Pub Date : 2024-11-01DOI: 10.1016/j.jvoice.2022.06.005
Shambavi J. Rao , Hayley L. Born , Lyndsay L. Madden
Background
In the past decade, there has been a rise in social media applications and usage among individuals in the otolaryngology- head and neck surgery (OHNS) community. Hashtags (#), used to identify posts relating to similar topics, are utilized to search medical information, build a network, find providers, and discuss research. Previous OHNS literature in this arena includes a standard ontology, or list of hashtags, developed for the otology subspecialty. To date, the ontology of laryngology hashtags has not been created. The objective of this study is to propose a standardized ontology to use when discussing topics in laryngology on social media to maximize reach and effect.
Methods
Using a combination of previously published techniques, along with laryngology specific adjustments, the authors developed a list of suggested hashtags. An initial list was systematically culled from laryngology Instagram accounts including academic programs, laryngology influencers (fellowship-trained laryngologists with publicly available professional accounts with greater than 500 followers), and professional societies/conferences. The list was abbreviated using current rate of use, specificity, and expert opinion. These were then categorized to include general terms, diseases and diagnoses, and treatment strategies
Results
Across all culled Instagram posts, there were 240 unique laryngology hashtags used and 1152 total hashtags were applied. The authors derived unique terms to be included in the ontology for laryngology by expert opinion of fellowship-trained laryngologists.
Conclusion
Laryngology is in the early stages of utilization of social media. Developing a specific ontology of hashtags to be used will optimize the reach and connections of term specific searches.
{"title":"#Laryngology: A Standardized Hashtag Ontology","authors":"Shambavi J. Rao , Hayley L. Born , Lyndsay L. Madden","doi":"10.1016/j.jvoice.2022.06.005","DOIUrl":"10.1016/j.jvoice.2022.06.005","url":null,"abstract":"<div><h3>Background</h3><div><span>In the past decade, there has been a rise in social media applications and usage among individuals in the otolaryngology- head and neck surgery (OHNS) community. Hashtags (#), used to identify posts relating to similar topics, are utilized to search medical information, build a network, find providers, and discuss research. Previous OHNS literature in this arena includes a standard ontology, or list of hashtags, developed for the </span>otology<span> subspecialty. To date, the ontology of laryngology hashtags has not been created. The objective of this study is to propose a standardized ontology to use when discussing topics in laryngology on social media to maximize reach and effect.</span></div></div><div><h3>Methods</h3><div>Using a combination of previously published techniques, along with laryngology specific adjustments, the authors developed a list of suggested hashtags. An initial list was systematically culled from laryngology Instagram accounts including academic programs, laryngology influencers (fellowship-trained laryngologists with publicly available professional accounts with greater than 500 followers), and professional societies/conferences. The list was abbreviated using current rate of use, specificity, and expert opinion. These were then categorized to include general terms, diseases and diagnoses, and treatment strategies</div></div><div><h3>Results</h3><div>Across all culled Instagram posts, there were 240 unique laryngology hashtags used and 1152 total hashtags were applied. The authors derived unique terms to be included in the ontology for laryngology by expert opinion of fellowship-trained laryngologists.</div></div><div><h3>Conclusion</h3><div>Laryngology is in the early stages of utilization of social media. Developing a specific ontology of hashtags to be used will optimize the reach and connections of term specific searches.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"38 6","pages":"Pages 1424-1430"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40518032","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}
Pub Date : 2024-11-01DOI: 10.1016/j.jvoice.2022.05.001
Chenjing Wu , Xiaoling Liang , Yan Duan , Lulu Gong , Wei Zhang , Mingcheng He , Yiting Ouyang , Xianyou He
Background
Morality is a point of great concern to us in our social interactions. We also assess people's morality based on a variety of external factors. Research has found that the beauty of faces can influence people's moral assessments, and that moral assessments can in turn influence our judgments about the beauty of faces. In real life, the voice is a very important communication mediu. People can gain knowledge of individuals through their voices. However, the relationship between voice beauty and moral goodness has never been investigated.
Objectives
So, the present study investigated the two-way relationship between voice beauty and moral goodness traits during impression formation.
Method
We collected empirical data from 32 college students in China followed the impression formation paradigm in Experiment 1 and collected empirical data from 32 college students in China followed moral priming paradigm.
Results
The results of Experiment 1 showed that high attractive voices were more likely to be judged to have higher moral goodness levels. Conversely, the results of Experiment 2 showed that the moral priming condition revealed a higher score for the voice than the immoral condition. The results showed that the bidirectional validation of voice beauty-moral goodness was significant, that is, participants tend to rate high attractive voices with higher moral goodness levels, and rate moral people’s voices with higher beauty.
Conclusion
Based on these results, we found a two-way relationship between the beauty of voice and morality, and once again demonstrated the role of voice in message transmission.
