{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:34:07Z","timestamp":1761006847622,"version":"build-2065373602"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,5,18]],"date-time":"2016-05-18T00:00:00Z","timestamp":1463529600000},"content-version":"vor","delay-in-days":7839,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["R01 DC00855\u201001"],"award-info":[{"award-number":["R01 DC00855\u201001"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1994,12]]},"abstract":"<jats:p>Recent evidence suggests that the lung\u2010thorax system functions as a constant pressure source during phonation. However, previous animal models used a constant flow source. This article describes an in vivo canine model that maintains a constant subglottic pressure during phonation to more closely simulate the pulmonary system. At any given subglottic pressure, increasing levels of recurrent laryngeal nerve stimulation resulted in a significant rise in resistance followed by a plateau. Increasing levels of superior laryngeal nerve stimulation, however, produced no significant change in glottal resistance. Three experimental conditions were studied: Normal, unilateral recurrent laryngeal nerve paralysis, and paralysis followed by arytenoid adduction. In normal canines, maximal vocal efficiency values were the highest, indicating the best match between pressure and resistance. The vocal efficiency values were significantly lower in recurrent laryngeal nerve paralysis, indicating pressure\u2010resistance mismatch. Arytenoid adduction increased the maximal vocal efficiency values and decreased the mismatch observed in the paralyzed state. These findings may provide insight into an understanding of normal and pathologic laryngeal behavior.<\/jats:p>","DOI":"10.1177\/019459989411100618","type":"journal-article","created":{"date-parts":[[2017,7,11]],"date-time":"2017-07-11T18:21:15Z","timestamp":1499797275000},"page":"807-815","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A Pressure\u2010Regulated Model of Normal and Pathologic Phonation"],"prefix":"10.1002","volume":"111","author":[{"given":"Sina","family":"Nasri","sequence":"first","affiliation":[{"name":"Division of Head and Neck Surgery University of California, Los Angeles School of Medicine Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Namazie","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery University of California, Los Angeles School of Medicine Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jody","family":"Kreiman","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery University of California, Los Angeles School of Medicine Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel A.","family":"Sercarz","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery University of California, Los Angeles School of Medicine Los Angeles California"},{"name":"Division of Head and Neck Surgery Harbor\u2013University of California Los Angeles Medical Center Torrance California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce R.","family":"Gerratt","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery University of California, Los Angeles School of Medicine Los Angeles California"},{"name":"Division of Audiology and Speech Pathology Wadsworth Veterans Affairs Medical Center West Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald S.","family":"Berke","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery University of California, Los Angeles School of Medicine Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,18]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0196-0709(89)90060-4"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198909000-00013"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.396113"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949310201005"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.1538-7305.1972.tb02651.x"},{"key":"e_1_2_1_7_1","first-page":"251","article-title":"Compensatory speech behaviors in individuals with cleft palate: A regulation\/control phenomenon?","volume":"23","author":"Warren D","year":"1986","journal-title":"Cleft Palate J"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.3203.566"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.2901.37"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1978.00790100009002"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110500410"},{"key":"e_1_2_1_12_1","first-page":"210","article-title":"Mechanics of voice production. 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