Journal of Voice最新文献

{"title":"Office-based Laser Therapy in Reinke's Edema: A Systematic Review and Meta-analysis","authors":"Abdul-Latif Hamdan,&nbsp;Christophe Abi Zeid Daou,&nbsp;Anthony Ghanem,&nbsp;Patrick A.R. Feghali,&nbsp;Jad Hosri,&nbsp;Robert T. Sataloff","doi":"10.1016/j.jvoice.2022.12.003","DOIUrl":"10.1016/j.jvoice.2022.12.003","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze voice outcomes and lesion regression in patients with Reinke's edema treated in the office with lasers.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis</div></div><div><h3>Methods</h3><div><span>The search was performed in the Medline, Embase, Medline, Cochrane, and Google Scholar databases using the PRISMA framework. There were no limitations to the year of publication and the search included studies looking at voice outcomes and lesion evolution of in-office laser treatment for Reinke's edema measured through voice-handicap index, </span>acoustic analysis or aerodynamics measures. Risk of bias was assessed using Cochrane's ROBINS-I tool for observational studies. Data analysis was performed SPSS software with a significance level of 5%.</div></div><div><h3>Results</h3><div>The initial search identified 650 articles, 6 of which met the inclusion criteria and were analyzed. The total number of participants was 58. Meta-analysis showed significant improvement in VHI-10 scores after in-office laser therapy (95% CI, [-1.46; -0.75]). It also showed significant improvement in jitter, significant increase in fundamental frequency (95% CI, [0.52; 1.71]) and significant decrease in lesion size (95% CI, [-2.03; -0.35]).</div></div><div><h3>Conclusion</h3><div>Office-based laser therapy is a reliable alternative to the traditional phono-microsurgery performed in the operating room. Patients show significant improvement in voice outcomes and laryngeal examination.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 799-805"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10546335","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":"Investigation of the Cepstral Spectral Acoustic Analysis for Classifying the Severity of Dysphonia","authors":"Önal İncebay ,&nbsp;Ayşen Köse ,&nbsp;Fatma Esen Aydinli ,&nbsp;Shaheen N. Awan ,&nbsp;Merve Dilbaz Gürsoy ,&nbsp;Taner Yilmaz","doi":"10.1016/j.jvoice.2022.12.012","DOIUrl":"10.1016/j.jvoice.2022.12.012","url":null,"abstract":"<div><h3>Objectives</h3><div>The advantages of cepstral measurements in the evaluation of dysphonia<span> have been noted in previous studies. However, there is an unclarity regarding the results of cepstral analyzes effect in determining the severity of dysphonia. The aims of this study were to determine the cut-off values of cepstral peak prominence, cepstral peak prominence standard deviation, low frequency/ high frequency ratio, low frequency/high frequency ratio standard deviation, and cepstral spectral index of dysphonia for predicting the voice severity within a Turkish speaking population, as well as to confirm the discriminative power of these cut-off values.</span></div></div><div><h3>Materials Methods</h3><div>One hundred ninety-five individuals with voice disorders and an equal number of age and gender-matched individuals without voice disorders were included. Included subjects had visited the Hacettepe University Hospitals Speech and Language Therapy<span> Department for voice evaluation between January 2017 and September 2021. The voice recordings from all participants included the six CAPE-V/Turkish sentences and sustained vowel /a/. Three raters provided auditory perceptual ratings of the voice samples using the GRBAS scale (grade) and overall severity for the CAPE-V/Turkish. Participants were categorized into normal and mild, moderate, and severely dysphonic groups based on the auditory perceptual evaluation. Analysis of Dysphonia in Speech and Voice (ADSV) software was used for cepstral spectral acoustic analysis.</span></div></div><div><h3>Results</h3><div>In the sustained vowel context, the area under the curve (ROC) for the CSID value was &gt;0.8, except for mild vs. moderate dysphonia groups. In connected speech contexts, the ROC of the CPP value was also &gt;0.8, except for normal vs. mild dysphonia groups. The cut-off values of CPP and CSID demonstrated high sensitivity and specificity for predicting voice severities.</div></div><div><h3>Conclusion</h3><div>The cut-off values for the parameters that predicted voice severities showed a significant degree of discriminative power for categorizing voice severities among Turkish-speaking people.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 844.e19-844.e30"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10593944","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 Importance of Documenting Chatbot Performance in the Management of Specific and Rare Conditions for Patients","authors":"Emilie A.C. Dronkers ,&nbsp;Ahmed Geneid ,&nbsp;Chadwan Al Yaghchi ,&nbsp;Jerome R. Lechien","doi":"10.1016/j.jvoice.2024.04.032","DOIUrl":"10.1016/j.jvoice.2024.04.032","url":null,"abstract":"","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 839-840"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076789","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":"Finger Kazoo Intensive Short-term Vocal Therapy: Vocal and Aerodynamic Measurements in Female Teachers","authors":"Mara Keli Christmann ,&nbsp;Daniela da Silva Gonçalves ,&nbsp;Carla Aparecida Cielo","doi":"10.1016/j.jvoice.2022.11.003","DOIUrl":"10.1016/j.jvoice.2022.11.003","url":null,"abstract":"<div><h3>Objective</h3><div>to verify the effect after short-term intensive therapy with the Finger Kazoo technique on vocal and aerodynamic measures of dysphonic female teachers.