{"title":"The Voice of Morality: The Two-Way Relationship Between the Beauty of Voice and Moral Goodness","authors":"Chenjing Wu , Xiaoling Liang , Yan Duan , Lulu Gong , Wei Zhang , Mingcheng He , Yiting Ouyang , Xianyou He","doi":"10.1016/j.jvoice.2022.05.001","DOIUrl":"10.1016/j.jvoice.2022.05.001","url":null,"abstract":"<div><h3>Background</h3><div>Morality is a point of great concern to us in our social interactions. We also assess people's morality based on a variety of external factors. Research has found that the beauty of faces can influence people's moral assessments, and that moral assessments can in turn influence our judgments about the beauty of faces. In real life, the voice is a very important communication mediu. People can gain knowledge of individuals through their voices. However, the relationship between voice beauty and moral goodness has never been investigated.</div></div><div><h3>Objectives</h3><div>So, the present study investigated the two-way relationship between voice beauty and moral goodness traits during impression formation.</div></div><div><h3>Method</h3><div>We collected empirical data from 32 college students in China followed the impression formation paradigm in Experiment 1 and collected empirical data from 32 college students in China followed moral priming paradigm.</div></div><div><h3>Results</h3><div>The results of Experiment 1 showed that high attractive voices were more likely to be judged to have higher moral goodness levels. Conversely, the results of Experiment 2 showed that the moral priming condition revealed a higher score for the voice than the immoral condition. The results showed that the bidirectional validation of voice beauty-moral goodness was significant, that is, participants tend to rate high attractive voices with higher moral goodness levels, and rate moral people’s voices with higher beauty.</div></div><div><h3>Conclusion</h3><div>Based on these results, we found a two-way relationship between the beauty of voice and morality, and once again demonstrated the role of voice in message transmission.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"38 6","pages":"Pages 1533.e1-1533.e9"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40561078","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}
Pub Date : 2024-11-01DOI: 10.1016/j.jvoice.2022.06.006
Katharina Peters , Simone Miller , Martin Ptok, Michael Jungheim
Introduction
The upper esophageal sphincter (UES) has been reported to show activity during phonation. As it is still unknown whether the phonation-induced UES contraction represents a reflex or a simultaneous activation phenomenon, i.e. co-innervation, this study aims to investigate and characterize the phonation-induced contraction of the UES in healthy individuals by analyzing the influence of various phonation tasks on pressure parameters of the UES.
Methods
Twenty-five healthy volunteers produced the German neutral vowel [ə] in five different phonation tasks (modal voice, whispering, voiceless speech, creaky voice, and whispery voice). Simultaneously, they underwent high resolution manometry and electroglottography for measurement of pressure parameters in the region of the UES and latencies between larynx and UES activation.
Results
During all types of phonation, the maximum pressures of the UES increased significantly (maximum pressure increases of 72%-132%). With regard to mean pressures this was valid for modal voice and whispering (mean pressure increases of 20%-25%). Differences concerning total pressure changes reached statistical significance when comparing whispering and voiceless speech as well as whispery voice. However, differences concerning the total pressure change between modal voices on the one hand and voiceless speech and whispery voice on the other hand turned out to be small. The averaged time delay between larynx and UES activation ranged from approximately -15 ms (whispery voice) to +15 ms (whispering).
Conclusion
A phonation induced pressure increase of the UES was confirmed in this study and did exist for different types of phonation. The extent of total pressure changes in the UES increases in relation with laryngeal muscle activity necessary for the phonation type. Next to varying effects of different types of phonation on UES activation, very short latencies indicate that a phonation induced contraction of the UES exists most likely due to co-innervation of UES and laryngeal muscles by the vagus nerve.
