Voice
Voice Disorders
Larynx, Artificial
Speech Recognition Software
Vocal Cords
Speech, Esophageal
Sound Spectrography
Glottis
Laryngoscopy
Laryngeal Diseases
Speech, Alaryngeal
Vocal Cord Paralysis
Speech Production Measurement
Larynx
Speech Perception
Pitch Perception
Laryngeal Muscles
Auditory Perception
Speech Therapy
Speech Disorders
Pattern Recognition, Physiological
Aphonia
Laryngeal Neoplasms
Phonetics
Hallucinations
Laryngeal Nerves
Dictated versus database-generated discharge summaries: a randomized clinical trial. (1/406)
BACKGROUND: Hospital discharge summaries communicate information necessary for continuing patient care. They are most commonly generated by voice dictation and are often of poor quality. The objective of this study was to compare discharge summaries created by voice dictation with those generated from a clinical database. METHODS: A randomized clinical trial was performed in which discharge summaries for patients discharged from a general internal medicine service at a tertiary care teaching hospital in Ottawa were created by voice dictation (151 patients) or from a database (142 patients). Patients had been admitted between September 1996 and June 1997. The trial was preceded by a baseline cohort study in which all summaries were created by dictation. For the database group, information on forms completed by housestaff was entered into a database and collated into a discharge summary. For the dictation group, housestaff dictated narrative letters. The proportion of patients for whom a summary was generated within 4 weeks of discharge was recorded. Physicians receiving the summary rated its quality, completeness, organization and timeliness on a 100-mm visual analogue scale. Housestaff preference was also determined. RESULTS: Patients in the database group and the dictation group were similar. A summary was much more likely to be generated within 4 weeks of discharge for patients in the database group than for those in the dictation group (113 [79.6%] v. 86 [57.0%]; p < 0.001). Summary quality was similar (mean rating 72.7 [standard deviation (SD) 19.3] v. 74.9 [SD 16.6]), as were assessments of completeness (73.4 [SD 19.8] v. 78.2 [SD 14.9]), organization (77.4 [SD 16.3] v. 79.3 [SD 17.2]) and timeliness (70.3 [SD 21.9] v. 66.2 [SD 25.6]). Many information items of interest were more likely to be included in the database-generated summaries. The database system created summaries faster and was preferred by housestaff. Dictated summaries in the baseline and randomized studies were similar, which indicated that the control group was not substantially different from the baseline cohort. INTERPRETATION: The database system significantly increased the likelihood that a discharge summary was created. Housestaff preferred the database system for summary generation. Physicians thought that the quality of summaries generated by the 2 methods was similar. The use of computer databases to create hospital discharge summaries is promising and merits further study and refinement. (+info)Continuous speech recognition for clinicians. (2/406)
The current generation of continuous speech recognition systems claims to offer high accuracy (greater than 95 percent) speech recognition at natural speech rates (150 words per minute) on low-cost (under $2000) platforms. This paper presents a state-of-the-technology summary, along with insights the authors have gained through testing one such product extensively and other products superficially. The authors have identified a number of issues that are important in managing accuracy and usability. First, for efficient recognition users must start with a dictionary containing the phonetic spellings of all words they anticipate using. The authors dictated 50 discharge summaries using one inexpensive internal medicine dictionary ($30) and found that they needed to add an additional 400 terms to get recognition rates of 98 percent. However, if they used either of two more expensive and extensive commercial medical vocabularies ($349 and $695), they did not need to add terms to get a 98 percent recognition rate. Second, users must speak clearly and continuously, distinctly pronouncing all syllables. Users must also correct errors as they occur, because accuracy improves with error correction by at least 5 percent over two weeks. Users may find it difficult to train the system to recognize certain terms, regardless of the amount of training, and appropriate substitutions must be created. For example, the authors had to substitute "twice a day" for "bid" when using the less expensive dictionary, but not when using the other two dictionaries. From trials they conducted in settings ranging from an emergency room to hospital wards and clinicians' offices, they learned that ambient noise has minimal effect. Finally, they found that a minimal "usable" hardware configuration (which keeps up with dictation) comprises a 300-MHz Pentium processor with 128 MB of RAM and a "speech quality" sound card (e.g., SoundBlaster, $99). Anything less powerful will result in the system lagging behind the speaking rate. The authors obtained 97 percent accuracy with just 30 minutes of training when using the latest edition of one of the speech recognition systems supplemented by a commercial medical dictionary. This technology has advanced considerably in recent years and is now a serious contender to replace some or all of the increasingly expensive alternative methods of dictation with human transcription. (+info)Information systems integration in radiology. (3/406)
Advances in information systems and technology in conjunction with outside forces requiring improved reporting are driving sweeping changes in the practice of radiology. In most academic radiology departments, there can be at least five separate information systems in daily use, a clinical picture archiving and communication system (PACS), a hospital information system (HIS), a radiology information system (RIS), a voice-recognition dictation system, and an electronic teaching/research file system. A PACS will have incomplete, incorrect, and inconsistent data if manual data entry is used. Correct routing of studies for diagnostic reporting and clinical review requires accurate information about the study type and the referring physician or service, often not easily entered manually. An HIS is a hospital-wide information system used to access patient information, reports from various services, and billing information. The RIS is typically a system specifically designed to place radiology orders, to receive interpretations, and to prepare bills for patients. Voice-recognition systems