Electrolarynx Explained

Above:Electrolaryngeal speech
Ipa Symbol:И
Decimal:1048

An electrolarynx, sometimes referred to as a "throat back", is a medical device about the size of a small electric razor used to produce clearer speech by those people who have lost their voice box, usually due to cancer of the larynx. The most common device is a handheld, battery-operated device pressed against the skin under the mandible which produces vibrations to allow speech;[1] other variations include a device similar to the "talk box" electronic music device, which delivers the basis of the speech sound via a tube placed in the mouth.[2] Earlier non-electric devices were called mechanical larynxes. Along with developing esophageal voice, using a speech synthesizer, or undergoing a surgical procedure, the electrolarynx serves as a mode of speech recovery for laryngectomy patients.[3]

The Voice Quality Symbol for electrolaryngeal phonation in speech is И, approximating the symbol for electricity.

Overview

Initially, the pneumatic mechanical larynx was developed in the 1920s by Western Electric. It did not run on electricity, and was flawed in that it produced a strong voice. However, more recent mechanical larynxes have demonstrated similar voice production to commercially available electrolarynxes.[4] Electrolarynxes were introduced in the 1940s, at a time when esophageal speech was being promoted as the best course in speech recovery; however, since that technique is difficult to master, the electrolarynx became quite popular. Since then, medical procedures, such as the tracheo-oesophageal puncture, and the rarely performed laryngeal transplantation surgery, have been created to enable speech without continued dependence on a handheld device.

The use of an electrolarynx can cause social issues, for instance difficulty ordering food, drinks, or other items in noisy environments; or, when answering a telephone, having the caller respond, "Am I talking to a computer?"

However, quality-of-life improvements due to electrolarynx usage are generally significant. One user states:

Traditional electrolarynxes produce a monotone buzz that the user articulates into speech sounds, resulting in the characteristic "robotlike" voice quality. However, in the 1990s, research and commercial multi-tone devices began to be developed, including discrete-tone devices using multiple-position switches[5] or multiple buttons;[6] [7] as well as variable-tone devices controlled by single pressure-sensitive buttons,[8] trackballs,[9] gyroscopes,[10] touchpad-like input devices,[11] or even electrical detection of the movement of neck muscles.[12] In addition to allowing speakers of non-tonal languages such as English to have a more natural speaking voice, some of these newer devices have allowed speakers of tonal languages such as Mandarin Chinese to speak more intelligibly.

Notable fictional users

Fictional characters notable for their use of an electrolarynx include:

See also

Notes and References

  1. Web site: Department of Otolaryngology . Electrolaryngeal Speech . Eastern Virginia Medical School . 2013-03-14 . dead . https://web.archive.org/web/20120824010237/http://www.evmsent.org/electrolarynx.asp . 2012-08-24.
  2. Speaking with a Dead Man's Voice by Organ Transplant Surgery Only Human . Only Human . Cineflix . . 2018-06-20 . 2019-08-06.
  3. Krishnan . Giri . Du . Charles . Fishman . Jonathan M. . Foreman . Andrew . Lott . David G. . Farwell . Gregory . Belafsky . Peter . Krishnan . Suren . Birchall . Martin A. . August 2017 . The current status of human laryngeal transplantation in 2017: A state of the field review . The Laryngoscope . 127 . 8 . 1861–1868 . 10.1002/lary.26503 . 1531-4995 . 28224630. 24360597 .
  4. Tuttle . Tyler . Erath . Byron . Design and Evaluation of a Mechanically Driven Artificial Speech Device . ASME Journal of Medical Devices . Mar 2018 . 12 . 1 . 011002 . 10.1115/1.4038222 .
  5. Web site: Whispers on the Web - December 2004 . Helms . Dutch . December 2004 . 2016-08-19 . 2017-12-12 . https://web.archive.org/web/20171212044915/http://www.webwhispers.org/news/dec2004.htm . dead .
  6. Web site: Servox Digital Electro Larynx Speech Aid . 2016 . 2016-08-10.
  7. Web site: Nu-Vois III Electro-Larynges . 2016-08-19 . 2016-07-24 . https://web.archive.org/web/20160724080858/http://www.nu-vois.com/nuvois3.php . dead .
  8. Web site: 2008 . The TruTone™ Electrolarynx . https://web.archive.org/web/20080524081017/http://www.griffinlab.com/Products/TruTone-Electrolarynx.html . 24 May 2008 . 2016-08-10.
  9. Book: Wan . Congying . Wang . Erqiang . Wu . Liang . Wang . Supin . 2012 International Conference on Audio, Language and Image Processing . Design and evaluation of an electrolarynx with Mandarin tone-control function . 2012 . 627–631 . 10.1109/ICALIP.2012.6376692. 978-1-4673-0174-9 . 10867420 .
  10. Web site: Shakya. Bicky. Bharam. Vishal. Merchen. Alexander. 2014. Development of an Electrolarynx Capable of Supporting Tonal Distinctions in Mandarin. dead. https://web.archive.org/web/20170810130728/http://www.trincoll.edu/Academics/MajorsAndMinors/Engineering/Documents/Merchen,%20Shakya,%20and%20Bharam.pdf. August 10, 2017. 2016-08-10. Trinity College (Connecticut).
  11. Web site: Electrolarynx Speech Aid » by Labex . labextrade.com . 2019-06-20.
  12. Kubert . Heather L. . Stepp . Cara E. . Zeitels . Steven M. . Gooey . John E. . Walsh . Michael J. . Prakash . S. R. . Hillman . Robert E. . Heaton . James T. . Electromyographic control of a hands-free electrolarynx using neck strap muscles . Journal of Communication Disorders . 2009-01-19 . 42 . 3 . 211–225 . 10.1016/j.jcomdis.2008.12.002 . 3748802 . 19233382.