Digital high-speed camera technique combined with laryngoscopy was use
d to observe vocal fold vibration in a normal subject and a patient wi
th paralysis of the recurrent nerve who were able to phonate simultane
ously at two different pitches. This phenomenon is called biphonation.
Previous clinical examinations of biphonation and diplophonia will be
compared with our observations. Moreover, we employed a modified two-
mass model of the vocal folds in order to fit simulated time series to
the high-speed glottograms (HGG) extracted by image processing from t
he digital picture sequences. By variation of the model parameters we
generated waveforms which showed the characteristic features of biphon
ation. We state that the appearance of to independent pitches bases on
biperiodic or toroidal oscillations of the vocal folds. The main cond
ition for biphonation is a laryngeal asymmetry causing a desynchroniza
tion of the vocal fold oscillations which is reinforced by high pitche
d phonation, incomplete closure and large subglottal pressure. We stre
ss the importance of a combined application of high-speed camera techn
ique and model simulations to explain the mechanisms of hoarseness. It
is a very successful method to isolate physiological parameters which
categorize and quantify vocal disorders.