automatically transcribe the radiologist's dictation, eliminating transcription delays. Another system that is needed in a teaching hospital holds images and data for research and education. Integration of diverse systems must be performed to provide the functionality required by an electronic radiology department and the services it supports. Health Level 7 (HL7) and Digital Imaging and Communications in Medicine (DICOM) have enabled sharing of data among systems and can be used as the building blocks for truly integrated systems, but the user community and manufacturers need to specify the types of functionality needed to build clinically useful systems. Although technology development has produced the tools for interoperability for clinical and research/educational use, more work needs to be done to define the types of interaction that needs to be performed to realize the potential of these systems. (+info)Cross-sectional comparison of live and interactive voice recognition administration of the SF-12 health status survey. (4/406)
OBJECTIVE: To compare interactive voice recognition (IVR) and live telephone methods for administering the SF-12 health status survey (SF-12). STUDY DESIGN: Patients with low back pain received either IVR or live interviews in a cross-sectional design with partial randomization. The interviews consisted of the SF-12 and some additional questions specific to low back pain. PATIENTS AND METHODS: Complete findings were obtainable from 229 patients. Summary scales were compared by using multivariate analysis of variance with mean comparisons for continuously scored items. Response frequencies for categorically scored items were compared by using the chi-square test. RESULTS: The 2 methods produced similar results on the Physical Component Summary scale but not the Mental Component Summary scale. Compared with patients who had a live telephone interview, the patients using IVR acknowledged significantly greater overall mental interference, greater general emotional concerns, and poorer mood and overall health. CONCLUSIONS: Because IVR eliminates the demand characteristics of responding to a personal interviewer, it may be a desirable way to evaluate sensitive topics. It also may reduce costs of data entry, labor, and measurement error. (+info)Voice-controlled robotic arm in laparoscopic surgery. (5/406)
AIM: To report on our experience with a voice-directed robotic arm for scope management in different procedures for "solo-surgery" and in complex laparoscopic operations. METHODS: A chip card with orders for the robotic arm is individually manufactured for every user. A surgeon gives order through a microphone and the optic field is thus under direct command of the surgeon. RESULTS: We analyzed 200 cases of laparoscopic procedures (gallbladder, stomach, colon, and hernia repair) done with the robotic arm. In each procedure the robotic arm worked precisely; voice understanding was exact and functioned flawlessly. A hundred "solo-surgery" operations were performed by a single surgeon. Another 96 complex videoscopic procedures were performed by a surgeon and one assistant. In comparison to other surgical procedures, operative time was not prolonged, and the number of used ports remained unchanged. CONCLUSION: Using the robotic arm in some procedures abolishes the need for assist ance. Further benefit accrued by the use of robotic assistance includes greater stability of view, less inadvertent smearing of the lens, and the absence of fatigue. The robotic arm can be used successfully in every operating theater by all surgeons using laparoscopy. (+info)Temporal encoding of the voice onset time phonetic parameter by field potentials recorded directly from human auditory cortex. (6/406)
Voice onset time (VOT) is an important parameter of speech that denotes the time interval between consonant onset and the onset of low-frequency periodicity generated by rhythmic vocal cord vibration. Voiced stop consonants (/b/, /g/, and /d/) in syllable initial position are characterized by short VOTs, whereas unvoiced stop consonants (/p/, /k/, and t/) contain prolonged VOTs. As the VOT is increased in incremental steps, perception rapidly changes from a voiced stop consonant to an unvoiced consonant at an interval of 20-40 ms. This abrupt change in consonant identification is an example of categorical speech perception and is a central feature of phonetic discrimination. This study tested the hypothesis that VOT is represented within auditory cortex by transient responses time-locked to consonant and voicing onset. Auditory evoked potentials (AEPs) elicited by stop consonant-vowel (CV) syllables were recorded directly from Heschl's gyrus, the planum temporale, and the superior temporal gyrus in three patients undergoing evaluation for surgical remediation of medically intractable epilepsy. Voiced CV syllables elicited a triphasic sequence of field potentials within Heschl's gyrus. AEPs evoked by unvoiced CV syllables contained additional response components time-locked to voicing onset. Syllables with a VOT of 40, 60, or 80 ms evoked components time-locked to consonant release and voicing onset. In contrast, the syllable with a VOT of 20 ms evoked a markedly diminished response to voicing onset and elicited an AEP very similar in morphology to that evoked by the syllable with a 0-ms VOT. Similar response features were observed in the AEPs evoked by click trains. In this case, there was a marked decrease in amplitude of the transient response to the second click in trains with interpulse intervals of 20-25 ms. Speech-evoked AEPs recorded from the posterior superior temporal gyrus lateral to Heschl's gyrus displayed comparable response features, whereas field potentials recorded from three locations in the planum temporale did not contain components time-locked to voicing onset. This study demonstrates that VOT at least partially is represented in primary and specific secondary auditory cortical fields by synchronized activity time-locked to consonant release and voicing onset. Furthermore, AEPs exhibit features that may facilitate categorical perception of stop consonants, and these response patterns appear to be based on temporal processing limitations within auditory cortex. Demonstrations of similar speech-evoked response patterns in animals support a role for these experimental models in clarifying selected features of speech encoding. (+info)How Do head and neck cancer patients prioritize treatment outcomes before initiating treatment? (7/406)
