Logopedics Phoniatrics Vocology最新文献

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Screen usage and family functioning as predictors of phonological development in children: a secondary analysis. 屏幕使用和家庭功能作为儿童语音发展的预测因素:二次分析。
IF 1 4区 医学
Logopedics Phoniatrics Vocology Pub Date : 2026-10-15 DOI: 10.1080/14015439.2026.2738226
Maria Inês Gomes, Marisa Lousada, Ana Rita Valente, Patrícia Belém, Daniela Figueiredo
{"title":"Screen usage and family functioning as predictors of phonological development in children: a secondary analysis.","authors":"Maria Inês Gomes, Marisa Lousada, Ana Rita Valente, Patrícia Belém, Daniela Figueiredo","doi":"10.1080/14015439.2026.2738226","DOIUrl":"https://doi.org/10.1080/14015439.2026.2738226","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore predictors of phonological development in preschool children related to family functioning and digital device usage.</p><p><strong>Method: </strong>This cross-sectional, descriptive-correlational study reports a secondary analysis of data from a larger study including 93 parent-child dyads. Children (mean age = 57.01 ± 9.95 months) were predominantly girls and native speakers of European Portuguese.Phonological development and family functioning were assessed using standardised instruments and parents reported their own and their child's digital device use.</p><p><strong>Results: </strong>Multiple regression analyses showed that higher family enmeshment (β = -0.309), greater parental smartphone use outside working hours (β = -0.286), and child tablet use at night (β = -0.234) were associated with lower phonetic-phonological test standardised scores. Allowing tablet use at any time of the day, particularly on weekends, was positively associated with PCC (β = 0.222).</p><p><strong>Conclusions: </strong>These findings highlight the importance of considering family functioning and digital device usage when assessing early phonological outcomes and when designing preventive and family-based interventions.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"1-11"},"PeriodicalIF":1.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perceptual, patient-reported, and acoustic voice characteristics in individuals with multiple sclerosis. 多发性硬化症患者的感知、患者报告和声学特征。
IF 1 4区 医学
Logopedics Phoniatrics Vocology Pub Date : 2026-10-13 DOI: 10.1080/14015439.2026.2747974
Tatiana Romero-Arias, Aylén Chiara Fernández, Iria Nieto Rebollo, Alejandro Cano Villagrasa, Mauricio Barramuño-Medina, Germán Gálvez García, Adrián Pérez Del Olmo
{"title":"Perceptual, patient-reported, and acoustic voice characteristics in individuals with multiple sclerosis.","authors":"Tatiana Romero-Arias, Aylén Chiara Fernández, Iria Nieto Rebollo, Alejandro Cano Villagrasa, Mauricio Barramuño-Medina, Germán Gálvez García, Adrián Pérez Del Olmo","doi":"10.1080/14015439.2026.2747974","DOIUrl":"https://doi.org/10.1080/14015439.2026.2747974","url":null,"abstract":"<p><strong>Purpose: </strong>Voice impairment is increasingly recognised as a relevant but often underexplored feature of multiple sclerosis (MS). The present study aimed to investigate vocal characteristics in individuals with MS using a combined subjective, perceptual, and acoustic assessment approach.</p><p><strong>Methods: </strong>A total of 91 participants were included, comprising 48 individuals with MS and 43 healthy controls. Vocal function was assessed using the Voice Handicap Index (VHI), the GRBAS perceptual scale, and acoustic analysis of sustained phonation, including fundamental frequency (f<sub>o</sub>), jitter, shimmer, and harmonics-to-noise ratio (HNR). Analyses were conducted separately for men and women.</p><p><strong>Results: </strong>Participants with MS showed significantly higher VHI and GRBAS scores compared to controls in both sexes, indicating greater perceived and perceptual voice impairment. Analysis of individual GRBAS dimensions revealed significantly higher scores across all components (Grade, Roughness, Breathiness, Asthenia, and Strain) in participants with MS compared with controls. Acoustic analysis revealed significantly increased shimmer values in both men and women with MS, whereas significantly lower HNR and f<sub>o</sub> values were observed only among women in the sex-stratified analyses. No significant differences were identified for jitter. Formal interaction analyses revealed a significant group × sex interaction only for f<sub>o</sub>, whereas no significant interaction was observed for HNR, shimmer, or jitter.</p><p><strong>Conclusions: </strong>Combined perceptual, patient-reported, and acoustic voice assessment may contribute to a broader characterisation of voice impairment in individuals with MS.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"1-11"},"PeriodicalIF":1.0,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multidimensional associations between the dysphagia handicap index and voice characteristics in a shanghai adult population. 上海成人吞咽障碍指数与声音特征的多维关联。
