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Abstract

Grant Number:	5R01DC006449-04
Project Title:	Development of Voice Neural Prosthesis Technology

PI Information:	Name	Email	Title
	HILLMAN, ROBERT E.	hillman.robert@mgh.harvard.edu	PROFESSOR

Abstract: DESCRIPTION (provided by applicant): About half of the patients who undergo total laryngectomy to treat advanced laryngeal cancer rely on a handheld artificial electrolarynx (EL) for communication. Unfortunately, the need to use one hand to control an EL is physically limiting, and these devices produce speech that sounds non-human, has reduced intelligibility and loudness, and draws undesirable attention to the user. The primary aim of this project is to develop an improved artificial electrolarynx communication system that more closely approximates normal voice and speech production. This will be accomplished in laryngectomy patients by developing a neural interface to provide hands-free control of an improved EL sound source, i.e., a voice neural prosthesis. We will carry out a prospective surgical protocol to preserve phonation-related signals from both normally innervated strap muscles and from strap muscles that have been reinnervated by the recurrent laryngeal nerve. The signals will be detected using surface EMG electrodes and will be processed by a DSP-based system that will control a linear, hands-free EL transducer to produce more human-sounding speech. Patients will be systematically followed post-laryngectomy using electrophysiological and imaging approaches to better understand how underlying anatomical and physiological factors influence the development of neural prosthetic voice. Laryngeal nerve morphology will be studied in surgical specimens to help interpret recovered EMG signals. A post-surgical training protocol will be employed to ensure development of maximum proficiency with the new system, and to formally assess the role of training in the use of a voice neural prosthesis. A main goal is to formally compare speech communication using the two different innervation sources and conventional manual control. In addition, an ongoing iterative development effort will also attempt to use more advanced signal processing approaches to further improve/optimize the degree to which system performance approximates normal speech production in individual patients. In the long-term, once the fundamental approaches have been established, we plan to utilize aspects of this new technology for a broader laryngectomy population, and as a foundation for future efforts to develop additional surgical-prosthetic/neuroprosthetic approaches to voice and speech rehabilitation.

Public Health Relevance:
This Public Health Relevance is not available.

Thesaurus Terms:
human therapy evaluation, innervation, laryngeal nerve, nervous system prosthesis, neuromuscular stimulator, speech synthesizer, technology /technique development
biological signal transduction, communication disorder aid, electrode, electromyography, laryngectomy, longitudinal human study, sound, speech therapy, training, voice
bioimaging /biomedical imaging, clinical research, computed axial tomography, electrophysiology, human subject, medical implant science, patient oriented research

Institution:	MASSACHUSETTS GENERAL HOSPITAL
	Partners Research Management
	BOSTON, MA 02199
Fiscal Year:	2006
Department:
Project Start:	01-JAN-2004
Project End:	31-DEC-2008
ICD:	NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS
IRG:	BBBP

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