PURPOSE: To determine, pretreatment, how head and neck cancer (HNC) patients prioritize potential treatment effects in relationship to each other and to survival and to ascertain whether patients' preferences are related to demographic or disease characteristics, performance status, or quality of life (QOL). PATIENTS AND METHODS: One hundred thirty-one patients were assessed pretreatment using standardized measures of QOL (Functional Assessment of Cancer Therapy-Head and Neck) and performance (Performance Status Scale for Head and Neck Cancer). Patients were also asked to rank a series of 12 potential HNC treatment effects. RESULTS: Being cured was ranked top priority by 75% of patients; another 18% ranked it second or third. Living as long as possible and having no pain were placed in the top three by 56% and 35% of patients, respectively. Items that were ranked in the top three by 10% to 24% of patients included those related to energy, swallowing, voice, and appearance. Items related to chewing, being understood, tasting, and dry mouth were placed in the top three by less than 10% of patients. Excluding the top three rankings, there was considerable variability in ratings. Rankings were generally unrelated to patient or disease characteristics, with the exception that cure and living were of slightly lower priority and pain of higher priority to older patients compared with younger patients. CONCLUSION: The data suggest that, at least pretreatment, survival is of primary importance to patients, supporting the development of aggressive treatment strategies. In addition, results highlight individual variability and warn against making assumptions about patients' attitudes vis-a-vis potential outcomes. Whether patients' priorities will change as they experience late effects is currently under investigation. (+info)Auditory neuroscience: is speech special? (8/406)
Speech is thought to be perceived and processed in a unique way by the auditory system of the brain. A recent study has provided evidence that a part of the brain's temporal lobe is specifically responsive to speech and other vocal stimuli. (+info)In medical terms, the term "voice" refers to the sound produced by vibration of the vocal cords caused by air passing out from the lungs during speech, singing, or breathing. It is a complex process that involves coordination between respiratory, phonatory, and articulatory systems. Any damage or disorder in these systems can affect the quality, pitch, loudness, and flexibility of the voice.
The medical field dealing with voice disorders is called Phoniatrics or Voice Medicine. Voice disorders can present as hoarseness, breathiness, roughness, strain, weakness, or a complete loss of voice, which can significantly impact communication, social interaction, and quality of life.
Voice disorders are conditions that affect the quality, pitch, or volume of a person's voice. These disorders can result from damage to or abnormalities in the vocal cords, which are the small bands of muscle located in the larynx (voice box) that vibrate to produce sound.
There are several types of voice disorders, including:
1. Vocal cord dysfunction: This occurs when the vocal cords do not open and close properly, resulting in a weak or breathy voice.
2. Vocal cord nodules: These are small growths that form on the vocal cords as a result of excessive use or misuse of the voice, such as from shouting or singing too loudly.
3. Vocal cord polyps: These are similar to nodules but are usually larger and can cause more significant changes in the voice.
4. Laryngitis: This is an inflammation of the vocal cords that can result from a viral infection, overuse, or exposure to irritants such as smoke.
5. Muscle tension dysphonia: This occurs when the muscles around the larynx become tense and constricted, leading to voice changes.
6. Paradoxical vocal fold movement: This is a condition in which the vocal cords close when they should be open, causing breathing difficulties and a weak or breathy voice.
7. Spasmodic dysphonia: This is a neurological disorder that causes involuntary spasms of the vocal cords, resulting in voice breaks and difficulty speaking.
Voice disorders can cause significant impairment in communication, social interactions, and quality of life. Treatment may include voice therapy, medication, or surgery, depending on the underlying cause of the disorder.
Dysphonia is a medical term that refers to difficulty or discomfort in producing sounds or speaking, often characterized by hoarseness, roughness, breathiness, strain, or weakness in the voice. It can be caused by various conditions such as vocal fold nodules, polyps, inflammation, neurological disorders, or injuries to the vocal cords. Dysphonia can affect people of all ages and may impact their ability to communicate effectively, causing social, professional, and emotional challenges. Treatment for dysphonia depends on the underlying cause and may include voice therapy, medication, surgery, or lifestyle modifications.
An artificial larynx, also known as a voice prosthesis or speech aid, is a device used to help individuals who have undergone a laryngectomy (surgical removal of the larynx) or have other conditions that prevent them from speaking normally. The device generates sound mechanically, which can then be shaped into speech by the user.
There are two main types of artificial larynx devices:
1. External: This type of device consists of a small electronic unit that produces sound when the user presses a button or activates it with a breath. The sound is then directed through a tube or hose into a face mask or a mouthpiece, where the user can shape it into speech.
2. Internal: An internal artificial larynx, also known as a voice prosthesis, is implanted in the body during surgery. It works by allowing air to flow from the trachea into the esophagus and then through the voice prosthesis, which creates sound that can be used for speech.
Both types of artificial larynx devices require practice and training to use effectively, but they can significantly improve communication and quality of life for individuals who have lost their natural voice due to laryngeal cancer or other conditions.
Speech acoustics is a subfield of acoustic phonetics that deals with the physical properties of speech sounds, such as frequency, amplitude, and duration. It involves the study of how these properties are produced by the vocal tract and perceived by the human ear. Speech acousticians use various techniques to analyze and measure the acoustic signals produced during speech, including spectral analysis, formant tracking, and pitch extraction. This information is used in a variety of applications, such as speech recognition, speaker identification, and hearing aid design.
