Journal of Voice最新文献_第5页

Vocal Fold Fat injection for Glottic Insufficiency: Systematic Review 声带褶皱脂肪注射治疗声门发育不全：系统回顾

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2023-12-23 DOI: 10.1016/j.jvoice.2023.09.029

Andrea M. Campagnolo , Jaqueline Priston , Vinícius Nickel , Michael Benninger

Vocal fold fat injection is a technique for treating glottic insufficiency (GI) resulting from various conditions. The use of fat as a graft has several advantages over other grafts. Similar pliability, and vibratory characteristics as a normal vocal fold, not causing foreign body reactions, having the potential to contain stem cells, and often can be done in the office. Long-term results, however, are unpredictable. The objective of this study is to carry out a systematic review of published articles using the technique of fat injection in the vocal folds.

Study design

Systematic review.

Review methods

A literature search was conducted utilizing the combination of the following keywords “vocal folds fat injection,” “laryngoplasty,” and “autologous fat injection vocal folds.” The criteria inclusion of the study for the systematic review were based on PICOTS (population, intervention, comparison outcome, timing, and setting) and Preferred Reporting Items for Systematic Reviews and Meta-analyses statements. Outcomes reviewed included technique, study duration, perceptual and acoustic analysis, and quality of life preoperation and 1-year postoperation.

Results

A systematic review on PubMed, Cochrane, and Embase databases included 13 studies analyzing the data of 472 patients, that had fat injection laryngoplasty for treatment of GI. The causes of GI varied substantially across studies. Considerable heterogeneity across studies was found, including technique for harvest, processing the fat, site of injection, and acoustic analysis. In the studies that measured maximum phonation time (MPT) there was a significant improvement in a follow-up of at least 1 year after the injection. The patient's perception of vocal quality, measured by the Voice Handicap Index, also showed significant improvement in several studies after fat injection laryngoplasty.

Conclusion

Fat injection laryngoplasty seems to be safe and effective for GI for at least 12 months. Multiple studies show favorable outcomes, but the lack of control groups, the heterogeneity in inclusion criteria, nonstandardized techniques, and objective voice evaluations limit this evaluation.

声带褶皱脂肪注射是一种治疗各种疾病导致的声门功能不全（GI）的技术。与其他移植物相比，使用脂肪作为移植物有几个优点。与正常声带相似的柔韧性和振动特性，不会引起异物反应，可能含有干细胞，而且通常可以在办公室完成。不过，长期效果难以预测。本研究的目的是对已发表的使用声带脂肪注射技术的文章进行系统性综述。研究设计系统性综述。综述方法使用以下关键词进行文献检索："声带脂肪注射"、"喉成形术 "和 "自体脂肪注射声带"。纳入系统综述研究的标准基于 PICOTS（人群、干预、比较结果、时间和环境）和《系统综述和元分析首选报告项目》声明。结果 PubMed、Cochrane 和 Embase 数据库中的系统综述包括 13 项研究，分析了 472 名患者的数据，这些患者都接受了脂肪注射喉成形术治疗 GI。不同研究的 GI 病因差异很大。不同研究之间存在很大的异质性，包括脂肪采集技术、脂肪处理、注射部位和声学分析。在测量最大发音时间（MPT）的研究中，注射后至少 1 年的随访结果显示，患者的发音质量明显改善。通过嗓音障碍指数（Voice Handicap Index）测量患者对发声质量的感知，几项研究也显示脂肪注射喉成形术后患者的发声质量有了明显改善。多项研究显示了良好的效果，但缺乏对照组、纳入标准的不一致性、非标准化的技术以及客观的嗓音评估都限制了这一评估。

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引用次数: 0

What Factors Determine the Use of Volitional and Non-Volitional Devices in Vocal Interventions Performed by Brazilian Speech-Language Pathologists? 是什么因素决定了在由巴西语言病理学家进行的声音干预中意志和非意志装置的使用?

