“…In particular, variations in the tensile, shear and bending stiffness of the vocal folds, as well as in the stresses they undergo during longitudinal elongation (i.e., in the anterior–posterior direction), should contribute strongly to the regulation of their natural vibration frequencies 32 – 35 . This is ascribed to the non-linear and anisotropic mechanical properties of the native tissues at the macroscale, driven by their fibrous arrangement at the microscale 34 , 35 . When interacting with airflow, a slight computed change in vocal-fold stiffness can alter their eigenmodes (i.e., structure resonances) and coupling, inducing a sudden change in phonation onset frequency 36 , 37 , 40 , 43 , vocal-fold vibration pattern 36 , 37 , 40 , 43 including glottal opening, open quotient and closing velocity 43 , airflow rate 40 , 43 and sound production efficiency 36 , 37 .…”