Journal of Voice最新文献

英文中文

Effect of Aging on Vocal Outcomes After Laryngeal Reinnervation Combined With Arytenoid Adduction 年龄对喉神经再支配联合Arynoid加总术后发声效果的影响。

IF 2.4 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice

Pub Date : 2026-01-01 DOI: 10.1016/j.jvoice.2023.09.007

Kohei Nishimoto , Eiji Yumoto , Tetsuji Sanuki , Narihiro Kodama , Kaoruko Kuraoka , Takumi Miyamoto , Satoru Miyamaru , Yorihisa Orita

Objective

To evaluate the impact of aging on vocal function following laryngeal reinnervation combined with arytenoid adduction (AA) in the treatment of paralytic dysphonia.

Methods

Sixty-eight patients with unilateral vocal fold paralysis who underwent refined nerve-muscle pedicle flap (NMP) implantation and AA were classified into four groups according to age: under 50 years (−50), in their 50s, 60s, and 70 years and older (70+). These groups consisted of 15, 14, 22, and 17 patients, respectively. Their vocal function was followed periodically for 24 months after surgery.

Results

Vocal function in all groups showed significant improvement after surgery. Significant improvements in vocal function were observed during a 24-month follow-up period: maximum phonation time in the –50 and 50 seconds groups; pitch range and voice handicap index-10 in the –50, 50s, and 60s groups; “Grade” in the –50, 50s, and 70+ groups; and “Breathiness” and voice-related quality of life in all groups. There were no significant differences in vocal function among the four groups, except for pitch range, at the 24-month postoperative assessment.

Conclusions

Although the younger groups tended to exhibit better vocal function compared to the older groups 24 months postoperatively, the refined NMP+AA proved effective in the treatment of breathy dysphonia resulting from unilateral vocal fold paralysis, not only in the younger population but also in the older population.

目的：评价年龄对喉神经支配再支配加杓状内收术治疗麻痹性发音困难后发声功能的影响。方法：68例单侧声带麻痹患者接受精细神经肌蒂皮瓣（NMP）植入和AA治疗，按年龄分为4组：50岁以下（-50岁）、50多岁、60多岁和70岁及以上（70+）。这些组分别由15名、14名、22名和17名患者组成。术后24个月定期随访其发声功能。结果：术后各组嗓音功能均有明显改善。在24个月的随访期间，观察到发声功能的显著改善：-50和50秒组的最大发声时间；-50、50和60岁组的音高范围和语音障碍指数为10；-50、50和70+组的“等级”；以及所有群体的“呼吸”和与声音相关的生活质量。在术后24个月的评估中，除了音高范围外，四组之间的发声功能没有显著差异。结论：尽管术后24个月，与老年组相比，年轻组往往表现出更好的发声功能，但精制NMP+AA在治疗单侧声带麻痹引起的呼吸困难方面被证明是有效的，不仅在年轻人群中，在老年人群中也是如此。

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引用次数: 0

IF 2.4 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice

Pub Date : 2026-01-01

引用次数: 0

IF 2.4 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice

Pub Date : 2026-01-01

引用次数: 0

IF 2.4 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice

Pub Date : 2026-01-01

引用次数: 0

Vocal Tract Discomforts among Smokers 吸烟者的声道不适。

IF 2.4 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice

Pub Date : 2026-01-01 DOI: 10.1016/j.jvoice.2023.09.014

Seyed Abolfazl Tohidast , Faezeh Fazeli , Golnoosh Golmohammadi , Ronald C. Scherer , Banafshe Mansuri

Introduction

Smoking is a dangerous behavior for the human body and the vocal tract. Smoking can cause several laryngeal and vocal tract symptoms in smokers. One of these symptoms can be physical discomfort experienced by this population. Therefore, the aim of the present study was to investigate vocal tract discomfort (VTD) in smokers compared to healthy non-smoker participants.

Materials and methods

The smokers group was forty-eight men with a mean age of 47.54 ± 9.21 years, and the matched non-smokers group was 48 men with a mean age of 44.88 ± 10.81 years. The participants underwent vocal tract discomfort assessment using the Persian version of the VTD scale. Statistical Package for the Social Science (SPSS) was used for statistical analysis and the Mann-Whitney U test was used to compare variables between groups.

Results

The smokers more frequently had VTD symptoms (P < 0.05) than non-smokers for all items of the VTD scale with the exception of aches. Also, smokers had more significant VTD severity in all items than non-smokers (P < 0.05). Moreover, there were significant statistical differences between the total score of both frequency and severity of VTD between smokers and non-smokers. The most to the least VTD symptoms in smokers were irritation, sore, tickling, burning, tightness, lump in the throat, dry, and aching symptoms, respectively.