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2023-11-11 DOI: 10.1016/j.jvoice.2023.10.026

Denis de Jesus Batista , Leonardo Wanderley Lopes , Anna Alice Almeida , Larissa Thais Donalonso Siqueira , Vanessa Veis Ribeiro

Objective

To analyze the determining factors for using devices in vocal interventions and characterize their use by Brazilian speech-language pathologists (SLPs).

Methods

This cross-sectional observational study had a sample of 148 SLPs with clinical practice in voice. They answered an online questionnaire via Google Forms about sociodemographic data, training, work in the area, and the use of devices in vocal interventions. Data were analyzed descriptively and inferentially.

Results

Tubes, straws, and masks were the most commonly used devices. SLPs specializing in voice are more inclined to use thermotherapy and kinesio tapings while being less inclined to use therapeutic ultrasounds and nebulizers. Voice specialists are less likely to employ electrostimulation. The choice to use photobiomodulation and auditory monitoring devices is influenced by the years of clinical experience, whereas the speech-language therapy training duration affects the use of electrostimulation. The age of the professional also plays a role in the utilization of vibratory stimulation. Vibratory stimulation, auditory monitoring devices, thermotherapy, and nebulization are more frequently utilized among individuals who rely on their voices for occupational purposes, whereas electrostimulation is less common. The use of photobiomodulation is infrequent in children; vibratory stimulation is more common in adolescents, and thermotherapy is relatively common among older individuals. Most of these devices are typically prescribed in execution time during vocal intervention.

Conclusion

The specialization, the time since graduation and in the occupation, and the target population of the service are the determining factors for the use of devices. They are used in vocal therapy and training, targeting vocal function.

目的:分析巴西语言病理学家(slp)在语音干预中使用器械的决定因素，并分析其使用特点。方法:本横断面观察性研究选取148例有临床实践的语音slp。他们通过谷歌表格回答了一份关于社会人口统计数据、培训、在该地区工作以及在声音干预中使用设备的在线问卷。对数据进行描述性和推理性分析。结果:导管、吸管和口罩是最常用的器械。专门从事语音的slp更倾向于使用热疗法和运动磁带，而不太倾向于使用治疗性超声波和雾化器。语音专家不太可能使用电刺激。使用光生物调节和听觉监测设备的选择受多年临床经验的影响，而语言治疗培训持续时间影响电刺激的使用。专业人员的年龄对振动刺激的利用也有影响。振动刺激、听觉监测装置、热疗法和喷雾治疗在依赖声音的职业人群中更常用，而电刺激则不太常见。儿童很少使用光生物调节剂;振动刺激在青少年中更常见，而热疗法在老年人中相对常见。大多数这些设备通常在声带干预的执行时间内规定。结论:专科、毕业及在职时间、服务对象人群是器械使用的决定因素。它们用于声乐治疗和训练，针对声乐功能。

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引用次数: 0

Type 1 Thyroplasty for Chronic Cough 1型甲状腺成形术治疗慢性咳嗽。

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2023-11-15 DOI: 10.1016/j.jvoice.2023.10.034

Ari D. Schuman , Vishnu Narayana , Julina Ongkasuwan

Objectives

Type 1 thyroplasty is a vital component of treatment for vocal fold hypomobility, immobility, and atrophy. However, patients with other laryngeal symptoms, including chronic cough, can have concomitant vocal fold atrophy and glottic insufficiency on the exam. Previous work has demonstrated that injection laryngoplasty can assist with treating cough in patients with glottic insufficiency. However, the role of type 1 thyroplasty for cough has not been well described.

Methods

Case series of five patients treated by a fellowship-trained laryngologist at a tertiary voice center.

Results

Five patients underwent type 1 thyroplasty for chronic cough. All five patients had a chronic cough that was not responsive to medical management. One patient underwent a previous superior laryngeal nerve block, which was effective for three weeks. Prior to surgery, all patients had a trial injection laryngoplasty with temporary improvement in symptoms. Four of five patients underwent bilateral GoreTex type 1 thyroplasty; one underwent only unilateral thyroplasty due to subtle vocal fold hypomobility on that side. All patients had improvement in their cough, with follow-up periods ranging from one month to three years.

