Journal of Voice最新文献

{"title":"Effectiveness of Diet and Lifestyle Changes for the Treatment of Laryngopharyngeal Reflux Disease: A Prospective Study.","authors":"Jérôme R Lechien","doi":"10.1016/j.jvoice.2025.09.002","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.09.002","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effectiveness of diet and lifestyle changes as a single treatment for laryngopharyngeal reflux disease (LPRD).</p><p><strong>Methods: </strong>Forty-eight patients with LPRD confirmed by 24-hour hypopharyngeal-esophageal multichannel intraluminal impedance-pH monitoring (HEMII-pH) were prospectively recruited from two European hospitals between January 2022 and January 2025. Patients were treated with a standardized anti-reflux diet for 3 months. Reflux symptom score (RSS) and reflux sign assessment (RSA) were used to evaluate prediet to postdiet changes in symptoms and findings.</p><p><strong>Results: </strong>Forty-four patients completed the 3-month diet and lifestyle recommendations (mean age 50.2 ± 16.5; 63.6% female). There were 14 (52.3%) mild, 8 (18.2%) moderate, and 13 (29.5%) severe LPRD according to IFOS classification. Most pharyngeal reflux events were non-acid. After dietary and lifestyle modifications, significant improvements occurred in otolaryngological, digestive, and respiratory symptom (items and RSS) scores. Symptom relief occurred in 88.6% of cases, with complete symptom resolution in 40.9% of patients. Laryngeal signs and RSA scores significantly decreased. Nine patients (20.5%) required additional medication despite adherence to recommendations. No baseline predictors of response were identified.</p><p><strong>Conclusion: </strong>A low-fat, high-protein, and low-high-release sugar diet combined with lifestyle changes may be an effective single treatment for LPRD. Future controlled studies are needed to compare diet versus medication in LPRD populations, with consideration of mid- to long-term effects of diet on general health.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092956","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":"Patients' and Providers' Experience With Medialization Thyroplasty: A Prospective Observational Study.","authors":"Melissa Patry, Elnaz Roohi, Peter Rose, Shamir Karmali, Amanda Hu","doi":"10.1016/j.jvoice.2025.09.001","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.09.001","url":null,"abstract":"<p><strong>Objective: </strong>To qualitatively and quantitatively evaluate the patients', surgeons', and anesthesiologists' experience with procedural sedation for medialization thyroplasty (MT).</p><p><strong>Methods: </strong>Prospective observational study. Patients undergoing MT completed the validated Quality of Recovery Scale (QoR-15) preoperatively and postoperative days (PODs) 1 and 7. Patients also completed the validated Bauer Patient's Satisfaction Questionnaire on POD1. After surgery, the surgeon and anesthesiologist filled in a Provider's survey, including the validated Ramsay Sedation Scale (RSS) and the Visual Analog Scale (VAS). Nonparametric tests were conducted for statistical analysis.</p><p><strong>Results: </strong>Fifty-three patients (47% male), median age of 67 years (IQR 15), were recruited between March 2023 and February 2025. The median QoR-15 on POD7 was 141 (IQR 23), with no significant difference from the preoperative score 138 (IQR 28) (P = 0.856). For the Bauer Questionnaire, 74.5% and 63.8% of the patients were respectively very satisfied with the anesthesia care and pain management. For \"voice testing\" and \"closure,\" the RSS perception was the same for both providers in more than half of the cases (60.4% and 56.6%). The surgeons and anesthesiologists had different perceptions of patient's anxiety, movement, discomfort, optimal operating conditions, and communication with patient.</p><p><strong>Conclusions: </strong>Patients were satisfied with the procedural sedation with MT. Providers had different perceptions of the anesthesia, indicating the importance of communication for a successful surgery. This study was one of few prospective studies evaluating the patients' and providers' experience with MT.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092672","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":"A Scoping Review of Adaptation and Validation Practices of Cross-Linguistically Adapted Voice-Related Self-Reported Outcome Measures in Indian Populations.","authors":"Srirangam Vijayakumar Narasimhan, Sudarshan Mysore Gunasagar","doi":"10.1016/j.jvoice.2025.08.035","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.08.035","url":null,"abstract":"<p><strong>Purpose: </strong>This scoping review aims to map the extent and nature of research on the cross-linguistic adaptation and psychometric evaluation of voice-related Patient-Reported Outcome Measures (PROMs) in Indian populations. It provides a descriptive synthesis of translated and culturally adapted tools and identifies areas where further research is needed.