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Updated: Apr 23, 2026

Hemi-laryngeal Setup for Studying Vocal Fold Vibration in Three Dimensions
Published on: November 25, 2017
Quantitative analysis of digital videokymography: a preliminary study on age- and gender-related difference of vocal
Akihito Yamauchi1, Hisayuki Yokonishi2, Hiroshi Imagawa1
1Department of Otolaryngology, The University of Tokyo Hospital, Tokyo, Japan.
Introduction:
Kymography is an effective method for assessing temporal patterns of vocal fold vibrations. Because kymographic data for a number of normal speakers based on high-speed digital imaging (HSDI) were limited in the literature, this prospective study was conducted to provide normative kymographic HSDI data and clarify gender- and age-related normal variations.
Methods:
Vocally healthy adults were divided into young (≤35 years) and elderly groups (≥65 years). Kymograms were recomposed from HSDI data at the midglottal level, and kymographic parameters were analyzed quantitatively. Then gender- and age-related differences were evaluated.
Results:
A total of 26 young subjects (9 men and 17 women, mean age: 27 years) and 20 elderly subjects (8 men and 12 women, mean age: 73 years) were investigated. Obtained data generally matched the values in the literature. Slight asymmetry was seen in all groups, with the elderly subjects having more evident asymmetry than the young subjects. Most of the kymographic parameters showed a negative correlation with fundamental frequency (F0), whereas the open quotient displayed a positive correlation with F0. There were significant intergroup differences in F0, amplitude and lateral peak at a speaking F0.
Conclusions:
The present quantitative findings generally matched the qualitative kymographic data reported in the literature. When judging whether a vibratory pattern is normal or pathological, both gender and age should be taken into account, because gender- and age-related variations of symmetry, F0, and phase were frequently observed in the present study.
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