{"title":"Phonation-induced Upper Esophageal Sphincter Contraction Caused by Different Phonation Types","authors":"Katharina Peters , Simone Miller , Martin Ptok, Michael Jungheim","doi":"10.1016/j.jvoice.2022.06.006","DOIUrl":"10.1016/j.jvoice.2022.06.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The upper esophageal sphincter (UES) has been reported to show activity during phonation. As it is still unknown whether the phonation-induced UES contraction represents a reflex or a simultaneous activation phenomenon, i.e. co-innervation, this study aims to investigate and characterize the phonation-induced contraction of the UES in healthy individuals by analyzing the influence of various phonation tasks on pressure parameters of the UES.</div></div><div><h3>Methods</h3><div><span><span>Twenty-five healthy volunteers produced the German neutral vowel [ə] in five different phonation tasks (modal voice, whispering, voiceless speech, creaky voice, and whispery voice). Simultaneously, they underwent high resolution manometry and </span>electroglottography for measurement of pressure parameters in the region of the UES and latencies between </span>larynx and UES activation.</div></div><div><h3>Results</h3><div>During all types of phonation, the maximum pressures of the UES increased significantly (maximum pressure increases of 72%-132%). With regard to mean pressures this was valid for modal voice and whispering (mean pressure increases of 20%-25%). Differences concerning total pressure changes reached statistical significance when comparing whispering and voiceless speech as well as whispery voice. However, differences concerning the total pressure change between modal voices on the one hand and voiceless speech and whispery voice on the other hand turned out to be small. The averaged time delay between larynx and UES activation ranged from approximately -15 ms (whispery voice) to +15 ms (whispering).</div></div><div><h3>Conclusion</h3><div>A phonation induced pressure increase of the UES was confirmed in this study and did exist for different types of phonation. The extent of total pressure changes in the UES increases in relation with laryngeal muscle<span> activity necessary for the phonation type. Next to varying effects of different types of phonation on UES activation, very short latencies indicate that a phonation induced contraction of the UES exists most likely due to co-innervation of UES and laryngeal muscles by the vagus nerve.</span></div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"38 6","pages":"Pages 1530.e15-1530.e24"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40646939","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}
COVID-19 has transformed face to face teaching in classrooms to online and hybrid modes. Increased vocal intensity/ pitch to call attention of students and transact in the online class, inappropriate posture (head, neck & upper trunk) while using the laptop and other online tools cause vocal loading leading to voice related concerns in teachers. Tele voice assessment is a feasible alternative means to seek professional help in the current situation and possibly in the future too. Client-led asynchronous and clinician-led synchronous voice recordings for clinical vocal measures among school teachers were compared in this study.
Method
Twenty-five school teachers (21 females & four males) from Chennai consented to the study. Information of voice use, its impact on the day-to-day situations, self-perception of vocal fatigue, and their recorded voice sample (phonation & speaking) were obtained online (asynchronous mode). Within a period of ten days, the clinician-led synchronous session was planned on a mutually convenient time for obtaining voice samples through zoom call. The voice samples obtained were compared for clinical measures and perceptual voice evaluation.
Results
Participants reported of vocal symptoms and increased vocal fatigue scores. The maximum phonation time values obtained through synchronous mode were lesser when compared to asynchronous mode. Also, variability was noted in the perceptual vocal measures of voice samples obtained through synchronous mode. During synchronous voice recording & evaluation, the background noise, internet stability, audio enhancement feature, and microphone placement & quality could be monitored, and immediate feedback was provided. Additionally, the asynchronous recording can be supplemented for synchronous recording, with clear instructions & demonstration.
Conclusion
This study explored the feasibility of using synchronous and asynchronous voice recording for voice analysis in school teachers. The findings could serve as a base to understand the advantages and challenges of using client-led asynchronous and clinician-led synchronous methods for estimating vocal measures.
{"title":"Comparison of Client-Led Asynchronous and Clinician-Led Synchronous Online Methods for Evaluation of Subjective Vocal Measures in Teachers: A Feasibility Study","authors":"Jayakumudha Radakrishna Sresuganthi , Aishwarya Nallamuthu , Prakash Boominathan","doi":"10.1016/j.jvoice.2022.04.015","DOIUrl":"10.1016/j.jvoice.2022.04.015","url":null,"abstract":"<div><h3>Background</h3><div>COVID-19 has transformed face to face teaching in classrooms to online and hybrid modes. Increased vocal intensity/ pitch to call attention of students and transact in the online class, inappropriate posture (head, neck & upper trunk) while using the laptop and other online tools cause vocal loading leading to voice related concerns in teachers. Tele voice assessment is a feasible alternative means to seek professional help in the current situation and possibly in the future too. Client-led asynchronous and clinician-led synchronous voice recordings for clinical vocal measures among school teachers were compared in this study.</div></div><div><h3>Method</h3><div>Twenty-five school teachers (21 females & four males) from Chennai consented to the study. Information of voice use, its impact on the day-to-day situations, self-perception of vocal fatigue, and their recorded voice sample (phonation & speaking) were obtained online (asynchronous mode). Within a period of ten days, the clinician-led synchronous session was planned on a mutually convenient time for obtaining voice samples through zoom call. The voice samples obtained were compared for clinical measures and perceptual voice evaluation.</div></div><div><h3>Results</h3><div>Participants reported of vocal symptoms and increased vocal fatigue scores. The maximum phonation time values obtained through synchronous mode were lesser when compared to asynchronous mode. Also, variability was noted in the perceptual vocal measures of voice samples obtained through synchronous mode. During synchronous voice recording & evaluation, the background noise, internet stability, audio enhancement feature, and microphone placement & quality could be monitored, and immediate feedback was provided. Additionally, the asynchronous recording can be supplemented for synchronous recording, with clear instructions & demonstration.</div></div><div><h3>Conclusion</h3><div>This study explored the feasibility of using synchronous and asynchronous voice recording for voice analysis in school teachers. The findings could serve as a base to understand the advantages and challenges of using client-led asynchronous and clinician-led synchronous methods for estimating vocal measures.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"38 6","pages":"Pages 1522.e1-1522.e10"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88328957","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}
Pub Date : 2024-11-01DOI: 10.1016/j.jvoice.2022.04.020
Anke Adriaansen , Kristiane Van Lierde , Iris Meerschman , Charlot Everaert , Evelien D'haeseleer
Objectives
Voice-related quality of life (Qol) questionnaires provide the clinician with information regarding the impact of voice disorders on the patient's well-being. The available voice-related QoL tools for Dutch-speaking children are parent-proxy in nature. However, the use of proxy measurements has been debated in the literature. The Children's Voice Handicap Index-10 (CVHI-10) is a self-reported QoL tool for dysphonic children. Therefore, the aim of this study is to develop and validate a Dutch version of the CVHI-10.
