Journal of Voice最新文献

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Have We Solved Glottis Segmentation? Review and Commentary. 我们解决了声门分割问题了吗?回顾和评论。
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-12-06 DOI: 10.1016/j.jvoice.2024.11.037
Andreas M Kist, Michael Döllinger
{"title":"Have We Solved Glottis Segmentation? Review and Commentary.","authors":"Andreas M Kist, Michael Döllinger","doi":"10.1016/j.jvoice.2024.11.037","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.11.037","url":null,"abstract":"<p><p>Quantification of voice physiology has been a key research goal. Segmenting the glottal area to describe the vocal fold motion has seen increased attention in the last two decades. However, researchers struggled to fully automatize the segmentation task. With the advent of deep learning, fully automated solutions are within reach and have been proposed. Are we then done here? This commentary highlights the open construction sites and how glottis segmentation can be still of scientific interest in this decade.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792563","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}
引用次数: 0
Prosodic Preferences of Surface Electromyography-based Subvocal Speech for People With Laryngectomy. 基于表面肌电图的喉切除术患者声下言语的韵律偏好。
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-12-05 DOI: 10.1016/j.jvoice.2024.10.024
Laura Raiff, Dea Turashvili, James T Heaton, Gianluca De Luca, Joshua C Kline, Jenny Vojtech
{"title":"Prosodic Preferences of Surface Electromyography-based Subvocal Speech for People With Laryngectomy.","authors":"Laura Raiff, Dea Turashvili, James T Heaton, Gianluca De Luca, Joshua C Kline, Jenny Vojtech","doi":"10.1016/j.jvoice.2024.10.024","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.10.024","url":null,"abstract":"<p><strong>Introduction: </strong>People who undergo a total laryngectomy lose their natural voice and depend on alaryngeal technologies for communication. However, these technologies are often difficult to use and lack prosody. Surface electromyographic-based silent speech interfaces are novel communication systems that overcome many of the shortcomings of traditional alaryngeal speech and have the potential to seamlessly incorporate individualized prosody. The purpose of this study was to (1) validate the ability of alaryngeal silent speech to effectively incorporate pitch modulations-a key prosodic element in natural speech-into synthesized speech assessed through listening experiments and (2) determine the key features of these communication devices according to core users.</p><p><strong>Methodology: </strong>People with laryngectomy (n = 15) and their primary communication partners (n = 5) listened to synthesized sentences with differing prosodic content generated from deep regression neural networks developed in our prior work. Specifically, the fundamental frequency (f<sub>o</sub>) contour of each sentence was manipulated in four ways: (1) flattened to the average f<sub>o</sub>, (2) altered to discrete sentence-level classification of muscle activity, (3) altered to continuous mapping of muscle activity, and (4) filtered to emulate speech from an electrolarynx (EL). Listeners ranked the f<sub>o</sub> contours of each sentence in terms of speech naturalness and the importance of various speech aid features.</p><p><strong>Results: </strong>Continuous contours rated higher than all other types of contours, and monotonic EL contours rated the lowest. Speech aid features were rated highest to lowest in the following order: sound quality, intelligibility, pitch, delay, volume, hands-free, maintenance, cost, wearability, training, and visibility.</p><p><strong>Conclusion: </strong>These results will help inform future development of silent speech interfaces and shape priorities of communication devices toward the preferences of their users.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792524","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}
引用次数: 0
The Risk Factors of Voice Disorders in Non-University Teachers: A Systematic Review and Meta-Analysis. 非大学教师嗓音障碍的危险因素:系统回顾与元分析。
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-12-05 DOI: 10.1016/j.jvoice.2024.10.023
Guilian Jiang, Xiangjing Xu, Konghong Yu, Guangming Tang, Rong Yang, Xin Li