</div></div><div><h3>Method</h3><div>blind randomized clinical trial<span>. Fifteen female teachers without structural disorders of vocal folds<span> and nine with vocal nodules participated in the study groups. Yet, nine female teachers without structural disorders and eight with vocal nodules in the control groups. The following variables were measured pre and post-therapy: minimum and maximum fundamental frequency: forced vital capacity<span>; simple phonic coefficient; compound phonic coefficient; ratio between maximum phonation time of /a/ and expected maximum phonation time.</span></span></span></div></div><div><h3>Results</h3><div>no statistical significance was observed in the intra and intergroup analyses in any of the measures.</div></div><div><h3>Conclusion</h3><div>in this group of female teachers, it was not possible to show a positive effect of short-term and intensive therapy with the Finger Kazoo technique on the vocal measures of minimum and maximum fundamental frequency, forced vital capacity, simple phonic coefficient, compound phonic coefficient, and the relationship between maximum phonation time of /a/ and expected maximum phonation time.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 847.e13-847.e20"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10346095","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":"Intonation Parameters in Gender Diverse People","authors":"Tine Papeleu ,&nbsp;Clara Leyns ,&nbsp;Peter Tomassen ,&nbsp;Guy T'Sjoen ,&nbsp;Kristiane Van Lierde ,&nbsp;Evelien D'haeseleer","doi":"10.1016/j.jvoice.2022.12.020","DOIUrl":"10.1016/j.jvoice.2022.12.020","url":null,"abstract":"<div><h3>Objectives/hypothesis</h3><div>Although intonation is often addressed in speech training for gender diverse individuals, the relationship between intonation and femininity/masculinity ratings remains unclear. The aim of this study was to examine differences in intonation parameters in gender diverse individuals. Moreover, the relationship between acoustic intonation parameters and femininity/masculinity ratings was investigated.</div></div><div><h3>Methods</h3><div>Speech samples of semistructured speech were elicited from cisgender (cis) (107 ciswomen, 104 cis men), transgender (trans) (19 trans women, 10 trans men), and non-binary (n = 11) individuals using a prosody protocol. An objective acoustic analysis was performed to compare intonation parameters (upward/downward/flat intonation shift, general and final intonation shift, general fundamental frequency range, fundamental frequency variation index) between groups. In addition, a listening experiment was conducted, consisting of a cis and gender diverse listening panel (n = 41). The listeners were asked to rate the femininity/masculinity of speech samples (n = 57) using a visual analogue scale. Correlational analyses were used to examine the relationship between intonation parameters and femininity/masculinity ratings.</div></div><div><h3>Results</h3><div>Similarity was found in the intonation parameters of participants with a similar gender identity. In non-binary speakers, no significant differences in acoustic intonation parameters were found between these speakers and the cisgender speakers. In addition, no significant correlations were found between the acoustic intonation parameters and the femininity/masculinity ratings in the groups with cis men, cis women, and non-binary participants. However, moderate to strong significant correlations were found between acoustic intonation parameters and femininity/masculinity ratings in the trans participants.</div></div><div><h3>Conclusions</h3><div>Intonation is a “speech marker” that distinguishes between groups with a different gender identity. No relationship was observed between intonation and femininity/masculinity ratings for cisgender and non-binary speakers. However, the significant relationship between these parameters for transgender participants (trans men and trans women) provides evidence for intonation exercises in gender affirming voice, speech, and communication training, and therefore contribute to evidence-based intonation training in transgender persons.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 845.e23-845.e38"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10536807","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":"An Investigation in the Measurable Differences between Pitch Perception in the Voice and Pitch Perception of External Sound Sources","authors":"Thomas J. Edmonds,&nbsp;David M. Howard","doi":"10.1016/j.jvoice.2022.11.026","DOIUrl":"10.1016/j.jvoice.2022.11.026","url":null,"abstract":"<div><h3>Objectives</h3><div>Pitch perception is an important part of accurate singing. Therefore, accurate singing requires the ability to accurately assess the pitch in one's own voice.There are two objectives of this study the first was to investigate whether there is a measurable difference in perceived pitch in one's voice to the pitch one perceives from an external sound source. The second, to measure the effects of occlusion on pitch accuracy over a melodic phrase.