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Two implant locations, glottal and infraglottal, were tested for each larynx at low and high subglottal pressure levels. Acoustic and intraglottal flow velocity field measurements were taken to assess vocal efficiency (VE), cepstral peak prominence (CPP), and the development of intraglottal vortices.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The results indicated that the implant's vertical location significantly influenced vocal efficiency (<jats:italic>p<\/jats:italic>\u2009=\u20090.045), with the infraglottal implant generally yielding higher VE values. The effect on CPP was not statistically significant (<jats:italic>p<\/jats:italic>\u2009=\u20090.234). Intraglottal velocity field measurements demonstrated larger glottal divergence angles and stronger vortices with the infraglottal implant.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The findings suggest that medializing the paralyzed fold at the infraglottal level rather than the glottal level can lead to improved vocal efficiency. The observed larger divergence angles and stronger intraglottal vortices with infraglottal medialization may enhance voice outcomes in UVFP patients. These findings have important implications for optimizing T1T procedures and improving voice quality in individuals with UVFP. Further research is warranted to validate these results in clinical settings.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00405-024-08519-x","type":"journal-article","created":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T13:02:37Z","timestamp":1709211757000},"page":"2523-2529","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Acoustics and aerodynamic effects following glottal and infraglottal medialization in an excised larynx model"],"prefix":"10.1007","volume":"281","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3232-6799","authenticated-orcid":false,"given":"Liran","family":"Oren","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Maddox","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Farbos de Luzan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Changchun","family":"Xie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Howell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory","family":"Dion","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ephraim","family":"Gutmark","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sid","family":"Khosla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,2,29]]},"reference":[{"issue":"10","key":"8519_CR1","doi-asserted-by":"publisher","first-page":"1837","DOI":"10.1097\/MLG.0b013e31817e7431","volume":"118","author":"TJ Fang","year":"2008","unstructured":"Fang TJ, Li HY, Gliklich RE, Chen YH, Wang PC, Chuang HF (2008) Quality of life measures and predictors for adults with unilateral vocal cord paralysis. 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