Journal of Voice最新文献

{"title":"Effect of Bilateral Vocal Fold Microsuturing on Voice Quality Improvement in Patients With Anterior Glottic Webs: A Retrospective Observational Study","authors":"Zhang-Wei Hu ,&nbsp;Lin Chen ,&nbsp;Ren-Qiang Ma ,&nbsp;Jie Deng ,&nbsp;Wei-Ping Wen ,&nbsp;Wen-Bin Lei","doi":"10.1016/j.jvoice.2022.08.016","DOIUrl":"10.1016/j.jvoice.2022.08.016","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was performed to introduce a modified procedure involving a combination of bilateral vocal fold<span> mucosal flaps and microsurgical sutures for the management of anterior glottic webs and to study its efficacy in decreasing the recurrence rate and improving voice quality.</span></div></div><div><h3>Methods</h3><div><span><span>We retrospectively reviewed 102 patients with anterior glottic webs who underwent surgical treatment by a carbon dioxide laser </span>incision with or without microsurgical suturing in our hospital from May 2014 to April 2021. We focused on the </span>reoperation rate and the voice outcomes based on the 30-item Voice Handicap Index.</div></div><div><h3>Results</h3><div><span>This study included 102 patients with anterior glottic webs, which were caused by papilloma excision and endoscopic laryngocarcinoma resection in 97 (95.1%) of the 102 patients; less common causes were infection and traumatic injury. All incisions were performed along the midline with a carbon dioxide laser under microscopy and a self-retaining laryngoscope; 37 (36.3%) patients underwent microsurgical suturing and 65 (63.7%) patients did not. The microsuture group had a lower reoperation rate (χ</span>² <em>=</em> 7.069, <em>P =</em> 0.0078) and higher voice quality (t <em>=</em> 2.054, <em>P =</em> 0.0462) than the non-microsuture group.</div></div><div><h3>Conclusions</h3><div>We introduced a modified procedure that can both decrease the recurrence rate and improve the voice quality in patients with anterior glottic webs. Hence, this combination therapy involving bilateral vocal fold mucosal flaps and microsurgical sutures is worthy of clinical application and promotion.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 2","pages":"Pages 531-537"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40371798","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":"Usefulness of Direct Magnitude Estimation (DME) in Auditory Perceptual Assessments Measuring Dysphonia Severity","authors":"YeonWoo Lee ,&nbsp;HeeJune Park ,&nbsp;DongWon Lim ,&nbsp;GeunHyo Kim","doi":"10.1016/j.jvoice.2022.09.001","DOIUrl":"10.1016/j.jvoice.2022.09.001","url":null,"abstract":"<div><h3>Objectives</h3><div>The purposes of this study were (1) to analyze the reliability of direct magnitude estimation (DME) scales in auditory perceptual assessments<span> measuring dysphonia severity and (2) to analyze the usefulness of DME scales in comparison to that of equal-appearing interval (EAI) scales.</span></div></div><div><h3>Study Design</h3><div>Three speech language pathologists<span> perceptually evaluated dysphonia severity from connected speech samples produced by 105 participants with dysphonia. Two auditory perceptual assessments using two scales (DME and EAI) were performed for 2 weeks. The reliabilities of auditory perceptual assessments were analyzed, and correlation analysis was performed to analyze the relationship between the two scales.</span></div></div><div><h3>Results</h3><div>DME and EAI were found to have high reliability for auditory perceptual assessments measuring voice severity. There was a significant curvilinear relationship between EAI and DME. This indicates that a prosthetic continuum represents the dysphonia severity and suggests that DME scales should be used to measure dysphonia severity to avoid the linear partitioning related to EAI scales.</div></div><div><h3>Conclusions</h3><div>Our study supports the use of DME scales when judging the overall voice severity of dysphonic patients.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 2","pages":"Pages 388-392"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44000305","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":"Letter to the Editor: Auditory-Perceptual Assessment and Acoustic Analysis of Gender Expression in the Voice","authors":"Gaetano Fava","doi":"10.1016/j.jvoice.2024.06.022","DOIUrl":"10.1016/j.jvoice.2024.06.022","url":null,"abstract":"","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 2","pages":"Pages 543-545"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591884","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 Use of Artificial Intelligence as a Tool in the Management of Bilateral Vocal Fold Paralysis","authors":"Emilie A.C. Dronkers ,&nbsp;Ahmed Geneid ,&nbsp;Chadwan Al Yaghchi ,&nbsp;Jerome R. Lechien","doi":"10.1016/j.jvoice.2024.06.020","DOIUrl":"10.1016/j.jvoice.2024.06.020","url":null,"abstract":"","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 