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Journal of Voice | Page 2

Rishabh Sethia, Ryan J Ivancic, Winslo K Idicula, Brad W deSilva
OBJECTIVES: To discuss the presentation and management techniques of implant extrusion following type I thyroplasty and to illustrate the potential of strap muscle for augmentation following implant removal. METHODS: We report a unique case of a patient with late Gore-Tex implant extrusion after type I thyroplasty treated with removal and autologous strap muscle graft for augmentation. RESULTS: A 41-year-old female nearly 3.5 years status post Gore-Tex type I thyroplasty for left vocal fold paralysis presented for evaluation of dysphonia...
April 10, 2019: Journal of Voice
Flávia Maiele Pedroza Trajano, Larissa Nadjara Alves Almeida, Sauana Alves Leite de Alencar, João Euclides Fernandes Braga, Anna Alice Almeida
OBJECTIVE: To evaluate the impact of group therapy in patients with dysphonia, as well as to verify the correlation between vocal symptoms and levels of anxiety. METHODS: The study was composed of 52 patients subdivided into two groups, named the Experimental Group (EG) with 28 volunteers and the Control Group (CG) with 24 volunteers. Anxiety and voice protocols were used for data collection. The State-Trait Anxiety Inventory (STAI) was used to measure trait levels of anxiety that after collection were categorized according to the variation in scores value: low anxiety (20-40 points); average anxiety (40-60 points); high anxiety (60-80 points)...
April 9, 2019: Journal of Voice
Brienne Ruel, Susan Thibeault
OBJECTIVES: Vocal effort is often a symptom reported when a patient experiences a voice disorder. The aim of this investigation was to compare Voice Handicap Index (VHI) scores among patients with primary complaints of vocal effort (VE) versus vocal quality (VQ) and both vocal effort and quality (VQ+VE). A secondary aim was to compare Glottal Function Index (GFI), and glottic closure pattern between patients with the aforementioned primary presenting complaints and laryngeal pathology diagnosis...
April 8, 2019: Journal of Voice
Usha Rajan Athira, Usha Devadas
OBJECTIVE: The purpose of the present study was to translate and validate the English version of the Vocal Fatigue Index (VFI) in to Malayalam language. METHODS: The English version of the VFI was translated into Malayalam language using parallel back translation. The translated version was content validated by three qualified Speech Language Pathologists. The final Malayalam version of the VFI was administered on 528 primary school teachers with and without self-reporting of voice problems...
March 26, 2019: Journal of Voice
Joseph Spellman, Michael Coulter, Carole Roth, Christopher Johnson
IMPORTANCE: Prior studies have evaluated various populations at increased risk of voice impairment. However, minimal data is available for military Drill Instructors, a population known to have significant vocal demands. OBJECTIVE: The purpose of this study was to determine the prevalence of subjective, perceptual, and objective dysphonia in this population and to evaluate contributing factors and impact on job performance. DESIGN: Cross-sectional analysis...
March 26, 2019: Journal of Voice
Véronique Delvaux, Claire Pillot-Loiseau
PURPOSE: Several perceptual scales have been developed to assess voice quality in dysphonic voices, among which the Grade Roughness Breathiness Asthenia Strain and a Rate of Dysphonia scale is probably the most frequently used. However, this clinical tool has not been properly validated with a normophonic population yet. The aim of the present study was to provide a first set of reference data gathered from a normal population, to serve as a basis of comparison for vocologists and laryngologists working with French-speaking patients...
March 25, 2019: Journal of Voice
Jason Adleberg, Ashley P O'Connell Ferster, Daniel A Benito, Robert T Sataloff
OBJECTIVE: To determine whether Eulerian Video Magnification software is useful in diagnosis of muscle tension dysphonia (MTD). STUDY DESIGN: Prospective. METHODS: Adult patients scheduled in a tertiary care laryngology practice for evaluation of dysphonia were recruited between November 2016 and March 2017. Demographic and clinical data were extracted from patient charts. Diagnosis of MTD was confirmed with videostroboscopic and physical exam and by a speech-language pathologist...
