A hybrid vocal fold phonatory platform for pediatric phonation modeling

Understanding pediatric phonation requires models that capture the biomechanical properties and dynamic airflow interactions of vocal folds. While synthetic vocal fold models have advanced the study of airflow–structure interactions in phonation, they cannot incorporate biologically relevant components such as hydrogels or human-derived cells. We developed a hybrid vocal fold phonatory platform that integrates a natural hydrogel with a silicone-based synthetic framework to address this limitation, enabling biomechanical fidelity and biological relevance. We adapted and downscaled a human vocal fold model (EPI) to replicate the dimensions of infant vocal folds. Using silicone elastomers and gelatin-silicone composites, we fabricated infant-scale replicas that mimic native tissue. Our results demonstrate that the material properties and geometrical scaling significantly affect vibratory behavior and acoustic output. Size reduction aligns with pediatric anatomical dimensions and minimizes the cell volume required for future biologically active models. This platform offers a scalable and bio-integrative approach for studying pediatric phonation, with potential applications in voice biomechanics, developmental vocal fold pathology, and tissue engineering.