</p><p><strong>Method: </strong>The scoping review followed the PRISMA-ScR guidelines. A comprehensive search was conducted across six electronic databases, and relevant studies were identified through title, abstract, and full-text screening. Studies were included if they described the adaptation and/or validation of voice-related PROMs for Indian language-speaking populations and reported any psychometric property. Data were charted for study characteristics, language of adaptation, tool type, participant details, and reported psychometric features based on the COSMIN taxonomy.</p><p><strong>Results: </strong>Twenty-five studies met the inclusion criteria. Most adaptations were conducted in South Indian languages such as Kannada, Tamil, and Malayalam. Internal consistency and discriminant validity were the most commonly reported psychometric properties, while responsiveness and structural validity were less frequently addressed. Pediatric populations, North Indian languages, and gender-stratified analyses were underrepresented in the included studies.</p><p><strong>Conclusion: </strong>This review highlights the growing body of research on voice-related PROM adaptation in India and reveals several gaps in language representation, population diversity, and psychometric reporting. By charting these characteristics, the review offers a foundation for future research aiming to develop inclusive, culturally appropriate tools for voice assessment in India's linguistically diverse context.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092961","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":"Reply of the Authors on the Comment on \"Quasi-Static Ultrasound Elastography of Ex-vivo Porcine Vocal Folds During Passive Elongation and Adduction\".","authors":"Raphael Lamprecht, Marion Semmler, Alexander Sutor","doi":"10.1016/j.jvoice.2025.08.036","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.08.036","url":null,"abstract":"<p><p>This reply addresses the three key aspects raised in the comment to our article: the material model, the potential selection bias resulting from the use of gel pads, and the control for microstructural damage, followed by a discussion of possible improvements to the measurement technique.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092693","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":"Posterior Endoscopic Ventriculotomy and Cordotomy in Bilateral Vocal Fold Paralysis in Median Position.","authors":"Claudiney Candido Costa, Hugo Valter Lisboa Ramos, Marina Nahas Dafico Bernardes, Leandro Castro Velasco, Pauliana Lamounier, Onivaldo Cervantes","doi":"10.1016/j.jvoice.2025.08.037","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.08.037","url":null,"abstract":"<p><strong>Objectives: </strong>Bilateral vocal fold paralysis (BVFP) is a neurological condition that compromises airway and vocal quality, besides being associated with both high mortality rates and patients' quality of life worsening. Therefore, assessing an innovative surgical approach to treat patients with bilateral median vocal fold paralysis is of great interest. We propose a combination of posterior transverse cordotomy and ventriculotomy (a similar incision in the ventricular band) aiming to avoid tracheostomy performance or allowing decannulation.</p><p><strong>Methods: </strong>Prospective cohort study to assess and follow up (for, at least, 18 months) patients subjected to endoscopic ventriculotomy surgery associated with posterior transverse cordotomy who present BVFP. Primary outcomes were avoidance of tracheostomy (in non-tracheostomized patients) and decannulation (in tracheostomized patients). Secondary outcomes included complications (granuloma, aspiration, bronchopneumonia, and laryngeal stenosis), need for reintervention, exercise tolerance (stair-climbing capacity), and patient-reported voice changes.</p><p><strong>Results: </strong>Twenty-one (21) surgeries were performed on 19 patients at mean postoperative follow-up of 64 months. Although granuloma at the vocal fold level was observed in 5 of the 21 surgeries (23.80%), all of them recorded full resolution after introducing inhaled corticosteroids, and none of the cases presented granuloma formation or aspiration capable of making oral feeding impossible. Furthermore, no bronchopneumonia case was observed. The total of 11 patients in the whole cohort did not require tracheostomy prior to surgery.</p><p><strong>Conclusion: </strong>Posterior endoscopic ventriculotomy combined with posterior transverse cordotomy provides full visualization of the lateral extent of the vocal fold, enabling a comprehensive cordotomy without arytenoid resection. The technique was safe, achieved high rates of tracheostomy avoidance/decannulation, and had acceptable complication and reintervention rates.