Conclusion

The present study suggests that smoking can cause more physical vocal tract discomfort in smokers compared to non-smokers. These results can inform future research and interventions in the smoker population.

引言：吸烟对人体和声道都是一种危险的行为。吸烟会引起吸烟者的几种喉部和声道症状。这些症状之一可能是这一人群所经历的身体不适。因此，本研究的目的是调查吸烟者与健康非吸烟者的声道不适（VTD）。材料和方法：吸烟者组为48名男性，平均年龄为47.54±9.21岁，匹配的非吸烟者组为46名男性，其平均年龄为44.88±10.81岁。参与者使用波斯版VTD量表进行了声道不适评估。社会科学统计软件包（SPSS）用于统计分析，Mann-Whitney U检验用于比较各组之间的变量。结果：吸烟者出现VTD症状的频率更高（P结论：本研究表明，与非吸烟者相比，吸烟会导致吸烟者更多的身体声道不适。这些结果可以为未来对吸烟者群体的研究和干预提供信息。

{"title":"Vocal Tract Discomforts among Smokers","authors":"Seyed Abolfazl Tohidast , Faezeh Fazeli , Golnoosh Golmohammadi , Ronald C. Scherer , Banafshe Mansuri","doi":"10.1016/j.jvoice.2023.09.014","DOIUrl":"10.1016/j.jvoice.2023.09.014","url":null,"abstract":"<div><h3>Introduction</h3><div>Smoking is a dangerous behavior for the human body and the vocal tract. Smoking can cause several laryngeal and vocal tract symptoms in smokers. One of these symptoms can be physical discomfort experienced by this population. Therefore, the aim of the present study was to investigate vocal tract discomfort (VTD) in smokers compared to healthy non-smoker participants.</div></div><div><h3>Materials and methods</h3><div>The smokers group was forty-eight men with a mean age of 47.54 ± 9.21 years, and the matched non-smokers group was 48 men with a mean age of 44.88 ± 10.81 years. The participants underwent vocal tract discomfort assessment using the Persian version of the VTD scale. Statistical Package for the Social Science (SPSS) was used for statistical analysis and the Mann-Whitney <em>U</em> test was used to compare variables between groups.</div></div><div><h3>Results</h3><div>The smokers more frequently had VTD symptoms (<em>P</em> < 0.05) than non-smokers for all items of the VTD scale with the exception of aches. Also, smokers had more significant VTD severity in all items than non-smokers (<em>P</em> < 0.05). Moreover, there were significant statistical differences between the total score of both frequency and severity of VTD between smokers and non-smokers. The most to the least VTD symptoms in smokers were irritation, sore, tickling, burning, tightness, lump in the throat, dry, and aching symptoms, respectively.</div></div><div><h3>Conclusion</h3><div>The present study suggests that smoking can cause more physical vocal tract discomfort in smokers compared to non-smokers. These results can inform future research and interventions in the smoker population.</div></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"40 1","pages":"Pages 258.e1-258.e5"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428467","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

Auditory-Motor Function Pre- and Post-Therapy in Hyperfunctional Voice Disorders: A Case Series 嗓音功能亢进症治疗前后的听觉运动功能：病例系列。

IF 2.4 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice

Pub Date : 2026-01-01 DOI: 10.1016/j.jvoice.2023.08.017

Defne Abur , Robert E. Hillman , Cara E. Stepp

Objective/Hypothesis

Behavioral voice therapy is the most common treatment for hyperfunctional voice disorders (HVDs) but has limited long-term effectiveness since the comprehensive mechanisms underlying HVDs remain unclear. Recent work has implicated disordered sensorimotor integration during speech in some speakers with HVDs and suggests that auditory processing is a key factor to consider in HVD assessment and therapy. The purpose of this case-series study was to assess whether current voice therapy approaches for HVDs resulted in improvements to auditory-motor function.

Study Design

Longitudinal (pre-post) study.

Method

Pre and postvoice therapy for HVDs, 11 speakers underwent an assessment of auditory-motor function via auditory discrimination of vocal pitch, responses to unanticipated auditory perturbations, and responses to predictable auditory perturbations of vocal pitch.

Results

At the post-therapy session, 10 out of 11 participants demonstrated voice therapy success (via self-reported voice problems and/or auditory-perceptual judgements of voice by a clinician) and eight of the 11 participants demonstrated improvements in at least one measure of auditory discrimination and/or auditory-motor control. Specifically, three speakers demonstrated improvements in auditory discrimination, five speakers demonstrated improved (within typical cutoffs) responses to predictable perturbations, and two speakers demonstrated improvements in both auditory discrimination and auditory-motor measures.