{"title":"The Risk Factors of Voice Disorders in Non-University Teachers: A Systematic Review and Meta-Analysis.","authors":"Guilian Jiang, Xiangjing Xu, Konghong Yu, Guangming Tang, Rong Yang, Xin Li","doi":"10.1016/j.jvoice.2024.10.023","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.10.023","url":null,"abstract":"<p><strong>Objective: </strong>Teachers are often considered to be at high risk for voice disorders. Many studies have been conducted globally. However, the risk factors included in these studies varied, and even for the same influencing factors, the results were inconsistent across studies. No uniform conclusions have yet been drawn. The aim of this study is to identify the risk factors of voice disorders in non-university teachers and to provide insights for their prevention, treatment, and mitigation of recurrence.</p><p><strong>Methods: </strong>In this systematic review (PROSPERO/CRD42024554265), PubMed, Scopus, Web of Science, Embase, and Wiley were searched up to January 14, 2024. A manual search was performed in gray literature through OpenGrey and ProQuest Dissertations and Theses. There was no limitations to the date of publication and language. Studies with a cross-sectional or case-control design and investigating the risk factors of voice disorders in non-university teachers were included. Two researchers performed separately to select articles, extract data, and evaluate the quality of the included studies. The 95% confidence interval and odds ratio were applied to examine the effect size. A meta-analysis was performed with a random effects model using the Stata 16.0 software.</p><p><strong>Results: </strong>A total of 23 studies were considered, with a total of 73.609 teachers. The results of this meta-analysis: sex[OR = 1.63, confidence interval (CI) (1.17, 2.28)], smoking[OR = 1.31, CI(1.00,1.72)], upper respiratory tract infections [OR = 2.88, CI(1.59,5.23)], respiratory allergies [OR = 3.02, CI(2.21, 4.10)], endocrine diseases [OR = 2.25, CI(1.52, 3.34)]; acid reflux symptoms [OR = 2.41, CI(1.32, 4.40)], stress [OR = 2.47, CI(1.45, 4.19)], lack of discipline in the classroom [OR = 1.63, CI(1.20,2.20)], physical education [OR = 1.58, CI(1.10, 2.28)], noise in the classroom [OR = 1.89, CI(1.42, 2.53)], excessive speaking [OR = 2.52, CI(1.77, 3.60)], throat clearing [OR = 2.10, CI(1.18, 3.75)], shouting [OR = 1.42, CI(1.02, 1.96)], and speaking loudly [OR = 3.06, CI(1.91, 4.91)] may contribute to the development of voice disorders. Subgroup analyses revealed that the diagnostic tool may contribute to high heterogeneity.</p><p><strong>Conclusions: </strong>The etiopathology of voice disorders in non-university teachers is frequently complex. Multidimensional diagnosis of voice disorders plays an important role in the study of voice disorders It is imperative to undertake early vocal training and implement preventive measures to prevent the currency of voice disorders.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792530","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}
引用次数: 0
Patient-Perceived Vocal Effort Immediately Following Voice Tasks in Adductor Laryngeal Dystonia (ADLD). 喉内收肌张力障碍(ADLD)患者在完成发声任务后立即感知到的发声努力。
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-12-05 DOI: 10.1016/j.jvoice.2024.11.022
Cara L Sauder, Katherine L Marks, Tanya K Meyer, John Paul Giliberto, Madeline Knutson, Emily Wilson, Cara E Stepp, Tanya L Eadie
{"title":"Patient-Perceived Vocal Effort Immediately Following Voice Tasks in Adductor Laryngeal Dystonia (ADLD).","authors":"Cara L Sauder, Katherine L Marks, Tanya K Meyer, John Paul Giliberto, Madeline Knutson, Emily Wilson, Cara E Stepp, Tanya L Eadie","doi":"10.1016/j.jvoice.2024.11.022","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.11.022","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the relationship between patient-perceived vocal effort (VE) using a 100-mm visual analog scale (VE-VAS) and the OMNI Vocal Effort Scale (OMNI-VES) when measures were obtained after a vocal activity. A second purpose was to evaluate how VE related to other voice assessment measures.</p><p><strong>Method: </strong>Fifty-three speakers with adductor laryngeal dystonia (ADLD) provided speech recordings. Directly after this vocal activity, speakers rated VE using the VE-VAS and the OMNI-VES. Speakers provided ratings of their own voice quality severity using a 100-mm VAS (ADLD-OS) and completed the Voice-Related Quality of Life (V-RQOL) scale. Ten experienced speech-language pathologists rated a subset of available speech samples (n = 39) for overall voice severity using a 100-mm VAS (SLP-OS).</p><p><strong>Results: </strong>There was a strong, significant correlation (r = 0.78, P < 0.001) between the VE-VAS and the OMNI-VES. Both VE measures were strongly and significantly correlated with speakers' ratings of their voice: VE-VAS vs ADLD-OS, r = 0.75, P < 0.001; OMNI-VES vs ADLD-OS, r = 0.85, P < 0.001. In contrast, mostly weak correlations were found between perceived VE and V-RQOL total and physical domains, respectively (VE-VAS vs V-RQOL: r = -0.21 to -0.19, P > 0.05; OMNI-VES vs V-RQOL: r = -0.37 to -0.44, P < 0.01). Finally, VE measures were moderately and significantly related to SLPs' auditory-perceptual measures of voice severity: VE-VAS vs SLP-OS, r = 0.50, P < 0.001; OMNI-VES vs SLP-OS, r = 0.57, P < 0.001.</p><p><strong>Conclusions: </strong>ADLD speakers' perceptions of VE are strongly related when measures are obtained directly after a vocal activity, regardless of the VE scale. VE is strongly related to speaker-rated voice quality severity, but weakly related to V-RQOL. Measures of VE obtained directly after a vocal activity are moderately related to clinicians' perceptions of overall voice quality severity.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792520","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}
