{"title":"Clinical Characteristics and Prognosis Analysis of Dysphonia in Live Streamers.","authors":"Qingcui Wang, Yuhong Lin, Liyu Cheng, Wen Xu","doi":"10.1016/j.jvoice.2025.08.026","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To explore the clinical characteristics, influencing factors, and prognosis of dysphonia in live streamers.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on the basic characteristics, occupational features, voice quality assessment, stroboscopy, and prognosis of 43 live streamers who sought medical attention for dysphonia.</p><p><strong>Results: </strong>Twenty-seven female (62.79%) and 16 male (37.21%) patients were included, with an average age of 36.81 ± 8.97 years and a median course of 6 months. All patients presented with the chief complaint of hoarseness. Triggers were phonotrauma in 35 (81.40%), unclear in 6 (13.95%), and infections in 2 (4.65%). Thirty-seven patients (86.05%) were full-time streamers. The streaming duration was 2.93 ± 2.46 years, with the daily vocal use of 4.58 ± 1.55 hours and streaming frequency of 6.35 ± 1.11 days per week. Forty-one (95.35%) required high volume, and 37 (86.05%) required rapid speech. Audio-perceptual analysis showed 1.42 ± 0.52 in G and R scales and 0.41 ± 0.37 in B scale. Objective analysis revealed increased jitter (1.96% ± 1.33%), shimmer (6.52% ± 2.29%), and reduced maximum phonation time (12.67 ± 5.93 seconds). Laryngoscopy revealed polyps in 15 patients (34.88%), Reinke's edema in 14 (32.56%), cysts in 6 (13.95%), chronic hypertrophic laryngitis in 4 (9.30%), leukoplakia in 3 (6.98%), and scarring in four patients (9.30%). Of the 14 patients who underwent surgery, 13 (92.86%) significantly improved. Among 29 conservatively managed patients, 14 (48.28%) improved, with few received vocal training and education.</p><p><strong>Conclusions: </strong>Long-term, high-frequency, high-volume, and fast-paced vocal use may contribute to dysphonia in live streamers. Benign proliferative lesions are common voice disorders in the current treatment-seeking population. Surgery may improve voice quality, but its recurrence rate is unclear. Proper vocal training and education are crucial for live streamers and may enhance their prognosis.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Voice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jvoice.2025.08.026","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: To explore the clinical characteristics, influencing factors, and prognosis of dysphonia in live streamers.
Methods: A retrospective analysis was conducted on the basic characteristics, occupational features, voice quality assessment, stroboscopy, and prognosis of 43 live streamers who sought medical attention for dysphonia.
Results: Twenty-seven female (62.79%) and 16 male (37.21%) patients were included, with an average age of 36.81 ± 8.97 years and a median course of 6 months. All patients presented with the chief complaint of hoarseness. Triggers were phonotrauma in 35 (81.40%), unclear in 6 (13.95%), and infections in 2 (4.65%). Thirty-seven patients (86.05%) were full-time streamers. The streaming duration was 2.93 ± 2.46 years, with the daily vocal use of 4.58 ± 1.55 hours and streaming frequency of 6.35 ± 1.11 days per week. Forty-one (95.35%) required high volume, and 37 (86.05%) required rapid speech. Audio-perceptual analysis showed 1.42 ± 0.52 in G and R scales and 0.41 ± 0.37 in B scale. Objective analysis revealed increased jitter (1.96% ± 1.33%), shimmer (6.52% ± 2.29%), and reduced maximum phonation time (12.67 ± 5.93 seconds). Laryngoscopy revealed polyps in 15 patients (34.88%), Reinke's edema in 14 (32.56%), cysts in 6 (13.95%), chronic hypertrophic laryngitis in 4 (9.30%), leukoplakia in 3 (6.98%), and scarring in four patients (9.30%). Of the 14 patients who underwent surgery, 13 (92.86%) significantly improved. Among 29 conservatively managed patients, 14 (48.28%) improved, with few received vocal training and education.
Conclusions: Long-term, high-frequency, high-volume, and fast-paced vocal use may contribute to dysphonia in live streamers. Benign proliferative lesions are common voice disorders in the current treatment-seeking population. Surgery may improve voice quality, but its recurrence rate is unclear. Proper vocal training and education are crucial for live streamers and may enhance their prognosis.
期刊介绍：
The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