The original version of the CVHI-10 was translated and adapted to Dutch according to the recommendations of the Quality of Life Special Interest Group - Translation and Cultural Adaptation group. Subsequently, the questionnaire was individually completed by 77 children (dysphonic group: n = 30, control group: n = 47) between eight and 14 years. In order to investigate test-retest reliability, 50% of the participants were asked to complete the questionnaire twice with an interval of 2 weeks. Internal consistency, test-retest reliability and construct validity were calculated. A receiver operating characteristic (ROC) analysis was conducted to check the sensitivity and specificity levels of the instrument.
Results
Internal consistency measured with Cronbach's alpha coefficient was 0.745. Test-retest reliability measured with intraclass correlation coefficients was 0.718. Mean total CVHI-10 score was 6.17 ± 2.7 in the dysphonic group and 2.68 ± 2.6 in the control group. The difference in total score between the groups was statistically significant (P < 0.001), suggesting that the tool has good construct validity. ROC analysis demonstrated moderate diagnostic accuracy (area under the curve = 0.869) and suggested a cut-off score of 3.5.
Conclusions
The Dutch CVHI-10 is the first self-reported voice-related QoL tool for dysphonic Dutch-speaking children. It is a valid, reliable and sensitive tool to assess the impact of a voice disorder on the child's well-being.
{"title":"Validity and Reliability of the Dutch Children's Voice Handicap Index-10","authors":"Anke Adriaansen , Kristiane Van Lierde , Iris Meerschman , Charlot Everaert , Evelien D'haeseleer","doi":"10.1016/j.jvoice.2022.04.020","DOIUrl":"10.1016/j.jvoice.2022.04.020","url":null,"abstract":"<div><h3>Objectives</h3><div>Voice-related quality of life (Qol) questionnaires provide the clinician with information regarding the impact of voice disorders on the patient's well-being. The available voice-related QoL tools for Dutch-speaking children are parent-proxy in nature. However, the use of proxy measurements has been debated in the literature. The Children's Voice Handicap Index-10 (CVHI-10) is a self-reported QoL tool for dysphonic children. Therefore, the aim of this study is to develop and validate a Dutch version of the CVHI-10.</div></div><div><h3>Study design</h3><div>Observational, prospective, cross-sectional study.</div></div><div><h3>Methods</h3><div>The original version of the CVHI-10 was translated and adapted to Dutch according to the recommendations of the Quality of Life Special Interest Group - Translation and Cultural Adaptation group. Subsequently, the questionnaire was individually completed by 77 children (dysphonic group: n = 30, control group: n = 47) between eight and 14 years. In order to investigate test-retest reliability, 50% of the participants were asked to complete the questionnaire twice with an interval of 2 weeks. Internal consistency, test-retest reliability and construct validity were calculated. A receiver operating characteristic (ROC) analysis was conducted to check the sensitivity and specificity levels of the instrument.</div></div><div><h3>Results</h3><div>Internal consistency measured with Cronbach's alpha coefficient was 0.745. Test-retest reliability measured with intraclass correlation coefficients was 0.718. Mean total CVHI-10 score was 6.17 ± 2.7 in the dysphonic group and 2.68 ± 2.6 in the control group. The difference in total score between the groups was statistically significant (<em>P</em> < 0.001), suggesting that the tool has good construct validity. ROC analysis demonstrated moderate diagnostic accuracy (area under the curve = 0.869) and suggested a cut-off score of 3.5.</div></div><div><h3>Conclusions</h3><div>The Dutch CVHI-10 is the first self-reported voice-related QoL tool for dysphonic Dutch-speaking children. It is a valid, reliable and sensitive tool to assess the impact of a voice disorder on the child's well-being.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"38 6","pages":"Pages 1528.e11-1528.e19"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90184224","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}
The validity of cepstral analysis (Cepstral Peak Prominence [CPP] and Cepstral Peak Prominence-Smoothed [CPPS]) as an indicator of perceptual dysphonia was investigated in the Persian language
Study design
Cross-sectional study.