引用次数: 0
A Study of the Acoustic Voice Parameters Among Older Thai People in Chiang Mai. 清迈地区泰国老年人声音参数的研究。
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-12-05 DOI: 10.1016/j.jvoice.2024.11.020
Nawara Nopwattanakorn, Supaporn Chinchai, Kalyanee Makarabhirom, Wannipa Bunrayong, Kannika Roongrotwattanasiri
{"title":"A Study of the Acoustic Voice Parameters Among Older Thai People in Chiang Mai.","authors":"Nawara Nopwattanakorn, Supaporn Chinchai, Kalyanee Makarabhirom, Wannipa Bunrayong, Kannika Roongrotwattanasiri","doi":"10.1016/j.jvoice.2024.11.020","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.11.020","url":null,"abstract":"<p><p>This cross-sectional study aimed to examine acoustic voice parameters among older Thai individuals in Chiang Mai-a northern Thai province with the third-largest elderly population and significant PM<sub>2.5</sub> exposure-and to compare these measures between normal and abnormal voice groups within this population.</p><p><strong>Method: </strong>The study involved 125 Thai elderly with normal voices, who were selected through a multi-stage sampling process and assessed by using the GRBASI scale (Grade, Roughness, Breathiness, Asthenia, Strain, Instability), and 45 elderly Thai individuals with abnormal voices, selected through purposive sampling and diagnosed by an Ear, Nose, and Throat (ENT) doctor or assessed by using the GRBASI scale. Additionally, participants with normal voices underwent a speech discrimination test before voice recording. Participants vocalized /a/ for over 3 seconds and read a Thai passage for acoustic analysis using Praat. Analysis considered gender and age groups (60-69, 70-79, and 80+ years).</p><p><strong>Results: </strong>Data on acoustic voice parameters among older Thai individuals in Chiang Mai were reported, showing alignment with those from previous studies on different ethnic populations, except for the intensity parameter, which was found to be lower in this study. Statistically significant differences were found between normal and abnormal voice groups. In males, differences included fundamental frequency, speaking fundamental frequency, jitter local, shimmer local, and harmonic-to-noise ratio (P = 0.008, P < 0.001, P < 0.001, P = 0.002, and P < 0.001, respectively). In females, differences included jitter local and intensity (P < 0.001 and P = 0.045, respectively).</p><p><strong>Conclusions: </strong>The findings provide a foundation reference for voice characteristics among Chiang Mai's elderly, which could potentially be relevant to elderly populations in other northern Thai provinces exposed to similar environmental conditions or particulate matter.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792540","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}
引用次数: 0
The Relationship Between Self-Reported Nocturnal Cough Symptoms and Acoustic Cough Monitoring. 自述夜间咳嗽症状与声学咳嗽监测的关系
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-12-05 DOI: 10.1016/j.jvoice.2024.10.027
Brittany N Fletcher, Lauren J Humpert, Aaron D Friedman, Sudip Vhaduri, Victoria S McKenna
{"title":"The Relationship Between Self-Reported Nocturnal Cough Symptoms and Acoustic Cough Monitoring.","authors":"Brittany N Fletcher, Lauren J Humpert, Aaron D Friedman, Sudip Vhaduri, Victoria S McKenna","doi":"10.1016/j.jvoice.2024.10.027","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.10.027","url":null,"abstract":"<p><strong>Objective: </strong>This pilot investigation explored the relationship between self-reported clinical cough symptoms and objective acoustic cough data in individuals with nocturnal chronic cough.</p><p><strong>Methods: </strong>Ten participants diagnosed with chronic cough with a nocturnal component underwent two study sessions, approximately 1 week apart. Participants completed questionnaires regarding cough severity and their perceptions of using a smartphone application (app) to audio record cough. Between sessions, participants utilized the continuous audio recorder while sleeping. The relationship between the number of coughs captured at night and the self-reported impact of cough awakening during sleep were analyzed.