Journal of Voice最新文献_第8页

In Memoriam: Hassan Khoramshahi, Ph.D. In Memory of a Dedicated Scholar and Teacher of Speech and Voice Sciences 纪念：哈桑·霍拉姆沙希博士，纪念一位专注于言语和语音科学的学者和教师。

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2026-01-24 DOI: 10.1016/j.jvoice.2025.12.034

Akram Ahmadi, Mona Jangali

引用次数: 0

Coaching Opera Secco Recitatives by Using Singers’ Native Dialects: A Pilot Study 用歌手的本土方言指导歌剧赛科朗诵:一项试点研究。

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2023-11-10 DOI: 10.1016/j.jvoice.2023.07.028

Kåre Bjørkøy , Anne-Maria Laukkanen

Objectives

This study investigated whether individual coaching can improve role portrayal and emotional expression in opera secco recitatives.

Study design

An experimental comparative study.

Methods

Eighteen students (mean age 24 years) from Norway and Sweden majoring in opera singing volunteered as test persons. As singing tasks each test person studied a short opera secco recitative in their Voice Fach during 14 days. All recitatives were picked up from renowned Italian operas from the Classical period. The texts were translated in the singers’ mother tongue but performed in Italian, a foreign language to all test persons

Thirteen test persons were enrolled in a Test group, and they were coached individually for 1h in interpretation of their singing tasks. During the intervention the test persons combined speaking the translated text in their native dialects with singing the recitative in Italian. The test persons were asked to distinguish various emotions and motivation in the singing task, and rehearsed how to express the singing task equally distinctly in Italian as in their native dialects. The singing task was recorded a capella immediately before and after the intervention. The test persons in the Control group recorded their singing tasks pre and post 1 h self-directed rehearsing on their singing tasks, without any coaching..

The recordings of all test persons were presented in randomized order for ten expert listeners to rate the expression of emotions and role portrayal. The samples were also analysed acoustically.

Results

Post coaching samples were rated significantly better in expression of various emotions and motivation compared to pre coaching samples. The Control group singers showed no significant changes in perceptual variables. Pausing increased in both groups after rehearsing.

Conclusions

A short individual coaching in performance of an opera recitative seemed to stimulate young opera singers` emotional and motivational expression.

目的:本研究探讨个别辅导能否改善歌剧secco朗诵中的角色塑造和情绪表达。研究设计:一项实验性比较研究。方法:来自挪威和瑞典的18名歌剧演唱专业学生自愿作为测试对象，平均年龄24岁。作为唱歌任务，每个测试者在14天的时间里用他们的Voice face学习一段简短的歌剧花腔朗诵。所有的朗诵都是从意大利古典时期著名的歌剧中挑选出来的。歌曲用歌手的母语翻译，但用意大利语表演，这对所有被试者来说都是一门外语。13名被试者被纳入一个测试组，他们被单独指导了1小时，以解释他们的歌唱任务。在干预期间，被试者用他们的母语说翻译文本，用意大利语唱朗诵。测试者被要求区分唱歌任务中的各种情绪和动机，并排练如何用意大利语和他们的母语同样清楚地表达唱歌任务。在干预之前和之后立即录制无伴奏合唱任务。对照组的被试在没有任何指导的情况下，记录了他们唱歌任务前和后1小时的自主排练。所有被试者的录音按随机顺序呈现给10位专家听众，让他们对情绪表达和角色塑造进行评分。这些样品也进行了声学分析。结果:教练后样本在各种情绪和动机的表达上明显优于教练前样本。对照组歌手在感知变量上没有明显的变化。排练后，两组人的停顿时间都增加了。结论:在歌剧朗诵表演中，短期的个人指导似乎可以刺激年轻歌剧演唱者的情感和动机表达。

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引用次数: 0

Clinical Psychology and Voice Disorders: A Meta-Analytic Review of Studies Assessing Psychological Characteristics Across Individuals With and Without Voice Disorders 临床心理学与声音障碍：评估有和无声音障碍个体心理特征研究的荟萃分析综述。

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2023-10-06 DOI: 10.1016/j.jvoice.2023.09.012

Luke Aldridge-Waddon , Chloe Hiles , Victoria Spence , Matthew Hotton

Objectives

Clinical voice disorders are heterogenous conditions capturing problems with voice production and control. Psychological conceptualizations of voice disorders posit that mood, anxiety, and personality characteristics contribute to the development and maintenance of voice symptoms. This review brings together research comparing these psychological characteristics across groups with and without voice disorders, with the aim of profiling group differences.