Conclusion

There are limited therapeutic options for chronic cough refractory to medical therapy. For patients with vocal fold atrophy or glottic insufficiency, type 1 thyroplasty may offer a durable option to improve cough.

目的:1型甲状腺成形术是治疗声带活动能力低下、不活动和萎缩的重要组成部分。然而，有其他喉部症状的患者，包括慢性咳嗽，在检查时可能伴有声带萎缩和声门功能不全。先前的研究表明，注射喉成形术可以帮助治疗声门不全患者的咳嗽。然而，1型甲状腺成形术治疗咳嗽的作用尚未得到很好的描述。方法:病例系列5例患者治疗由奖学金培训喉专家在三级语音中心。结果:5例慢性咳嗽患者行1型甲状腺成形术。所有5例患者均有慢性咳嗽，对医疗管理无反应。一名患者先前接受了喉上神经阻滞，有效时间为三周。手术前，所有患者都进行了实验性注射喉部成形术，症状暂时改善。5例患者中有4例接受了双侧GoreTex 1型甲状腺成形术;其中1例仅行单侧甲状腺成形术，因单侧声带轻度不活动。所有患者的咳嗽都有所改善，随访时间从一个月到三年不等。结论:慢性咳嗽药物治疗难治性的治疗方案有限。对于声带萎缩或声门功能不全的患者，1型甲状腺成形术可能是改善咳嗽的持久选择。

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引用次数: 0

Prevalence of Objective Voice Measurement Use in Laryngology Practices in the United States 客观声音测量在美国喉科实践中的应用。

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2023-11-18 DOI: 10.1016/j.jvoice.2023.10.035

Christopher Yam , Joe Christianson , Robert T. Sataloff

Objectives

The aim of this study was to assess the prevalence of use of objective voice measurements (OVM), instrumentation, and factors that may impact OVM outcomes, such as setting and implementation to clarify current practice. Doing so should clarify the impact of OVM research on patient care.

Methods

A 12-question, one-time anonymous survey using the Research Electronic Data Capture tool was distributed during January 2023 to laryngologists in the United States identified through membership in The Voice Foundation (TVF) or previous participation in a TVF symposium.

Results

A total of 101 responses to 418 emails yielded a response rate of 24.2%. Seventeen point eight percentage (N = 18) were in private practice, 63.4% (N = 64) were in academic settings, and 18.8% (N = 19) were classified as mixed private and academic. Common OVMs used were fundamental frequency 95.12% (N = 78), maximum phonation time 90.24% (N = 74), noise-to-harmonic ratio 71.95% (N = 59), jitter 71.95% (N = 59), and shimmer 70.73% (N = 58). Common equipment and software used Pentax Multi-Dimensional Voice Program 42.68% (N = 35), Pentax Computerized Speech Lab Model 4500B 37.80% (N = 31), and Pentax Visi-Pitch, Model 3950C 23.17% (N = 19), PRAAT 21.95% (N = 18), OperaVOX 4.88% (N = 4), VoceVista 3.66% (N = 3). Fifty one point two percentage (N = 42) stated that they used OVMs with the majority of their patients, most commonly for the assessment of treatment effectiveness (84.1%, N = 69), documentation (78.0%, N = 64), research (70.7%, N = 58), and/or diagnosis (61.0%, N = 50). Ninety point two percentage (N = 74) stated that OVMs were used during initial evaluation of patients.

Conclusion

This study estimates of the prevalence of OVM use among laryngologists in the United States. There appears to be sufficient consistency among laryngology centers to permit comparison of results between centers, although additional research is needed. Future OVM research should compare measurements and equipment commonly used by laryngologists to define further the generalizability of results.