2","pages":"Page 554"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861395","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 Comparison Between Inhalation and Total Intravenous Anesthesia Effect on Voice With Supraglottic Airway Devices for Short-term Anesthesia","authors":"Feyzullah Kolay ,&nbsp;Ayşe Vahapoğlu ,&nbsp;Ahmet Güvenç ,&nbsp;Ülkü Aygen Türkmen","doi":"10.1016/j.jvoice.2022.10.009","DOIUrl":"10.1016/j.jvoice.2022.10.009","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;&lt;span&gt;Supraglottic airway devices (SADs) are a good alternative to &lt;/span&gt;endotracheal intubation&lt;span&gt; (ETI) in short-term anesthesia applications since they have advantages including easy application, lower cost, enabling spontaneous ventilation. Total intravenous anesthesia&lt;span&gt;&lt;span&gt;&lt;span&gt; (TIVA) and desflurane anesthesia allowing rapid recovery are anesthesia methods to be selected. &lt;/span&gt;Inhalation anesthesia by desflurane may cause adverse effects on &lt;/span&gt;airway mucosa&lt;span&gt; and vocal cord functions. The aim of the present study was to compare the effect of the chosen anesthesia method on voice in gynecological patients who underwent short-term anesthesia with SADs.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Material and method&lt;/h3&gt;&lt;div&gt;&lt;span&gt;&lt;span&gt;Seventy four patients whom short-term surgical procedure was planned in the Gynecology and &lt;/span&gt;Obstetrics Clinic were randomized into two groups for desflurane anesthesia (group D) and TIVA (group T). Voice recording was performed through &lt;/span&gt;larynx&lt;span&gt; examination before anesthesia. Perioperative hemodynamic&lt;span&gt;&lt;span&gt; parameters, airway complications and postoperative airway complications were recorded. Laryngeal examination and voice recording were performed for the second time after 24 hours following the anesthesia procedure&lt;span&gt;. Acoustic voice analysis of the patients was evaluated through the Praat program. The conditions including sore throat, dysphagia, and &lt;/span&gt;&lt;/span&gt;hoarseness were investigated after the anesthesia. Acoustic and aerodynamic properties of the voice, airway complications and pharyngolaryngeal complaints related to the use of SADs were compared in the patients.&lt;/span&gt;&lt;/span&gt;&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Result&lt;/h3&gt;&lt;div&gt;There was not any significant difference between the groups for demographic data. The SADs type and size have similar characteristics. No significant difference was detected between Group T and Group D for anesthesia duration (&lt;em&gt;P&lt;/em&gt;&lt;span&gt; = 0.964). Both anesthesia methods cause similar effects on pharyngolaryngeal functions and voice. No significant difference was found between Group T and Group D in parameters other than the shimmer value of acoustic analysis. A statistically significant increase was observed in the Shimmer variable of group D (&lt;/span&gt;&lt;em&gt;P&lt;/em&gt; &lt; 0.05). When group T and group D were compared, there was not any significant difference in terms of airway complications, sore throat, dysphagia, and hoarseness.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The TIVA and desflurane anesthesia presented similar clinical effects on voice and pharyngolaryngeal morbidity in the short-term gynecological operations through SADs. The increased shimmer value of acoustic voice analysis in Group D suggests that desflurane anesthesia may cause clinically insignificant deterioration on the voice. Further comprehensive studies are needed in order to demonstrate the effect of anesthetic agents on larynx functions in patien","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 2","pages":"Pages 571.e21-571.e29"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10373436","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 Practical Guide to Calculating Cepstral Peak Prominence in Praat","authors":"Elizabeth S. Heller Murray,&nbsp;Andie Chao,&nbsp;Lauren Colletti","doi":"10.1016/j.jvoice.2022.09.002","DOIUrl":"10.1016/j.jvoice.2022.09.002","url":null,"abstract":"<div><div>The acoustic measure of cepstral peak prominence (CPP) is recommended for the analysis of dysphonia. Yet, clinical use of this measure is not universal, as clinicians and researchers are still learning the strengths and limitations of this measure. Furthermore, affordable access to specialized acoustic software is a significant barrier to universal CPP use. This article will provide a guide on how to calculate CPP in Praat, a free software program, using a new CPP plugin. Important external factors that could influence CPP measures are discussed, and suggestions for clinical use are provided. As CPP becomes more widely used by clinicians and researchers, it is important to consider external factors that may inadvertently influence CPP values. Controlling for these external factors will aid in reducing variability across CPP values, which will make CPP a valuable tool for both clinical and research purposes.