March 25, 2019: Journal of Voice
Ashwini Joshi
OBJECTIVE: The purpose of this study was to examine how the s/z ratio and instrumental measures of laryngeal valving and voicing efficiency. STUDY DESIGN: Prospective, cohort design. METHODS: Fifteen adult males (mean age 28.3 years) and 15 adult females (mean age 29.2 years) with normal voice quality were recruited and compared on productions of the s/z ratio and instrumental aerodynamic measures. The aerodynamic measures included vital capacity, maximum phonation time, airflow rate during sustained and sentence production, subglottal pressure, and laryngeal airway resistance...
March 20, 2019: Journal of Voice
Mary E Finger, Mustafa S Siddiqui, Amy K Morris, Kathryn W Ruckart, S Carter Wright, Ihtsham U Haq, Lyndsay L Madden
OBJECTIVE: To determine the effects of globus pallidus interna (GPi) deep brain stimulation (DBS) on speech and voice quality of patients with primary, medically refractory dystonia. METHODS: Voices of 14 patients aged ≥18years (males = 7 and females = 7) with primary dystonia (DYT1 gene mutation dystonia = 4, cervical dystonia = 6, and generalized dystonia = 4) with bilateral GPi DBS were assessed. Five blinded raters (two fellowship-trained laryngologists and three speech/language pathologists) evaluated audio recordings of each patient pre- and post-DBS...
March 14, 2019: Journal of Voice
Carmen Unterhofer, Anna Maria Stefanie Buchberger, Olivia Jeleff-Wölfler, Naglaa Mansour, Simone Graf
INTRODUCTION: Laryngeal and pharyngeal activity during inner singing is discussed in the context of vocal hygiene. Inner singing is defined as imagined singing, reading music silently, and listening to vocal music. When vocal rest is prescribed, doctors, speech therapists, and voice pedagogues recommend avoiding listening to music or reading music silently, since it is suggested that inner singing unconsciously influences the glottis, and thus moves the vocal folds involuntarily. The aim of this study was to compare the degree to which involuntary laryngeal and/or pharyngeal activity occur during inner singing, inner speech, and at rest, and to evaluate if current recommendations concerning vocal hygiene are still reasonable...
March 12, 2019: Journal of Voice
Christian T Herbst
Electroglottography (EGG) is a low-cost, noninvasive technology for measuring changes of relative vocal fold contact area during laryngeal voice production. EGG was introduced about 60 years ago and has gone through a "golden era" of increased scientific attention in the late 1980s and early 90s. During that period, four eminent review papers were written. Here, an update to these reviews is given, recapitulating some earlier landmark contributions and documenting noteworthy developments during the past 25 years...
March 11, 2019: Journal of Voice
Estefanía Hernández-García, Laureano Moro-Velázquez, Ramón González-Herranz, Juan Ignacio Godino-Llorente, Guillermo Plaza
OBJECTIVE: Functional Endoscopic Sinus Surgery (FESS) is the surgery of choice for nasal polyposis and chronic rhinosinusitis. The aim of our study is to assess the influence of this surgery in the acoustic parameters of voice, and their implications in the systems of identification or verification of the speaker through the speech. MATERIAL AND METHODS: A prospective study was performed between January 2017 and June 2017 including two groups of patients: those undergoing FESS, and a control group...
March 7, 2019: Journal of Voice
Thomas Townes, Carolyn Noelke, Jonathan Lively, Pamela Mudd
Benign vocal fold lesions (BVFL), including nodules, polyps, and cysts, are the most common etiology of dysphonia in the pediatric population. Voice surveys, such as the Pediatric Voice Handicap Index (PVHI), have become instrumental in the evaluation and monitoring of pediatric patients with dysphonia; however the symptom profiles reported in surveys have not yet been well correlated to specific etiologies for dysphonia. In a retrospective chart review of 95 patients with PVHI surveys and laryngoscopic exams, we sought to correlate the PVHI results with findings of BVFL...
