The role of hydration in vocal fold physiology

Current Opinion in Otolaryngology and Head and Neck Surgery

Volumn 18, Issue 3, 2010, Pages 171-175

  Sivasankar, Mahalakshmi ^a   Leydon, Ciara ^b  

^a PURDUE UNIVERSITY   (United States)

^b CITY UNIVERSITY OF NEW YORK   (United States)

Author keywords

Hydration; Laryngeal physiology; Vocal folds; Voice production

Indexed keywords

BIOMECHANICS; CLINICAL RESEARCH; DYSPHONIA; HUMAN; HYDRATION; HYGIENE; MEDICAL LITERATURE; PRIORITY JOURNAL; REVIEW; SPEECH; VIBRATION; VISCOSITY; VOCAL CORD; VOICE; FLUID THERAPY; PHYSIOLOGY;

BIOMECHANICAL PHENOMENA; FLUID THERAPY; HUMANS; VOCAL CORDS;

EID: 77952363264     PISSN: 10689508     EISSN: None     Source Type: Journal    
DOI: 10.1097/MOO.0b013e3283393784     Document Type: Review

References (43)

1. Sataloff RT. Professional voice: the science and art of clinical. 2nd ed. San Diego: Singular Publishing Group, Inc; 1997.
2. Sivasankar M, Erickson E, Schneider S, et al. Phonatory effects of airway dehydration: preliminary evidence for impaired compensation to oral breathing in individuals with vocal fatigue. J Speech Lang Hear Res 2008;51:1494-1506.
3. Titze IR. The physics of small-amplitude oscillation of the vocal folds. J Acoust Soc Am 1988;83:1536-1552.
4. Titze IR. Phonation threshold pressure: a missing link in glottal aerodynamics. J Acoust Soc Am 1992;91:2926-2935.
5. Titze IR. Principles of voice production. Englewood Cliffs, NJ: Prentice-Hall; 1994.
6. Verdolini K, Titze I, Druker D. Changes in phonation threshold pressure with induced conditions of hydration. J Voice 1990;4:142-151.
7. Chan RW, Tayama N. Biomechanical effects of hydration in vocal fold tissues. Otolaryngol Head Neck Surg 2002;126:528-537.
8. Hemler RJ, Wieneke GH, Lebacq J, et al. Laryngeal mucosa elasticity and viscosity in high and low relative air humidity. Eur Arch Otol Rhinol Laryngol 2001;258:125-129.
9. Sivasankar M, Erickson E, Rosenblat M, et al. Hypertonic challenge to the • vocal folds: effects on barrier function. Otolaryngol Head Neck Surg 2010;142:79-84. This study utilized electrophysiology and electron microscopy to demonstrate that the surface application of concentrated salt but not sham solution increases the leakiness of vocal fold epithelia.
10. Nakagawa H, Fukuda H, Kawaida M, et al. Lubrication mechanism of the larynx during phonation: an experiment in excised canine larynges. Folia Phoniatr Logo 1998;50:183-194.
11. Ayache S, Ouaknine M, Dejonckere P, et al. Experimental study of the effects of surface mucus viscosity on the glottic cycle. J Voice 2004;18:107-115.
12. Finkelhor BK, Titze IR, Durham PL. The effects of viscosity changes in the vocal folds on the range of oscillation. J Voice 1988;1:320-335.
13. Jiang J, Verdolini K, Aquino B, et al. Effects of dehydration on phonation in excised canine larynges. Ann Otol Rhinol Laryngol 2000;109:568-575.
14. Jiang J, Ng J, Hanson D. The effects of rehydration on phonation in excised canine larynges. J Voice 1999;13:51-59.
15. Witt R, Regner M, Tao C, et al. Effect of dehydration on phonation threshold •• flow in excised canine larynges. Ann Otol Rhinol Laryngol 2009;118:154-159. This article presents bench data on the effects of dehydration on an aerodynamic measure that can be incorporated into the clinic setting. Phonation threshold flow increased after short exposure to surface dehydration at seasonally relevant humidity levels (22-28% humidity).
16. Fujita R, Ferreira A, Sarkovas C. Videokymography assessment of vocal fold vibration before and after hydration. Rev Bras Otorrinol 2004;70:742-746.
17. Hemler RJ, Wieneke GH, Dejonckere PH. The effect of relative humidity of inhaled air on acoustic parameters of voice in normal subjects. J Voice 1997;11:295-300.
18. Sivasankar M, Fisher K. Oral breathing increases Pth and vocal effort by superficial drying of the vocal fold mucosa. J Voice 2002;16:172-181.
19. Sivasankar M, Fisher K. Oral breathing challenge in participants with vocal attrition. J Speech Lang Hear Res 2003;46:1416-1427.