</p><p><strong>Level of evidence: 2: </strong></p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082106","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 Arytenoidectomy Necessary? A Comparative Study of Posterior Cordectomy Techniques in Bilateral Vocal Fold Paralysis.","authors":"Luis Javier Abarca Muñoz, Lilia Nohemí Giles Mercado, María Flores Calvo, José Manuel Esquivel Sánchez, Annel Gómez-Coello, Mauricio Gonzalez-Navarro","doi":"10.1016/j.jvoice.2025.07.048","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.07.048","url":null,"abstract":"<p><strong>Objectives: </strong>To compare decannulation rates and surgical outcomes between posterior cordectomy (PC) and posterior cordectomy with partial arytenoidectomy (PC+A) in bilateral vocal fold paralysis (BVFP).</p><p><strong>Study design: </strong>Retrospective, observational.</p><p><strong>Materials and methods: </strong>Patients diagnosed with BVFP who underwent either PC or posterior PC+A at a tertiary care center between 2012 and 2023. Surgical outcomes were analyzed, including decannulation rates, surgery duration, complications, and the need for revision surgery.</p><p><strong>Results: </strong>Twenty-three patients were included, with the primary etiology being nerve injury following thyroid surgery. Most patients required preoperative tracheostomy. Both surgical techniques achieved comparable decannulation rates (87% PC vs 86% PC+A, P > 0.05). PC showed an advantage over PC + A regarding shorter operative time. No differences were observed in voice quality, swallowing function, complications. Revision rates were 31% for PC vs 0% for PC+A (P = 0.3).</p><p><strong>Conclusion: </strong>Both PC and PC+A are effective surgical techniques for managing bilateral vocal fold paralysis, achieving comparable decannulation rates without significant compromise of voice or swallowing function. PC's shorter operative time may favor its use in select patients, while PC+A's lower revision rate warrants further study. These findings highlight the need for individualized approaches to treatment.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082064","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":"Electrolarynx Prototype With Adjustable Period Perturbation and Fundamental Frequency: Acoustic Analysis and Perceptual Preferences.","authors":"Giovanna Castilho Davatz, Rosiane Yamasaki, Renata Furia Sanchez, Adriana Hachiya, Domingos Hiroshi Tsuji, Arlindo Neto Montagnoli","doi":"10.1016/j.jvoice.2025.07.015","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.07.015","url":null,"abstract":"<p><strong>Introduction: </strong>The electrolarynx restores speech after total laryngectomy, but its sound quality differs from that of the human voice.</p><p><strong>Objectives: </strong>(a) To implement acoustic modifications in an electrolarynx-period perturbation and fundamental frequency adjustment; (b) to compare modified and conventional configurations through blinded perceptual evaluations by speech-language pathologists; and (c) to analyze laryngectomee preferences and their relationship with voice-related quality of life.</p><p><strong>Study design: </strong>Prospective study.</p><p><strong>Methods: </strong>A prototype electrolarynx was developed to allow adjustment of acoustic parameters. An adult woman with no anatomical or functional alterations in the vocal tract produced sustained /a/ vowels using both conventional and modified configurations. These samples were analyzed for temporal and spectral characteristics. In addition, ten laryngectomized individuals (nine men, one woman) used both versions to produce connected speech. Recordings were randomized and blindly evaluated by seven speech-language pathologists. Participants also evaluated their own recordings and completed the Voice-Related Quality of Life (V-RQOL) questionnaire.</p><p><strong>Results: </strong>The conventional device lacked period perturbation and operated at a fixed fundamental frequency of 120 Hz. The modified configuration introduced a randomized perturbation pattern with uniform distribution (jitter: 0.5%) and adjusted fundamental frequency based on age and gender (110-175 Hz). Acoustic analysis revealed that conventional emissions had fixed waveforms, reflecting the mechanical activation pattern of the electrolarynx, and exhibited diffuse spectral energy. In contrast, modified emissions more closely resembled natural voice patterns, with clearer formant peaks. All speech-language pathologists (100%, n = 7) preferred the modified sound, citing greater intelligibility and reduced noise; 85.7% (n = 6) found it more suitable for the speaker's age and gender, and 71.4% (n = 5) rated it more natural. Among laryngectomized individuals, 50% (n = 5) preferred the modified sound, 10% (n = 1) the conventional, and 40% (n = 4) perceived no difference. Preference for the modified configuration was more common among individuals with lower V-RQOL scores.</p><p><strong>Conclusion: </strong>Compared with the conventional device, the modified device resulted in voice quality that more closely resembled those of natural human voice patterns.