Journal of Voice最新文献

{"title":"The Usability and Acceptability of the mHealth “Health and Voice” for Promoting Teachers' Vocal Health","authors":"Willian Hote Scanferla ,&nbsp;Catarina Oliveira ,&nbsp;Marisa Lobo Lousada ,&nbsp;Letícia Caldas Teixeira","doi":"10.1016/j.jvoice.2022.12.007","DOIUrl":"10.1016/j.jvoice.2022.12.007","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the usability and acceptability of “Health and Voice” for the promotion of vocal health, and to analyze the same with sociodemographic data, work data, self-knowledge data on vocal care, voice disadvantage, and vocal fatigue symptoms in elementary school teachers.</div></div><div><h3>Material and methods</h3><div><span>A cross-sectional observational study, with a sample of 277 elementary school teachers from a Brazilian capital. Teachers were invited to access, interact and evaluate the mHealth: “Health and Voice”. The evaluation instruments were the questionnaire with information on socio-demographic and work data, the System Usability Scale (SUS), the questionnaire with questions about acceptability, the Voice Handicap Index Protocol (VHI-10), and the Vocal Fatigue Index Protocol (VFI). Descriptive and association analyses were performed by the Chi-square, Fisher exact, Mann-Whitney, and Wilcoxon tests (</span><em>P</em> ≤ 0.05)</div></div><div><h3>Results</h3><div>the mean SUS score was 81.9 points; the mean of the acceptability questions was 17.24; the VHI-10 was 6.96 points; the VFI was 21.11 points. Most participants rated the acceptability of mHealth as high. There was an association between acceptability and working in two shifts (<em>P</em> = 0.019); between acceptability and usability (<em>P</em> &lt; 0.001); and between usability and self-perception of knowledge about voice care after using mHealth (<em>P</em> = 0.000). The activity perceived as most important was guidance on voice care.</div></div><div><h3>Conclusion</h3><div>“Health and Voice” is a vocal guidance tool for teachers that promotes vocal health. It has high usability and acceptability by elementary school teachers. Self-reported knowledge about vocal care increases after its use and those who evaluate the technology with high acceptability are 3.6 times more likely to also classify it with high usability.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 842.e25-842.e33"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10598819","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":"Safety of Laryngeal Electromyography and Repetitive Stimulation","authors":"Caroline E. Quindlen ,&nbsp;Ghiath Alnouri ,&nbsp;Robert T. Sataloff","doi":"10.1016/j.jvoice.2022.12.009","DOIUrl":"10.1016/j.jvoice.2022.12.009","url":null,"abstract":"<div><h3>Objectives</h3><div><span>Laryngeal Electromyography (LEMG) is a procedure used to assess electrical signals from </span>laryngeal muscles<span><span>. It is considered to be the gold standard test for examining vocal fold paresis/paralysis. Repetitive stimulation studies, which usually are performed at the time of LEMG, can aid in assessment of </span>neuromuscular function. Electromyography poses risks to the patient due to the use of electricity and needles. The purpose of this paper was to evaluate the safety of LEMG and discuss the possible complications.</span></div></div><div><h3>Methods</h3><div>This was a retrospective review of patients from January 2015 through February 2022. Information from patient charts included age, sex, chief complaint, past medical history<span>, family medical history, medications, social history, strobovideolaryngoscopy results, type of paresis, professional voice user status, presence of pacemaker, laryngeal electromyography and repetitive stimulation study results, and reported complications. Complications were considered to be anything that differed from the norm. Pain was included as a complication. Data were analyzed for relationships and significance.</span></div></div><div><h3>Results</h3><div>Five hundred patients were included. Eighteen of the 500 (3.6%) experienced complications. Four (2.1%) males and 14 (4.5%) females experienced complications. Nine of the 18 (50%) reported pain after the procedure, 1 (5.56%) had excessive bleeding (controlled with pressure), 5 (27.78%) reported voice changes, and 3 (16.67%) experienced difficulty with completion of the procedure. No patients with pacemakers or patients taking anticoagulants had complications, but repetitive stimulation studies were not performed on patients with pacemakers.</div></div><div><h3>Conclusions</h3><div>LEMG and repetitive stimulation studies are safe and effective procedures to examine laryngeal muscles. Repetitive stimulation studies are not recommended for patients with pacemakers.