Methods
A total of 223 participants (159 with and 64 without dysphonia) uttered vowels /a/ and /i/, six standard sentences, and non-standard connected speech. All vocal samples were perceptually evaluated by three raters on a visual analog scale and put into four groups (normal voice, mild, moderate, and severe perpetual dysphonia). CPP and CPPS of sustained vowel /a/, reading the second standard sentence, and a sentence extracted from non-standard connected speech were established using “Praat” software. Statistical analysis involved a one-way factorial analysis of variance (ANOVA), Kruskal-Wallis H, Kendall's Tau-b correlation, t test, and receiver operating characteristics (ROC) curve.
Results
The results showed that CPP of sustained vowels and reading the standard sentence and CPPS of sustained vowel differed significantly (P < 0.05), except between the normal voice and mild perpetual dysphonia groups (P > 0.05). The CPP of non-standard connected speech, CPPS of reading the standard sentence, and non-standard connected speech differed significantly between all groups (P < 0.05). The mean of cepstral analysis of all tasks, “averaged CPP,” and “averaged CPPS” were significantly different between two groups of the normal voice and perceptual dysphonia (P < 0.05). Correlation between the cepstral analysis and the perceptual ratings demonstrated that the correlation coefficients for CPP and CPPS were between 0.4 and 0.6 (P < 0.05). ROC curve analysis revealed that the area under the ROC curve for “averaged CPP” and “averaged CPPS” was greater than 0.8 (P < 0.05). The values of 22.11 and 12.29 were determined as cut-off scores of “averaged CPP” and “averaged CPPS,” respectively.
Conclusions
Cepstral analysis was known as useful clinical tool for diagnosis of perpetual dysphonia and determining its severity level in the Persian language.
{"title":"The Validity of Cepstral Analysis to Distinguish Between Different Levels of Perceptual Dysphonia in the Persian Vocal Tasks","authors":"Saeed Saeedi , Mahshid Aghajanzadeh , Seyyedeh Maryam Khoddami , Payman Dabirmoghaddam , Shohreh Jalaie","doi":"10.1016/j.jvoice.2022.04.008","DOIUrl":"10.1016/j.jvoice.2022.04.008","url":null,"abstract":"<div><h3>Objectives/Hypothesis</h3><div>The validity of cepstral analysis (Cepstral Peak Prominence [CPP] and Cepstral Peak Prominence-Smoothed [CPPS]) as an indicator of perceptual dysphonia was investigated in the Persian language</div></div><div><h3>Study design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div><span>A total of 223 participants (159 with and 64 without dysphonia) uttered vowels /a/ and /i/, six standard sentences, and non-standard connected speech. All vocal samples were perceptually evaluated by three raters on a visual analog scale and put into four groups (normal voice, mild, moderate, and severe perpetual dysphonia). CPP and CPPS of sustained vowel /a/, reading the second standard sentence, and a sentence extracted from non-standard connected speech were established using </span><em>“Praat”</em> software. Statistical analysis involved a one-way factorial analysis of variance (ANOVA), Kruskal-Wallis H, Kendall's Tau-b correlation, <em>t</em> test, and receiver operating characteristics (ROC) curve.</div></div><div><h3>Results</h3><div>The results showed that CPP of sustained vowels and reading the standard sentence and CPPS of sustained vowel differed significantly (<em>P</em> < 0.05), except between the normal voice and mild perpetual dysphonia groups (<em>P</em> > 0.05). The CPP of non-standard connected speech, CPPS of reading the standard sentence, and non-standard connected speech differed significantly between all groups (<em>P</em> < 0.05). The mean of cepstral analysis of all tasks, “averaged CPP,” and “averaged CPPS” were significantly different between two groups of the normal voice and perceptual dysphonia (<em>P</em> < 0.05). Correlation between the cepstral analysis and the perceptual ratings demonstrated that the correlation coefficients for CPP and CPPS were between 0.4 and 0.6 (<em>P</em> < 0.05). ROC curve analysis revealed that the area under the ROC curve for “averaged CPP” and “averaged CPPS” was greater than 0.8 (<em>P</em> < 0.05). The values of 22.11 and 12.29 were determined as cut-off scores of “averaged CPP” and “averaged CPPS,” respectively.</div></div><div><h3>Conclusions</h3><div>Cepstral analysis was known as useful clinical tool for diagnosis of perpetual dysphonia and determining its severity level in the Persian language.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"38 6","pages":"Pages 1523.e9-1523.e16"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74321630","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}
Pub Date : 2024-11-01DOI: 10.1016/j.jvoice.2022.04.017
Zhongjing Pan , Tianpei Ma , Bo Gao , Estella P.-M. Ma , Lingyu Yu , Zijun Qiu , Dan Lu
Objective
Voice disorders are common in children and have a negative impact on their quality of life. However, presently, voice assessment and therapy are inaccessible in most pediatric departments of Mainland China. Thus, referring pediatric patients with voice disorders to otolaryngology is warranted for prompt and appropriate treatment. The purpose of this study is to investigate referral patterns and their influencing factors for pediatricians’ managing children with dysphonia in Southwestern Mainland China.
