“…This has been difficult to achieve because typical methods for directly measuring the input impedance are quite invasive and/or technically challenging, requiring access to patients with laryngectomies (Ishizaka et al, 1976), placing miniature pressure transducers below the glottis (Cranen and Boves, 1987), or using an endotracheal tube (Habib et al, 1994). An alternative, noninvasive method is the use of an accelerometer placed against the skin of the neck (Cheyne, 2002;Chi and Sonderegger, 2007;Madsack et al, 2008;Madsack, 2008, 2009;Lulich, 2010;Wokurek and Madsack, 2011;Gr aczi et al, 2011;Lulich et al, 2011a;Lulich et al, 2011b). In this case, the source of sound comes from the phonation volume velocity (as is the case in microphone recordings of vowels), and the motion of the neck tissues (and hence the accelerometer) is related to the pressure at the top of the trachea.…”