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    Stroboscopy: Dr. Sanjay Maharjan PG, Ent-Hns, Manipal

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    Amit Singh
    Stroboscopy is a technique used to visualize vocal fold vibration during phonation using synchronized flashing light. It allows observation of vibration in slow motion. Key information provided includes nature of vibration, detection of vocal pathology, and permanent video recording. The stroboscopic light is synchronized to the frequency of vocal fold vibration, producing a clear, still image of the same portion of the vibratory cycle using the principles of persistence of vision and correspondence. Stroboscopy is useful for planning surgery and provides real-time information about vibration, subtle diagnoses, and permanent records.

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    Stroboscopy: Dr. Sanjay Maharjan PG, Ent-Hns, Manipal

    Uploaded by

    Amit Singh
    36 views11 pages
    Stroboscopy is a technique used to visualize vocal fold vibration during phonation using synchronized flashing light. It allows observation of vibration in slow motion. Key information provided includes nature of vibration, detection of vocal pathology, and permanent video recording. The stroboscopic light is synchronized to the frequency of vocal fold vibration, producing a clear, still image of the same portion of the vibratory cycle using the principles of persistence of vision and correspondence. Stroboscopy is useful for planning surgery and provides real-time information about vibration, subtle diagnoses, and permanent records.

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    Stroboscopy is a technique used to visualize vocal fold vibration during phonation using synchronized flashing light. It allows observation of vibration in slow motion. Key information provided includes nature of vibration, detection of vocal pathology, and permanent video recording. The stroboscopic light is synchronized to the frequency of vocal fold vibration, producing a clear, still image of the same portion of the vibratory cycle using the principles of persistence of vision and correspondence. Stroboscopy is useful for planning surgery and provides real-time information about vibration, subtle diagnoses, and permanent records.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    36 views11 pages

    Stroboscopy: Dr. Sanjay Maharjan PG, Ent-Hns, Manipal

    Uploaded by

    Amit Singh
    Stroboscopy is a technique used to visualize vocal fold vibration during phonation using synchronized flashing light. It allows observation of vibration in slow motion. Key information provided includes nature of vibration, detection of vocal pathology, and permanent video recording. The stroboscopic light is synchronized to the frequency of vocal fold vibration, producing a clear, still image of the same portion of the vibratory cycle using the principles of persistence of vision and correspondence. Stroboscopy is useful for planning surgery and provides real-time information about vibration, subtle diagnoses, and permanent records.

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    STROBOSCOPY

    DR. SANJAY MAHARJAN


    PG, ENT-HNS, MANIPAL
    • Videostroboscopy has evolved as most practical and

    useful technique for clinical evaluation of visco-elastic


    properties of phonatory mucosa

    • painless, office-based procedure

    • essential evaluation of laryngeal mucosa, vocal fold

    motion biomechanics, and mucosal vibration

    • key elements for detecting and assessing pathology as

    well as determining impact on voice and airway function


    • Stroboscopy:

    • Method used to visualize vocal fold vibration

    • Uses synchronized, flashing light passed via flexible or rigid


    telescope
    • Flashes of light are synchronized to vocal fold vibration at
    slightly slower speed, allowing examiner to observe it during
    sound production in slow motion
    • Information is essential for planning effective
    phonomicrosurgery
    • Provides useful, real-time information concerning nature of
    vibration, image to detect vocal pathology, and permanent
    video record of examination
    • Improves sensitivity of subtle laryngeal diagnoses
    • The Talbot law:

    Images on human retina linger for 0.2 seconds after

    exposure (persistence of vision)

    • Concept of correspondence:

    Interpretation of a corresponding portion of sequential

    images representing an object in motion


    • Strobolaryngoscopy takes advantage of these principles:

    • producing intermittent light flashes in close relation to

    frequency of vocal-fold vibration

    • microphone picks up frequency of examinee's sustained

    voice, which triggers stroboscopic light source.

    • With provision that vocal vibrations are periodic, a

    frequency of light flashes equal to vocal frequency


    produces a clear, still image of same portion of vibratory
    cycle.
    • Instrumentation:

    • A videostroboscopic unit consists

    of

    • stroboscopic light source and

    microphone

    • video camera

    • rigid or flexible endoscopes

    • video recorder. .
    • Fundamental frequency

    Measured by using strobe unit and is used to set frequency

    of light flashes

    • Amplitude:

    • Lateral excursion of vocal folds during their displacement

    away from midline during oscillation

    • Highly dependent on pitch frequency and loudness

    • Generally graded as normal, less or greater than normal


    • Symmetry:

    • Normal motion of arytenoid cartilages is assessed during flexible


    or rigid telescopic laryngoscopy and vibratory characteristics of
    phonatory mucosa are assessed during stroboscopy.

    • Glottic closure:

    • In a healthy person musculomembranous portion of vocal folds


    completely closes during vibratory cycle.

    • Mucosal wave:

    • reflects rheological properties of phonatory mucosa during a


    specific vocal task.
    • Periodicity:

    • Regularity of successive vocal vibratory cycles

    • Normal vibratory activity is regular and periodic.


    • Diagnostic Findings:

    • Vocal fold cysts

    region of cyst demonstrates diminished pliability

    exact characteristics of mucosal-wave deficit depend on size


    and location of cyst.

    • Vocal fold polyps

    vibratory patterns of 2 vocal folds are asymmetric, with


    diminution of vibration near lesion
    • Vocal fold nodules

    Glottic closure is compromised, esp. in high pitch frequencies

    Mucosal wave is usually preserved bilaterally, but pliability and

    amplitude of excursion are decreased in region of nodule

    • Sulcus vocalis

    refers to a spectrum of phonatory mucosal vibratory deficits in

    which stroboscopic findings demonstrate zones of diminished


    mucosal pliability

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