Methods

A systematic search of PubMed, CINAHL, Ovid (PsycInfo, MEDLINE, Embase), and Web of Science databases was conducted, with studies required to assess psychological characteristics between samples with and without voice disorders. Relative study quality and risk of bias were formally evaluated, synthesizing results via meta-analysis (estimating standardized mean difference; SMD) and narrative synthesis.

Results

Thirty-nine studies (N = 4740) were reviewed. Marked psychological differences were observed between case-control groups, including significantly higher self-reported features of depression (SMD = 0.50), state anxiety (SMD = 0.58), trait anxiety (SMD = 0.52), health anxiety (SMD = 0.57), and neuroticism (SMD = 0.47) in voice disorder groups. However, less consistent patterns of difference were observed between voice disorder types, including minimal quantitative differences between functional and organic diagnoses.

Conclusions

Findings underline and formulate the psychological features associated with experiencing a voice disorder, indicating individuals with voice disorders present with considerable psychological needs that may benefit from clinical psychology input.

目的：临床语音障碍是指语音产生和控制方面存在问题的异质性疾病。声音障碍的心理学概念认为，情绪、焦虑和个性特征有助于声音症状的发展和维持。这篇综述汇集了一项研究，比较了有和没有语音障碍的群体的这些心理特征，目的是分析群体差异。方法：对PubMed、CINAHL、Ovid（PsycInfo、MEDLINE、Embase）和Web of Science数据库进行系统搜索，需要进行研究来评估有和没有语音障碍的样本之间的心理特征。通过荟萃分析（估计标准化平均差；SMD）和叙述性综合综合综合结果，正式评估相对研究质量和偏倚风险。结果：共回顾了39项研究（N=4740）。病例对照组之间存在显著的心理差异，包括语音障碍组中抑郁（SMD=0.50）、状态焦虑（SMD=0.58）、特质焦虑（SMD=0.52）、健康焦虑（SMD=0.57）和神经质（SMD=0.47）的自我报告特征显著更高。然而，在语音障碍类型之间观察到的差异模式不太一致，包括功能诊断和器质诊断之间的最小数量差异。结论：研究结果强调并形成了与经历语音障碍相关的心理特征，表明语音障碍患者存在相当大的心理需求，可能受益于临床心理输入。

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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 : 2026-03-01 Epub Date: 2023-10-23 DOI: 10.1016/j.jvoice.2023.09.027

Feiao Lu , Kun Zhao , Yulun Wu, Yurou Kong, Yongxiang Gao, Liya Zhang

Objectives

The effectiveness of deep brain stimulation (DBS) in treating vocal tremors is currently a subject of debate. To assess the efficacy of DBS therapy in adults with vocal tremors (VT), we analyzed its impact on voice tremor severity, voice-related quality of life, fundamental frequency, voice intensity, and emotional state.

Methods

We conducted a systematic review with meta-analysis to investigate the impact of DBS therapy on voice tremor severity, voice-related quality of life, fundamental frequency, voice intensity, and emotional state in adults with vocal tremors (PROSPERO/CRD42023420272). The PubMed, Embase, Cochrane Library, Cochrane Central Register of Controlled Trials databases were searched up to September 20, 2022. Primary outcome measures included voice tremor severity and voice-related quality of life (V-RQOL), while fundamental frequency (F0) and voice intensity, along with emotional state, were selected as secondary outcome indicators. We employed the Cochrane Collaboration's tool for assessing bias risk in randomized trials. Meta-analysis (standardized difference of means and weighted mean differences) and heterogeneity analysis (I2) were performed.

