Journal of Voice最新文献

{"title":"Prosodic-Acoustic and Perceptual Analyses of Vocal Expressiveness in Emergency Call Center Operators: A Pilot Study.","authors":"Bárbara Tayná Santos Eugênio da Silva Dantas, Sandra Madureira, Eduardo Lucas Sousa Enéas, Leônidas José da Silva, Maria Fabiana Bonfim de Lima-Silva","doi":"10.1016/j.jvoice.2026.09.067","DOIUrl":"https://doi.org/10.1016/j.jvoice.2026.09.067","url":null,"abstract":"<p><strong>Objectives: </strong>Emergency call center operators perform an essential public service and use their voices as a primary work tool. Their tasks include gathering critical information from callers and forwarding it to the sectors responsible for emergency response. This pilot study investigated vocal expressiveness in real emergency call center speech, focusing on perceived empathic stance and prosodic-acoustic characteristics.</p><p><strong>Methods: </strong>Four real emergency call samples produced by two male and two female operators from an emergency call center in João Pessoa, Paraíba, Brazil, were analyzed through a perceptual experiment with 113 lay listeners and an exploratory prosodic-acoustic analysis performed in Praat using SpeechRhythmExtractor. Lay listeners rated the samples using semantic differential scales comprising five adjective pairs related to interpersonal stance, clarity, and perceived service effectiveness. Prosodic-acoustic parameters were examined through exploratory within-corpus comparisons across the four operator samples.</p><p><strong>Results: </strong>Listener ratings varied across the four operator samples, with TOpM01 receiving the most favorable overall ratings and TOpM02 the least favorable. Ratings also differed according to listener sex, with female listeners tending to assign less favorable scores in this sample. The acoustic analysis showed within-corpus variability in f0-related and modulation measures, low-frequency LTAS, Jitter, Shimmer, HNR, speech rate, and articulation rate. Descriptive comparison of the perceptual and acoustic findings suggested sample-specific correspondences in prosodic-acoustic profiles.</p><p><strong>Conclusion: </strong>Lay listeners perceived differences in vocal expressiveness and empathic stance across real emergency call samples, and these impressions showed descriptive alignment with prosodic-acoustic profiles. However, the findings do not indicate that individual acoustic parameters determine perceived empathy. The quality of operators' vocal communication may affect users' experience during emergency-service interactions, with listener judgments potentially reflecting the interaction of vocal, semantic, pragmatic, interactional, and contextual information. These exploratory findings support larger studies designed to clarify the contribution of vocal expressiveness to perceived empathy and communicative effectiveness in emergency contexts.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225189","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}

{"title":"Teachers' Misconceptions About Vocal Hygiene: Effects of a Brief Online Educational Program.","authors":"Melis Buse Arslan, Berrak Zülal Yalçın","doi":"10.1016/j.jvoice.2026.09.068","DOIUrl":"https://doi.org/10.1016/j.jvoice.2026.09.068","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated whether a brief online vocal hygiene education program could correct common misconceptions regarding vocal hygiene and improve teachers' understanding of evidence-based voice care.</p><p><strong>Methods: </strong>A single-group pretest-posttest quasi-experimental design was employed. Forty middle and high school teachers completed the 25-item Voice Health Knowledge Questionnaire (VHKQ) immediately before and 14 days after participating in a standardized 30-minute online educational program. Changes in total knowledge scores were analyzed using the Wilcoxon signed-rank test, and item-level response patterns were examined to identify misconceptions showing the greatest improvement following the intervention.</p><p><strong>Results: </strong>Total VHKQ scores increased significantly from 14.60 ± 4.16 before the intervention to 21.55 ± 3.58 after the intervention (Z = -5.363, P < 0.001), with a large effect size (r = 0.84). Correct response rates increased for 24 of the 25 items. The greatest improvements were observed for misconceptions related to whispering, throat clearing, voice rest, breathing patterns, and other evidence-based vocal hygiene practices.</p><p><strong>Conclusions: </strong>A brief online vocal hygiene education program was associated with substantial improvements in teachers' knowledge of evidence-based vocal hygiene and correction of several prevalent misconceptions. Incorporating targeted vocal hygiene education into pre-service teacher education and continuing professional development programs may represent a practical strategy for promoting healthy voice use. Further controlled studies are needed to determine whether these knowledge improvements translate into sustained behavioral changes and improved vocal outcomes.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225233","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}