Speech recognition software, also known as voice recognition software, is a type of technology that converts spoken language into written text. It utilizes sophisticated algorithms and artificial intelligence to identify and transcribe spoken words, enabling users to interact with computers and digital devices using their voice rather than typing or touching the screen. This technology has various applications in healthcare, including medical transcription, patient communication, and hands-free documentation, which can help improve efficiency, accuracy, and accessibility for patients and healthcare professionals alike.
Vocal cords, also known as vocal folds, are specialized bands of muscle, membrane, and connective tissue located within the larynx (voice box). They are essential for speech, singing, and other sounds produced by the human voice. The vocal cords vibrate when air from the lungs is passed through them, creating sound waves that vary in pitch and volume based on the tension, length, and mass of the vocal cords. These sound waves are then further modified by the resonance chambers of the throat, nose, and mouth to produce speech and other vocalizations.
Stroboscopy is a medical examination technique used primarily for the evaluation of voice and swallowing disorders. It involves the use of a strobe light that flickers at a rate equal to or close to the vibration rate of the vocal folds (vocal cords). This allows the examiner to visualize the movement of the vocal folds in slow motion, which can help identify any abnormalities in their movement or structure.
During the procedure, a thin, flexible tube called a stroboscope is inserted through the nose and into the throat. The strobe light is then activated, and the examiner observes the vibration of the vocal folds using an attached camera and video monitor. This technique can help diagnose conditions such as vocal fold nodules, polyps, paralysis, and other disorders that affect voice production.
It's important to note that stroboscopy should be performed by a trained healthcare professional, such as an otolaryngologist (ear, nose, and throat specialist) or speech-language pathologist, who has experience in evaluating voice and swallowing disorders.
Hoarseness is a condition characterized by an abnormal change in the quality of voice, making it sound rough, breathy, strained, or weak. Medically, it's described as a disorder of phonation, which is the process of producing sound by vibrating the vocal cords in the larynx (voice box). Hoarseness can be caused by various factors, such as inflammation, irritation, or injury to the vocal cords, and may result in symptoms like altered voice pitch, volume, and clarity. It's essential to consult a healthcare professional if hoarseness persists for more than two weeks, especially if it's accompanied by other concerning symptoms like difficulty swallowing or breathing.
Esophageal speech is not a type of "speech" in the traditional sense, but rather a method of producing sounds or words using the esophagus after a laryngectomy (surgical removal of the voice box). Here's a medical definition:
Esophageal Speech: A form of alaryngeal speech produced by swallowing air into the esophagus and releasing it through the upper esophageal sphincter, creating vibrations that are shaped into sounds and words. This method is used by individuals who have undergone a laryngectomy, where the vocal cords are removed, making traditional speech impossible. Mastering esophageal speech requires extensive practice and rehabilitation.
A laryngectomy is a surgical procedure that involves the removal of the larynx, also known as the voice box. This is typically performed in cases of advanced laryngeal cancer or other severe diseases of the larynx. After the surgery, the patient will have a permanent stoma (opening) in the neck to allow for breathing. The ability to speak after a total laryngectomy can be restored through various methods such as esophageal speech, tracheoesophageal puncture with a voice prosthesis, or electronic devices.
Sound spectrography, also known as voice spectrography, is a diagnostic procedure in which a person's speech sounds are analyzed and displayed as a visual pattern called a spectrogram. This test is used to evaluate voice disorders, speech disorders, and hearing problems. It can help identify patterns of sound production and reveal any abnormalities in the vocal tract or hearing mechanism.
During the test, a person is asked to produce specific sounds or sentences, which are then recorded and analyzed by a computer program. The program breaks down the sound waves into their individual frequencies and amplitudes, and displays them as a series of horizontal lines on a graph. The resulting spectrogram shows how the frequencies and amplitudes change over time, providing valuable information about the person's speech patterns and any underlying problems.
Sound spectrography is a useful tool for diagnosing and treating voice and speech disorders, as well as for researching the acoustic properties of human speech. It can also be used to evaluate hearing aids and other assistive listening devices, and to assess the effectiveness of various treatments for hearing loss and other auditory disorders.
The glottis is a medical term that refers to the opening between the vocal cords (the ligaments in the larynx that produce sound when air passes through them during speech) in the human throat or larynx. It is an important structure for breathing, swallowing, and producing sounds or speech. The glottis opens during inhalation to allow air into the lungs and closes during swallowing to prevent food or liquids from entering the trachea (windpipe) and lungs.
Laryngoscopy is a medical procedure that involves the examination of the larynx, which is the upper part of the windpipe (trachea), and the vocal cords using a specialized instrument called a laryngoscope. The laryngoscope is inserted through the mouth or nose to provide a clear view of the larynx and surrounding structures. This procedure can be performed for diagnostic purposes, such as identifying abnormalities like growths, inflammation, or injuries, or for therapeutic reasons, such as removing foreign objects or taking tissue samples for biopsy. There are different types of laryngoscopes and techniques used depending on the reason for the examination and the patient's specific needs.
Laryngeal diseases refer to conditions that affect the structure and function of the larynx, also known as the voice box. The larynx is a complex structure composed of cartilages, muscles, membranes, and mucous glands that play essential roles in breathing, swallowing, and vocalization.
Laryngeal diseases can be categorized into several types based on their causes and manifestations. Some common laryngeal diseases include:
1. Laryngitis: Inflammation of the larynx that can cause hoarseness, throat pain, coughing, and difficulty swallowing. Acute laryngitis is often caused by viral infections or irritants, while chronic laryngitis may result from prolonged exposure to smoke, chemicals, or acid reflux.