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 2","pages":"Pages 365-370"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33494621","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":"Listeners’ Attitudes Towards Young Women With Glottal Fry","authors":"Natalie Foulks Pointer ,&nbsp;Miriam van Mersbergen ,&nbsp;Chaya D. Nanjundeswaran","doi":"10.1016/j.jvoice.2022.09.007","DOIUrl":"10.1016/j.jvoice.2022.09.007","url":null,"abstract":"<div><h3>Purpose</h3><div>Glottal fry is an increasingly prevalent voice type in young female speakers. The purpose of this study was to identify employers’ perceptions toward young female speakers presenting with glottal fry and the impact on hirability.</div></div><div><h3>Methods</h3><div>Sixty employers responsible for hiring at their business in the Southeast region of the United States completed a survey developed to capture employers’ perceptions toward young women using glottal fry. Employers listened to three voice samples of young women with varying levels of glottal fry and rated the voice on 14 semantic differential items. The semantic differential items were derived from the hiring constructs literature to capture perceptions related to mental capability, personality tendencies, and applied social skills. Additionally, questions related to hirability were captured at the end of the survey.</div></div><div><h3>Results</h3><div>Employers were able to identify continuous glottal fry compared to nonglottal fry voice samples. Employers rated voice samples with glottal fry more negatively (eg, less trustworthy, less competent, less educated) compared to nonglottal fry voice samples and were less likely to hire female speakers with continuous glottal fry.</div></div><div><h3>Conclusion</h3><div>This study highlights the impact of negative perceptions toward glottal fry on hirability of young female speakers. Such information can provide insight to increase awareness of the impact of a voice type on listener perceptions and communication among young female speakers.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 2","pages":"Pages 371-378"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33505775","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":"Recognition of the Effect of Vocal Exercises by Fuzzy Triangular Naive Bayes, a Machine Learning Classifier: A Preliminary Analysis","authors":"Émile Rocha Santana ,&nbsp;Leonardo Lopes ,&nbsp;Ronei Marcos de Moraes","doi":"10.1016/j.jvoice.2022.10.001","DOIUrl":"10.1016/j.jvoice.2022.10.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Machine learning (ML) methods allow the development of expert systems for pattern recognition and predictive analysis of intervention outcomes. It has been used in Voice Sciences, mainly to discriminate between healthy and dysphonic voices. Parameter patterns of vocal acoustic analysis<span><span><span> and vocal perceptual assessment can be evaluated by ML classifiers, such as the Fuzzy Triangular </span>Naive Bayes (FTriangNB), after using techniques that improve the vocal quality of individuals with healthy or dysphonic voices. Thus, the goal of this study was to analyze the performance of the FTriangNB to detect patterns in the acoustic parameters and the auditory-perceptual assessment of 12 women with </span>dysphonia<span> and 12 vocally healthy women, after performing three vocal exercises (tongue trills, semi-occluded vocal tract exercise with a high-resistance straw – SOVTE, and over-articulation).</span></span></div></div><div><h3>Methods</h3><div>The FTriangNB classifier contained in the Fuzzy Class package was implemented in the data analysis software <em>R Studio</em> version 1.4.1106 <em>for Macintosh</em><span>. The confusion matrix was extracted, as well as the accuracy, the Kappa coefficient, and the class statistics. The final result was compared with those generated by FTriangNB with the same variables from the preapplication database of the exercises.</span></div></div><div><h3>Results</h3><div><span>The FTriangNB presented good accuracy (87.5%) and Kappa coefficient (81.3%), and showed almost perfect agreement after application of the exercises, while the results before the application of the exercises demonstrated accuracy without acceptable discrimination capacity (33.3%) and Kappa coefficient with a poor agreement (-6.67%). The Semioccluded </span><strong>Vocal Tract Exercises</strong><span> (SOVTE) with high strength straw presented with a sensitivity and Negative Predictive Value (NPV) of value 1 (one), and the over-articulation's specificity and Positive Predictive Value (PPV) also showed a value of 1 (one).