{"title":"Efficacy of Autologous Platelet-Rich Plasma (PRP) Injections in the Management of Presbyphonia.","authors":"Ralph Haddad, Stephane Gargula, Dario Ebode, Alexia Mattei, Mélanie Velier, Estelle Bogdanski, Florence Sabatier, Justin Michel, Jeremy Magalon, Antoine Giovanni","doi":"10.1016/j.jvoice.2026.10.010","DOIUrl":"https://doi.org/10.1016/j.jvoice.2026.10.010","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the clinical, auditory-perceptual, aerodynamic, and acoustic outcomes of serial autologous Platelet-Rich Plasma (PRP) injections administered via an in-office approach in a cohort of patients with presbyphonia.</p><p><strong>Methods: </strong>A single-center retrospective analysis was conducted on 36 patients (mean age 72.78 years) diagnosed with presbyphonia who underwent two to three serial PRP injections into the thyroarytenoid muscle between October 2021 and April 2025. Pre and post treatment evaluations included patient self-assessment via a 0-10 Visual Analog Scale for vocal handicap, auditory-perceptual analysis using the GRB scale, Maximum Phonation Time (MPT), acoustic parameters (F0, Jitter, HNR), and stroboscopic mucosal wave grading.</p><p><strong>Results: </strong>Thirty-five patients completed the primary protocol. Patient self-assessment scores demonstrated a highly significant reduction in perceived vocal handicap post-intervention (from 7.17 to 4.57, P < 0.0001, r = 0.584). Auditory-perceptual analysis revealed significant improvements across all GRB scale components, notably the overall Grade (P = 0.0002) and Roughness (P < 0.0001). MPT significantly increased from 11.47 to 13.31 seconds (P = 0.018). Conversely, traditional objective acoustic parameters showed no statistically significant post-treatment changes. Stroboscopic evaluation demonstrated improved mucosal wave dynamics in 82.9% of patients, which strongly correlated with self-assessment gains (ρ = 0.496, P = 0.0024). Baseline severity was a significant predictor of treatment response.</p><p><strong>Conclusions: </strong>Serial office-based autologous PRP injections offer a safe, well-tolerated, and effective biological treatment for presbyphonia. By improving mucosal pliability and reducing perceived vocal handicap, PRP bridges the gap between conservative therapy and invasive surgical interventions, serving as a valuable regenerative tool for the aging voice.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225241","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}

{"title":"Cross-Cultural Adaptation and Psychometric Evaluation of the Children's Voice Questionnaire in Turkish-Speaking Children: Validation of the CVQ-TR and Embedded Evaluation of the CVQ-10-TR.","authors":"Harun Ayas, Müge Müzeyyen Çiyiltepe","doi":"10.1016/j.jvoice.2026.09.056","DOIUrl":"https://doi.org/10.1016/j.jvoice.2026.09.056","url":null,"abstract":"<p><strong>Objectives: </strong>To cross-culturally adapt the 18-item Children's Voice Questionnaire (CVQ) into Turkish and evaluate its measurement properties in Turkish-speaking children with and without dysphonia. A secondary aim was to examine the predefined 10-item short form (CVQ-10-TR) as an embedded score.</p><p><strong>Methods: </strong>The adaptation included forward-back translation, multidisciplinary expert review (n = 8), and cognitive debriefing with 15 children. The psychometric sample comprised 180 children (60 with dysphonia, 120 controls). Ordinal confirmatory factor analysis assessed structural validity. Internal consistency, test-retest reliability, measurement error, construct validity, informant-specific associations, and known-groups validity were evaluated. Test-retest analyses included 50 clinically stable participants.</p><p><strong>Results: </strong>Content validity was high (overall S-CVI/Ave = 0.955). The CVQ-TR supported an admissible one-factor model (robust CFI = 0.964, TLI = 0.959, RMSEA = 0.057, SRMR = 0.051), whereas the three-factor model was inadmissible because latent correlations approached or exceeded unity. Internal consistency was high (ω = 0.952), and test-retest reliability was good (ICC = 0.892). All prespecified construct-validity hypotheses were confirmed. Children with dysphonia had substantially higher scores than controls (Hedges' g = 1.75). The embedded CVQ-10-TR showed a coherent one-factor solution, high internal consistency (ω = 0.944), good test-retest reliability (ICC = 0.896), and very high correspondence with the full form (ρ = 0.971), with closely preserved external-association patterns.</p><p><strong>Conclusions: </strong>The CVQ-TR is a valid, reliable, predominantly unidimensional measure of child-perceived voice handicap in Turkish-speaking children. The embedded CVQ-10-TR showed promising psychometric performance, but standalone administration requires independent validation.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217168","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}