2. Vocal cord lesions: Abnormal growths on the vocal cords, such as polyps, nodules, or cysts, that can affect voice quality and cause hoarseness, breathiness, or pain. These lesions are often caused by overuse, misuse, or trauma to the vocal cords.
3. Laryngeal cancer: Malignant tumors that develop in the larynx and can invade surrounding structures, such as the throat, neck, and chest. Laryngeal cancer is often associated with smoking, alcohol consumption, and human papillomavirus (HPV) infection.
4. Laryngeal stenosis: Narrowing of the airway due to scarring or thickening of the tissues in the larynx. This condition can cause difficulty breathing, wheezing, and coughing, especially during physical activity or sleep.
5. Reinke's edema: Swelling of the vocal cords caused by fluid accumulation in the mucous membrane that covers them. Reinke's edema is often associated with smoking and can cause hoarseness, low voice, and difficulty projecting the voice.
6. Laryngeal papillomatosis: A rare condition characterized by the growth of benign tumors (papillomas) in the larynx, usually caused by HPV infection. These tumors can recur and may require repeated surgeries to remove them.
7. Vocal cord paralysis: Inability of one or both vocal cords to move due to nerve damage or other medical conditions. This condition can cause hoarseness, breathiness, and difficulty speaking or swallowing.
These are some of the common laryngeal disorders that can affect a person's voice, breathing, and swallowing functions. Proper diagnosis and treatment by an otolaryngologist (ear, nose, and throat specialist) are essential to manage these conditions effectively and prevent complications.
Alaryngeal speech refers to the various methods of communicating without the use of the vocal folds (cords) in the larynx, which are typically used for producing sounds during normal speech. This type of communication is necessary for individuals who have lost their larynx or have a non-functioning larynx due to conditions such as cancer, trauma, or surgery.
There are several types of alaryngeal speech, including:
1. Esophageal speech: In this method, air is swallowed into the esophagus and then released in short bursts to produce sounds. This technique requires significant practice and training to master.
2. Tracheoesophageal puncture (TEP) speech: A small opening is created between the trachea and the esophagus, allowing air from the lungs to pass directly into the esophagus. A one-way valve is placed in the opening to prevent food and liquids from entering the trachea. The air passing through the esophagus produces sound, which can be modified with articulation and resonance to produce speech.
3. Electrolarynx: This is a small electronic device that is held against the neck or jaw and produces vibrations that are used to create sound for speech. The user then shapes these sounds into words using their articulatory muscles (lips, tongue, teeth, etc.).
Alaryngeal speech can be challenging to learn and may require extensive therapy and practice to achieve proficiency. However, with proper training and support, many individuals are able to communicate effectively using these methods.
Vocal cord paralysis is a medical condition characterized by the inability of one or both vocal cords to move or function properly due to nerve damage or disruption. The vocal cords are two bands of muscle located in the larynx (voice box) that vibrate to produce sound during speech, singing, and breathing. When the nerves that control the vocal cord movements are damaged or not functioning correctly, the vocal cords may become paralyzed or weakened, leading to voice changes, breathing difficulties, and other symptoms.
The causes of vocal cord paralysis can vary, including neurological disorders, trauma, tumors, surgery, or infections. The diagnosis typically involves a physical examination, including a laryngoscopy, to assess the movement and function of the vocal cords. Treatment options may include voice therapy, surgical procedures, or other interventions to improve voice quality and breathing functions.
Speech production measurement is the quantitative analysis and assessment of various parameters and characteristics of spoken language, such as speech rate, intensity, duration, pitch, and articulation. These measurements can be used to diagnose and monitor speech disorders, evaluate the effectiveness of treatment, and conduct research in fields such as linguistics, psychology, and communication disorders. Speech production measurement tools may include specialized software, hardware, and techniques for recording, analyzing, and visualizing speech data.
The larynx, also known as the voice box, is a complex structure in the neck that plays a crucial role in protection of the lower respiratory tract and in phonation. It is composed of cartilaginous, muscular, and soft tissue structures. The primary functions of the larynx include:
1. Airway protection: During swallowing, the larynx moves upward and forward to close the opening of the trachea (the glottis) and prevent food or liquids from entering the lungs. This action is known as the swallowing reflex.
2. Phonation: The vocal cords within the larynx vibrate when air passes through them, producing sound that forms the basis of human speech and voice production.
3. Respiration: The larynx serves as a conduit for airflow between the upper and lower respiratory tracts during breathing.
The larynx is located at the level of the C3-C6 vertebrae in the neck, just above the trachea. It consists of several important structures:
1. Cartilages: The laryngeal cartilages include the thyroid, cricoid, and arytenoid cartilages, as well as the corniculate and cuneiform cartilages. These form a framework for the larynx and provide attachment points for various muscles.
2. Vocal cords: The vocal cords are thin bands of mucous membrane that stretch across the glottis (the opening between the arytenoid cartilages). They vibrate when air passes through them, producing sound.
3. Muscles: There are several intrinsic and extrinsic muscles associated with the larynx. The intrinsic muscles control the tension and position of the vocal cords, while the extrinsic muscles adjust the position and movement of the larynx within the neck.
4. Nerves: The larynx is innervated by both sensory and motor nerves. The recurrent laryngeal nerve provides motor innervation to all intrinsic laryngeal muscles, except for one muscle called the cricothyroid, which is innervated by the external branch of the superior laryngeal nerve. Sensory innervation is provided by the internal branch of the superior laryngeal nerve and the recurrent laryngeal nerve.
