High-Resolution Manometry Contributions to the Physiology of Phonation

Contribuciones de la manometría de alta resolución a la fisiología de la fonación

Published 2023-11-30 — Updated on 2023-12-11

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Vol. 5 No. 2 (2023)
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Reflection article
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High-Resolution Manometry Contributions to the Physiology of Phonation. Rev. Investig. Innov. Cienc. Salud [Internet]. 2023 Dec. 11 [cited 2024 Nov. 24];5(2):232-4. Available from: https://riics.info/index.php/RCMC/article/view/227
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Thays Vaiano
Centro de Estudos da Voz (CEV); São Paulo; Brazil
    https://orcid.org/0000-0003-2169-2723
    Fernando Herbella
    Department of Surgery; Escola Paulista de Medicina; Federal University of São Paulo; São Paulo; Brazil
      https://orcid.org/0000-0003-3594-5744
      Flávia Badaró
      Centro de Estudos da Voz (CEV); São Paulo; Brazil. / Department of Surgery; Escola Paulista de Medicina; Federal University of São Paulo; São Paulo; Brazil
        https://orcid.org/0000-0002-8877-3408
        Mara Behlau
        Department of Surgery; Escola Paulista de Medicina; Federal University of São Paulo; São Paulo; Brazil
          https://orcid.org/0000-0003-4663-4546
          Show authors biography

          High-resolution manometry (HRM) is a motility diagnostic system that measures intraluminal pressure of the gastrointestinal tract using a series of closely spaced pressure sensors. The topographic plot generated by HRM software makes it possible to visualize phonation pressures at the pharynx, UES, and body of the esophagus in real time, indicating pressure intensity by color, which permits easy data interpretation. It has been largely used for swallowing study and dysphagia diagnosis. Due to the proximity of the pharyngoesophageal and laryngeal structures, this technology instigated voice researchers. Despite the few studies published so far, high-resolution manometry has yet proven to be an extremely useful tool in obtaining entire pharyngoesophageal segment pressure measurements during phonation. It also allows natural voice production not interfering with the mouth area. HRM data already brought light to subglottic pressure, vertical laryngeal excursion, cricopharyngeal muscle activation, air flow, muscle tension associated with vocalization and pressure variations associated with different phonatory stimuli.

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