Evidence map›Paper›PMID 36846402›Full record

ArticleLaryngoscope investigative otolaryngology2023

Age-dependent treatment effect of vocal fold steroid injection for benign vocal fold lesions.

Miki Nozawa, Takeharu Kanazawa, Kazuya Kurakami, Kazutaka Kashima, Ayako Okui, Tomohiro Hasegawa, Mayu Hirosaki, Manami Kamitomai, Takeshi Igarashi, Makoto Ito and 1 more

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Intralesional steroid injection versus voice therapy for the management of early vocal fold nodules in female patients: a randomized controlled trial.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
    Trial
  2. Article
  3. Article
  4. Review
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

11 authors.

Miki NozawaDivision of Laryngeal Surgery, Department of Otolaryngology-Head and Neck Surgery, School of Medicine Jichi Medical University Shimotsuke Japan.
Takeharu KanazawaDivision of Laryngeal Surgery, Department of Otolaryngology-Head and Neck Surgery, School of Medicine Jichi Medical University Shimotsuke Japan.ORCID https://orcid.org/0000-0002-3735-684X
Kazuya KurakamiTokyo Voice Center International University of Health and Welfare Tokyo Japan.
Kazutaka KashimaTokyo Voice Center International University of Health and Welfare Tokyo Japan.
Ayako OkuiTokyo Voice Center International University of Health and Welfare Tokyo Japan.ORCID https://orcid.org/0000-0002-0836-4875
Tomohiro HasegawaDivision of Laryngeal Surgery, Department of Otolaryngology-Head and Neck Surgery, School of Medicine Jichi Medical University Shimotsuke Japan.
Mayu HirosakiTokyo Voice Center International University of Health and Welfare Tokyo Japan.
Manami KamitomaiTokyo Voice Center International University of Health and Welfare Tokyo Japan.
Takeshi IgarashiDivision of Laryngeal Surgery, Department of Otolaryngology-Head and Neck Surgery, School of Medicine Jichi Medical University Shimotsuke Japan.
Makoto ItoDepartment of Otolaryngology-Head and Neck Surgery, School of Medicine Jichi Medical University Shimotsuke Japan.
Yusuke WatanabeTokyo Voice Center International University of Health and Welfare Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Benign vocal fold lesions (BVFLs) cause voice disorders and impair social life. Recently, office-based vocal fold steroid injection (VFSI) has gained attention as a minimally invasive treatment for BVFLs. This study aimed to analyze the age-dependent treatment effect of VFSI and to clarify the indications for treatment. Methods: In this retrospective cohort study, a total of 83 patients with BVFLs were treated with a similar regimen of VFSI. Three or four months after the injection, age-dependent phonological functions were evaluated. The differences between pre- and post-treatment findings were analyzed using the Wilcoxon matched-pair signed-rank test, and the correlation between patient age and improvement rates were determined by Pearson's correlation coefficient. Results: Improvement in voice handicap index (VHI), which was the primary endpoint, was observed. Subjective and objective voice quality measurements also showed significant improvements. Subgroup analyses revealed that there was no age-related difference in the improvement of voice quality and that there was no improvement in aerodynamic effect in patients over 45 years of age. Conclusion: This study clarified the age-dependent treatment effect of VFSI and provided the important suggestion of establishing indication criteria for BVFLs. The study results provided clarity on the indication criteria of VFSI and served as an important indicator for tailoring treatment to patients' needs. Level of Evidence: 4.

Indexed as

age‐dependent treatment effectbenign vocal fold lesionsoffice surgerysteroid injection

Identifiers

PMID36846402
PMCPMC9948573

What OpenQuestion holds

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Registered trials

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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.