March 4, 2019: Journal of Voice
R J Baken, Ben C Watson
Normative data for vocal attack time (VAT) have previously been presented, but descriptive statistics and assessments of statistical significance of differences have previously been based on a data corpus that included both negative- and positive-valued VATs. Negative VAT values denote a glottal vocal attack, but, at the present time, the signification of the magnitude of a negative VAT value is unknown. The magnitude of a positive VAT value, on the other hand, conveys useful information about glottal behavior at the time of voice onset and is much more likely to be of use, especially in the clinical domain...
May 2019: Journal of Voice
Robert T Sataloff
No abstract text is available yet for this article.
March 2019: Journal of Voice
Maude Desjardins, Heather Shaw Bonilha
INTRODUCTION: The role of respiratory exercises in voice therapy remains unclear as many patients do not need extensive breath support to meet their voice demands. However, since these exercises are commonly used in clinical practice and ubiquitous in voice therapy textbooks, there is a need to determine the evidence for using respiratory exercises to improve vocal function. OBJECTIVE: The goal of the present review is to determine the state of the evidence regarding the effectiveness of respiratory interventions to improve respiratory and voice outcomes...
February 25, 2019: Journal of Voice: Official Journal of the Voice Foundation
Michael Ghirelli, Francesco Mattioli, Gaia Federici, Gaetano Ferri, Andrea Malagoli, Marco Trebbi, Livio Presutti
PURPOSE: Microlaryngoscopy laryngeal surgery (MLS) is a highly specialized and delicate surgical procedure performed by a single operator. The aim of this study is to report the initial development of a validated and codified training program on ex vivo porcine larynx, allowing residents to obtain the basic skills of the MLS. METHODS: Two residents without previous MLS experience were tested with four different exercises on 10 larynxes, one side at a time. The time needed for each exercise was noted...
February 25, 2019: Journal of Voice
Zahide Ciler Büyükatalay, Muhammed Fatih Gökmen, Sibel Yıldırım, Gürsel Dursun
OBJECTIVES: This study explores Islamic religious officials' voice use, disorders, and treatment methods by comparing the officials with teachers, the largest group of voice professionals. STUDY DESIGN: This is a nonrandomized retrospective study. METHODS: This study included 85 patients with voice disorder complaints; 42 were religious officials and 43 were teachers. We compared the two groups of patients in terms of demographic information, job descriptions, years in their professions, smoking histories, alcohol consumption, allergies and other systemic disorders, average weekly vocal loads, voice training, vocal abuse-misuse, reflux symptom index and voice handicap index scores, and voice disorder diagnosis and treatment methods...
February 20, 2019: Journal of Voice
Lindsey A Parker, Melda Kunduk, David Blouin, Lacey Adkins, Andrew J McWhorter
OBJECTIVES: Recurrent Respiratory Papillomatosis (RRP) is a rare disease caused by the human papilloma virus that presents as warty, exophytic growths in the upper airway. RRP in the larynx can lead to severe airway obstruction and voice changes. It is clinically known that patients with RRP frequently experience dysphonia. The purpose of this study was to assess the impact of multiple surgical treatments on RRP patients' voice outcomes, and to determine whether a higher number of repeated surgeries lead to decreased voice quality...
February 19, 2019: Journal of Voice
Famiely Colman Machado de Machado, Marcus Miranda Lessa, Carla Aparecida Cielo, Tássia Milenna de Oliveira Souza, Fernanda Ventin Prates de Souza, Camila Sampaio Ribeiro, Juliana Almeida Silva, Edgar Marcelino de Carvalho Filho, Paulo Roberto Lima Machado, Thaynara Montagner, Mailane Mota Muniz, Thalita Nunes Barbosa, Daniela Da Silva Gonçalves, Carolina Cincurá
PURPOSE: To characterize the voice before and after speech-language intervention, with Humming nasal sound in patients with sequelae Mucosal Leishmaniasis (ML) and Cutaneous Leishmaniasis (CL). METHODS: Collection of phonation /a:/ from 44 patients with ML and CL for perceptual voice analysis and computed acoustic. The Wilcoxon nonparametric test and Fisher's exact test were used, with significance level of 5%. RESULTS: It was observed, prespeech therapy, that 27...
February 19, 2019: Journal of Voice
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