Results

Our search identified 1186 studies, of which nine studies involving 61 patients met the inclusion criteria. The severity of voice tremor (SMD = −1.08; 95% CI: −1.80 to 0.35; P = 0.02) and V-RQOL (SMD = −1.39; 95% CI: −2.68 to −0.09; P = 0.04) in patients with vocal tremor significantly improved after DBS “on”. Subgroup analyses revealed that the stimulation site may contribute to high heterogeneity. Specifically, Vim DBS showed significant improvement in voice tremor severity (SMD = −0.97; 95% CI: −1.84 to −0.09; I2 = 51.01%), while STN DBS did not demonstrate a clear benefit in addressing vocal tremor. There was no significant difference between DBS “on” and DBS "off" in terms of F0, voice intensity, or emotional status.

Conclusion

DBS therapy is effective in enhancing voice quality and voice-related quality of life in patients with vocal tremors. Notably, Vim DBS demonstrates a significant improvement in voice tremor severity, particularly in VT patients with ET and SD.

目的：脑深部刺激（DBS）治疗声带震颤的有效性目前是一个有争议的话题。为了评估DBS治疗成人声音震颤（VT）的疗效，我们分析了其对声音震颤严重程度、声音相关生活质量、基频、声音强度和情绪状态的影响。方法：我们进行了一项系统综述和荟萃分析，以研究DBS治疗对成人声音震颤严重程度、声音相关生活质量、基频、声音强度和情绪状态的影响（PROSPERO/CDR42023420272）。截至2022年9月20日，检索了PubMed、Embase、Cochrane Library、CochraneCentral Register of Controlled Trials数据库。主要结果指标包括声音震颤严重程度和声音相关生活质量（V-RQOL），而基频（F0）和声音强度以及情绪状态被选为次要结果指标。我们采用了Cochrane协作的工具来评估随机试验中的偏倚风险。进行荟萃分析（平均值的标准化差异和加权平均值差异）和异质性分析（I2）。结果：我们的检索确定了1186项研究，其中9项研究涉及61名患者，符合纳入标准。DBS“on”后，声音震颤患者的声音震颤严重程度（SMD=-1.08；95%CI:1.80~0.35；P=0.02）和V-RQOL（SMD=-1.39；95%CI:2.68~-0.09；P=0.04）显著改善。亚组分析显示，刺激部位可能导致高度异质性。具体而言，Vim-DBS显示出声音震颤严重程度的显著改善（SMD=-0.97；95%CI:1.84至-0.09；I2=51.01%），而STN-DBS在解决声音震颤方面没有表现出明显的益处。在F0、声音强度或情绪状态方面，DBS“开”和DBS“关”之间没有显著差异。结论：DBS治疗能有效提高嗓音震颤患者的嗓音质量及与嗓音相关的生活质量。值得注意的是，Vim-DBS显示出声音震颤严重程度的显著改善，尤其是在伴有ET和SD的室性心动过速患者中。

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引用次数: 0

Voice Pathologies and the General Population’s Perception 声音病理学与普通人群的感知。

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2023-11-01 DOI: 10.1016/j.jvoice.2023.10.002

Sean A. Setzen , Tejas Kollu , Priya A. Uppal , Ava A. Herzog , Gillian Ridler , Melissa Thomas , Diana Luong , Rafael Cardona Rodriguez , Daniel Kayajian , Melissa Mortensen

Objectives

To examine how the general population perceives voice pathology based on subjective qualities.

Study design

Descriptive, cross-sectional, survey-based study.

Methods

This is an IRB-approved Qualtrics survey on Amazon MTurk for respondents ages 18 and older. Ten subjects with voice pathologies supplied voice recordings of the Rainbow Passage to be assessed by the respondents. Respondents then assessed the voice conditions on perceived qualities of intelligence, leadership ability, and employability. One-way analysis of variance (ANOVA) and Dunnett’s multiple comparison test with Sidak correction compared the mean scores of the samples (alpha = 0.05).