</p><p><strong>Results: </strong>We found strong correlations (ρ = -0.78, -0.87) between formalized Leicester Cough Questionnaire scores and acoustically determined cough frequency. However, there were large differences between the average number of self-reported cough awakening events (0-3) and the number of acoustically recorded coughs (0-639). While users expressed comfort with recording and sharing acoustic data (4.8/5 Likert rating), concerns over confidentiality in daytime use were noted (4.1/5).</p><p><strong>Conclusion: </strong>Formalized cough questionnaires provide insight into chronic cough at night but may fall short in quantifying the shear frequency of coughs patients are experiencing. Although continuous audio recordings via smartphone emerged as a comfortable means for patients to supply quantifiable data regarding the impact of chronic cough during sleep, future endeavors in cough acoustic monitoring should prioritize privacy considerations for daytime use and work to share information with health care providers.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792526","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}
引用次数: 0
Management of Pediatric Voice Disorders: Perceived Knowledge, Attitude, and Practice Patterns Among Otolaryngologists in Southwest China. 中国西南地区耳鼻喉科医师对儿童声音障碍的认知、态度和实践模式
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-12-05 DOI: 10.1016/j.jvoice.2024.09.009
Qinghan Zeng, Dai Pu, Zhongjing Pan, Yuanyuan Peng, Tianpei Ma, Estella P-M Ma, Dan Lu
{"title":"Management of Pediatric Voice Disorders: Perceived Knowledge, Attitude, and Practice Patterns Among Otolaryngologists in Southwest China.","authors":"Qinghan Zeng, Dai Pu, Zhongjing Pan, Yuanyuan Peng, Tianpei Ma, Estella P-M Ma, Dan Lu","doi":"10.1016/j.jvoice.2024.09.009","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.09.009","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the knowledge, attitude, and practice patterns of otolaryngologists in Southwest China in managing pediatric dysphonia.</p><p><strong>Study design: </strong>Cross-sectional survey.</p><p><strong>Setting: </strong>An online survey was disseminated between August and September 2023 to hospital-based otolaryngologists in Southwest China.</p><p><strong>Methods: </strong>The survey nominated 10 topics within pediatric dysphonia and asked the participants to rate their knowledge and confidence for 10 topics. The attitude toward the importance of managing pediatric dysphonia and its practice patterns for the disorder were also asked.</p><p><strong>Results: </strong>A total of 334 responses were received. The results showed that otolaryngologists in Southwest China did not receive complete coverage of specific topics within pediatric dysphonia during their specialist training. Their self-rated knowledge sufficiency and confidence for the same topics were relatively neutral, indicating neither negative nor positive self-perceptions of competency. The majority of respondents held the attitude that managing pediatric dysphonia is important, and nominated specific topics within this field for continuing professional education. Common facilitators of practice were clinical skills and knowledge of pediatric dysphonia, and common barriers were the lack of professional guidelines and qualified speech-language pathologists (SLPs) in Southwest China.</p><p><strong>Conclusion: </strong>Otolaryngologists in Southwest China do not receive sufficient training for the management of pediatric dysphonia, however, they perceive this field as important and seek further training from continuing education programs. The findings identified knowledge and training that should be targeted in official training and professional development courses for otolaryngologists who manage pediatric dysphonia without the support of SLPs.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792478","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}
引用次数: 0
Central Pathology in Spasmodic Dysphonia. 痉挛性发声障碍的中心病理。
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-12-05 DOI: 10.1016/j.jvoice.2024.11.004
Kristen L Prijs, Caroline E Quindlen, Pelin Yuksel, Valerie Trollinger, Robert T Sataloff
{"title":"Central Pathology in Spasmodic Dysphonia.","authors":"Kristen L Prijs, Caroline E Quindlen, Pelin Yuksel, Valerie Trollinger, Robert T Sataloff","doi":"10.1016/j.jvoice.2024.11.004","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.11.004","url":null,"abstract":"<p><strong>Introduction: </strong>Spasmodic dysphonia a voice disorder characterized by loss of voluntary control of vocal fold movements during speech production. The pathophysiology is not well understood, but there have been proposed connections to areas within the brain such as the reticular formation surrounding the tractus solitarius, spinal trigeminal and ambiguus nuclei, inferior olive, and pyramids.