Quantitative Measurement of the Three-dimensional Structure of the Vocal Folds and Its Application in Identifying the Type of Cricoarytenoid Joint Dislocation

The objective of this study was to quantitatively measure the three-dimensional (3D) structure of the vocal folds in normal subjects and in patients with different types of cricoarytenoid dislocation. We will analyze differences in parameters between the groups and also determine if any morphologic...

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Veröffentlicht in:Journal of voice 2019-09, Vol.33 (5), p.611-619
Hauptverfasser: Xu, Xinlin, Wang, Yong, Wang, Jingan, Reiss, Jacob F., Zhou, Li, Jiang, Jack J., Zhuang, Peiyun
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container_end_page 619
container_issue 5
container_start_page 611
container_title Journal of voice
container_volume 33
creator Xu, Xinlin
Wang, Yong
Wang, Jingan
Reiss, Jacob F.
Zhou, Li
Jiang, Jack J.
Zhuang, Peiyun
description The objective of this study was to quantitatively measure the three-dimensional (3D) structure of the vocal folds in normal subjects and in patients with different types of cricoarytenoid dislocation. We will analyze differences in parameters between the groups and also determine if any morphologic parameters possess utility in distinguishing the type and the degree of cricoarytenoid dislocation. This retrospective study was conducted using university hospital data. Subjects' larynges were scanned using dual-source computed tomography (CT). The normal subjects were divided into deep-inhalation and phonation groups, and patients with cricoarytenoid joint dislocation were divided into anterior-dislocation and posterior-dislocation groups. Membranous vocal fold length and width were measured directly on the thin-section CT images. Vocal fold and airway 3D models were constructed using Mimics software and used in combination to measure vocal fold thickness, subglottal convergence angle, and oblique angle of the vocal folds. The phonation group displayed a greater vocal fold width, greater oblique angle, thinner vocal folds, and a smaller subglottal convergence angle than those of the deep-inhalation group (P 
doi_str_mv 10.1016/j.jvoice.2018.02.024
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We will analyze differences in parameters between the groups and also determine if any morphologic parameters possess utility in distinguishing the type and the degree of cricoarytenoid dislocation. This retrospective study was conducted using university hospital data. Subjects' larynges were scanned using dual-source computed tomography (CT). The normal subjects were divided into deep-inhalation and phonation groups, and patients with cricoarytenoid joint dislocation were divided into anterior-dislocation and posterior-dislocation groups. Membranous vocal fold length and width were measured directly on the thin-section CT images. Vocal fold and airway 3D models were constructed using Mimics software and used in combination to measure vocal fold thickness, subglottal convergence angle, and oblique angle of the vocal folds. The phonation group displayed a greater vocal fold width, greater oblique angle, thinner vocal folds, and a smaller subglottal convergence angle than those of the deep-inhalation group (P &lt; 0.05). The anterior-dislocation group displayed a smaller oblique angle and subglottal convergence angle than the posterior-dislocation group (P &lt; 0.05). The 3D structure of the vocal folds during deep inhalation and phonation can be accurately measured using dual-source CT and laryngeal 3D reconstruction. As the anterior-dislocation group yielded negative values for the oblique angle and the posterior-dislocation group yielded positive values, the oblique angle of the vocal folds may possess utility for distinguishing the type and for quantitatively determining the degree of cricoarytenoid dislocation.</description><identifier>ISSN: 0892-1997</identifier><identifier>EISSN: 1873-4588</identifier><identifier>DOI: 10.1016/j.jvoice.2018.02.024</identifier><identifier>PMID: 30146235</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>3D model ; Adult ; Arytenoid Cartilage - diagnostic imaging ; Arytenoid Cartilage - physiopathology ; Cricoarytenoid joint dislocation ; Cricoid Cartilage - diagnostic imaging ; Cricoid Cartilage - physiopathology ; Female ; Humans ; Imaging, Three-Dimensional ; Inhalation ; Joint Dislocations - diagnostic imaging ; Joint Dislocations - physiopathology ; Joints - diagnostic imaging ; Joints - physiopathology ; Male ; Middle Aged ; Morphologic structure ; Patient-Specific Modeling ; Phonation ; Predictive Value of Tests ; Retrospective Studies ; Subglottal convergence angle ; Tomography, X-Ray Computed ; Vocal Cords - diagnostic imaging ; Vocal Cords - physiopathology ; Vocal fold</subject><ispartof>Journal of voice, 2019-09, Vol.33 (5), p.611-619</ispartof><rights>2018 The Voice Foundation</rights><rights>Copyright © 2018 The Voice Foundation. 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identifier ISSN: 0892-1997
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source MEDLINE; Elsevier ScienceDirect Journals
subjects 3D model
Adult
Arytenoid Cartilage - diagnostic imaging
Arytenoid Cartilage - physiopathology
Cricoarytenoid joint dislocation
Cricoid Cartilage - diagnostic imaging
Cricoid Cartilage - physiopathology
Female
Humans
Imaging, Three-Dimensional
Inhalation
Joint Dislocations - diagnostic imaging
Joint Dislocations - physiopathology
Joints - diagnostic imaging
Joints - physiopathology
Male
Middle Aged
Morphologic structure
Patient-Specific Modeling
Phonation
Predictive Value of Tests
Retrospective Studies
Subglottal convergence angle
Tomography, X-Ray Computed
Vocal Cords - diagnostic imaging
Vocal Cords - physiopathology
Vocal fold
title Quantitative Measurement of the Three-dimensional Structure of the Vocal Folds and Its Application in Identifying the Type of Cricoarytenoid Joint Dislocation
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