Vocal fold models are valuable for studying voice production. They provide an alternative method of studying the mechanics of the voice that does not require in vivo experimentation or the use of excised human or animal tissue. In this thesis, a new method of creating vocal fold models through additive manufacturing is described. The purpose of this research was to reduce model fabrication time, to decrease the number of model failures during manufacturing, and to lay the foundation for creating models with more lifelike geometric and material properties. This research was conducted in four stages. First, a suitable silicone additive manufacturing technique using a UV-curable silicone was chosen. The technique chosen was called freeform reversible embedding (FRE) and involved embedding liquid silicone material into a gel-like medium named organogel. The UV-curable silicone's material properties were identified to confirm its utility in vocal fold model design. Second, an open-source, fused deposition modeling slicing software was selected to create g-code for the printer. Applicable software settings were tuned through qualitative printing tests to find their optimal values for use in FRE printing. Third, 3D-printed cubes were used in tensile tests to characterize the material properties of FRE-printed, silicone material. The cubes were found to be anisotropic, exhibiting different modulus values corresponding to the layer orientation of the printed material. Fourth, vocal fold models were FRE-printed in two different layer orientations and were used in phonation tests to gather data for onset pressure, vibratory frequency, amplitude, and flow rate. The printed models self-oscillated and withstood the strains induced by phonation. These tests showed that layer direction affects the phonation properties of the models, demonstrating that models with layers in the coronal plane had slightly lower frequencies and onset pressures than models with layers in the sagittal plane. The models' onset pressures were higher than what is found in human vocal folds. However, their frequencies were within a comparable range. These tests showed the effectiveness of additive manufacturing in the application of vocal fold fabrication, reducing production effort by allowing researchers to go directly from model design to fabrication in a single manufacturing step. It is anticipated that this method will be modified to incorporate printing of multiple stiffnesses of silicone to better mimic the material properties of vocal fold tissue, and that the anisotropy of 3D-printed material will be leveraged to model the anisotropy of human vocal folds. This work also has potential application areas outside of voice research.

Self-oscillating synthetic vocal fold (VF) models are often used to study human voice production. In this thesis, a method for fabricating multi-layer self-oscillating synthetic VF models using silicone 3D printing is presented. Multi-material 3D printing enables faster fabrication times with more complex geometries than traditional casting methods and builds a foundation for producing VF models with potentially more life-like geometries, materials, and vibratory characteristics. The printing method in this study used a custom dual extruder and slicing software to print UV-curable liquid silicone into a gel-like support matrix. The extruder was fabricated using high-torque stepper motors with high resolution leadscrews for precise extrusion and retraction. The custom slicing software accounted for challenges with printing a low-viscosity uncured silicone and was capable of allowing the user to visually observe the effects of print settings on print paths before finalizing the g-code. Three validation tests were conducted to demonstrate the 3D printer’s ability to print ultra-soft silicone with the desired range of stiffness, change between materials quickly, and print a material stiffness gradient. Two types of VF models were printed in this study, a previously-designed model with multiple distinct layers (“EPI” model), and the same model but with a vertical stiffness gradient (VSG) in the superficial lamina propria layer. The EPI model was chosen to demonstrate the ability to 3D print a multi-layer model, and the VSG model was chosen to demonstrate the ability to print multi-material VFs with geometric and material properties that are difficult to fabricate using traditional casting methods. Sixteen VFs (i.e., eight pairs) of each model type were printed, and their vibratory responses were recorded, including onset pressure, frequency, and glottal width. A micro-CT scanner was used to evaluate the external geometric accuracy of the models. One-centimeter cubes were 3D printed and tensile tested to characterize the material properties of each set of VF models. The material and phonatory properties of both the EPI and VSG VF models were found to be comparable to human data and to previous data acquired using synthetic VF models fabricated via other methods. In this thesis, the 3D printing methodology is summarized, the setup and results of the validation and VF model tests are reported and discussed, and recommendations for future work are provided.

Synthetic, self-oscillating vocal fold (VF) models are physical models whose life-like vibration is induced and perpetuated by fluid flow. Self-oscillating VF models, which are often fabricated life-size from soft silicone elastomers, are used to study various aspects of voice biomechanics. Despite their many advantages, the development and use of self-oscillating VF models is limited by the casting process used to fabricate the models. Consequently, this thesis focuses on the development of 3D printing processes for fabricating silicone VF models. A literature review is first presented which describes three types of material extrusion 3D printing processes for silicone elastomers, namely direct ink writing (DIW), embedded 3D printing, and removable-embedded 3D printing. The review describes each process and provides recent examples from literature that show how each has been implemented to create silicone prints. An embedded 3D printing process is presented wherein a set of multi-layer VF models are fabricated by extruding silicone ink within a VF-shaped reservoir filled with a curable silicone support matrix. The printed models successfully vibrated during testing, but lacked several desirable characteristics which were present in equivalent cast models. The advantages and disadvantages of using this fabrication process are explored. A removable-embedded 3D printing process is presented wherein shapes were fabricated by extruding silicone ink within a locally-curable support matrix then curing the silicone ink and proximate matrix. The printing process was used to fabricate several geometries from a variety of silicone inks. Tensile test results show that printed models exhibit relatively high failure strains and a nearly isotropic elastic modulus in directions perpendicular and parallel to the printed layers. A set of single-material VF models were printed and subjected to vibration testing. The printed models exhibited favorable vibration characteristics, suggesting the continued use of this printing process for VF model fabrication. A micro-slicing process is presented which is capable of creating gcode for 3D printing multiple materials in discrete and mixed ratios by utilizing a previously-sliced single-material shape and a material definition. An important advantage of micro-slicing is its ability to create gcode with a mixed-material gradient. Initial test results and observations are included. This micro-slicing process could be used in material extrusion 3D printing