</p><p><strong>Objective: </strong>To determine whether there are differences on brain Magnetic resonance imaging (MRI) with and without gadolinium in patients affected by spasmodic dysphonia compared with those without to determine whether there is a central process involved in spasmodic dysphonia (SD) pathophysiology.</p><p><strong>Methods: </strong>This was a retrospective review of patients from January 1995 through January 2023. Information from patient charts included age, sex, chief complaint, present and past medical/surgical history, social history, laryngeal Electromyography, and MRI scan results. MRI of the head had to have been performed with and without gadolinium. MRI scan reports were evaluated for the presence or absence of hyperintensities and or hypointensities on T1, T2, or Fluid-attenuated inversion recovery within specific regions of the brain. This information was compared between groups to determine whether SD patients have an increased prevalence of Central nervous system pathology and to determine the location of pathology. Data were analyzed for relationships and significance.</p><p><strong>Results: </strong>Seventy-two SD patients were included. Most study patients had adductor SD, with a 2.6:1 ratio of adductor to abductor. The SD patients were age and sex matched with patients who had otologic and laryngologic complaints. MRI abnormalities were found in the periventricular white matter, cerebral white matter, and frontal white matter.</p><p><strong>Conclusions: </strong>There are no significant differences in the locations of hyperintensities and hypointensities on MRI of the brain with and without gadolinium in spasmodic dysphonia patients when compared to otologic and laryngologic controls.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792558","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}
引用次数: 0
Timing of Intracordal Trafermin Injection in Patients With Vocal Fold Paralysis: Recommendations for a New Treatment Time Course. 声带麻痹患者声带内注射曲弗明的时机:一个新的治疗疗程的建议。
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-12-04 DOI: 10.1016/j.jvoice.2024.11.026
Tomohiro Hasegawa, Larbi Aluariachy, Retsu Fujita, Yusuke Watanabe
{"title":"Timing of Intracordal Trafermin Injection in Patients With Vocal Fold Paralysis: Recommendations for a New Treatment Time Course.","authors":"Tomohiro Hasegawa, Larbi Aluariachy, Retsu Fujita, Yusuke Watanabe","doi":"10.1016/j.jvoice.2024.11.026","DOIUrl":"https://doi.org/10.1016/j.jvoice.2024.11.026","url":null,"abstract":"<p><strong>Objective: </strong>To identify factors correlated with the effect of intracordal trafermin injection.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>Herein, 177 patients who received an intracordal trafermin injection at the Tokyo Voice Center for vocal fold paralysis were included. Medical records of patients were retrospectively reviewed. Information regarding age, sex, date of trafermin injection, date of vocal fold paralysis onset, and voice data indices [maximum phonation time (MPT), pitch range (PR), mean flow rate (MFR), and Voice Handicap Index (VHI)] was extracted. The primary endpoint was the rate of improvement in the VHI, defined as the difference in the VHI values before and after the injection.</p><p><strong>Results: </strong>A total of 80 patients (49 men and 31 women; mean age, 61.6 years) were included. No correlations existed between the MPT (r = 0.05, P = 0.64), PR (r = 0.03, P = 0.77), or MFR (r = -0.09, P = 0.42) before injection and the rate of improvement in the VHI. Analyses of 74 cases with an interval of <1000 days between disease onset and injection revealed no correlation between the number of days from the onset to injection and the rate of improvement in the VHI. In 17 cases with an interval of <90 days, a moderate negative correlation existed between these parameters (r = -0.59, P < 0.01). In a univariate linear regression analysis, within 90 days, a 1-week delay in trafermin injection resulted in a 4.87 decrease in the VHI.</p><p><strong>Conclusions: </strong>Intracordal trafermin injection may be an effective therapeutic strategy for severe vocal fold paralysis, with a particularly high efficacy when performed early after paralysis onset. In patients undergoing aortic surgery, intracordal trafermin injection post surgery and before extubation may prevent or reduce postoperative voice disorders caused by vocal fold paralysis due to recurrent nerve palsy and prevent postoperative pulmonary complications.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787494","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}
引用次数: 0
Prevalence of Dysphonia Among School Going Children in Dakshina Kannada District in Karnataka. 卡纳塔克邦达克什纳坎纳达区学龄期儿童言语障碍患病率
IF 2.5 4区 医学
Journal of Voice Pub Date : 2024-12-03 DOI: 10.1016/j.jvoice.2024.11.028
Radish Kumar B, Yamini Venkatraman, Soorya Kuriyan, Dhanshree R Gunjawate
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