目的:本研究的目的是评估客观语音测量(OVM)、仪器的使用情况，以及可能影响OVM结果的因素，如设置和实施，以澄清当前的实践。这样做应该澄清OVM研究对患者护理的影响。方法:在2023年1月，使用研究电子数据采集工具向通过Voice Foundation (TVF)会员或之前参加过TVF研讨会的美国喉科医生分发了一项12个问题的一次性匿名调查。结果:418封邮件共收到101封回复，回复率为24.2%。17.8% (N = 18)为私人执业，63.4% (N = 64)为学术机构，18.8% (N = 19)为私人与学术混合。常用的ovm为基频95.12% (N = 78)、最大发声时间90.24% (N = 74)、噪声谐波比71.95% (N = 59)、抖动71.95% (N = 59)、闪烁70.73% (N = 58)。常用设备和软件宾得多维声音项目42.68% (N = 35),宾得电脑语音实验室模型4500 b (N = 31) 37.80%,和宾得Visi-Pitch模型3950 c (N = 19) 23.17%, PRAAT 21.95% (N = 18), OperaVOX 4.88% (N = 4), VoceVista 3.66% (N = 3)。百分之五十一点(N = 42)表示,他们与大多数病人ovm技术使用,最常见的治疗效果的评估(84.1%,N = 69)、文档(78.0%,N = 64),研究(70.7%,N = 58),和/或诊断(61.0%,N = 50)。92% (N = 74)的患者在初始评估时使用了ovm。结论:本研究估计了OVM在美国喉科医生中的使用情况。虽然还需要进一步的研究，但在喉科中心之间似乎有足够的一致性，可以对中心之间的结果进行比较。未来的OVM研究应该比较喉科医生常用的测量和设备，以进一步确定结果的普遍性。

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引用次数: 0

Estimating Formant Frequencies of Vowels Sung by Sopranos Using Weighted Linear Prediction 用加权线性预测法估计女高音元音的共振频率。

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2023-11-23 DOI: 10.1016/j.jvoice.2023.10.018

Eduardo Barrientos , Edson Cataldo

This study introduces the weighted linear prediction adapted to high-pitched singing voices (WLP-HPSV) method for accurately estimating formant frequencies of vowels sung by lyric sopranos. The WLP-HPSV method employs a variant of the WLP analysis combined with the zero-frequency filtering (ZFF) technique to address specific challenges in formant estimation from singing signals. Evaluation of the WLP-HPSV method compared to the LPC method demonstrated its superior performance in accurately capturing the spectral characteristics of synthetic /u/ vowels and the /a/ and /u/ natural singing vowels. The QCP parameters used in the WLP-HPSV method varied with pitch, revealing insights into the interplay between the vocal tract and glottal characteristics during vowel production. The comparison between the LPC and WLP-HPSV methods highlighted the robustness of the WLP-HPSV method in accurately estimating formant frequencies across different pitches.

本文介绍了一种适用于高音歌唱的加权线性预测方法(WLP-HPSV)，用于准确估计抒情女高音演唱元音的共振频率。WLP- hpsv方法将WLP分析的一种变体与零频率滤波(ZFF)技术相结合，以解决从歌唱信号中估计形成峰的特定挑战。与LPC方法相比，WLP-HPSV方法在准确捕获合成/u/元音和/a/和/u/自然演唱元音的频谱特征方面表现优异。WLP-HPSV方法中使用的QCP参数随音高而变化，揭示了元音产生过程中声道和声门特征之间的相互作用。LPC和WLP-HPSV方法的比较表明，WLP-HPSV方法在准确估计不同音高的形成峰频率方面具有鲁棒性。

引用次数: 0

Tracheoesophageal Voice Therapy in Postlaryngectomy Rehabilitation: A Systematic Review 气管食道语音治疗在喉切除术后康复中的应用:系统综述。

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2023-11-23 DOI: 10.1016/j.jvoice.2023.10.033

Freya Sparks , Margaret Coffey , Lucy Dipper , Sally Morgan , Katerina Hilari

Background

Following total laryngectomy, surgical voice restoration is considered the optimal modality for re-establishing communication via tracheoesophageal voice. Yet beyond the insertion of a voice prosthesis to elicit voice production, there is suboptimal clinical knowledge of how to rehabilitate the perceptual quality of tracheoesophageal voice. This systematic review will identify and critically evaluate the quality and effectiveness of therapeutic interventions for tracheoesophageal voice. The findings of this review will inform the development of a novel tracheoesophageal voice therapy intervention.

