,TA被分为外侧肌性部分和内侧声带部分。本研究检查了整个人类TA中肌梭的分布情况,以此作为这些功能差异的一个指标。对五个人类膜性声带前、中、后区域的组织学横截面进行检查,以确定肌梭的数量和位置。每个区域的切片中平均有6.1个肌梭,不同区域之间无显著差异(p <.05)。然而,在所有三个区域的切片中,总是发现肌梭集中在TA的上内侧象限(平均85.9%,p <.01)。TA的下内侧、上外侧和下外侧象限分别占总肌梭的11.96%、2.17%和0%。在上内侧象限内,大多数肌梭位于肌肉的最表层。本研究结果表明,大多数TA肌梭集中在其上内侧象限,我们将该区域称为上声带亚区(SC)。这一发现表明,上声带SC在功能上与TA的其余部分不同。据推测,上声带SC中的张力可以独立于TA的其余部分进行控制,并且这种能力在发声过程中用于影响声带振动的生物力学。