</div></div><div><h3>Study Design</h3><div>We recruited 16 participants for this study. The study that was designed to investigate the perceptual difference was split into two parts. The first is a one-to-one pitch matching test where they would recreate a pitch with singing and matching external pitches. The second was singing the familiar song ‘Happy Birthday’ which was used to measure pitch accuracy over a melodic phrase and to measure the effects of occlusion on pitch accuracy while singing.</div></div><div><h3>Methods</h3><div>The one-to-one study involved singing back a series of 5 notes to a set vowel which were the same 5 notes used when matching them to a series of possible pitches on the button test. The melodic test was to sing ‘Happy Birthday’ 3 times, the first normally, the second wearing headphones to occlude the ear to reduce air conductive hearing and the third time with white noise to mask all hearing.</div></div><div><h3>Results</h3><div>The results showed a higher accuracy of pitch matching with external sounds over using their voice, and some form of occlusion (wearing headphones or headphones with white noise) showed the version with higher pitch accuracy.</div></div><div><h3>Conclusions</h3><div>The results of this study showed that there was improved pitch accuracy when comparing two external sounds in pitch and when singing occlusion of some form improved pitch accuracy. This could suggest a difference when recreating pitch between the voice and matching external sound sources. Furthermore, with the improvements shown from occluding the ears, it could further suggest a difference in pitch perception abilities between the voice and external sound sources. This could have implications of improving pitch accuracy in a studio environment.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 656-663"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10634436","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":"Are Occupational Voice Disorders Accurately Measured? A Systematic Review of Prevalence and Methodologies in Schoolteachers to Report Voice Disorders","authors":"Mauricio González-Gamboa ,&nbsp;Hugo Segura-Pujol ,&nbsp;Patricia Oyarzún Díaz ,&nbsp;Sandra Rojas","doi":"10.1016/j.jvoice.2022.10.023","DOIUrl":"10.1016/j.jvoice.2022.10.023","url":null,"abstract":"<div><h3>Purpose</h3><div>Different measuring instruments have been described to determine the prevalence of voice disorders in schoolteachers. However, the heterogeneity of prevalence figures has made it difficult in determining the impact of voice disorders in this group. This investigation aims to review and identify scientific evidence of methodological analysis of voice disorders in teachers, the relevance of measuring instruments, the prevalence of dysphonia, and the impact on the development of vocal health prevention programs.</div></div><div><h3>Methods</h3><div>A systematic review was conducted by searching six important scientific databases. Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines were carried out. Articles were included whether they presented data related to the prevalence of dysphonia and the impact of therapy programs on teachers.</div></div><div><h3>Results</h3><div>Twenty articles out of 8,998 were selected<strong>.</strong><span> The cross-sectional design type was predominant throughout the investigations. Differences were observed in the number of participants across studies, leading to heterogeneous prevalence figures – which ranged from 10.5% to 69.1%. The assessment instruments are not standardly used to effectively determine the disease burden. Despite the fact of the extensive evidence of the effectiveness of programs that address dysphonia in teachers, the scarcity of literature is yet evident on systematic programs promoted by either the government or educational institutions.</span></div></div><div><h3>Conclusion</h3><div>Findings suggest that future investigations should consider the consensus of a global definition for occupational dysphonia in teachers in order to develop accurately measuring instruments and to assist with voice care programs and treatment approaches in this population. This might be crucial since it could also assist with the implementation of Delphi-type studies that could support the development of further evidence-based agreements around these programs (voice care and treatment approaches) in schoolteachers.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 842.e1-842.e14"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10742756","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":"There is a Good Consistency Between Reflux Symptom Score-12 and Reflux Symptom Index in Chinese Population","authors":"Ruimin Yang ,&nbsp;Fangfang Liang ,&nbsp;Ru Tian ,&nbsp;Yang Yao ,&nbsp;Ming Zhang ,&nbsp;Xiaowen Li","doi":"10.1016/j.jvoice.2022.11.021","DOIUrl":"10.1016/j.jvoice.2022.11.021","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the consistency between the Reflux Symptom Score-12 (RSS-12) and Reflux Symptom Index (RSI) in Chinese people.