Evidence map›Paper›PMID 30159728›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2018

Pathological sulcus vocalis: treatment approaches and voice outcomes in 36 patients.

Beata Miaśkiewicz, Agata Szkiełkowska, Elżbieta Gos, Aleksandra Panasiewicz, Elżbieta Włodarczyk, Piotr H Skarżyński

Open access · hybridAbstract read
In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Glottic insufficiency caused by vocal fold atrophy with or without sulcus: systematic review of outcome measurements.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Pooled it
  2. Voice quality after excision method of sulcus vocalis treatment.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  3. Bibliometric analysis in sulcus vocalis research: 44 years of perspective.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  4. Development and validity of type II sulcus vocalis in excised canine larynx.World journal of otorhinolaryngology - head and neck surgery · 2025
    Article
  5. Sulcus Vocalis and Benign Vocal Cord Lesions: Is There Any Relationship?International journal of environmental research and public health · 2023
    Article
  6. Article
  7. Article
  8. Bilateral vocal fold injection with autologous fat in patients with vocal fold atrophy with or without sulcus.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Beata MiaśkiewiczOtorhinolaryngology Surgery Clinic, Institute of Physiology and Pathology of Hearing, Kajetany, Warsaw, Poland.
Agata SzkiełkowskaAudiology and Phoniatrics Clinic, Institute of Physiology and Pathology of Hearing, Kajetany, Warsaw, Poland.
Elżbieta GosWorld Hearing Center, Institute of Physiology and Pathology of Hearing, Kajetany, Warsaw, Poland.
Aleksandra PanasiewiczAudiology and Phoniatrics Clinic, Institute of Physiology and Pathology of Hearing, Kajetany, Warsaw, Poland. a.panasiewicz@ifps.org.pl.ORCID http://orcid.org/0000-0003-4363-3222
Elżbieta WłodarczykAudiology and Phoniatrics Clinic, Institute of Physiology and Pathology of Hearing, Kajetany, Warsaw, Poland.
Piotr H SkarżyńskiWorld Hearing Center, Institute of Physiology and Pathology of Hearing, Kajetany, Warsaw, Poland.
Institute of Physiology and Pathology of Hearing · PLFryderyk Chopin University of Music · PLMedical University of Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis is a retrospective study to evaluate the results of surgical treatment of patients with pathological sulcus vocalis.

methodsThirty-six patients with pathological sulcus underwent surgery and in 33 cases were performed additional injection laryngoplasty. The pre- and postoperative evaluation of patients included the GRBAS scale, stroboscopic, and objective acoustic voice assessment. The Voice Handicap Index questionnaire (VHI-30) was also used and the scores were obtained from 33 patients.

resultsThe stroboscopic evaluation showed significant improvement of amplitude, mucosal wave, and glottal closure after treatment (p < 0.001). The VHI-30 scores decreased considerably indicating improvement due to the treatment for all aspects measured by VHI (p < 0.05, or p < 0.01). In all domains of GRBAS scale, the differences between preoperative and postoperative assessment were statistically significant (p < 0.001). We observed a significant change in Shim and APQ parameters (p < 0.05). Improvement was also observed in the sAPQ parameter, but it was not statistically significant (p = 0.051). For the remaining acoustic parameters, no changes were observed.

conclusionsThe surgical procedure with supplementary injection laryngoplasty of the vocal folds is a good treatment option for pathological sulcus vocalis. The post-treatment self-assessment indicates the significant improvement in VHI, just as perceptual-acoustic evaluation of voice does. Patients with pathological sulcus frequently present with amplitude disturbances, what explains their significant improvement after treatment.

Indexed as

Voice QualityAdultAgedBiocompatible MaterialsDurapatiteFemaleHumansHyaluronic AcidInjectionsLaryngeal DiseasesLaryngoplastyMaleMiddle AgedRetrospective StudiesStroboscopyViscosupplementsBiocompatible MaterialsDurapatiteHyaluronic AcidViscosupplementsHyaluronic acidInjection laryngoplastyMicrolaryngoscopySulcus glottidisSulcus vocalis

Identifiers

PMID30159728
PMCPMC6208720
OpenAlexW2888935229

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.