Study design

Systematic literature review carried out in accordance with PRISMA guidelines.

Methods

The review protocol was registered with PROSPERO. Eight electronic databases were searched using a prespecified search strategy. Records were independently screened by two reviewers against inclusion and exclusion criteria. Eligible studies were assessed for quality using the PEDro, ROBIN-T, and NHLBI critical appraisal tools. Data was extracted pertaining to participant characteristics and the content, dosage, intensity and outcomes of interventions.

Results

6344 records were identified, of which 38 were included for full-text review. Six studies met the eligibility criteria for inclusion. Voice rehabilitation was not the primary focus in the majority of studies, and the risk of bias was identified across studies. There was significant heterogeneity in the interventions and outcome measures used within studies with insufficient detail provided on intervention content for tracheoesophageal voice. Evidence for the effectiveness of interventions was limited and inconsistent across studies.

Conclusions

This review found that tracheoesophageal voice therapy is an under-researched area of clinical practice. Evidence from the small body of existing studies was not sufficiently robust to inform clinical practice at this time. This review highlights the necessity to develop and test interventions aimed at improving the perceptual quality of tracheoesophageal voice.

背景:在全喉切除术后，手术嗓音恢复被认为是通过气管食道嗓音重建沟通的最佳方式。然而，除了插入发声假体来诱导发声之外，关于如何恢复气管食管发声的感知质量的临床知识还不够理想。本系统综述将识别并批判性地评估气管食道声音治疗干预措施的质量和有效性。本综述的发现将为新型气管食管语音治疗干预的发展提供信息。研究设计:按照PRISMA指南进行系统文献综述。方法:审查方案在PROSPERO注册。使用预先指定的搜索策略对八个电子数据库进行了搜索。记录由两名审稿人根据纳入和排除标准独立筛选。使用PEDro、ROBIN-T和NHLBI关键评估工具对符合条件的研究进行质量评估。提取有关参与者特征以及干预措施的内容、剂量、强度和结果的数据。结果:共识别6344条记录，其中38条纳入全文审阅。6项研究符合入选标准。在大多数研究中，语音康复并不是主要焦点，并且在所有研究中都确定了偏倚风险。研究中使用的干预措施和结果测量存在显著的异质性，对气管食管声音的干预内容提供的细节不足。有关干预措施有效性的证据有限，且各研究之间不一致。结论:本综述发现气管食道语音治疗是一个临床实践研究不足的领域。目前，来自现有研究的少量证据不足以为临床实践提供充分的证据。这篇综述强调了开发和测试旨在改善气管食管声音感知质量的干预措施的必要性。

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引用次数: 0

Nonlinear Dynamic Analysis and Perturbation Measurement Used for Discriminating Pathological Voices and Their Correlations With Perceptual Evaluation 用于鉴别病态声音的非线性动态分析和扰动测量及其与感知评估的相关性

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2024-03-07 DOI: 10.1016/j.jvoice.2023.10.010

Fan Zhang , Boquan Liu , Pinhong Wu , Colbey Johnson , Melissa Bouharati , Yi Zhang , Peijie He , Jack J. Jiang

Objective

1. To investigate the discriminatory and diagnostic power of nonlinear dynamic analysis measures concerning voices from normal, benign, and malignant voice disorders. 2. To study the correlations of nonlinear dynamic analysis measures with perceptual ratings to evaluate the reliability of the objective acoustic analysis in predicting severity of voice.

Method

The perturbation analysis metrics used were Jitter%, Shimmer%, and signal-to-noise ratio. The nonlinear dynamic analysis metrics used were spectrum convergence ratio (SCR), nonlinear energy difference ratio (NEDR), and rate of divergence (ROD). Subjects were enrolled and divided into three groups based on laryngeal pathology: normal, benign, and malignant. Vowel sound and reading samples were recorded. Perceptual evaluation was applied to these voice samples to investigate correlations between metrics and auditory perception.