IF 1 4区 医学
Logopedics Phoniatrics Vocology Pub Date : 2026-10-01 Epub Date: 2026-01-24 DOI: 10.1080/14015439.2026.2618273
YuHan He, HaKyung Kim, AnTong Liu, TianEn Xu, ShiShi Zhou, Qin Zheng, LingJing Jin
{"title":"Multidimensional associations between the dysphagia handicap index and voice characteristics in a shanghai adult population.","authors":"YuHan He, HaKyung Kim, AnTong Liu, TianEn Xu, ShiShi Zhou, Qin Zheng, LingJing Jin","doi":"10.1080/14015439.2026.2618273","DOIUrl":"10.1080/14015439.2026.2618273","url":null,"abstract":"<p><strong>Purpose: </strong>Swallowing and voice share anatomical and physiological mechanisms, yet their relationship in healthy individuals remains underexplored.</p><p><strong>Methods: </strong>This study examined associations among voice assessments and self-perceived swallowing in 110 healthy Shanghai adults.</p><p><strong>Results: </strong>Correlation analysis showed that the results of Dysphagia Handicap Index, which captures subjective perceptions of swallowing impairment, correlated negatively with Maximum Phonation Time, the Dysphonia Severity Index, Diadochokinesis rate, four Laryngeal Diadochokinesis tasks, the Voice-Related Quality of Life Measure, and the Vocal Fatigue Index (VFI) Factor 3, and positively with Jitter, Noise-to-Harmonics Ratio, Lowest Intensity, and VFI Factors 1 and 2, with correlations generally in the weak-to-moderate range. A regression model indicated that voice parameters, particularly measures of vocal stability such as Jitter and fatigue recovery as measured by VFI Factor 3, together with age, accounted for over half of the variance in self-reported swallowing handicap.</p><p><strong>Conclusions: </strong>These findings suggest that multidimensional voice evaluation may offer exploratory, non-invasive insights into swallowing-related function, and could contribute to future approaches for early detection of subclinical swallowing difficulties in aging populations.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"139-150"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146044384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adaptation of the self-assessment scale of communication experiences after laryngectomy to Turkish: Validity and reliability study. 喉切除术后沟通经验自评量表对土耳其语的适应性:效度与信度研究。
IF 1 4区 医学
Logopedics Phoniatrics Vocology Pub Date : 2026-10-01 Epub Date: 2026-05-14 DOI: 10.1080/14015439.2026.2657929
Eda Uzuner, S Seyhun Topbaş, Ayşegül Batıoğlu Karaaltın
{"title":"Adaptation of the self-assessment scale of communication experiences after laryngectomy to Turkish: Validity and reliability study.","authors":"Eda Uzuner, S Seyhun Topbaş, Ayşegül Batıoğlu Karaaltın","doi":"10.1080/14015439.2026.2657929","DOIUrl":"10.1080/14015439.2026.2657929","url":null,"abstract":"<p><strong>Objective: </strong>To adapt the Self-Evaluation of Communication Experiences after Laryngectomy (SECEL) scale into Turkish (TR-SECEL) and to examine its validity and reliability in Turkish-speaking individuals following laryngectomy.</p><p><strong>Study design: </strong>Prospective, descriptive validity and reliability study.</p><p><strong>Methods: </strong>The adaptation process involved forward- and back-translation and expert review. A total of 104 individuals with laryngectomy (94 men and 10 women; mean age = 63.65 ± 8.61 years) were included in the study and completed the TR-SECEL, EORTC QLQ-H&N35, and the Voice-Related Quality of Life Scale (V-RQOL). Psychometric evaluation included content validity, internal consistency (Cronbach's alpha), test-retest reliability, exploratory factor analysis, and convergent validity.</p><p><strong>Results: </strong>TR-SECEL showed excellent internal consistency for the total scale (α = .95), high reliability for the environmental (α = .93) and attitudinal (α = .92) subscales, and moderate reliability for the general subscale (α = .61). Test-retest reliability was very high (<i>r</i> = .99, <i>p</i> < .001). TR-SECEL scores were significantly correlated with the V-RQOL and the subscales of EORTC QLQ-H&N35. Factor analysis indicated a three-factor structure explaining 53.4% of the total variance.