The larynx plays a crucial role in several essential functions, including breathing, speaking, and protecting the airway during swallowing. Dysfunction or damage to the larynx can result in various symptoms, such as hoarseness, difficulty swallowing, shortness of breath, or stridor (a high-pitched sound heard during inspiration).
Speech perception is the process by which the brain interprets and understands spoken language. It involves recognizing and discriminating speech sounds (phonemes), organizing them into words, and attaching meaning to those words in order to comprehend spoken language. This process requires the integration of auditory information with prior knowledge and context. Factors such as hearing ability, cognitive function, and language experience can all impact speech perception.
Speech is the vocalized form of communication using sounds and words to express thoughts, ideas, and feelings. It involves the articulation of sounds through the movement of muscles in the mouth, tongue, and throat, which are controlled by nerves. Speech also requires respiratory support, phonation (vocal cord vibration), and prosody (rhythm, stress, and intonation).
Speech is a complex process that develops over time in children, typically beginning with cooing and babbling sounds in infancy and progressing to the use of words and sentences by around 18-24 months. Speech disorders can affect any aspect of this process, including articulation, fluency, voice, and language.
In a medical context, speech is often evaluated and treated by speech-language pathologists who specialize in diagnosing and managing communication disorders.
Pitch perception is the ability to identify and discriminate different frequencies or musical notes. It is the way our auditory system interprets and organizes sounds based on their highness or lowness, which is determined by the frequency of the sound waves. A higher pitch corresponds to a higher frequency, while a lower pitch corresponds to a lower frequency. Pitch perception is an important aspect of hearing and is crucial for understanding speech, enjoying music, and localizing sounds in our environment. It involves complex processing in the inner ear and auditory nervous system.
The laryngeal muscles are a group of skeletal muscles located in the larynx, also known as the voice box. These muscles play a crucial role in breathing, swallowing, and producing sounds for speech. They include:
1. Cricothyroid muscle: This muscle helps to tense the vocal cords and adjust their pitch during phonation (voice production). It is the only laryngeal muscle that is not innervated by the recurrent laryngeal nerve. Instead, it is supplied by the external branch of the superior laryngeal nerve.
2. Posterior cricoarytenoid muscle: This muscle is primarily responsible for abducting (opening) the vocal cords during breathing and speaking. It is the only muscle that can abduct the vocal cords.
3. Lateral cricoarytenoid muscle: This muscle adducts (closes) the vocal cords during phonation, swallowing, and coughing.
4. Transverse arytenoid muscle: This muscle also contributes to adduction of the vocal cords, working together with the lateral cricoarytenoid muscle. It also helps to relax and lengthen the vocal cords during quiet breathing.
5. Oblique arytenoid muscle: This muscle is involved in adducting, rotating, and shortening the vocal cords. It works together with the transverse arytenoid muscle to provide fine adjustments for voice production.
6. Thyroarytenoid muscle (Vocalis): This muscle forms the main body of the vocal cord and is responsible for its vibration during phonation. The vocalis portion of the muscle helps control pitch and tension in the vocal cords.
These muscles work together to enable various functions of the larynx, such as breathing, swallowing, and speaking.
Auditory perception refers to the process by which the brain interprets and makes sense of the sounds we hear. It involves the recognition and interpretation of different frequencies, intensities, and patterns of sound waves that reach our ears through the process of hearing. This allows us to identify and distinguish various sounds such as speech, music, and environmental noises.
The auditory system includes the outer ear, middle ear, inner ear, and the auditory nerve, which transmits electrical signals to the brain's auditory cortex for processing and interpretation. Auditory perception is a complex process that involves multiple areas of the brain working together to identify and make sense of sounds in our environment.
Disorders or impairments in auditory perception can result in difficulties with hearing, understanding speech, and identifying environmental sounds, which can significantly impact communication, learning, and daily functioning.
Speech Therapy, also known as Speech-Language Pathology, is a medical field that focuses on the assessment, diagnosis, treatment, and prevention of communication and swallowing disorders in children and adults. These disorders may include speech sound production difficulties (articulation disorders or phonological processes disorders), language disorders (expressive and/or receptive language impairments), voice disorders, fluency disorders (stuttering), cognitive-communication disorders, and swallowing difficulties (dysphagia).
Speech therapists, who are also called speech-language pathologists (SLPs), work with clients to improve their communication abilities through various therapeutic techniques and exercises. They may also provide counseling and education to families and caregivers to help them support the client's communication development and management of the disorder.
Speech therapy services can be provided in a variety of settings, including hospitals, clinics, schools, private practices, and long-term care facilities. The specific goals and methods used in speech therapy will depend on the individual needs and abilities of each client.
Acoustic stimulation refers to the use of sound waves or vibrations to elicit a response in an individual, typically for the purpose of assessing or treating hearing, balance, or neurological disorders. In a medical context, acoustic stimulation may involve presenting pure tones, speech sounds, or other types of auditory signals through headphones, speakers, or specialized devices such as bone conduction transducers.
The response to acoustic stimulation can be measured using various techniques, including electrophysiological tests like auditory brainstem responses (ABRs) or otoacoustic emissions (OAEs), behavioral observations, or functional imaging methods like fMRI. Acoustic stimulation is also used in therapeutic settings, such as auditory training programs for hearing impairment or vestibular rehabilitation for balance disorders.
