J Voice. 2021 Feb 01; doi: 10.1016/j.jvoice.2021.01.014. Epub 2021 Feb 01.
Hydration State and Hyaluronidase Treatment Significantly Affect Porcine Vocal Fold Biomechanics.
Journal of voice : official journal of the Voice Foundation
Chenwei Duan, Julian M Jimenez, Craig Goergen, Abigail Cox, Preeti M Sivasankar, Sarah Calve
Affiliations
Affiliations
- Weldon School of Biomedical Engineering, Purdue University, West Lafayette, Indiana; Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, Indiana.
- Weldon School of Biomedical Engineering, Purdue University, West Lafayette, Indiana; Department of Mechanical Engineering, University of Colorado-Boulder, Boulder, Colorado.
- Weldon School of Biomedical Engineering, Purdue University, West Lafayette, Indiana.
- Department of Comparative Pathobiology, Purdue University, West Lafayette, Indiana.
- Weldon School of Biomedical Engineering, Purdue University, West Lafayette, Indiana; Department of Mechanical Engineering, University of Colorado-Boulder, Boulder, Colorado. Electronic address: [email protected].
PMID: 33541766
PMCID: PMC8325720 DOI: 10.1016/j.jvoice.2021.01.014
Abstract
OBJECTIVES: The understanding of vocal fold hydration state, including dehydrated, euhydrated, rehydrated tissue, and how hydration affects vocal fold biomechanical properties is still evolving. Although clinical observations support the benefits of increasing vocal fold hydration after dehydrating events, more mechanistic information on the effects of vocal fold dehydration and the beneficial effects of rehydration are needed. Alterations to hyaluronic acid (HA), an important component of the vocal fold extracellular matrix, are likely to influence the biomechanical properties of vocal folds. In this study, we investigated the influence of hydration state and HA on vocal fold tissue stiffness via biomechanical testing.
STUDY DESIGN: Prospective, ex vivo study design.
METHODS: Fresh porcine vocal folds (N = 18) were examined following sequential immersion in hypertonic (dehydration) and isotonic solutions (rehydration). In a separate experiment, vocal folds were incubated in hyaluronidase (Hyal) to remove HA. Control tissues were not exposed to any challenges. A custom micromechanical system with a microforce sensing probe was used to measure the force-displacement response. Optical strain was calculated, and ultrasound imaging was used to measure tissue cross-sectional area to obtain stress-strain curves.
RESULTS: Significant increases (P ≤ 0.05) were found in tangent moduli between dehydrated and rehydrated vocal folds at strains of ε = 0.15. The tangent moduli of Hyal-digested tissues significantly increased at both ε = 0.15 and 0.3 (P ≤ 0.05).
CONCLUSION: Vocal fold dehydration increased tissue stiffness and rehydration reduced the stiffness. Loss of HA increased vocal fold stiffness, suggesting a potential mechanical role for HA in euhydrated vocal folds.
Copyright © 2021 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
Keywords: Biomechanics; Dehydration; Hyaluronic acid; Rehydration; Vocal folds
References
- J Speech Hear Res. 1994 Oct;37(5):1001-7 - PubMed
- J Voice. 2011 Mar;25(2):249-53 - PubMed
- J Acoust Soc Am. 2008 Jun;123(6):4572-81 - PubMed
- J Acoust Soc Am. 2008 Mar;123(3):1627-36 - PubMed
- J Voice. 2013 Nov;27(6):659-67 - PubMed
- J Speech Hear Res. 1984 Jun;27(2):212-9 - PubMed
- Nat Methods. 2012 Jun 28;9(7):676-82 - PubMed
- Ann Otol Rhinol Laryngol. 2001 Dec;110(12):1120-5 - PubMed
- J Voice. 2020 Jan;34(1):1-8 - PubMed
- Laryngoscope. 2021 Apr;131(4):839-845 - PubMed
- J Voice. 1994 Mar;8(1):30-47 - PubMed
- J Appl Physiol (1985). 2006 Oct;101(4):1113-7 - PubMed
- J Acoust Soc Am. 2016 Apr;139(4):1493 - PubMed
- Curr Opin Struct Biol. 2003 Oct;13(5):612-20 - PubMed
- J Acoust Soc Am. 2017 Oct;142(4):2311 - PubMed
- J Acoust Soc Am. 2016 Oct;140(4):2614 - PubMed
- J Voice. 2010 Sep;24(5):626-35 - PubMed
- J Voice. 2002 Sep;16(3):303-9 - PubMed
- Curr Opin Otolaryngol Head Neck Surg. 2010 Dec;18(6):498-502 - PubMed
- J Voice. 2012 Nov;26(6):706-10 - PubMed
- J Appl Physiol (1985). 2005 Mar;98(3):1006-12 - PubMed
- Biomed Mater Eng. 2004;14(1):13-22 - PubMed
- Biomatter. 2013 Jan-Mar;3(1): - PubMed
- J Voice. 2018 Jul;32(4):492-498 - PubMed
- J Speech Lang Hear Res. 2002 Apr;45(2):268-81 - PubMed
- J Voice. 2009 Jan;23(1):40-50 - PubMed
- Ann Otol Rhinol Laryngol. 2009 Feb;118(2):154-9 - PubMed
- J Acoust Soc Am. 2012 Sep;132(3):1626-35 - PubMed
- J Voice. 2009 Nov;23(6):658-65 - PubMed
- Mater Sci Eng C Mater Biol Appl. 2016 Jul 1;64:444-453 - PubMed
- J Voice. 2011 Mar;25(2):130-6 - PubMed
- J Voice. 2019 Jan;33(1):125.e13-125.e28 - PubMed
- Laryngoscope. 2000 May;110(5 Pt 1):814-24 - PubMed
- J Voice. 2017 Jan;31(1):111.e29-111.e36 - PubMed
- J Voice. 2014 Jul;28(4):406-10 - PubMed
- Otolaryngol Head Neck Surg. 2011 Jan;144(1):108-13 - PubMed
- J Voice. 2021 Jan;35(1):77-84 - PubMed
- J Biol Chem. 2018 Jan 12;293(2):567-578 - PubMed
- Sci Rep. 2016 Apr 12;6:24272 - PubMed
- Otolaryngol Head Neck Surg. 2001 Jun;124(6):607-14 - PubMed
Publication Types
Grant support