{"title":"Pediatric Laryngeal Tumors: A Systematic Review of Benign and Malignant Neoplasms.","authors":"Agata Gierlotka, Ireneusz Bielecki","doi":"10.1016/j.jvoice.2026.09.060","DOIUrl":"https://doi.org/10.1016/j.jvoice.2026.09.060","url":null,"abstract":"<p><strong>Background: </strong>Pediatric laryngeal tumors are exceptionally rare and encompass a heterogeneous spectrum of benign and malignant neoplasms. Evidence remains largely limited to case reports and small case series.</p><p><strong>Objective: </strong>To systematically characterize the histopathology, clinical presentation, treatment, recurrence, and outcomes of benign and malignant laryngeal tumors in children.</p><p><strong>Methods: </strong>A systematic review was conducted according to PRISMA guidelines. MEDLINE, Embase, ScienceDirect, and the Cochrane Library were searched for studies published from January 2000 to July 2026 involving patients aged ≤18 years with histologically confirmed primary laryngeal tumors.</p><p><strong>Results: </strong>Eighty-six studies were included. Among 52 patients with benign tumors, granular cell tumor was the most frequent diagnosis, followed by neurofibroma and inflammatory myofibroblastic tumor. Hoarseness was the predominant symptom, and surgery, particularly endoscopic resection, was the principal treatment. Recurrence occurred in 7/44 patients (15.9%) with available outcome data. Among 69 patients with malignant or intermediate tumors, squamous cell carcinoma predominated, followed by sarcomas and lymphomas. Treatment included surgery, radiotherapy, and chemotherapy according to histology and disease extent. Total laryngectomy was performed in nine patients, and 12 deaths were reported.</p><p><strong>Conclusions: </strong>Pediatric laryngeal tumors are rare, but should be considered in children with persistent or progressive hoarseness, dyspnea, dysphagia, or other unexplained upper airway symptoms. Granular cell tumor and neurofibroma were the predominant benign lesions, whereas squamous cell carcinoma was the most frequently reported malignant neoplasm. Given the rarity of these tumors and the current reliance on case-based evidence, the establishment of international multicenter registries is warranted to generate higher-quality data and inform standardized diagnostic and therapeutic algorithms for pediatric laryngeal neoplasms.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217254","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}

{"title":"Voice Rehabilitation After Early Laryngeal Cancer: A Narrative Review.","authors":"Yasaman Ekram Nosratian, Payman Dabirmoghaddam, Ahmadreza Khatoonabadi, Samira Aghadoost","doi":"10.1016/j.jvoice.2026.09.028","DOIUrl":"https://doi.org/10.1016/j.jvoice.2026.09.028","url":null,"abstract":"<p><strong>Objectives: </strong>Early-stage laryngeal cancer, particularly glottic carcinoma, is commonly treated with radiotherapy or transoral CO₂ laser microsurgery. Although these treatments offer favorable oncologic control, voice impairment often persists as a long-term functional concern, affecting quality of life and communication. Voice therapy has been proposed as a rehabilitative intervention to address these voice limitations; however, no standardized protocol currently exists. This narrative review aims to synthesize and critically evaluate the available evidence on voice therapy techniques employed for voice rehabilitation in patients treated for early laryngeal cancer.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted in PubMed/MEDLINE, Scopus, ScienceDirect, and Google Scholar through May 2026. The search strategy combined terms related to laryngeal cancer and voice therapy using Boolean operators. Studies published in English that investigated voice therapy techniques, protocols, or outcomes following conservative treatment (radiotherapy or transoral laser microsurgery) for early-stage laryngeal cancer were included. Reviews, non-English publications, case reports unrelated to therapy, and papers without an accessible full text were excluded.</p><p><strong>Results: </strong>Fifteen studies met the inclusion criteria. Most studies employed structured rehabilitation protocols combining breathing, relaxation, posture, and phonation exercises, typically delivered over 8-10 sessions. Findings consistently indicated that voice therapy provides clinically meaningful improvements in voice-related quality of life, perceptual voice outcomes, and patient-reported voice outcomes, particularly over short- to intermediate-term follow-up periods. Improvements were sustained but partially attenuated over longer follow-up durations. Acoustic outcomes remained variable despite perceptual and functional gains.</p><p><strong>Conclusion: </strong>Voice therapy appears to be an effective rehabilitative intervention for improving voice outcomes following conservative treatment for early laryngeal cancer. Structured physiologic voice therapy seems more effective than indirect approaches alone. However, substantial heterogeneity in intervention protocols, outcome measures, and follow-up durations limits direct comparison across studies. Future research should prioritize large-scale controlled trials with standardized multidimensional outcome measures and long-term follow-up to better delineate treatment efficacy and durability.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217242","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}