20. Solomon N, DiMattia M. Effects of a vocally fatiguing task and systemic hydration on phonation threshold pressure. J Voice 2000;14:341-362.
21. Solomon N, Glaze L, Arnold R, et al. Effects of a vocally fatiguing task and systemic hydration on men's voices. J Voice 2003;17:31-46.
22. Verdolini K, Titze IR, Fennell A. Dependence of phonatory effort on hydration level. J Speech Lang Hear Res 1994;37:1001-1007.
23. Verdolini K, Min Y, Titze IR, et al. Biological mechanisms underlying voice changes due to dehydration. J Speech Lang Hear Res 2002;45:268-281.
24. Fisher KV, Ligon J, Sobecks JL, Roxe DM. Phonatory effects of body fluid removal. J Speech Lang Hear Res 2001;44:354-367.
25. Roh J, Kim H, Kim A. The effect of acute xerostomia on vocal function. Ann Otol Rhinol Laryngol 2006;132:542-546.
26. Tanner K, Roy N, Merrill R, et al. The effects of three nebulized osmotic agents in the dry larynx. J Speech Lang Hear Res 2007;50:635-646.
27. Sivasankar M, Erickson E. Short-duration accelerated breathing challenges affect phonation. Laryngoscope 2009;119:1658-1663.
28. Ori Y, Sabo R, Binder Y, et al. Effect of hemodialysis on the thickness of vocal folds: a possible explanation for postdialysis hoarseness. Nephron Clin Prac 2006;103: c144-c148.
29. Vintturi J, Alku P, Sala E, et al. Loading-related subjective symptoms during a vocal loading test with special reference to gender and some ergonomic factors. Folia Phoniatr Logo 2003;55:55-69.
30. Zhang Y, Czerwonka L, Tao C, et al. A biphasic theory for the viscoelastic behaviors of vocal fold lamina propria in stress relaxation. J Acoust Soc Am 2008;123:1627-1636.
31. Yiu EM, Chan RM. Effect of hydration and vocal rest on the vocal fatigue in amateur karaoke singers. J Voice 2003;17:216-227.
32. Richter B, Lohle E, Knapp B, et al. Harmful substances on the opera stage: possible negative effects on singers' respiratory tracts. J Voice 2002;16:72-80.
33. Jones K, Sigmon J, Hock L, et al. Prevalence and risk factors for voice problems among telemarketers. Arch Otolaryngol Head Neck Surg 2002;128:571-577.
34. Behlau M, Oliveira G. Vocal hygiene for the voice professional. Curr Opin • Otolaryngol Head Neck Surg 2009;17:149-154. This review article provides a comprehensive overview of hydration therapy as a component of vocal hygiene and offers suggestions for further research on vocal fold hydration.
35. Tao C, Jiang J, Zhang Y. A fluid-saturated poroelastic model of the vocal folds • with hydrated tissue. J Biomech 2009;42:774-780. These authors used finite element modeling to characterize the build-up of stress in vocal folds during oscillation, laying the groundwork to understand tissue property changes underlying clinical voice disorders.
36. Roy N, Tanner K, Gray S, et al. An evaluation of the effects of three laryngeal lubricants on phonation threshold pressure. J Voice 2003;17:331-342.
37. Sivasankar M, Fisher K. Vocal fold epithelial response to luminal osmotic perturbation. J Speech Lang Hear Res 2007;50:886-898.
38. Verdolini-Marston K, Sandage M, Titze IR. Effect of hydration treatments on laryngeal nodules and polyps and related voice measures. J Voice 1994;8:30-47.
39. Leydon C, Wroblewski M, Eichorn N, et al. A meta-analysis of outcomes of hydration intervention on phonation threshold pressure. J Voice (in press).
40. Fukuda H, Kawaida M, TatcharaT, et al. A new concept of lubricating mechanisms of the larynx. In Fujimura O, editor. New York: Raven Press Ltd.; 1988.
41. Fisher K, Telser A, Phillips J, et al. Regulation of vocal fold transepithelial water fluxes. J Appl Physiol 2001;91:1401-1411.
42. Sivasankar M, Nofziger C, Blazer-Yost B. Cyclic adenosine monophosphate regulation of ion transport in porcine vocal fold mucosa. Laryngoscope 2008;118:1511-1517.
43. Leydon C, Sivasankar M, Lodewyck D, et al. Vocal fold surface hydration: a • review. J Voice 2009;23:658-665. This study reviews the biological mechanisms that regulate superficial hydration in vocal fold tissue and provides a framework for understanding why certain types of hydration treatments may be beneficial to voice production.