Conclusions

Together, these findings support that voice therapy in individuals with HVDs may impact auditory-motor control and highlight the potential benefit of systematically addressing auditory function in voice therapy and assessment for HVDs.

目标/假设：行为嗓音疗法是治疗功能亢进性嗓音障碍（HVDs）最常用的方法，但由于 HVDs 的综合机制尚不清楚，因此长期疗效有限。最近的研究表明，一些患有嗓音功能亢进症的说话者在说话过程中出现了感觉运动整合障碍，这也表明听觉处理是嗓音功能亢进症评估和治疗中需要考虑的一个关键因素。本病例系列研究旨在评估目前针对 HVDs 的嗓音治疗方法是否能改善听觉运动功能：研究设计：纵向（前后）研究：研究设计：纵向研究（前-后研究）。方法：在对 HVDs 进行嗓音治疗前和治疗后，对 11 名说话者进行听觉运动功能评估，评估方法包括对声调的听觉辨别、对意外听觉干扰的反应以及对声调的可预测听觉干扰的反应：在治疗后的疗程中，11 名参与者中有 10 人的嗓音治疗取得了成功（通过自我报告的嗓音问题和/或临床医生对嗓音的听觉感知判断），11 名参与者中有 8 人的听觉辨别和/或听觉运动控制能力至少有一项得到了改善。具体而言，3 名参与者的听觉辨别能力有所改善，5 名参与者对可预测干扰的反应有所改善（在典型临界值范围内），2 名参与者的听觉辨别能力和听觉运动控制能力均有所改善：总之，这些研究结果证明，对 HVDs 患者进行嗓音治疗可能会影响听觉运动控制，并强调了在嗓音治疗和 HVDs 评估过程中系统地解决听觉功能问题的潜在益处。

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引用次数: 0

Vocal Vibration Opening Onset Position Abnormality in Patients With Adductor Spasmodic Dystonia by Using High-Speed Endoscopy 应用高速内窥镜检查外收肌痉挛性肌张力障碍患者的嗓音振动开放起始位置异常。

IF 2.4 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice

Pub Date : 2026-01-01 DOI: 10.1016/j.jvoice.2023.08.015

Xinlin Xu , Eyad Saleh , Margaret Rose Lacke , Jack J. Jiang , Peiyun Zhuang

Objective

To analyze vocal fold vibration onset in patients with adductor laryngeal dystonia (ADLD) by analyzing vocal vibration opening onset position (VVOOP).

Study design

Case-control study

Setting

A voice center.

Methods

Eleven patients with ADLD diagnosed in our voice center were enrolled in the ADLD group. Eleven healthy subjects matched by exact age and gender to the ADLD patients were selected as the control group. All subjects underwent laryngeal high-speed video endoscopy. VVOOP and its change were assessed by two otolaryngologists. The multiline video kymography was used to analyze the open quotient (OQ) and standard deviation of OQ.

Results

VVOOP had more than one position in 54.6% (6/11) of the patients with ADLD, which was higher than the control group (P < 0.05). VVOOP appeared in the front of the vocal fold in 54.6% (6/11) of patients with ADLD and in the back of the vocal fold in 81.8% (9/11) of patients with ADLD. VVOOP can be abnormal in 90.9% (10/11) of patients with ADLD, and the rate of VVOOP abnormality was higher than that of the control group (P < 0.05). Of 11, 6 (54.6%) patients with ADLD had a variable VVOOP; the variability rate of VVOOP was higher than that in the control group (P < 0.05). OQ and OQ standard deviation in the ADLD group were significantly greater than in the control group (P < 0.05).

Conclusions

In patients with ADLD, vocal fold vibration was irregular, and VVOOP was abnormal and had a variable position and could reflect variability of the vocal vibration.

Level of evidence

Level 4.

目的：通过分析声带振动开放起始位置（VVOOP），分析喉收肌张力障碍（ADLD）患者的声带振动发作。研究设计：病例对照研究单位：语音中心。方法：11例在我们的语音中心诊断为ADLD的患者被纳入ADLD组。选择11名按确切年龄和性别与ADLD患者匹配的健康受试者作为对照组。所有受试者均接受了喉部高速视频内窥镜检查。两位耳鼻喉科医生对VVOOP及其变化进行了评估。结果：在54.6%（6/11）的ADLD患者中，VVOOP有一个以上位置，结论：ADLD患者声带振动不规则，VVOOP异常，位置可变，能反映声带振动的变异性。

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引用次数: 0

IF 2.4 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice

Pub Date : 2026-01-01

引用次数: 0

IF 2.4 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice

Pub Date : 2026-01-01

引用次数: 0

IF 2.4 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice

Pub Date : 2026-01-01

引用次数: 0

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