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 770-774"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10602817","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":"What are the Symptoms that Characterize the Clinical Condition of Vocal Fatigue? A Scoping Review and Meta-Analysis","authors":"Isadora de Oliveira Lemos Master ,&nbsp;Daniel Lucas Picanço Marchand PhD ,&nbsp;Eduarda Oliveira Cunha Master ,&nbsp;Kelly Cristina Alves Silvério Professor PhD ,&nbsp;Mauriceia Cassol Professor PhD","doi":"10.1016/j.jvoice.2022.12.018","DOIUrl":"10.1016/j.jvoice.2022.12.018","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Vocal fatigue is a clinical manifestation associated with a perception of negative vocal adjustment. It is related to the increase in the sensation of excessive effort when speaking and the lack of conditioning of the muscles and structures that involve vocal production. Because it has a complex and multifactorial diagnosis, there is still no consensus on the symptoms most commonly found in this clinical condition.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To review and analyze the symptoms that characterize the clinical condition of vocal fatigue.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;&lt;span&gt;&lt;span&gt;This study consists of a scoping review carried out in the &lt;/span&gt;Cochrane Library&lt;span&gt;, Embase&lt;span&gt;, Lilacs, and Medline databases. Observational studies or clinical trials from the last 10 years. Studies with participants younger than 18 years of age were excluded; as well as research that did not describe symptoms of vocal fatigue or that presented vocal fatigue as a symptom; studies with patients with neurological, psychiatric, syndromic conditions, or head and neck cancer. The Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies NHLBI-NIH scale was used to assess the methodological quality of selected observational studies and the &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;PEDro scale for the analysis of experimental studies. The steps were performed by three blinded evaluators. Subsequently, meta-analyses of global means were executed for each factor under study; a comparison of the difference in the mean score for each factor between exposed and unexposed; a comparison of the difference in the average score, among non-professional voice users, for each factor between exposed and unexposed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;In the searches performed, 956 articles were found and 29 articles were selected according to the eligibility criteria. Of these, 93.11% of the studies were observational and 6.89% were clinical trials. Regarding the gender and age group of the study samples, women aged between 30 and 45 years were predominant. As for the occupational use of voice, 68.97% of the samples were composed of professional voice users and 31.03% of non-professional voice users, with most professional voice users being teachers and non-professional voice users, individuals with dysphonia or vocal complaint. To assess vocal fatigue symptoms, 28 studies used the Vocal Fatigue Index (VFI) protocol, and only one study used another assessment protocol, Self-Administered Voice Rating. All studies were classified as regular, according to the scale used. As for the meta-analyses performed, the mean scores of the VFI factors were higher among professional voice users when compared to non-professional voice users and higher in dysphonic individuals compared to non-dysphonic individuals.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The vocal fatigue symptoms found in this review were common in the populations of professional voice use","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 844.e1-844.e18"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10637458","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":"COVID-19 activity screening by a smart-data-driven multi-band voice analysis","authors":"Gabriel Silva ,&nbsp;Patrícia Batista ,&nbsp;Pedro Miguel Rodrigues","doi":"10.1016/j.jvoice.2022.11.008","DOIUrl":"10.1016/j.jvoice.2022.11.008","url":null,"abstract":"<div><div>COVID-19 is a disease caused by the new coronavirus SARS-COV-2 which can lead to severe respiratory infections. Since its first detection it caused more than six million worldwide deaths. COVID-19 diagnosis non-invasive and low-cost methods with faster and accurate results are still needed for a fast disease control. In this research, 3 different signal analyses have been applied (per broadband, per sub-bands and per broadband &amp; sub-bands) to Cough, Breathing &amp; Speech signals of Coswara dataset to extract non-linear patterns (Energy, Entropies, Correlation Dimension, Detrended Fluctuation Analysis, Lyapunov Exponent &amp; Fractal Dimensions) for feeding a XGBoost classifier to discriminate COVID-19 activity on its different stages. Classification accuracies ranged between 83.33% and 98.46% have been achieved, surpassing the state-of-art methods in some comparisons. It should be empathized the 98.46% of accuracy reached on pair Healthy Controls vs all COVID-19 stages. The results shows that the method may be adequate for COVID-19 diagnosis screening assistance.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 602-611"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10695126","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":"Autoimmune Associated Vocal Fold Lesions: A Systematic Review","authors":"Julian De La Chapa ,&nbsp;Rachel H. Jonas ,&nbsp;Allan A. Weidman ,&nbsp;Taylor Lear ,&nbsp;Andrew Strumpf ,&nbsp;Kate Joshua ,&nbsp;Patrick O. McGarey","doi":"10.1016/j.jvoice.2022.12.002","DOIUrl":"10.1016/j.jvoice.2022.12.002","url":null,"abstract":"<div><h3>Objective</h3><div><span>While Autoimmune Associated Vocal Fold Lesions (AaVFLs) have been described in many reports, there is no consensus on best practices in management. The purpose of this </span>systematic review<span> is to clarify the characteristics and treatment of dysphonia in the setting of AaVFLs.