Result

Each metric was capable of discriminating laryngeal pathology, except for SCR in the case of distinguishing between benign and malignant pathologies. Perturbation analysis parameters had a moderate ability to differentiate between normal and benign pathologies, but were unable to characterize malignant pathologies for certain diseases, such as Reinke’s edema. All metrics significantly correlated with perceptual G scores. Nonlinear dynamic analysis was superior when applied to cases of severe dysphonia, where linear metrics such as Jitter% and Shimmer% tended to lose utility. NEDR and ROD were successful at differentiating between the different pathologies, whereas SCR could not discriminate between the benign and malignant groups.

Conclusion

Perturbation and nonlinear dynamic analyses are comparable in their discriminating power with respect to normal and benign voices, and normal and malignant voices. The nonlinear dynamic analysis metrics NEDR and ROD may be superior in clinical settings with respect to discriminating voice pathology ranging from mild pathological voice to severe dysphonia, and with respect to discriminating benign and malignant voice. SCR was found unable to discriminate pathological voices.

目的： 1.研究非线性动态分析方法对正常、良性和恶性嗓音疾病嗓音的鉴别和诊断能力。2.研究非线性动态分析指标与知觉评分的相关性，以评估客观声学分析在预测嗓音严重程度方面的可靠性：使用的扰动分析指标为抖动%、微光%和信噪比。非线性动态分析指标为频谱收敛比（SCR）、非线性能量差比（NEDR）和发散率（ROD）。受试者入选后，根据喉部病变分为三组：正常组、良性组和恶性组。对元音和朗读样本进行了记录。对这些声音样本进行感知评估，以研究指标与听觉感知之间的相关性：结果：除 SCR 能区分良性和恶性病变外，其他各项指标均能区分喉部病变。扰动分析参数在区分正常和良性病变方面具有一定的能力，但对于某些疾病，如莱因克水肿，则无法确定恶性病变的特征。所有指标都与感知 G 评分明显相关。非线性动态分析在应用于严重发音障碍的病例时更胜一筹，而在这些病例中，抖动% 和微光% 等线性指标往往会失去效用。NEDR和ROD能成功区分不同的病理类型，而SCR则无法区分良性和恶性病理类型：结论：扰动分析和非线性动态分析在区分正常和良性嗓音以及正常和恶性嗓音方面的能力相当。在临床环境中，非线性动态分析指标 NEDR 和 ROD 在鉴别从轻微病态嗓音到严重发音障碍的嗓音病理方面，以及在鉴别良性和恶性嗓音方面可能更有优势。而 SCR 则无法区分病态嗓音。

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引用次数: 0

Validity and Reliability of the Arabic Version of the Glottal Function Index in Dysphonic Patients 阿拉伯文声门功能指数在发音障碍患者中的效度和信度。

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2023-11-11 DOI: 10.1016/j.jvoice.2023.10.029

Abduljabbar A. Alyamani , Tamer A. Mesallam , Mohamed Farahat , Khalid H. Malki

Objectives/Hypothesis

The Glottal Function Index (GFI) is a four-item self-administered survey suitable for the evaluation and treatment of patients with glottal dysfunction. To date, it has been translated into Lithuanian, Persian, and Hebrew. This study is intended to translate and cross-culturally adapt the GFI for use in Arabic-speaking patients with dysphonia.

Study design

This work is a cross-sectional study involving the administration of the GFI to participants with dysphonia (cases) and patients without dysphonia (controls). The validation process included reliability and validity assessments.

Methods

The GFI was translated using forward and backward translation methods from English into Arabic. The questionnaire’s reliability was assessed using Cronbach’s alpha and test-retest reliability (intraclass correlation coefficient, ICC). The Mann-Whitney test evaluated validity by comparing cases and controls. Finally, the Kruskal-Wallis test examined differences in the GFI across various pathologies.