Study Design
Observational study.
Methods
A 28-item questionnaire was designed by multidisciplinary experts, and an anonymous survey was performed online via Wenjuanxing between September 8, 2021 and October 8, 2021. The statistical analyses were performed using the independent sample median test, the linear/logistic regression model, the Kruskal–Wallis test, and Spearman's correlation test to determine any statistically significant relationships between the variables of interest.
Results
Predominantly recruited from institutions in Southwestern China, 368 pediatricians were surveyed. (1) The majority of the pediatricians reported that ≤10% of children sought medical help for voice disorders; (2) only 22.1% of the pediatricians’ hospitals had equipment for evaluating voice disorders; (3) 74.6% of the pediatricians would refer children with dysphonia to otolaryngology, and the older pediatricians were more likely to refer their patients than were the younger pediatricians (P = 0.022); (4) in the group that would make a referral (n = 250), the pediatricians who had worked longer (P = 0.037) and practised in the Grade-A tertiary hospitals (P = 0.044) were more likely to trust their experience as a reason for making a referral. For each year worked the probability of referring children with dysphonia depending on the pediatrician's experience increased by 3.4%.
Conclusion
Although the pediatricians encountered some barriers to diagnosing voice disorders, their attitude towards making referrals was positive. The age and work duration of the pediatricians and the hospital grade were the influencing factors in the referral patterns. Further publicity of vocal hygiene, ongoing education among Chinese pediatricians and the improvement of referral systems may be most useful for better managing children with dysphonia.
{"title":"Survey of Referral Patterns in Southwestern Mainland China: How Do Pediatricians Manage Children with Dysphonia","authors":"Zhongjing Pan , Tianpei Ma , Bo Gao , Estella P.-M. Ma , Lingyu Yu , Zijun Qiu , Dan Lu","doi":"10.1016/j.jvoice.2022.04.017","DOIUrl":"10.1016/j.jvoice.2022.04.017","url":null,"abstract":"<div><h3>Objective</h3><div><span>Voice disorders are common in children and have a negative impact on their quality of life. However, presently, voice assessment and therapy are inaccessible in most </span>pediatric<span><span> departments of Mainland China. Thus, referring pediatric patients with voice disorders to otolaryngology is warranted for prompt and appropriate treatment. The purpose of this study is to investigate referral patterns and their influencing factors for pediatricians’ managing children with </span>dysphonia in Southwestern Mainland China.</span></div></div><div><h3>Study Design</h3><div>Observational study.</div></div><div><h3>Methods</h3><div>A 28-item questionnaire was designed by multidisciplinary experts, and an anonymous survey was performed online via Wenjuanxing between September 8, 2021 and October 8, 2021. The statistical analyses were performed using the independent sample median test, the linear/logistic regression model, the Kruskal–Wallis test, and Spearman's correlation test to determine any statistically significant relationships between the variables of interest.</div></div><div><h3>Results</h3><div>Predominantly recruited from institutions in Southwestern China, 368 pediatricians were surveyed. (1) The majority of the pediatricians reported that ≤10% of children sought medical help for voice disorders; (2) only 22.1% of the pediatricians’ hospitals had equipment for evaluating voice disorders; (3) 74.6% of the pediatricians would refer children with dysphonia to otolaryngology, and the older pediatricians were more likely to refer their patients than were the younger pediatricians (<em>P</em> = 0.022); (4) in the group that would make a referral (<em>n</em> = 250), the pediatricians who had worked longer (<em>P</em> = 0.037) and practised in the Grade-A tertiary hospitals (<em>P</em> = 0.044) were more likely to trust their experience as a reason for making a referral. For each year worked the probability of referring children with dysphonia depending on the pediatrician's experience increased by 3.4%.</div></div><div><h3>Conclusion</h3><div>Although the pediatricians encountered some barriers to diagnosing voice disorders, their attitude towards making referrals was positive. The age and work duration of the pediatricians and the hospital grade were the influencing factors in the referral patterns. Further publicity of vocal hygiene, ongoing education among Chinese pediatricians and the improvement of referral systems may be most useful for better managing children with dysphonia.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"38 6","pages":"Pages 1532.e1-1532.e9"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76083133","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}
Pub Date : 2024-11-01DOI: 10.1016/j.jvoice.2022.06.001
Sarah Lisette Platte , Albert Gollhofer , Dominic Gehring , Joseph Willimann , Morten Schuldt-Jensen , Benedikt Lauber
<div><h3>Objective</h3><div>The breathing technique is a determining factor for the singer's sound quality and consequently crucial for the choral sound. However, very little is known about possible influences of the conductor's preparatory gesture on the way choral singers inhale before the beginning of a piece (respectively every subsequent phrase). The conducting literature does not discriminate between out- and inward preparatory gestures and even describes them as equivalent, but previous studies suggest that singers assign different types of inhalation to different preparatory gestures. It may therefore be assumed that the type of preparatory gesture has a direct influence on the singer's inhalation and tone production, and the aim of this study is hence to examine possible effects of two contrasting preparatory gestures on the singer's inhalation type and the resulting tone quality.