Applied Physiology of the Larynx

Functions

  • Protection of the lower air passages
  • Respiration
  • Phonation

Protection of the Lower Air Passages

  • Closure of the laryngeal inlet
  • Closure of the glottis
  • Cessation of respiration
  • Cough reflex (forced expiration is made against a closed larynx)

Phonation

  • Voice is produced by vibration of the vocal cord
  • Source of energy is the airflow
  • Normal vocal fold vibration occurs vertically from inferior to superior
  • The mouth, pharynx, nose, chest (resonating chambers)

Respiration

  • Vocal cord in abduction position

Voice Mechanism

  • Speaking involves a voice mechanism that is composed of three subsystems:

    • Air pressure system
    • Vibratory system
    • Resonating system
  • The “spoken word” results from three components of voice production:

    • Voiced sound, resonance, and articulation

Voiced Sound

  • The basic sound produced by vocal fold vibration (“buzzy sound”)

Resonance

  • Voiced sound is amplified and modified by the vocal tract resonators (throat, mouth cavity, and nasal passages)

Articulation

  • The vocal tract articulators (the tongue, soft palate, and lip) modify the voiced sound

Vocal Cord Vibration

  • Vocal folds vibrate rapidly in sequence of vibratory cycles with a speed of about:
    • 110 cycles per second (men) = lower pitch
    • 180 to 220 cycles per second (women) = medium pitch
    • 300 cycles per second (children) = higher pitch
  • Louder voice: increase in amplitude of vocal fold vibration
  • Bernoulli effect

Laryngeal Sphincters

  • True vocal cord
  • False vocal cord
  • Aryepiglottic sphincter