It's important to note that acoustic stimulation should be administered under the guidance of a qualified healthcare professional to ensure safety and effectiveness.
Speech disorders refer to a group of conditions in which a person has difficulty producing or articulating sounds, words, or sentences in a way that is understandable to others. These disorders can be caused by various factors such as developmental delays, neurological conditions, hearing loss, structural abnormalities, or emotional issues.
Speech disorders may include difficulties with:
* Articulation: the ability to produce sounds correctly and clearly.
* Phonology: the sound system of language, including the rules that govern how sounds are combined and used in words.
* Fluency: the smoothness and flow of speech, including issues such as stuttering or cluttering.
* Voice: the quality, pitch, and volume of the spoken voice.
* Resonance: the way sound is produced and carried through the vocal tract, which can affect the clarity and quality of speech.
Speech disorders can impact a person's ability to communicate effectively, leading to difficulties in social situations, academic performance, and even employment opportunities. Speech-language pathologists are trained to evaluate and treat speech disorders using various evidence-based techniques and interventions.
Pattern recognition in the context of physiology refers to the ability to identify and interpret specific patterns or combinations of physiological variables or signals that are characteristic of certain physiological states, conditions, or functions. This process involves analyzing data from various sources such as vital signs, biomarkers, medical images, or electrophysiological recordings to detect meaningful patterns that can provide insights into the underlying physiology or pathophysiology of a given condition.
Physiological pattern recognition is an essential component of clinical decision-making and diagnosis, as it allows healthcare professionals to identify subtle changes in physiological function that may indicate the presence of a disease or disorder. It can also be used to monitor the effectiveness of treatments and interventions, as well as to guide the development of new therapies and medical technologies.
Pattern recognition algorithms and techniques are often used in physiological signal processing and analysis to automate the identification and interpretation of patterns in large datasets. These methods can help to improve the accuracy and efficiency of physiological pattern recognition, enabling more personalized and precise approaches to healthcare.
Aphonia is a medical term that refers to the inability or difficulty in producing sounds or voiced speech. This condition arises when the vocal cords in the larynx (voice box) fail to vibrate or function properly, often due to damage, inflammation, or paralysis of the vocal cord muscles.
There are several possible causes for aphonia, including:
1. Vocal cord trauma: Overuse, misuse, or injury to the vocal cords can result in swelling, inflammation, and temporary or permanent damage, leading to aphonia.
2. Vocal cord paralysis: Damage to the nerves that control the vocal cord muscles (recurrent laryngeal nerve) may cause one or both of the vocal cords to become paralyzed, resulting in aphonia. This can occur due to various reasons, such as surgery, trauma, tumors, or neurological disorders like multiple sclerosis and Parkinson's disease.
3. Laryngitis: Inflammation of the larynx (laryngitis) caused by viral or bacterial infections can lead to aphonia due to swelling and irritation of the vocal cords.
4. Vocal cord lesions: Benign or malignant growths on the vocal cords, such as polyps, nodules, or cancer, can interfere with their ability to vibrate and produce sound, resulting in aphonia.
5. Neurological conditions: Certain neurological disorders, like cerebral palsy, myasthenia gravis, or amyotrophic lateral sclerosis (ALS), can affect the nerves controlling the vocal cords and lead to aphonia.
6. Psychological factors: In some cases, psychological conditions such as anxiety, stress, or depression may cause a person to experience temporary aphonia due to muscle tension in the larynx. This is known as a conversion disorder or functional aphonia.
Treatment for aphonia depends on the underlying cause and may include voice therapy, medication, surgery, or other interventions. In cases of functional aphonia, addressing the psychological factors through counseling or relaxation techniques can help alleviate symptoms.
Laryngoplasty is a surgical procedure that involves reconstructing or reinforcing the larynx, specifically the vocal cords. The goal of this procedure can be to improve voice quality, restore breathing function, or manage airway obstructions caused by various conditions such as vocal cord paralysis, vocal fold bowing, or scarring.
There are different types of laryngoplasties, including:
1. Type I Thyroplasty (Medialization Laryngoplasty): This procedure involves placing an implant made of silicone, Gore-Tex, or other materials in the thyroid cartilage to medialize (move towards the midline) and support the paralyzed vocal cord. This helps improve voice quality and airway closure during speech and swallowing.
2. Arytenoid Adduction: In this procedure, the arytenoid cartilage is repositioned or fixed in place to help approximate (bring together) the vocal cords. It is often performed along with a Type I Thyroplasty for better voice and airway outcomes.
3. Laryngeal Framework Surgery: This is a more extensive procedure that involves reshaping the laryngeal framework, including the thyroid and cricoid cartilages, to improve voice, swallowing, or breathing function.
The choice of surgical technique depends on the underlying condition, its severity, and the patient's individual needs and goals.
Laryngeal neoplasms refer to abnormal growths or tumors in the larynx, also known as the voice box. These growths can be benign (non-cancerous) or malignant (cancerous). Laryngeal neoplasms can affect any part of the larynx, including the vocal cords, epiglottis, and the area around the vocal cords called the ventricle.
Benign laryngeal neoplasms may include papillomas, hemangiomas, or polyps. Malignant laryngeal neoplasms are typically squamous cell carcinomas, which account for more than 95% of all malignant laryngeal tumors. Other types of malignant laryngeal neoplasms include adenocarcinoma, sarcoma, and lymphoma.