Results

A total of 1754 responses were included in the final dataset. The female control voice was scored as more likely to be a Fortune 500 leader as well as more intelligent, friendly, attractive, and employable when compared to the female vocal fry and muscle tension dysphonia (MTD) recordings (P < 0.0001). Conversely, the male MTD was the only male pathology that received a significantly lower score on friendliness, attractiveness, Fortune 500 leader status and employability than the male control (P = 0.0102, P = 0.0007, P = 0.0338, and P = 0.0039, respectively).

Conclusions

This study demonstrates the more critical appraisal of voice pathologies of female patients compared to their male counterparts. People with voice disorders are perceived as being less successful, a disadvantage to potential leadership and career opportunities.

目的：研究普通人群如何根据主观素质感知语音病理。研究设计：描述性、横断面、基于调查的研究。方法：这是IRB批准的Qualtrics在亚马逊MTurk上针对18岁及以上受访者的调查。10名患有声音病理的受试者提供了彩虹通道的录音，供受访者评估。然后，受访者评估了智力、领导能力和就业能力等感知品质的语音条件。单向方差分析（ANOVA）和带有Sidak校正的Dunnett多重比较检验比较了样本的平均得分（α=0.05）。结果：最终数据集中共包含1754个回答。女性控制声音被认为更有可能成为财富500强的领导者，也更聪明、友好、有吸引力，与女性声带和肌张力性发音困难（MTD）记录相比，这项研究表明，与男性患者相比，女性患者对声音病理的评估更为关键。声音障碍患者被认为不太成功，对潜在的领导能力和职业机会不利。

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引用次数: 0

Angles of Needle Insertion for True Vocal Fold Access Via the Thyrohyoid and Cricothyroid Membranes of the Larynx 经喉甲状舌骨膜及环甲膜进入真声带的针入角。

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2023-11-25 DOI: 10.1016/j.jvoice.2023.10.014

Elif Sari , Gkionoul Nteli Chatzioglou , Dastan Temirbekov , Aynur Aliyeva , İlke A. Gurses

Objective

This study aims to provide an analysis of the cricothyroid and thyrohyoid membrane approaches for laryngeal injections in cadaveric vocal cords. The primary objective is to determine the optimal techniques, needle trajectories, and anatomical landmarks for accessing different regions of the vocal cords percutaneously.

Materials and methods

The study was conducted on 23 adult cadavers, consisting of 8 females and 15 males. The cadaveric larynges were mounted vertically to ensure proper anatomical positioning. Both the cricothyroid and thyrohyoid membrane approaches were utilized for reaching the vocal cords. Measurements were taken for needle trajectories, angles, and distances to determine the optimal approach for accessing the anterior, middle, and posterior thirds of the vocal cord.

Results

Through the thyrohyoid membrane approach, the anterior, middle, and posterior thirds of the vocal cords can be accessed with the optimal needle insertion coronal angles of 15.46 ± 7.86°, 16.52 ± 7.15° and 18.29 ± 14.46°, and sagittal angles of 126.01 ± 9.65°, 116.67 ± 8.04° and 111.02 ± 8.86° respectively at a lateral distance of 1.92 ± 1.62 mm from the midline and 8.48 ± 2.73 mm below the vertical line. From the cricothyroid membrane approach, optimal coronal and sagittal insertion angles of the anterior, middle, and posterior thirds of the vocal cord were respectively: 158.95 ± 9.3°, 156.09 ± 11.59°, 152.4 ± 14.46°, 11.5 ± 7.77°, 21.83 ± 12.47° and 32.91 ± 12.59°.

Conclusion

This analysis of the cricothyroid and thyrohyoid membrane approaches in cadaveric larynges provides valuable insights for clinicians and researchers in the field of laryngology. The findings serve as a reference for optimizing laryngeal injection techniques, enhancing patient outcomes, and minimizing complications.