Results

The GFI demonstrated favorable internal consistency (Cronbach’s alpha = 0.848) and excellent test-retest reliability (ICC = 0.993). Significant differences in the A-GFI score between the cases and controls were also observed (P < 0.001), supporting the instrument’s validity. However, no statistically significant differences were found in A-GFI across different diagnoses (P = 0.712).

Conclusions

The A-GFI is a valid and reliable screening tool for clinicians to assess dysphonia and voice impairment in patients in Arabic-speaking countries. The tool is easy to administer in daily clinical practice given its brevity and self-administration.

目的/假设:声门功能指数(GFI)是一项四项自我管理的调查，适用于评估和治疗声门功能障碍患者。迄今为止，它已被翻译成立陶宛语、波斯语和希伯来语。本研究旨在翻译和跨文化适应GFI用于阿拉伯语语音障碍患者。研究设计:这项工作是一项横断面研究，涉及对有语音障碍的参与者(病例)和无语音障碍的患者(对照组)给予GFI。验证过程包括信度和效度评估。方法:采用正译法和反译法将GFI从英文翻译成阿拉伯文。采用Cronbach’s alpha和重测信度(class内相关系数，ICC)评估问卷的信度。曼-惠特尼检验通过比较病例和对照来评估效度。最后，Kruskal-Wallis检验了GFI在不同病理中的差异。结果:GFI具有良好的内部一致性(Cronbach’s alpha = 0.848)和良好的重测信度(ICC = 0.993)。结论:a - gfi是临床医生评估阿拉伯语国家患者语音障碍和语音障碍的有效和可靠的筛查工具。该工具在日常临床实践中易于管理，因为它的简洁和自我管理。

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引用次数: 0

A Comparison of the Effects of Phonation into a Positive Expiratory Pressure Device and Silicone Tube in Water on the Vocal Mechanism 呼气正压器发声与水中硅胶管发声对发声机制的影响比较。

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2023-11-11 DOI: 10.1016/j.jvoice.2023.10.022

Pedro Amarante Andrade , Marek Frič , Brian Saccente-Kennedy , Viktor Hruška

Objectives

Positive expiratory pressure (PEP) devices have become an additional therapeutic approach for treating voice disorders. Similar to water resistance therapy (WRT), phonation in a PEP device introduces a secondary source of vibration within the vocal tract. This investigation aimed to compare the effects of phonation using a PEP device and silicone tube phonation (STP) commonly used in WRT on the vocal mechanism during phonation.

Methods

Three normophonic subjects participated in the study. High-speed videoendoscopy, pressure, airflow, electroglottography, and acoustic recordings were collected.

Results

The results demonstrated that phonation using both the PEP device and silicone tube induced alterations in glottal behavior. The PEP device produced more pronounced and consistent pressure oscillations, impacting the glottal cycle and influencing parameters including contact quotient (CQ), fundamental frequency, glottal area, pressure, and airflow. The regular vibratory mechanism of the PEP device systematically modified the glottal cycle. In STP, regular bubbling at lower depths of submersion produced higher CQ values, supporting the efficacy of deep bubbling exercises for inducing glottal adduction.

Conclusions

The findings suggest that phonation using PEP devices has a more pronounced impact on the vocal tract and glottis. It also provides a stronger massage effect that directly affects the glottal source. Phonation with a silicone tube produces similar results, although to a lesser extent and with lower regularity. These findings offer guidance in the selection of voice therapy devices.