{"title":"Prevalence Survey of Voice Problems in Primary and Secondary School Teachers.","authors":"Trupti Lata Baral, Krishna Yeshoda","doi":"10.1016/j.jvoice.2026.09.034","DOIUrl":"https://doi.org/10.1016/j.jvoice.2026.09.034","url":null,"abstract":"<p><strong>Background: </strong>School teachers are at increased risk of developing voice disorders due to prolonged voice use and demanding classroom environments. Voice problems adversely affect classroom communication, teaching efficiency, and overall quality of life. Limited data from Madhya Pradesh, India, motivated this study of the prevalence of voice disorders among teachers.</p><p><strong>Aim: </strong>To estimate the prevalence of voice problems among school teachers from November 2024 to April 2025 in Jabalpur district of Madhya Pradesh.</p><p><strong>Objectives: </strong>To identify the frequency of voice-related symptoms and determine the occupational and environmental factors associated with voice problems.</p><p><strong>Method: </strong>154 school teachers comprising 124 females and 30 males from primary and secondary schools of Jabalpur district participated in a cross-sectional survey design. A validated questionnaire was administered individually, and responses were analyzed to estimate the prevalence of voice problems and identify the risk factors.</p><p><strong>Results: </strong>The results revealed a prevalence rate of 0.65% signifying less prevailing voice problems among the participants. The overall pattern of results indicates that Section B (Lifestyle) was most sensitive to occupational variables: locality, type of school, teaching experience, teaching hours, and board type. Interestingly, factors traditionally considered high risk, like gender, noisy environment, and class size showed no significant differences in the participants of the current study.</p><p><strong>Conclusion: </strong>Teachers' daily vocal demands and environmental conditions have a strong influence on their vocal functioning. Early identification through routine screening, awareness regarding vocal hygiene, and implementation of preventive voice care programs are recommended to reduce the occurrence of voice problems and improve vocal health and teaching efficiency.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149207484","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}

{"title":"Is Patient's \"Pitch Understanding\" Critical to Better Vocal Outcomes Following Voice Therapy in Vocal Fold Sulcus?","authors":"Nupur Kapoor Nerurkar, Zainab Nagree, Payal Kumbhat","doi":"10.1016/j.jvoice.2026.09.037","DOIUrl":"https://doi.org/10.1016/j.jvoice.2026.09.037","url":null,"abstract":"<p><strong>Background: </strong>Pitch perception is an individual's ability to distinguish sounds as high or low based on each sound's fundamental frequency (F0). In our voice clinic, F0 and maximum phonation time (MPT) are routinely measured in all patients. However, many of our patients presenting with voice disorders demonstrate poor 'pitch understanding'. Voice therapy is the first-line management for most benign vocal fold lesions, such as vocal fold sulcus. Our hypothesis is to study the role of \"pitch understanding\" in vocal outcomes following voice therapy, especially in a pathology like vocal fold sulcus where pitch is impacted.</p><p><strong>Aim: </strong>To assess the improvement in vocal outcome measures (MPT and F0) after voice therapy in patients with vocal fold sulcus who understood the concept of pitch versus those who did not.</p><p><strong>Methods: </strong>A 6-month retrospective study was conducted on patients with vocal fold sulcus. Patients with vocal fold sulcus were selected as the study group, as this condition typically presents with hoarseness and elevated pitch. Based on clinic records, patients were divided into two groups: Group A: patients who understood the concept of pitch, and Group B: patients who did not understand the concept of pitch. All patients underwent four sessions of voice therapy over 4-6 weeks. MPT and F0 were recorded before and after therapy. Data were analyzed for changes in outcome measures and compared within and between groups.</p><p><strong>Results: </strong>Group A included 10 patients who understood pitch concept, 50% (5/10) in this group were singers. Group B included 10 patients who did not understand the concept of pitch, and 0/10 were singers. This was a statistically significant (P = 0.033, P < 0.05) observation. Within Group A, analysis suggested that there was a significant difference in pre vs. post therapy MPT (t = 3.29, P = 0.009); F0 was not statistically significant. Group B analysis showed no significance for both MPT and F0 post therapy. Between Group A and Group B, comparison revealed no statistical significance for MPT and F0, but the effect size (Cohen's d = 0.98) was large for MPT in Group A, suggesting a clinically meaningful effect in this group.</p><p><strong>Conclusion: </strong>Musical knowledge and training appear to significantly influence the understanding of the concept of pitch. Patients with vocal fold sulcus who understood the concept of pitch had a significant improvement in MPT following therapy as compared to the patients who did not. Incorporating pitch perception training into voice therapy may improve treatment effectiveness and vocal rehabilitation success in this group.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149207512","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}