目的:探讨经环甲和舌骨甲状膜入路在尸体声带喉注射中的应用。主要目的是确定最佳的技术，针的轨迹，和解剖标志，以进入声带的不同区域经皮。材料与方法:研究对象为23具成年尸体，其中女性8具，男性15具。尸体喉部垂直安装，以确保正确的解剖定位。经环甲和甲状舌骨膜入路均可到达声带。测量针的轨迹、角度和距离，以确定进入声带前、中、后三分之一的最佳入路。结果:经甲状舌骨膜入路，在距中线1.92±1.62 mm、距垂线8.48±2.73 mm的横向距离上，冠状角分别为15.46±7.86°、16.52±7.15°和18.29±14.46°，矢状角分别为126.01±9.65°、116.67±8.04°和111.02±8.86°，可进入声带前、中、后三分之一。从环甲膜入路，声带前、中、后三分之一的最佳冠状位和矢状位入路角度分别为:158.95±9.3°、156.09±11.59°、152.4±14.46°、11.5±7.77°、21.83±12.47°和32.91±12.59°。结论:对尸体喉部环甲和甲状舌骨膜入路的分析为喉科的临床医生和研究人员提供了有价值的见解。研究结果可作为优化喉注射技术、提高患者预后和减少并发症的参考。

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引用次数: 0

Breathy Voice as a Compensatory Strategy for Essential Vocal Tremor: A Single Case Experiment Across Participants 呼吸声作为原发性声带震颤的补偿策略:跨参与者的单例实验。

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2023-11-25 DOI: 10.1016/j.jvoice.2023.10.003

Nayanika Ghosh, Elizabeth Eidson, Elaina Derrick , Rosemary A. Lester-Smith

Objective

Essential vocal tremor (EVT) manifests as nearly rhythmic modulations of fundamental frequency (f_o) and intensity and causes a shaky voice. Although research on behavioral therapy for EVT is limited, previous studies have shown that a breathy voice reduces the perception of simulated EVT and might be an effective compensatory strategy. The current study aimed to measure the acoustical and perceptual effects of a breathy voice strategy in speakers with EVT.

Study design

A single-case experimental design (SCED) was used to investigate acoustical effects, and a pair comparison listening task was used to investigate perceptual effects.

Methods

Three participants with EVT matched five different levels of breathiness produced by a computational model. Acoustical analyses of the rate and extent of f_o and intensity modulation were performed to estimate EVT severity for baseline and treatment trials. Statistical analyses were completed using Tau-U. Twenty novice listeners participated in the perceptual study to determine if treatment trials sounded less “shaky” than baseline trials. Statistical analyses were completed using one sample t tests.

Results

The acoustical effects were variable across different levels of breathiness for all three participants. All participants were able to adjust their levels of breathiness based on auditory models and verbal cues but did not achieve the target levels of breathiness. Listeners did not perceive the breathy trials to be less “shaky” than baseline trials for any level of breathiness.

Conclusion

The breathy voice strategy had variable effects on the acoustical measures of EVT, supporting the use of a single-case experimental design to investigate the effectiveness of behavioral treatment for EVT. Listeners perceived breathy trials to be “shakier” than baseline trials, which was inconsistent with our hypothesis and previous studies of EVT. Future research should evaluate the use of a breathy voice in speakers with confirmed laryngeal tremor, optimize cueing for breathiness, and provide more opportunities to practice the breathy strategy.