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082075","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":"Effects of Mechanical Vibration Stimulus Associated With Vocal Excercises on Laryngeal, Acoustic, and Auditory-Perceptual Parameters.","authors":"Anderson Nascimento, Gustavo Polacow Korn, Mateus Morais Aires Camara, Debora Cury Ribeiro, Renata Rangel Azevedo","doi":"10.1016/j.jvoice.2025.08.031","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.08.031","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the immediate effects of mechanical vibration stimulation (MVS) (G-Life NL 3000 device) applied to the larynx along with nasal sound emission immediately after an intervention session.</p><p><strong>Methods: </strong>In total, 62 subjects of both sexes, aged 18 to 45 years, vocally healthy, and divided into two groups: Experimental Group (EG), which performed nasal sound exercises associated with vibratory stimuli (portable device manufactured by G-Life, model NL 3000-120-Hz frequency and approximately 1-mm displacement amplitude) for 6 minutes; and Control Group (CG), which only performed the nasal sound exercise protocol for 6 minutes. The subjects were evaluated with voice recording and laryngeal assessment before and immediately after the intervention, with the analysis of telelaryngoscopy videos, stroboscopy acoustic parameters, and auditory-perceptual evaluation. The significance value was set at P value < 0.05 for statistical analysis.</p><p><strong>Results: </strong>Laryngostroboscopic evaluation showed a statistically significant improvement in the EG (P value: 0.002). The maximum phonation time increased significantly in both sexes (men: P value < 0.001, and women: P value 0.008) in the EG. The vocal range increased significantly in EG men (P value < 0.001) and women (P value < 0.001). In acoustic parameters, a significant reduction in jitter (P value < 0.001) and shimmer (P value < 0.001) was observed in both sexes in the EG. An increase in F0 was also noted for men in both groups (EG: P value < 0.001, and CG: P value 0.033). Spectrogram and auditory-perceptual evaluation were not sensitive enough to detect significant changes, although they were better in the EG.</p><p><strong>Conclusions: </strong>The immediate effects of mechanical vibration stimulation associated with nasal vocal sound exercises improved laryngeal and acoustic vocal production parameters.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076466","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":"Development of a Peroral Vocal Fold Injection Training System.","authors":"Brian T Reilly, Adam Szymanowski, Ahmed M S Soliman","doi":"10.1016/j.jvoice.2025.08.025","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.08.025","url":null,"abstract":"<p><strong>Objective: </strong>Although trainees often receive adequate training in operative vocal fold (VF) injections under anesthesia, their experience with awake in-office injections is usually more limited. This is due to the increased skill required and a lack of patient tolerance. Multiple models exist to help trainees become more familiar with awake percutaneous VF injections, but there is a paucity of simulation models for the awake peroral approach. We designed and built a low-cost, easily replicated model to allow trainees to develop some of the fundamental skills required to perform in-office peroral VF injections.</p><p><strong>Study design: </strong>Survey.</p><p><strong>Setting: </strong>Single-center tertiary medical center.</p><p><strong>Methods: </strong>After building the model, medical students and otolaryngology residents were recruited for participation in the study. The Michigan Standard Simulation Experience Scale (MiSSES) was used to assess participants' comfort with peroral VF injections before using the model. Participants then performed five injections and completed the remaining portion of the MiSSES to assess the simulation's efficacy, fidelity, and educational value.</p><p><strong>Results: </strong>Nineteen participants completed the study. Nearly all (18/19) reported poor confidence with peroral VF injections before participating. After using the model, participants rated it as having realistic features and reported improved confidence and ability with peroral VF injections. The overall simulation experience was rated as 4.8/5.</p><p><strong>Conclusion: </strong>This low-cost, reproducible model improved participants' confidence and ability with peroral VF injections. It can be used to teach trainees some the basic skills of in-office peroral VF injection and is a valuable addition to an otolaryngology educational curriculum.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076411","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":"Response to Hosokawa et al Regarding \"Effects of Silent Segment Processing on Cepstral Measures in Japanese Voice Assessment: A Reliability and Perceptual Correlation Study\".","authors":"Narihiro Kodama","doi":"10.1016/j.jvoice.2025.08.038","DOIUrl":"https://doi.org/10.1016/j.jvoice.2025.08.038","url":null,"abstract":"","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076389","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}