</div></div><div><h3>Methods</h3><div>Patients with symptoms of LPR<span><span> from the outpatient otorhinolaryngology-head and neck surgery clinic were included. All included patients completed the RSS-12 and RSI. The patient with RSS-12&gt;11 or RSI&gt;13 suggested possible LPR. For the patients with RSI &gt;13 or RSS-12&gt;11, they were treated using diet recommendations and were prescribed a twice-daily </span>pantoprazole<span> for 12 weeks. The consistency between the RSS-12 and RSI was compared with the weighted Cohen's kappa statistic.</span></span></div></div><div><h3>Results</h3><div>A total of 258 patients were included. The mean scores for RSS-12 and RSI were 13.21±17.31 and 12.86±6.15, respectively. The positive rate of LPR was 17.44% based on the RSI, and 24.42% based on the RSS-12. The kappa value between the RSS-12 and RSI was 0.736 (<em>P</em> &lt; 0.001). Following 12 weeks of treatment, there was a significant reduction in both RSI and RSS-12. Based on the RSI, 73% of patients had a good treatment response, whereas according to the RSS-12, 85% of patients had a good treatment response.</div></div><div><h3>Conclusion</h3><div>There is a good consistency between RSS-12 and RSI, meaning that the RSS-12 is a feasible LPR initial screening tool. The RSS-12 provides a more comprehensive evaluation of reflux symptoms and treatment effect than RSI in patients with LPR.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 855.e1-855.e6"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457966","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 Validation of the Vocal Performance Questionnaire into Kannada","authors":"S.V. Narasimhan,&nbsp;N. Vachanashree,&nbsp;M. Sahana,&nbsp;K. Sahana","doi":"10.1016/j.jvoice.2022.11.010","DOIUrl":"10.1016/j.jvoice.2022.11.010","url":null,"abstract":"<div><h3>Background/Objectives</h3><div>Vocal Performance Questionnaire (VPQ) is a short and convenient tool with one-dimensional consistency to evaluate the vocal performance. Developing the Kannada version of VPQ can be a useful self-assessment clinical tool for evaluating dysphonia<span> symptoms in Kannada-speaking patients. Hence, the objective of the study was to translate the VPQ into Kannada and to evaluate the psychometric properties and the cutoff scores for the Kannada version of the VPQ (VPQ-K).</span></div></div><div><h3>Study design</h3><div>This investigation deployed a non-randomised, prospective standard group comparison.</div></div><div><h3>Methods</h3><div>VPQ was translated to Kannada and administered to 71 participants (37 males and 34 females) diagnosed with voice disorder with a mean age of 43.94 ± 15.31 years and 71 age and gender-matched participants with a clinically normal voice.</div></div><div><h3>Results</h3><div><span>The test-retest reliability of the VPQ-K was measured through Intra class correlation, and the results indicated excellent test-retest reliability. The Internal consistency of VPQ-K was determined using the Split half reliability by calculating the Spearmen-Brown coefficient, and the results revealed that VPQ-K had very strong internal consistency. Results also indicated that the participants in the control group had significantly lower VPQ-K scores compared to the participants in the study groups, indicating that VPQ-K had good </span>construct validity. Receiver Operating Characteristic (ROC) curve analysis showed a cutoff point of 18.50 for VPQ-K.</div></div><div><h3>Conclusions</h3><div>As VPQ-K is a quick, easy to fill and low-burden self-assessment tool, VPQ-K can be proposed as a sensitive clinical tool to assess the vocal performance in Kannada-speaking patients with voice disorders and to evaluate the treatment outcome.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 851.e7-851.e11"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40569452","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":"Comparison Between Coblation and Microflap Resection of Leukoplakia of the Vocal Fold","authors":"Zhengcai Lou ,&nbsp;Zihan Lou ,&nbsp;Tian Lv ,&nbsp;Zhengnong Chen","doi":"10.1016/j.jvoice.2022.10.025","DOIUrl":"10.1016/j.jvoice.2022.10.025","url":null,"abstract":"<div><h3>Objectives</h3><div><span>The objective of this study was to compare the recurrence rate and voice improvement of vocal fold </span>leukoplakia (VFL) between microflap resection alone or radiofrequency (RF) Coblation alone.</div></div><div><h3>Methods</h3><div>Patients with VFL intraoperatively treated via microflap resection alone or Coblation alone were enrolled. The recurrence rate, voice assessment, and Videostroboscopic images were compared between the two groups.</div></div><div><h3>Results</h3><div>The recurrence rate at postoperative 12 months was 37.7% (26/69) in the microflap resection group and 7.7% (4/52) in the Coblation group; the difference was significant (<em>P</em><span> &lt; 0.05). The preoperative and postoperative subjective detection data from the two groups showed significant differences, but the Coblation group recovered better compared to the microflap resection group. No Coblation-related complications were found, including postoperative granulation tissue hyperplasia<span> or anterior commissure adhesion.</span></span></div></div><div><h3>Conclusions</h3><div>In patients with vocal cord leukoplakia, RF Coblation had a lower recurrence rate and better voice improvement compared with microflap resection.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 816-822"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40720215","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}