目的:原发性声带震颤(EVT)表现为基本频率和强度几乎有节奏的调节，导致声音颤抖。虽然对EVT的行为治疗研究有限，但之前的研究表明，呼吸声音会降低模拟EVT的感知，可能是一种有效的补偿策略。目前的研究旨在测量呼吸语音策略对EVT说话者的声学和感知影响。研究设计:采用单案例实验设计(SCED)来研究声学效应，采用配对比较聆听任务来研究感知效应。方法:三名EVT参与者通过计算模型匹配五种不同的呼吸水平。声学分析的速率和程度和强度调制进行估计EVT的严重程度基线和治疗试验。采用Tau-U进行统计分析。20名新手听众参加了知觉研究，以确定治疗试验是否比基线试验听起来更“不稳定”。统计分析采用单样本t检验完成。结果:声学效果在所有三个参与者的不同呼吸水平上是可变的。所有参与者都能够根据听觉模型和语言线索调整自己的呼吸水平，但没有达到目标呼吸水平。听众并不认为呼吸测试比任何呼吸水平的基线测试更“不稳定”。结论:呼吸语音策略对EVT的声学测量有不同的影响，支持使用单例实验设计来研究EVT行为治疗的有效性。听众认为呼吸试验比基线试验“更不稳定”，这与我们的假设和之前的EVT研究不一致。未来的研究应该评估在确诊喉颤的说话者中使用带呼吸的声音，优化呼吸的提示，并提供更多练习呼吸策略的机会。

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引用次数: 0

Tragal Cartilage Versus Fascia Lata Implant for Treatment of Glottic Insufficiency: A Randomized Clinical Trial 耳门软骨与阔筋膜植入治疗声门不全：一项随机临床试验

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2023-10-29 DOI: 10.1016/j.jvoice.2023.09.032

Amr El-Badrawy, Usama Abdelnaseer, Eslam Elshahawy, Heba M. Farag, Ahmed Yousef

Background

40 patients with glottic insufficiency over the age of 18 years old who presented to the otorhinolaryngology outpatient clinic at (blinded for peer review) were the subjects of this prospective study. Two equal groups (A&B) of patients were randomly separated. For group (A), the tragal cartilage implants were used to enhance the vocal folds; for group (B), fascia lata implants were utilized. Auditory perceptual assessment of voice (APA), voice handicap index (VHI), and computerized speech lab (CSL) were used for voice assessment, penetration aspiration score (PAS), and dysphagia handicap index (DHI) for aspiration assessment during preoperative and postoperative evaluation.

Results

In both groups, there was a statistically significant difference between preoperative and postoperative subjective and objective parameters used for voice and aspiration assessment (APA, VHI, CSL, PAS, and DHI). There was a statistically non-significant difference between the two groups one and 12 months postoperatively except for only noise to the harmonic ratio (N/H ratio) in group A which showed more significant improvement than group B.

Conclusion

Vocal fold augmentation using the tragal cartilage and fascia lata grafts in glottic insufficiency patients is effective in improving hoarseness of voice and aspiration. Both grafts result in long-term improvement (at least 12 months), however tragal cartilage graft is easier to implant and more stable postoperatively than the fascia lata graft.

背景：40名18岁以上的声门功能不全患者在耳鼻喉科门诊就诊（盲法进行同行评议），是这项前瞻性研究的对象。两组患者随机分为两组（A&；B）。A组采用耳屏软骨植入增强声带；B组采用阔筋膜植入物。术前和术后评估采用语音听觉感知评估（APA）、语音障碍指数（VHI）和计算机化言语实验室（CSL）进行语音评估，穿刺吸音评分（PAS）和吞咽障碍指数（DHI）进行吸音评估。结果两组术前、术后用于嗓音和吸音评价的主客观参数（APA、VHI、CSL、PAS、DHI）比较，差异均有统计学意义。术后1个月和12个月，两组间差异无统计学意义，仅a组噪声与谐波比（N/H比）较b组改善更显著。结论声门功能不全患者行耳门软骨和阔筋膜移植声带增强术可有效改善声音沙哑和吸音。两种移植物均可获得长期改善（至少12个月），但耳屏软骨移植物比阔筋膜移植物更容易植入且术后更稳定。

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引用次数: 0

Instructions for Contributors 投稿人须知

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2026-03-03 DOI: 10.1016/S0892-1997(26)00083-4

引用次数: 0

TOC TOC

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

Journal of Voice

Pub Date : 2026-03-01 Epub Date: 2026-03-03 DOI: 10.1016/S0892-1997(26)00080-9

引用次数: 0