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Updated: Jul 17, 2026

Hemi-laryngeal Setup for Studying Vocal Fold Vibration in Three Dimensions
Published on: November 25, 2017
[Glottal and supraglottal configuration during whispering]
1Universitätsklinikum Hamburg-Eppendorf, Poliklinik für Hör-, Stimm- und Sprachheilkunde. fleischer@uke.uni-hamburg.de
Whispering involves varied vocal fold configurations and reduced epithelial forces compared to normal speech. This suggests whispering is suitable for postoperative communication when performed with low effort.
Area of Science:
- Laryngology
- Speech Science
- Vocal Fold Physiology
Background:
- Understanding vocal fold behavior during whispering is crucial for voice disorder management.
- Assessing the trade-off between communication and vocal fold health during whispering is important, especially postoperatively.
Purpose of the Study:
- To compare glottal and supraglottal configurations during whispering versus habitual phonation.
- To estimate the epithelial force exerted on vocal folds during whispering.
Main Methods:
- 100 patients with voice disorders underwent flexible videolaryngoscopy and stroboscopy.
- Patients produced vowels and counted to 10, both voiced and whispered, at varying loudness levels.
- Glottal adduction and supraglottal configurations were assessed and compared between phonation and whispering.
Main Results:
- Significant interindividual variations in glottal and supraglottal configurations during whispering were observed.
- Two primary glottal patterns emerged: vocal processes adducted (cartilaginous triangle or 'kissing processes') or abducted (ligamentous and cartilaginous triangle).
- Increasing loudness during whispering led to either narrowing or widening of glottal and supraglottal structures.
Conclusions:
- Whispering exhibits diverse glottal and supraglottal configurations.
- Despite potential vocal fold contact, the absence of vibration in whispering reduces epithelial forces.
- Whispering can be a safe communication method postoperatively if performed with low effort and adherence to instructions.
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