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How Age and Frequency Impact the Thyroid Cartilages of Professional Singers.

Identifieur interne : 000547 ( Main/Exploration ); précédent : 000546; suivant : 000548

How Age and Frequency Impact the Thyroid Cartilages of Professional Singers.

Auteurs : Fabian Unteregger [Suisse] ; Jan Thommen [Suisse] ; Flurin Honegger [Suisse] ; Silke Potthast [Suisse] ; Salome Zwicky [Suisse] ; Claudio Storck [Suisse]

Source :

RBID : pubmed:29326025

Descripteurs français

English descriptors

Abstract

OBJECTIVES/HYPOTHESIS

Young professional singers can easily reach very high pitches. In contrast, older singers often complain that they have to exert substantially more laryngopharyngeal force to reach the same high pitch compared with their earlier years. Various factors such as the property changes of the mucosa and ossification that impact the singing apparatus were suggested as explanations in the literature. The aim of this study was to analyze thyroid deformation-and thereby stiffness indirectly-during singing as a potential reason for this phenomenon.

STUDY DESIGN

Prospective study.

METHODS/DESIGN

We examined 44 female professional singers. High-resolution computed tomography scans were performed during singing at the fundamental mean speaking frequency and the first and second octaves above it. Digital Imaging and Communications in Medicine scan data were rendered and visualized 3-dimensionally using MIMICS software. By superimposition of the different 3-dimensional images, different positions of the thyroid were visualized. The distance from the posterior border of the thyroid was measured in all the examinations.

RESULTS

All laryngeal cartilages could be three-dimensionally visualized. The magnitude of the thyroidal deformation significantly depends on pitch and significantly correlates with age (r

CONCLUSIONS

The thyroid cartilage is flexible and its formability is especially important during singing. At higher pitches, the cartilage was more deformed. The larynx in older singers showed less thyroid cartilage deformation.


DOI: 10.1016/j.jvoice.2017.11.017
PubMed: 29326025


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Age Factors (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aging (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Multidetector Computed Tomography (MeSH)</term>
<term>Occupations (MeSH)</term>
<term>Singing (MeSH)</term>
<term>Thyroid Cartilage (diagnostic imaging)</term>
<term>Thyroid Cartilage (physiopathology)</term>
<term>Voice Quality (MeSH)</term>
</keywords>
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<term>Acoustique (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Cartilage thyroïde (imagerie diagnostique)</term>
<term>Cartilage thyroïde (physiopathologie)</term>
<term>Chant (MeSH)</term>
<term>Facteurs âges (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Professions (MeSH)</term>
<term>Qualité de la voix (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Tomodensitométrie multidétecteurs (MeSH)</term>
<term>Vieillissement (MeSH)</term>
</keywords>
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<term>Thyroid Cartilage</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Cartilage thyroïde</term>
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<term>Cartilage thyroïde</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Thyroid Cartilage</term>
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<term>Acoustics</term>
<term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Aging</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Multidetector Computed Tomography</term>
<term>Occupations</term>
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<term>Voice Quality</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Chant</term>
<term>Facteurs âges</term>
<term>Femelle</term>
<term>Humains</term>
<term>Professions</term>
<term>Qualité de la voix</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVES/HYPOTHESIS</b>
</p>
<p>Young professional singers can easily reach very high pitches. In contrast, older singers often complain that they have to exert substantially more laryngopharyngeal force to reach the same high pitch compared with their earlier years. Various factors such as the property changes of the mucosa and ossification that impact the singing apparatus were suggested as explanations in the literature. The aim of this study was to analyze thyroid deformation-and thereby stiffness indirectly-during singing as a potential reason for this phenomenon.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>STUDY DESIGN</b>
</p>
<p>Prospective study.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS/DESIGN</b>
</p>
<p>We examined 44 female professional singers. High-resolution computed tomography scans were performed during singing at the fundamental mean speaking frequency and the first and second octaves above it. Digital Imaging and Communications in Medicine scan data were rendered and visualized 3-dimensionally using MIMICS software. By superimposition of the different 3-dimensional images, different positions of the thyroid were visualized. The distance from the posterior border of the thyroid was measured in all the examinations.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>All laryngeal cartilages could be three-dimensionally visualized. The magnitude of the thyroidal deformation significantly depends on pitch and significantly correlates with age (r</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>The thyroid cartilage is flexible and its formability is especially important during singing. At higher pitches, the cartilage was more deformed. The larynx in older singers showed less thyroid cartilage deformation.</p>
</div>
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<AbstractText Label="OBJECTIVES/HYPOTHESIS" NlmCategory="OBJECTIVE">Young professional singers can easily reach very high pitches. In contrast, older singers often complain that they have to exert substantially more laryngopharyngeal force to reach the same high pitch compared with their earlier years. Various factors such as the property changes of the mucosa and ossification that impact the singing apparatus were suggested as explanations in the literature. The aim of this study was to analyze thyroid deformation-and thereby stiffness indirectly-during singing as a potential reason for this phenomenon.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Prospective study.</AbstractText>
<AbstractText Label="METHODS/DESIGN" NlmCategory="METHODS">We examined 44 female professional singers. High-resolution computed tomography scans were performed during singing at the fundamental mean speaking frequency and the first and second octaves above it. Digital Imaging and Communications in Medicine scan data were rendered and visualized 3-dimensionally using MIMICS software. By superimposition of the different 3-dimensional images, different positions of the thyroid were visualized. The distance from the posterior border of the thyroid was measured in all the examinations.</AbstractText>
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<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The thyroid cartilage is flexible and its formability is especially important during singing. At higher pitches, the cartilage was more deformed. The larynx in older singers showed less thyroid cartilage deformation.</AbstractText>
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