Abstract
Synchronized videonasendoscopy and respiratory recordings were conducted in six healthy male subjects to evaluate activity of the arytenoid cartilages, true vocal folds, false vocal folds, and epiglottis during repeated trials of three breath-hold maneuvers:easy hold,inhale hard hold, andinhale/exhale hard hold. Five of the six subjects demonstrated maximal laryngeal valving on thehard breath-hold conditions. One subject showed maximal laryngeal valving on the EASY hold condition, and rarely demonstrated any medial displacement or contact of the laryngeal valves on either effortful breath-hold maneuver. Arytenoid approximation and true vocal fold closure were produced consistently by the majority of subjects on all breath-hold maneuvers, but false vocal fold approximation and anterior arytenoid tilting were accomplished by the majority of subjects only during the effortful breath-hold conditions. Intratrial and intersubject variation indicated that presence or degree of laryngeal valving cannot be assumed during a breath-hold maneuver. We conclude that videonasendoscopy has merit in assessing a patient's laryngeal valving ability and progress in effectively using a breath-hold maneuver for safe swallowing function.
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This work was conducted at Froedert Memorial Lutheran Hospital, Milwaukee, WI and was supported by U.S. Public Health Service grants POI-CA-40007, DK25731, and a grant from the Department of Veterans Affairs. Illustrations were prepared by the Medical Media Department at the Clement J. Zablocki Veterans Affairs Medical Center. Special thanks to Melissa Cornwell, Jacqueline Phillips and Teri Nitschke for their assistance in preparation of this manuscript.
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Martin, B.J.W., Logemann, J.A., Shaker, R. et al. Normal laryngeal valving patterns during three breath-hold maneuvers: A pilot investigation. Dysphagia 8, 11–20 (1993). https://doi.org/10.1007/BF01351472
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DOI: https://doi.org/10.1007/BF01351472