</span></div></div><div><h3>Study Design</h3><div>Systematic review</div></div><div><h3>Methods</h3><div>Pubmed and OVIDMedline and Google Scholar were searched, including terms related to (1) Vocal fold/cord, rheumatoid node/nodule, bamboo nodes/nodules, laryngeal deposits/nodes/nodules and (2) Autoimmune diseases/syndromes, connective tissue disease.</div></div><div><h3>Results</h3><div>Twenty-one studies with 83 patients diagnosed with AaVFLs were included. AaVFLs occurred predominantly in females in the 4th or 5th decade of life, with an overall mean age of 39.8 (SD = 12.8). Autoimmune or connective tissue disease was established prior to presentation to an otolaryngologist in 75.9% (44/58) of patients. Bilateral lesions were present in 83.8% (57/68) of patients. Treatment modalities included medical therapy alone (28.1%), voice therapy alone (17.5%), surgical treatment alone (7.0%), combination of medical and voice therapy (33.3%), and combination of surgical, medical and voice therapy (7.0%). All patients treated with voice therapy had voice improvement; lower rates were seen with solo medical (4/14 improved, 28.6%) or surgical therapy (3/6 improved, 50%).</div></div><div><h3>Conclusion</h3><div>AaVFLs occur predominantly in women in their 30′s to 50′s and are associated with a variety of autoimmune conditions. A significant number of patients (25%) present to the Otolaryngologist without an established autoimmune diagnosis. While treatment outcomes are not robustly reported, a significant number of patients with AAVFLs treated with voice therapy alone or voice therapy in combination with other treatment modalities (medical or surgical) experience subjective improvement in voice quality and function.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 744-751"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10764178","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":"Analysis of the Immediate Effects of the LaxVox Technique on Digital Videokymography Parameters in Adults With Voice Complaints","authors":"Ualisson Nogueira do Nascimento ,&nbsp;Marco Aurélio Rocha Santos ,&nbsp;Ana Cristina Côrtes Gama","doi":"10.1016/j.jvoice.2022.01.026","DOIUrl":"10.1016/j.jvoice.2022.01.026","url":null,"abstract":"<div><h3>Objectives</h3><div><span>Digital videokymography based on high-speed videoendoscopy enables the evaluation of therapeutic techniques and voice training, such as the LaxVox technique, on </span>vocal fold vibrations. This study investigated the immediate effects of the LaxVox technique on digital videokymographic parameters obtained through high-speed videolaryngoscopy in adults with voice complaints.</div></div><div><h3>Study Design</h3><div>An experimental intrasubject comparative study of adults with voice complaints was conducted.</div></div><div><h3>Methods</h3><div>Image processing software was used to analyze the videos and obtain digital videokymography parameters. The intraclass correlation coefficient was used to determine the intra-rater reliability of the analyzed parameters. The paired <em>t</em> test and Wilcoxon signed-rank test were used to compare digital videokymography parameters before and after the LaxVox technique, in sex-specific analyses. The significance level was set at 5%.</div></div><div><h3>Results</h3><div>In total, 25 laryngeal images from 15 women and 10 men were analyzed. On digital videokymography analysis, the mean vocal fold opening in the posterior glottal region was decreased immediately after using the LaxVox technique in women. In contrast, no significant changes were found in other parameters compared to pre LaxVox technique values in both men and women with voice complaints.</div></div><div><h3>Conclusion</h3><div>Digital videokymography analysis revealed that the LaxVox technique reduces the mean vocal fold opening in the posterior glottal region of women with voice complaints.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 736-743"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73374619","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":"RE: ..úRole of Prolonged Intubation in Vocal Fold Motion Impairment in Critically Ill Patients..