</p><p><strong>Conclusions: </strong>The findings of this study suggest that the TR-SECEL has satisfactory psychometric properties for assessing communication experiences in Turkish-speaking individuals after laryngectomy. The scale may be a useful tool in clinical and research settings for evaluating communication-related outcomes and monitoring rehabilitation processes.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"185-203"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term effects of platelet-rich plasma administered with minced autologous fascia lata in the management of unilateral vocal fold paralysis. 富血小板血浆加自体阔筋膜粉碎性治疗单侧声带麻痹的远期疗效。
IF 1 4区 医学
Logopedics Phoniatrics Vocology Pub Date : 2026-10-01 Epub Date: 2026-01-22 DOI: 10.1080/14015439.2025.2600949
İsmail İlter Denizoğlu, Nurullah Türe, Engin Başer
{"title":"Long-term effects of platelet-rich plasma administered with minced autologous fascia lata in the management of unilateral vocal fold paralysis.","authors":"İsmail İlter Denizoğlu, Nurullah Türe, Engin Başer","doi":"10.1080/14015439.2025.2600949","DOIUrl":"10.1080/14015439.2025.2600949","url":null,"abstract":"<p><strong>Aims: </strong>Autologous fascia lata (AFL) is a therapeutic option in the management of unilateral vocal fold paralysis (UVFP). However, the effect of platelet-rich plasma (PRP) administered with AFL is unknown. The aim of this study was to investigate the long-term effects of the combination of minced AFL and PRP in the treatment of UVFP.</p><p><strong>Methods: </strong>Between January 2015 and January 2021, a retrospective evaluation was made of 14 participants diagnosed with UVFP treated with minced AFL+PRP injection. Pre-treatment and postoperative 1-year evaluations were performed with videolaryngostroboscopy, the GRBAS scale, Turkish Voice Handicap Index (T-VHI-10), maximum phonation time (MPT), and acoustic analysis (%Jitter, %Shimmer, fundamental frequency (<i>f<sub>o</sub></i>)).</p><p><strong>Findings: </strong>Half of the participants were males, with with a mean age of 42.0 ± 12.1 years. One-year post-intervention, the T-VHI-10 scores decreased significantly (32.1 to 13.8; <i>p</i> = 0.001), mean MPT increased significantly (from 6.57 s to 16.14 s; <i>p</i> = 0.001), and significant improvements were observed in %Jitter (0.8 to 0.3; <i>p</i> = 0.030) and %Shimmer (5.18 to 2.16; <i>p</i> = 0.001) values. No postoperative complications or donor site morbidity were reported in any participant.</p><p><strong>Conclusions: </strong>Combining PRP with minced AFL is a safe, long-acting option for treating UVFP with significant improvement in voice quality. The regenerative effects of PRP may contribute to permanent vocal improvement by increasing fascia fertility. This method can be considered a less invasive alternative to thyroplasty and may provide additional advantages in terms of the use of autologous material and permanence.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"129-138"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Automatic assessment of voice quality using machine learning. 使用机器学习的语音质量自动评估。
IF 1 4区 医学
Logopedics Phoniatrics Vocology Pub Date : 2026-10-01 Epub Date: 2026-02-25 DOI: 10.1080/14015439.2026.2628250
Yat Chun Au, Nan Yan, Manwa L Ng
{"title":"Automatic assessment of voice quality using machine learning.","authors":"Yat Chun Au, Nan Yan, Manwa L Ng","doi":"10.1080/14015439.2026.2628250","DOIUrl":"10.1080/14015439.2026.2628250","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to develop and validate machine learning (ML) models for automated prediction of perceptual dysphonia severity, as indexed by the Grade (G) parameter of the GRBAS scale, using acoustic analyses of sustained vowels. The overarching goal was to enhance objectivity, reproducibility, and efficiency in clinical voice assessment.</p><p><strong>Methods: </strong>A total of 524 sustained/a/samples were collected from three databases. The evaluations of all recordings by ten raters using the GRBAS scale, that achieved excellent interrater reliability (Krippendorff's <i>α</i> = 0.96), were modelled. Forty-seven acoustic features spanning spectral, cepstral, perturbation, and noise-based indices were extracted using Parselmouth (Praat). Five ML classifiers-Decision Tree (DT), Random Forest (RF), Extreme Gradient Boosting (XGBoost), Light Gradient Boosting Machine (LightGBM), and Categorical Boosting (CatBoost)-were trained using 5-fold cross-validation (80/20 split) and evaluated by accuracy, F1-score, and quadratic weighted kappa (QWK).