</div></div><div><h3>Methods</h3><div><span>In our within-subjects study design, 18 healthy choral singers (9 male/ 9 female) were recruited to participate in a laboratory experiment. The participants were asked to sing a tone suitable for their voice register in response to different video stimuli. These consisted of two conducting-videos, each showing a different preparatory gesture, and two control conditions with an animated bar and an arrow indicating the desired breathing type. The singers reacted to 10 sets of videos, each set consisting of the four stimuli in randomized order. For evaluation of the breathing behavior and vocal output during the different experimental conditions, chest wall kinematics of upper rib cage, abdominal rib cage and abdomen were measured via 3D motion capture and voice samples were recorded. The obtained data were filtered and compared using the repeated measures analysis of variance and post hoc Tukey test for significant results. The level of significance was set at </span><em>P</em> < 0.05.</div></div><div><h3>Results</h3><div>The results of the study show significant differences in volume of the abdomen between the two different gestures (F<sub>1,17</sub> = 24.04, η<sup>2</sup> = 0.59, <em>P</em> = 0.0001), which can be validated by the two control measurements (F<sub>1,17</sub> = 21.12, η<sup>2</sup> = 0.55, <em>P</em> = 0.0002). An outward preparatory gesture evoked an abdominal breathing type while an inward-upward movement led to an inhalation with a higher portion of clavicular breathing. Furthermore, significant differences in timbre and loudness of the produced tone could be observed. The maximum sound pressure level of the outward preparatory gesture was significantly higher than in case of the inward-upward movement (F<sub>1,17</sub> = 20.4, η<sup>2</sup> = 0.56, <em>P</em> = 0.0004).</div></div><div><h3>Conclusions</h3><div>In contrast to the existing conducting literature, which does not discriminate between out- and inward preparatory gestures, the results of this study show that the conductor's choice of traj
{"title":"The Effect of Different Preparatory Conducting Gestures on Breathing Behavior and Voice Quality of Choral Singers","authors":"Sarah Lisette Platte , Albert Gollhofer , Dominic Gehring , Joseph Willimann , Morten Schuldt-Jensen , Benedikt Lauber","doi":"10.1016/j.jvoice.2022.06.001","DOIUrl":"10.1016/j.jvoice.2022.06.001","url":null,"abstract":"<div><h3>Objective</h3><div>The breathing technique is a determining factor for the singer's sound quality and consequently crucial for the choral sound. However, very little is known about possible influences of the conductor's preparatory gesture on the way choral singers inhale before the beginning of a piece (respectively every subsequent phrase). The conducting literature does not discriminate between out- and inward preparatory gestures and even describes them as equivalent, but previous studies suggest that singers assign different types of inhalation to different preparatory gestures. It may therefore be assumed that the type of preparatory gesture has a direct influence on the singer's inhalation and tone production, and the aim of this study is hence to examine possible effects of two contrasting preparatory gestures on the singer's inhalation type and the resulting tone quality.</div></div><div><h3>Methods</h3><div><span>In our within-subjects study design, 18 healthy choral singers (9 male/ 9 female) were recruited to participate in a laboratory experiment. The participants were asked to sing a tone suitable for their voice register in response to different video stimuli. These consisted of two conducting-videos, each showing a different preparatory gesture, and two control conditions with an animated bar and an arrow indicating the desired breathing type. The singers reacted to 10 sets of videos, each set consisting of the four stimuli in randomized order. For evaluation of the breathing behavior and vocal output during the different experimental conditions, chest wall kinematics of upper rib cage, abdominal rib cage and abdomen were measured via 3D motion capture and voice samples were recorded. The obtained data were filtered and compared using the repeated measures analysis of variance and post hoc Tukey test for significant results. The level of significance was set at </span><em>P</em> < 0.05.</div></div><div><h3>Results</h3><div>The results of the study show significant differences in volume of the abdomen between the two different gestures (F<sub>1,17</sub> = 24.04, η<sup>2</sup> = 0.59, <em>P</em> = 0.0001), which can be validated by the two control measurements (F<sub>1,17</sub> = 21.12, η<sup>2</sup> = 0.55, <em>P</em> = 0.0002). An outward preparatory gesture evoked an abdominal breathing type while an inward-upward movement led to an inhalation with a higher portion of clavicular breathing. Furthermore, significant differences in timbre and loudness of the produced tone could be observed. The maximum sound pressure level of the outward preparatory gesture was significantly higher than in case of the inward-upward movement (F<sub>1,17</sub> = 20.4, η<sup>2</sup> = 0.56, <em>P</em> = 0.0004).</div></div><div><h3>Conclusions</h3><div>In contrast to the existing conducting literature, which does not discriminate between out- and inward preparatory gestures, the results of this study show that the conductor's choice of traj","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"38 6","pages":"Pages 1524.e1-1524.e10"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40531527","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}
Pub Date : 2024-11-01DOI: 10.1016/j.jvoice.2022.06.012
Juan Carlos Casado-Morente , Felipe Luis Benjumea-Flores , Bárbara Romero-Gómez , María Soledad Angulo-Serrano , Carlos O´Connor-Reina , Carlos Casado-Alba , Antonio José Galeas-López , Francisco Carricondo
Objective
To compare two surgical techniques, the Wendler glottoplasty (GP) and its modification, the vocal fold shortening, and retrodisplacement of the anterior commissure (VFSRAC) associated with laser assisted voice adjustment (LAVA) cordotomy, used to feminize the voice of transgender women by increasing the fundamental frequency (F0).