Ñ","authors":"Hinpetch Daungsupawong ,&nbsp;Viroj Wiwanitkit","doi":"10.1016/j.jvoice.2024.07.033","DOIUrl":"10.1016/j.jvoice.2024.07.033","url":null,"abstract":"","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Page 841"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299666","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":"J..rgen Wendler: In Memoriam","authors":"Dirk M..rbe,&nbsp;Tadeus Nawka","doi":"10.1016/j.jvoice.2025.03.034","DOIUrl":"10.1016/j.jvoice.2025.03.034","url":null,"abstract":"","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Page 573"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812892","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":"Preliminary Results on the Safety and Efficacy of Silk-Hyaluronic Acid for Treatment of Glottic Insufficiency","authors":"Christopher D. Dwyer ,&nbsp;Elliana Devore ,&nbsp;Samantha Kridgen ,&nbsp;Douglas Roth ,&nbsp;Jennifer Winston ,&nbsp;Thomas L. Carroll","doi":"10.1016/j.jvoice.2022.11.009","DOIUrl":"10.1016/j.jvoice.2022.11.009","url":null,"abstract":"<div><h3>Objectives</h3><div><span>Silk-Hyaluronic Acid (Silk-HA) is a novel vocal fold augmentation material that has been used in humans since July 2020. There is a paucity of published data on Silk-HA and its longevity remains a question. This study aimed to evaluate a single surgeon's initial experience performing Silk-HA injection </span>laryngoplasty for the treatment of glottic insufficiency.</div></div><div><h3>Methods</h3><div>Retrospective chart review of Silk-HA injections between July 2020 and December 2021. Subject demographics, diagnoses, volume of material injected, VHI-10 data, and complications were collected. A blinded perceptual voice analysis of voice samples was performed by two voice-specialized speech-language pathologists (SLP) for a subset of unilateral vocal fold paralysis patients before and 3-months following silk-HA injection. Univariate assessment of the change in VHI-10 and perceptual voice analyses at 3-month follow up was determined.</div></div><div><h3>Results</h3><div><span>58 patients (43.1% female) underwent Silk-HA injection with a mean age of 64 (range 21-88). 38 subjects had unilateral paralysis (65.6%), and the remaining had scar, atrophy, paresis or a combination thereof. 49 injections were unilateral (84.5%). Mean volume of silk injected was 0.26 mL. Complications were rare, most notable though for 2 admissions for dyspnea and laryngoscopic evidence of hemi-laryngeal edema (3.4%). Mean change in CAPE-V overall severity rating was -32.9 (</span><em>P</em>&lt;0.0001), and VHI-10 was -14.6 ± 10 (<em>P</em>=0.0013). 14 patients underwent a repeat silk-HA injection for ongoing glottic insufficiency (loss of augmentation vs under-augmentation).</div></div><div><h3>Conclusions</h3><div>Preliminary results for Silk-HA show potential for ongoing improvement of glottic insufficiency at 3 months from date of augmentation. Clinician and patient perception of voice outcomes showed overall improvement at three months, though longevity remains to be determined. While overall well tolerated and without serious complications in 96% of the cohort, patients should be counseled on the potential for airway edema and symptomatic dyspnea requiring steroid management and observation.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 823-831"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10382061","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":"Systematic Review of Recurrence Rates of Benign Vocal Fold Lesions Following Surgery","authors":"Wiktoria A. Gocal ,&nbsp;Jane Y. Tong ,&nbsp;Philip J. Maxwell ,&nbsp;Robert T. Sataloff","doi":"10.1016/j.jvoice.2022.10.015","DOIUrl":"10.1016/j.jvoice.2022.10.015","url":null,"abstract":"<div><h3>Objectives</h3><div><span>Benign vocal fold<span> lesions which include vocal fold nodules, polyps, cysts and other lesions often recur after surgery and require additional treatments. This </span></span>systematic review of the current literature evaluated the effects of adjunctive therapies in addition to surgical resection on the recurrence rates of benign vocal fold lesions in adults.</div></div><div><h3>Study Design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>A search using relevant keywords in electronic databases was conducted. Extracted data include author, year of publication, patient demographics, diagnostic approach, lesion type, surgical procedure, type of adjunctive therapy and the rates of recurrence. Descriptive statistics were performed on the collected data when appropriate.</div></div><div><h3>Results</h3><div>Eleven articles were identified with a total of 1085 patients. The total 1101 lesions studied included 591 (53.7%) polyps, 125 (11.4%) nodules, 146 (13.3%) cysts, 184 (16.7%) pseudocysts, 19 (1.7%) midfold masses, 18 (1.6%) sulcus vocalis and 18 (1.6%) varices. Besides surgery, adjunctive therapies included voice therapy, steroid injection and reflux medication. There were 141 reported lesion recurrences, with an average recurrence rate of 13.0%. The recurrence rate in studies with adjunctive therapies was 7.14%, and in studies with no adjunctive therapies it was 24.44%.</div></div><div><h3>Conclusions</h3><div>Available evidence suggests that adjunctive therapies following surgery are associated with decreased lesion recurrence rates. However, due to differences in sample size, inconsistent reporting of lesion characteristics, heterogeneity of adjunctive therapies, variability in follow-up time across studies, and other factors, it is not possible to determine exactly which adjunctive therapies are of significant benefit and which lesion types may benefit the most.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 3","pages":"Pages 787-798"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10399736","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}