vocal folds through contraction of the cricothyroid muscle. Smaller changes in tension can be effected by contraction of the thyroarytenoid muscle or changes in the relative position of the thyroid and cricoid cartilages, as may occur when the larynx is lowered or raised, either volitionally or through movement of the tongue to which the larynx is attached via the hyoid bone. In addition to tension changes, fundamental frequency is also affected by the pressure drop across the larynx, which is mostly affected by the pressure in the lungs, and will also vary with the distance between the vocal folds. Variation in fundamental frequency is used linguistically to produce intonation and tone. There are currently two main theories as to how vibration of the vocal folds is initiated: the myoelastic theory and the aerodynamic theory. These two theories are not in contention with one another and it is quite possible that both theories are true and operating simultaneously to initiate and maintain vibration. A third theory, the neurochronaxic theory, was in considerable vogue in the 1950s, but has since been largely discredited. Myoelastic and aerodynamic theory The myoelastic theory states that when the vocal cords are brought together and breath pressure is applied to them, the cords remain closed until the pressure beneath them, the subglottic pressure, is sufficient to push them apart, allowing air to escape and reducing the pressure enough for the muscle tension recoil to pull the folds back together again. The pressure builds up once again until the cords are pushed apart, and the whole cycle keeps repeating itself. The rate at which the cords open and close, the number of cycles per second, determines the pitch of the phonation. The aerodynamic theory is based on the Bernoulli energy law in fluids. The theory states that when a stream of breath is flowing through the glottis while the arytenoid cartilages are held together (by the action of the interarytenoid muscles), a push-pull effect is created on the vocal fold tissues that maintains self-sustained oscillation. The push occurs during glottal opening, when the glottis is convergent, and the pull occurs during glottal closing, when the glottis is divergent. Such an effect causes a transfer of energy from the airflow to the vocal fold tissues which overcomes losses by dissipation and sustain the oscillation. The amount of lung pressure needed to begin phonation is defined by Titze as the