</p><p><strong>Results: </strong>Gradient boosting algorithms outperformed traditional tree-based models. LightGBM achieved the highest QWK (0.945), followed by CatBoost (QWK = 0.941) and XGBoost (QWK = 0.935). Feature-importance analyses identified cepstral measures-particularly Smoothed Cepstral Peak Prominence (CPPS), Cepstral Spectral Index of Dysphonia (CSID), Acoustic Voice Quality Index (AVQI), Harmonics-to-Noise Ratio (HNR) as the most influential predictors of perceptual Grade (G), while jitter and shimmer parameters contributed minimally. Correlation analyses confirmed strong associations between Grade and AVQI (<i>r</i> = 0.854), HNR (r = -0.853), and cepstral indices (r = -0.835 to -0.832).</p><p><strong>Conclusions: </strong>Gradient boosting methods, particularly LightGBM, produced near-expert agreement with perceptual ratings, supporting their potential as objective, interpretable tools for clinical dysphonia assessment.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"167-184"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cervical auscultation using Doppler ultrasound for swallows of different consistencies by young and older healthy adults. 用多普勒超声对年轻和老年健康人不同一致性咽咽进行宫颈听诊。
IF 1 4区 医学
Logopedics Phoniatrics Vocology Pub Date : 2026-10-01 Epub Date: 2026-02-23 DOI: 10.1080/14015439.2026.2627396
Shi Zhu, Julianne Kwok, Manwa L Ng, Mingyue Xiong
{"title":"Cervical auscultation using Doppler ultrasound for swallows of different consistencies by young and older healthy adults.","authors":"Shi Zhu, Julianne Kwok, Manwa L Ng, Mingyue Xiong","doi":"10.1080/14015439.2026.2627396","DOIUrl":"10.1080/14015439.2026.2627396","url":null,"abstract":"<p><strong>Aim: </strong>The use of a stethoscope for cervical auscultation (CA) has been reported to be useful in detecting potential swallowing ailments. Nevertheless, stethoscopic CA suffers several constraints including poor signal-to-noise ratio. The current study examined the signal characteristics of CA using Doppler ultrasound obtained when swallowing liquids of different consistencies by both older and younger healthy individuals.</p><p><strong>Method: </strong>Thirty healthy younger and older adults participated in the study. Doppler ultrasound CA was carried out when they swallowed 5-mL liquids of different consistencies according to IDDSI levels 0-4: (1) thin, (2) slightly thick, (3) mildly thick, (4) moderately thick, and (5) extremely thick using a portable Doppler ultrasound device. Parameters including the duration of swallow CA signal (T), time to onset of the second peak (T<sub>P2</sub>), and the intensity and frequency of the first and second peaks (I<sub>P1</sub>, I<sub>P2</sub>, F<sub>P1</sub>, F<sub>P2</sub>) were obtained from the ultrasound CA signals.</p><p><strong>Results: </strong>From the ultrasound CA signals of swallowing, durational measures including T and T<sub>P2</sub> generally increased with age but not bolus consistency. However, intensity and frequency measures appeared to be similar between young and older healthy adults, even when swallowing liquids of different consistencies.</p><p><strong>Conclusions: </strong>Doppler ultrasound CA signals revealed that older adults were associated with a longer swallowing duration than the younger counterparts, but not across bolus consistencies. Frequency and intensity measures appeared to be insensitive to the effects of age and bolus consistency. The findings support that ultrasound CA could be used to clinically evaluate swallow proficiency.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"151-166"},"PeriodicalIF":1.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The lung speaks out-and machines are listening. 肺部发出声音,机器也在倾听。
IF 1 4区 医学
Logopedics Phoniatrics Vocology Pub Date : 2026-09-28 DOI: 10.1080/14015439.2026.2730009
Hans Pasterkamp