</span></div></div><div><h3>Conclusions</h3><div>The FTriangNB showed great accuracy in recognizing the effect of vocal exercises. Exploratory studies with larger samples using FTriangNB, as well as other Machine Learning classifiers should be further carried out for this purpose in the Voice Science to enable inferences.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 2","pages":"Pages 560.e21-560.e30"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40474955","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":"Cryotherapy Modifies Extracellular Matrix Expression of Vocal Fold in Rat Models","authors":"Ting Gong ,&nbsp;Pengcheng Yu ,&nbsp;Tao Lu ,&nbsp;Jiwei Chen ,&nbsp;Jinxia Mi ,&nbsp;Rui Fang ,&nbsp;Chunlei Shan","doi":"10.1016/j.jvoice.2022.08.031","DOIUrl":"10.1016/j.jvoice.2022.08.031","url":null,"abstract":"<div><h3>Objectives</h3><div>Vocal fold<span> (VF) scarring is the major cause of voice disorders. Cryotherapy<span> is an effective anti-scarring therapy for skin lesions. The aim of this study was to explore the anti-scarring potential of cryotherapy in vocal folds.</span></span></div></div><div><h3>Methods</h3><div><span><span>The extracellular matrix (ECM) mRNA expression of cryotherapy on normal VF tissue and the histologic results of cryotherapy on vocal fold healing were studied. Fifteen rats were introduced cryotherapy on the normal VF bilaterally and were harvested for real-time polymerase chain reaction (RT-PCR) analysis for collagen I, collagen III, TGFβ1, </span>decorin, </span>fibronectin<span><span> and HAS1 at 1 day, 3 days and 7 days. Ten rats were unilaterally injured by stripping </span>lamina propria and immediately treated with or without cryotherapy and were harvested at 2 months for histological and immunohistochemical analysis.</span></div></div><div><h3>Results</h3><div>Regenerative effect of cryotherapy was validated of ECM gene expression. Histological and immunohistochemical analysis showed significantly increased hyaluronan<span><span>, decreased collagen, and increased decorin deposition in injury-cryotherapy cohort compared with </span>injury control cohort and normal control cohort.</span></div></div><div><h3>Conclusions</h3><div>Cryotherapy may provide an optimal environment for vocal fold tissue regeneration. The results of the present investigation suggest that cryotherapy has therapeutic potential in prevention and treatment of vocal fold scarring.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 2","pages":"Pages 337-344"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40387747","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 Irrintzi and Other Folk Cries High Pich and Loud Emission. Can We Learn Something?","authors":"Ana Martínez-Arellano ,&nbsp;Arantza Campo ,&nbsp;Beatriz del Rio ,&nbsp;Octavio Garaycochea ,&nbsp;Secundino Fernandez","doi":"10.1016/j.jvoice.2022.08.019","DOIUrl":"10.1016/j.jvoice.2022.08.019","url":null,"abstract":"<div><h3>Introduction</h3><div>In various cultures there are vocal sounds and cries associated with the folk tradition.</div><div>All these cries are emitted in a single breath, have a high frequency and are loud. They are consequently audible over long distances and cut through other vocal expressions or other sounds generated by instruments.</div></div><div><h3>Objectives</h3><div>The objective of this work is to acoustically analyze some of these folkloric cries and study elements common to all of them.</div></div><div><h3>Methods</h3><div>In this study, <em>Irrintzi, Aturuxo, Tzagrit, ululation Darfur</em> and <em>Kurava</em> cries were subjected to descriptive acoustic spectrographic analysis, and the resulting descriptions were compared both quantitatively, in terms of various acoustic parameters, and qualitatively, in terms of spectrographic characteristics and the way the cries sound.</div></div><div><h3>Results</h3><div>All of the cries contained high frequencies. Spectrograms of the cries revealed that they had a common pattern: a lower initial frequency ascends rapidly (the attack) and is then maintained throughout a stable phase of the emission (the body) before a final drop in frequency (the ending or coda). The body is the longest phase.</div></div><div><h3>Conclusions</h3><div>This initial study of five sounds of folk tradition has opened up a wealth of acoustic and cultural discoveries. Broader studies are now needed to determine if the characteristics we have reported are common to other cries, to look for other similarities, and to delve into meanings, implications and possible applications.</div><div>In-depth understanding of the mechanism of emission of traditional cries could provide tools for voice re-education in patients with dysphonia due to vocal strain (muscle tension dysphonia, vocal nodules, etc.), for improving voice quality, and for increasing the efficiency of vocal performance.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"39 2","pages":"Pages 562.e1-562.e5"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40661026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}