目的:呼气正压(PEP)装置已成为治疗声音障碍的另一种治疗方法。与水阻力疗法(WRT)类似，PEP装置中的发声在声道内引入了二次振动源。本研究旨在比较使用PEP装置发声和WRT中常用的硅胶管发声(STP)对发声过程中发声机制的影响。方法:三名正常语音受试者参与研究。采集高速内窥镜、压力、气流、声门电图和声学记录。结果:结果表明，使用PEP装置和硅胶管发声均可引起声门行为的改变。PEP装置产生更明显和一致的压力振荡，影响声门周期并影响参数，包括接触商(CQ)、基频、声门面积、压力和气流。PEP装置的规则振动机制系统地改变了声门周期。在STP中，较低潜水深度的有规律的冒泡产生较高的CQ值，支持深度冒泡练习诱导声门内收的有效性。结论:本研究结果提示使用PEP设备发声对声道和声门的影响更为明显。它还提供了更强的按摩效果，直接影响声门源。用硅胶管发声也会产生类似的结果，尽管程度和规律性较低。这些发现为语音治疗设备的选择提供了指导。

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引用次数: 0

Deep Learning-Based Analysis of Glottal Attack and Offset Times in Adductor Laryngeal Dystonia 基于深度学习的喉内收肌张力障碍的声门攻击和偏移次数分析。

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2023-11-17 DOI: 10.1016/j.jvoice.2023.10.011

Ahmed M. Yousef , Dimitar D. Deliyski , Mohsen Zayernouri , Stephanie R.C. Zacharias , Maryam Naghibolhosseini

Objective

Diagnosis of adductor laryngeal dystonia (AdLD) is challenging as it mimics voice features of other voice disorders. This could lead to misdiagnosis (or delayed diagnosis) and ineffective treatments of AdLD. This paper develops automated measurements of glottal attack time (GAT) and glottal offset time (GOT) from high-speed videoendoscopy (HSV) in connected speech as objective measures that can potentially facilitate the diagnosis of this disorder in the future.

Methods

HSV data were recorded from vocally normal adults and patients with AdLD during the reading of the “Rainbow Passage” and six CAPE-V (Consensus Auditory-Perceptual Evaluation of Voice) sentences. A deep learning framework was designed and trained to segment the glottal area and detect the vocal fold edges in the HSV dataset. This automated framework allowed us to automatically measure and quantify the GATs and GOTs for the participants. Accordingly, a comparison was held between the obtained measurements among vocally normal speakers and those with AdLD.

Results

The automated framework was successfully developed and able to accurately segment the glottal area/edges. The precise automated measurements of GAT and GOT revealed minor, nonsignificant differences compared to the results of manual analysis—showing a strong correlation between the measures by the automated and manual methods. The results showed significant differences in the GAT values between the vocally normal subjects and AdLD patients, with larger variability in both the GAT and GOT measures in the AdLD group.

Conclusions

The developed automated approach for GAT and GOT measurement can be valuable in clinical practice. These quantitative measurements can be used as meaningful biomarkers of the impaired vocal function in AdLD and help its differential diagnosis in the future.

目的:喉内收肌张力障碍(AdLD)的诊断具有挑战性，因为它与其他声音障碍的声音特征相似。这可能导致AdLD的误诊(或延误诊断)和无效治疗。本文开发了高速视频内窥镜(HSV)在连接语音中的声门攻击时间(GAT)和声门偏移时间(GOT)的自动测量作为客观测量，可以潜在地促进未来这种疾病的诊断。方法:记录发声正常成人和AdLD患者在阅读“彩虹通道”和6个CAPE-V(共识听觉-知觉评价语音)句子时的HSV数据。设计并训练了一个深度学习框架，用于分割声门区域和检测HSV数据集中的声带边缘。这个自动化的框架允许我们为参与者自动度量和量化GATs和GOTs。因此，在发音正常的说话者和患有AdLD的说话者之间进行比较。结果:成功开发了自动化框架，能够准确分割声门区域/边缘。与手动分析的结果相比，GAT和GOT的精确自动测量显示出微小的、不显著的差异——显示了自动化和手动方法测量之间的强相关性。结果显示，声带正常受试者和AdLD患者的GAT值存在显著差异，AdLD组的GAT和GOT值差异较大。结论:所开发的自动测量GAT和GOT的方法在临床实践中具有一定的价值。这些定量测量可以作为AdLD中声带功能受损的有意义的生物标志物，并有助于其未来的鉴别诊断。

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引用次数: 0