Risk factors for developing laryngeal neoplasms include smoking, alcohol consumption, exposure to industrial chemicals, and a history of acid reflux. Symptoms may include hoarseness, difficulty swallowing, sore throat, ear pain, or a lump in the neck. Treatment options depend on the type, size, location, and stage of the neoplasm but may include surgery, radiation therapy, chemotherapy, or a combination of these treatments.
Phonetics is not typically considered a medical term, but rather a branch of linguistics that deals with the sounds of human speech. It involves the study of how these sounds are produced, transmitted, and received, as well as how they are used to convey meaning in different languages. However, there can be some overlap between phonetics and certain areas of medical research, such as speech-language pathology or audiology, which may study the production, perception, and disorders of speech sounds for diagnostic or therapeutic purposes.
A hallucination is a perception in the absence of external stimuli. They are sensory experiences that feel real, but are generated from inside the mind rather than by external reality. Hallucinations can occur in any of the senses, causing individuals to hear sounds, see visions, or smell odors that aren't actually present. They can range from relatively simple experiences, such as seeing flashes of light, to complex experiences like seeing and interacting with people or objects that aren't there. Hallucinations are often associated with certain medical conditions, mental health disorders, or the use of certain substances.
Pitch discrimination, in the context of audiology and neuroscience, refers to the ability to perceive and identify the difference in pitch between two or more sounds. It is the measure of how accurately an individual can distinguish between different frequencies or tones. This ability is crucial for various aspects of hearing, such as understanding speech, appreciating music, and localizing sound sources.
Pitch discrimination is typically measured using psychoacoustic tests, where a listener is presented with two sequential tones and asked to determine whether the second tone is higher or lower in pitch than the first one. The smallest detectable difference between the frequencies of these two tones is referred to as the "just noticeable difference" (JND) or the "difference limen." This value can be used to quantify an individual's pitch discrimination abilities and may vary depending on factors such as frequency, intensity, and age.
Deficits in pitch discrimination can have significant consequences for various aspects of daily life, including communication difficulties and reduced enjoyment of music. These deficits can result from damage to the auditory system due to factors like noise exposure, aging, or certain medical conditions, such as hearing loss or neurological disorders.
I'm sorry for any confusion, but "music" is not a term that has a medical definition. Music is a form of art that uses sound organized in time. It may include elements such as melody, harmony, rhythm, and dynamics. While music can have various psychological and physiological effects on individuals, it is not considered a medical term with a specific diagnosis or treatment application. If you have any questions related to medicine or health, I'd be happy to try to help answer those for you!
I'm sorry for any confusion, but "masculinity" is not a term that has a medical definition. It is a social and cultural concept related to the attitudes, behaviors, and roles generally associated with boys and men. Masculinity can vary greatly across different cultures and societies, and may include traits such as strength, courage, independence, and assertiveness. However, it's important to note that these traits are not exclusive to males, and people of any gender can embody them. It's also worth mentioning that toxic forms of masculinity, which emphasize stoicism, emotional repression, and aggression, can have negative impacts on mental and physical health.
Laryngeal nerve injuries refer to damages or injuries to the recurrent laryngeal nerve (RLN) and/or the superior laryngeal nerve (SLN), which are the primary nerves that supply the larynx, or voice box. These nerves play crucial roles in controlling the vocal cord movements and protecting the airway during swallowing.
The recurrent laryngeal nerve provides motor function to all intrinsic muscles of the larynx, except for the cricothyroid muscle, which is innervated by the superior laryngeal nerve. The RLN also carries sensory fibers from a small area of the mucous membrane below the vocal folds.
Injuries to these nerves can result in voice changes, breathing difficulties, and swallowing problems. Depending on the severity and location of the injury, patients may experience hoarseness, weak voice, breathy voice, coughing while swallowing, or even complete airway obstruction in severe cases. Laryngeal nerve injuries can occur due to various reasons, such as surgical complications (e.g., thyroid, esophageal, and cardiovascular surgeries), neck trauma, tumors, infections, or iatrogenic causes.
The laryngeal nerves are a pair of nerves that originate from the vagus nerve (cranial nerve X) and provide motor and sensory innervation to the larynx. There are two branches of the laryngeal nerves: the superior laryngeal nerve and the recurrent laryngeal nerve.
The superior laryngeal nerve has two branches: the external branch, which provides motor innervation to the cricothyroid muscle and sensation to the mucous membrane of the laryngeal vestibule; and the internal branch, which provides sensory innervation to the mucous membrane of the laryngeal vestibule.
The recurrent laryngeal nerve provides motor innervation to all the intrinsic muscles of the larynx, except for the cricothyroid muscle, and sensation to the mucous membrane below the vocal folds. The right recurrent laryngeal nerve has a longer course than the left one, as it hooks around the subclavian artery before ascending to the larynx.
Damage to the laryngeal nerves can result in voice changes, difficulty swallowing, and respiratory distress.
Psychoacoustics is a branch of psychophysics that deals with the study of the psychological and physiological responses to sound. It involves understanding how people perceive, interpret, and react to different sounds, including speech, music, and environmental noises. This field combines knowledge from various areas such as psychology, acoustics, physics, and engineering to investigate the relationship between physical sound characteristics and human perception. Research in psychoacoustics has applications in fields like hearing aid design, noise control, music perception, and communication systems.