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abducted abnormal adjustments air flow air pressure air stream airway amplitude aphonia arytenoid cartilages associated attachments behavior Bernoulli effect border breath cause changes clinician complex compliance condition consequently contraction cricoid cartilage cricothyroid cricothyroid muscles defective deviations diagnosis disease downward edema effect elasticity epiglottis esophagus factors fibers Figure fold vibration frequency function glottal closure glottis greater hoarseness hyoid bone hypernasality increases individual inferior constrictor influence larynx lateral ligament loudness lower mass mechanism medial membrane motion movements mucosa nasal nerve normal observed occur organic paralysis patient pattern persons pharynx phonation phonatory present procedures produced relatively resonance respiratory result ribs soft palate spastic dysphonia speaking speech pathologist structures surface thereby thorax thyroid cartilage tion tissue tongue trachea tumor upper usually velum ventricular folds vertical vibratory cycle vocal abuse vocal cord vibration vocal cords vocal disorders vocal folds vocal sound voice disorders voice problem voice production voice quality voice therapy