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The shouted voice: A pilot study of laryngeal physiology under extreme aerodynamic pressure.

INTRODUCTION: The objective was to study the behavior of the larynx during shouted voice production, when the larynx is exposed to extremely high subglottic pressure.

MATERIALS AND METHODS: The study involved electroglottographic, acoustic, and aerodynamic analyses of shouts produced at maximum effort by three male participants.

RESULTS AND DISCUSSION: Under a normal speaking voice, the voice sound pressure level (SPL) is proportional to the subglottic pressure. However, when the subglottic pressure reached high levels, the voice SPL reached a maximum value and then decreased as subglottic pressure increased further. Furthermore, the electroglottographic signal sometimes lost its periodicity during the shout, suggesting irregular vocal fold vibration.

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