A pneumatic Bionic Voice prosthesis-Pre-clinical trials of controlling the voice onset and offset

PLoS One. 2018 Feb 21;13(2):e0192257. doi: 10.1371/journal.pone.0192257. eCollection 2018.

Abstract

Despite emergent progress in many fields of bionics, a functional Bionic Voice prosthesis for laryngectomy patients (larynx amputees) has not yet been achieved, leading to a lifetime of vocal disability for these patients. This study introduces a novel framework of Pneumatic Bionic Voice Prostheses as an electronic adaptation of the Pneumatic Artificial Larynx (PAL) device. The PAL is a non-invasive mechanical voice source, driven exclusively by respiration with an exceptionally high voice quality, comparable to the existing gold standard of Tracheoesophageal (TE) voice prosthesis. Following PAL design closely as the reference, Pneumatic Bionic Voice Prostheses seem to have a strong potential to substitute the existing gold standard by generating a similar voice quality while remaining non-invasive and non-surgical. This paper designs the first Pneumatic Bionic Voice prosthesis and evaluates its onset and offset control against the PAL device through pre-clinical trials on one laryngectomy patient. The evaluation on a database of more than five hours of continuous/isolated speech recordings shows a close match between the onset/offset control of the Pneumatic Bionic Voice and the PAL with an accuracy of 98.45 ±0.54%. When implemented in real-time, the Pneumatic Bionic Voice prosthesis controller has an average onset/offset delay of 10 milliseconds compared to the PAL. Hence it addresses a major disadvantage of previous electronic voice prostheses, including myoelectric Bionic Voice, in meeting the short time-frames of controlling the onset/offset of the voice in continuous speech.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Clinical Trials as Topic*
  • Humans
  • Prostheses and Implants*
  • Voice*

Grants and funding

This study is funded by The Garnett Pass and Rodney Williams Memorial Foundation (https://gprwmf.org.au/) research fellowship awards for Dr. Farzaneh Ahmadi (2015-2019), Dr Liang Voice Program at University of Sydney (https://sydney.edu.au/health-sciences/research/liang-voice-program.shtml), and the MARCS Institute of Brain and Behaviour - Western Sydney University (https://www.westernsydney.edu.au/marcs). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.