{"title":"Clinical and Videostroboscopic Characteristics of Vocal Fold Nodules in Conservatory Students in Georgia: A Case Series.","authors":"Lela Shengelia, Irina Katsarava, Natalia Pavliashvili, Irina Kekelidze, Natia Gamkrelidze","doi":"10.1016/j.jvoice.2026.09.055","DOIUrl":"https://doi.org/10.1016/j.jvoice.2026.09.055","url":null,"abstract":"<p><strong>Background: </strong>Voice disorders are common among professional voice users, particularly singers and vocal students exposed to high vocal demands. Vocal fold nodules are among the most frequent benign vocal fold lesions associated with phonotrauma. However, data on the clinical and functional characteristics of vocal fold nodules among conservatory students, particularly in Georgia, remain limited.</p><p><strong>Methods: </strong>This descriptive case series included 10 conservatory vocal students and recent graduates presenting with dysphonia at a specialized otolaryngology clinic in Tbilisi, Georgia. Clinical data were collected retrospectively and included demographic characteristics, vocal background, presenting symptoms, clinical findings, and management. All patients underwent videostroboscopic examination to assess vocal fold structure and function, together with acoustic voice assessment.</p><p><strong>Results: </strong>Participants ranged in age from 17 to 28 years, and 60% were female. Dysphonia was present in all cases (100%), with high-register dysphonia reported in four patients (40%). Videostroboscopic examination demonstrated bilateral, symmetrical nodular lesions located at the junction of the anterior and middle thirds of the vocal folds, with incomplete glottic closure and reduced mucosal wave observed in several cases. Abnormal acoustic parameters were identified in eight patients (80%). Symptoms suggestive of reflux-related laryngeal irritation were reported in four patients (40%), and reflux laryngitis was diagnosed in two patients (20%). All patients underwent phonomicrosurgery because of persistent symptoms despite conservative management and their professional vocal requirements, followed by structured postoperative voice rehabilitation and voice therapy. Four patients (40%) additionally received inhaled corticosteroid therapy. Clinical improvement in dysphonia was observed following surgery.</p><p><strong>Conclusion: </strong>Vocal fold nodules contribute to dysphonia among conservatory vocal students and recent graduates presenting with voice-related complaints. The combined use of videostroboscopy and acoustic voice assessment provides complementary information on vocal fold structure and vocal function. In this case series, phonomicrosurgery followed by structured postoperative voice rehabilitation was associated with clinical improvement in dysphonia among patients with persistent symptoms and substantial professional vocal demands. Larger prospective studies using standardized pre- and post-treatment voice outcome measures are needed to further evaluate treatment outcomes in this population.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149207489","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}

{"title":"The Sound of Hypnotherapy: Identification of Paralinguistic Speech Features Using Acoustic Analysis and Deep Learning.","authors":"Albin Grataloup, Angélique Remacle","doi":"10.1016/j.jvoice.2026.09.066","DOIUrl":"https://doi.org/10.1016/j.jvoice.2026.09.066","url":null,"abstract":"<p><p>Hypnosis is an altered state of consciousness characterized by focused attention and heightened suggestibility, with therapeutic applications in a range of mental and somatic conditions. While prior research has emphasized the linguistic content of hypnotic suggestions (ie, what is said), the paralinguistic and acoustic characteristics of the hypnotist's speech (ie, how it is said) remain underexplored. This study investigated condition-associated paralinguistic characteristics in recordings of 32 hypnotherapists across hypnosis and control conditions, during both reading and spontaneous tasks. We first applied classical acoustic analysis using Praat to examine common temporal, energy, frequency, and spectral parameters of connected speech on the entire recordings. The findings identify a paralinguistic profile within this sample characterized by a lower proportion of voicing, reduced intensity, and decreased spectral energy at low frequencies in the hypnosis condition. We then employed deep learning techniques, training classifiers on both handcrafted acoustic features and mel spectrograms. Within the present dataset and for therapists represented during training, the models reliably distinguished 12-second speech segments from hypnosis and control conditions, with fundamental frequency and formant-related features (F₀ and F₁-F₃) emerging as key predictors. Spectrogram-based models achieved higher performance, suggesting that additional acoustic cues contribute to classification under the present recording protocol.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149207450","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}