{"title":"The lung speaks out-and machines are listening.","authors":"Hans Pasterkamp","doi":"10.1080/14015439.2026.2730009","DOIUrl":"https://doi.org/10.1080/14015439.2026.2730009","url":null,"abstract":"<p><strong>Background: </strong>Listening to audible sound for medical diagnosis and monitoring spans health care professionals, physiologists, psychologists, and computer engineers. Artificial intelligence has advanced acoustic analysis in both voice/speech science and respiratory medicine, but asymmetrically. This asymmetry has deep roots: McKusick's adoption of sound spectrography and Forgacs' oscilloscope-based waveform inspection applied methods established in voice/speech acoustics. The same one-way pattern persists: sound-classification methods migrate from voice/speech research into lung sound analysis with a multi-year lag.</p><p><strong>Purpose: </strong>I argue this transfer carried speech science's engineering strengths while omitting an achievement of classical respiratory acoustics: analysis referenced to airflow. Flow-gated phonopneumography established that lung sounds must be interpreted relative to the mechanical act producing them, a validated principle that is absent from contemporary AI-supported auscultation. I trace this omission from Laennec through 19th-century mechanical/acoustic conflations to self-supervised learning, showing how label ontology and missing physiological referencing constrain what these systems can learn, explain, or teach.</p><p><strong>Conclusions: </strong>Restoring flow-referenced analysis is not a return to outdated methodology but a correction to a field that adopted a neighboring discipline's instrumentation without its foundational insight. Parallels-annotator-quality gaps and physiology-referenced efforts, where voice/speech science is neither ahead nor behind-suggest that respiratory and voice/speech acoustics could collaborate to mutual benefit. Lung sound AI's next generation should be built on physiological grounding rather than acoustic pattern-matching alone, a principle also for all professionals who use their auditory perception in assisting health care and for the computer engineers building the tools that listen alongside them.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"1-8"},"PeriodicalIF":1.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes in vocal fold contact across the voice field after injection laryngoplasty. 注射喉部成形术后声带接触的改变。
IF 1 4区 医学
Logopedics Phoniatrics Vocology Pub Date : 2026-09-26 DOI: 10.1080/14015439.2026.2731234
Silvia Capobianco, Gunnar Björck, Francesca Forli, Andrea Nacci, Luca Bruschini, Sten Ternström
{"title":"Changes in vocal fold contact across the voice field after injection laryngoplasty.","authors":"Silvia Capobianco, Gunnar Björck, Francesca Forli, Andrea Nacci, Luca Bruschini, Sten Ternström","doi":"10.1080/14015439.2026.2731234","DOIUrl":"https://doi.org/10.1080/14015439.2026.2731234","url":null,"abstract":"<p><strong>Rationale: </strong>Unilateral vocal fold paralysis (UVFP) causes glottic insufficiency that varies in severity across the phonation range, yet treatment outcomes are typically evaluated through perceptual ratings or acoustic indices obtained at a single vocal effort level. This study used voice mapping, a method that computes acoustic and electroglottographic metrics cycle-by-cycle across the fundamental frequency-sound pressure level plane, to characterise the effects of injection laryngoplasty across the voice field in patients affected by UVFP.</p><p><strong>Methods: </strong>Two complementary cohorts were studied: eight patients assessed before and immediately after injection with hyaluronic acid or calcium hydroxyapatite, and five patients injected with autologous fat and followed at one and three months.</p><p><strong>Results: </strong>Difference maps and phonation-type cluster analyses consistently showed that the predominant effect of glottic medialisation was a reduction in cycle-by-cycle irregularity, suggesting that improved vibratory regularity, rather than a simple increase in contact magnitude, may be the primary mechanism underlying clinical vocal improvement.</p><p><strong>Conclusions: </strong>These findings offer a spatially resolved perspective on the physiology of injection laryngoplasty that is not accessible through conventional assessments, and support further development of voice mapping as an objective monitoring tool in the management of UVFP.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":" ","pages":"1-15"},"PeriodicalIF":1.0,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of the usability and usefulness of the vocal'iz mobile application in a population of teachers. 在教师群体中评估voice 'iz移动应用程序的可用性和有用性。
IF 1 4区 医学
Logopedics Phoniatrics Vocology Pub Date : 2026-09-20 DOI: 10.1080/14015439.2026.2731231
Racha Al Rehaoui, Angélique Remacle
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