Methods
A retrospective study of 22 trans-women (20-62 years-old) was carried out. 12 of them were treated with GP and 10 with the VFSRAC+LAVA technique. They were evaluated before surgery and 6 months after surgery and the postoperative speech therapy. Laryngostroboscopy examination, F0 measurements, Transgender Woman Voice Questionnaire (TWVQ) assessment and the perceptual assessment using a visual analog scale (PA-VAS) were obtained from all patients.
Results
Laryngostroboscopic findings showed normal vocal folds before surgery and a shortening of the vocal folds, due to the anterior glottic synechia, after surgery. Significant increases of F0 were found in both groups but they were higher in the VFSRAC+LAVA group (47.75Hz in GP group vs 69.70Hz in VFSRAC+LAVA group). TWVQ scores showed a significant decrease in both groups although the difference was greater in the VFSRAC+LAVA group. Similarly, PA-VAS scores lowered significantly in both groups but VFSRAC+LAVA group presented the biggest decreases.
Conclusion
Both surgical techniques produce the shortening of the vocal folds through an endoscopic approach and result in voices with higher vocal pitch. Of the two techniques presented, the VFSRAC+LAVA produces better results although when compared with previous studies it seems that the LAVA technique may not significantly contribute to the postoperative results. So, the VFSRAC technique followed by postoperative speech therapy could be recommended for trans-women who wish to feminize their voice.
{"title":"Comparison Between two Surgical Techniques for Increasing Vocal Pitch by Endoscopic Shortening of the Vocal Folds","authors":"Juan Carlos Casado-Morente , Felipe Luis Benjumea-Flores , Bárbara Romero-Gómez , María Soledad Angulo-Serrano , Carlos O´Connor-Reina , Carlos Casado-Alba , Antonio José Galeas-López , Francisco Carricondo","doi":"10.1016/j.jvoice.2022.06.012","DOIUrl":"10.1016/j.jvoice.2022.06.012","url":null,"abstract":"<div><h3>Objective</h3><div><span><span>To compare two surgical techniques, the Wendler glottoplasty (GP) and its modification, the vocal fold shortening, and retrodisplacement of the </span>anterior commissure<span> (VFSRAC) associated with laser assisted voice adjustment (LAVA) cordotomy, used to feminize the voice of transgender women by increasing the fundamental frequency (F</span></span><sub>0</sub>).</div></div><div><h3>Methods</h3><div>A retrospective study of 22 trans-women (20-62 years-old) was carried out. 12 of them were treated with GP and 10 with the VFSRAC+LAVA technique. They were evaluated before surgery and 6 months after surgery and the postoperative speech therapy. Laryngostroboscopy examination, F<sub>0</sub><span> measurements, Transgender Woman Voice Questionnaire (TWVQ) assessment and the perceptual assessment<span> using a visual analog scale (PA-VAS) were obtained from all patients.</span></span></div></div><div><h3>Results</h3><div><span>Laryngostroboscopic findings showed normal vocal folds before surgery and a shortening of the vocal folds, due to the anterior glottic synechia, after surgery. Significant increases of F</span><sub>0</sub> were found in both groups but they were higher in the VFSRAC+LAVA group (47.75Hz in GP group vs 69.70Hz in VFSRAC+LAVA group). TWVQ scores showed a significant decrease in both groups although the difference was greater in the VFSRAC+LAVA group. Similarly, PA-VAS scores lowered significantly in both groups but VFSRAC+LAVA group presented the biggest decreases.</div></div><div><h3>Conclusion</h3><div>Both surgical techniques produce the shortening of the vocal folds through an endoscopic approach and result in voices with higher vocal pitch. Of the two techniques presented, the VFSRAC+LAVA produces better results although when compared with previous studies it seems that the LAVA technique may not significantly contribute to the postoperative results. So, the VFSRAC technique followed by postoperative speech therapy could be recommended for trans-women who wish to feminize their voice.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"38 6","pages":"Pages 1513-1520"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40601921","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号