Evidence map›Paper›PMID 38217412›Full record

Trial reportThe Laryngoscope2024

Clinical Voice Outcomes for Two Voice Rest Protocols after Phonomicrosurgery.

Ruiqing Stephanie Fan, Yin Yiu, Paulina A Kulesz, Abigail Dueppen, Teresa Procter, Maurice E Goodwin, Apurva A Thekdi, Ashwini Joshi

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Laryngoscope, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Early Insights Into the Role of Personality in Adherence to Voice Rest After Phonomicrosurgery.Journal of voice : official journal of the Voice Foundation · 2025
    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

8 authors at 2 institutions in 1 country.

Ruiqing Stephanie FanDept. of Communication Sciences and Disorders, University of Houston, Houston, Texas, U.S.A.
Yin YiuTexas Voice Center, Houston Methodist Department of Otolaryngology-Head & Neck Surgery, Houston, Texas, U.S.A.ORCID 0000-0002-5040-4308
Paulina A KuleszDepartment of Psychology, Texas Institute for Measurement, Evaluation, and Statistics, University of Houston, Houston, Texas, U.S.A.
Abigail DueppenDept. of Communication Sciences and Disorders, University of Houston, Houston, Texas, U.S.A.
Teresa ProcterTexas Voice Center, Houston Methodist Department of Otolaryngology-Head & Neck Surgery, Houston, Texas, U.S.A.
Maurice E GoodwinTexas Voice Center, Houston Methodist Department of Otolaryngology-Head & Neck Surgery, Houston, Texas, U.S.A.
Apurva A ThekdiTexas Voice Center, Houston Methodist Department of Otolaryngology-Head & Neck Surgery, Houston, Texas, U.S.A.
Ashwini JoshiDept. of Communication Sciences and Disorders, University of Houston, Houston, Texas, U.S.A.ORCID 0000-0002-5031-0838
Houston Methodist · USUniversity of Houston · US

Funding

Voice Rest Adherence after PhonomicrosurgeryR21DC017205 · NIDCD · UNIVERSITY OF HOUSTON · PI JOSHI, ASHWINI · 2020 to 2022
$436k
NIDCD NIH HHS R21 DC017205NIDCD NIH HHS R21DC017205
6 · The paper itself

Abstract

objectivesVoice rest is commonly recommended for patients with benign vocal fold lesions (BVFLs) after phonomicrosurgery. The study compares the clinical voice outcomes of two protocols, 7-day complete voice rest (CVR) and 3-day CVR followed by 4-day relative voice rest (CVR + RVR), for patients with BVFLs after phonomicrosurgery. STUDY

designProspective, randomized controlled trial.

methodPatients with BVFLs undergoing phonomicrosurgery were recruited prospectively and randomly assigned to either protocol. Outcomes were assessed on objective measures of acoustics (fundamental frequency, frequency range, mean intensity, cepstral peak analysis) and aerodynamics (vital capacity, airflow rate, subglottal pressure, phonation threshold pressure), as well as subjective measures, both provider-reported through the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V), and patient-reported through the Voice Handicap Index (VHI). Clinical measures were collected at three-time points: preoperatively, 1-week postoperatively (on voice rest), and 1-month postoperatively. In addition, adherence was estimated using a vocal dosimeter.

resultsTwenty-five patients were recruited and randomized to 7-day CVR (n = 13) and CVR + RVR regimen (n = 12). Statistically significant changes were found within both groups for subglottal pressure (p = 0.03) and VHI score (p < 0.001) comparing pre-operative baseline to 1-month postoperative follow-up. There were no statistically significant differences between the groups. Regardless of group assignment, a significant decrease in overall severity ratings for the CAPE-V was found by comparing the preoperative scores to postoperative scores at 1-week (p < 0.001) and 1-month (p < 0.001).

conclusionBoth groups improved their overall voice quality comparably 1 month after undergoing phonomicrosurgery as measured by objective and subjective parameters. LEVELS OF EVIDENCE: 2. Laryngoscope, 134:2812-2818, 2024.

Indexed as

MicrosurgeryVocal CordsVoice QualityAdultAgedFemaleHumansLaryngeal DiseasesMaleMiddle AgedPhonationProspective StudiesRestTreatment OutcomeVoice Disordersclinical outcomesmicroflapphonomicrosurgeryvoice rest

Identifiers

PMID38217412
PMCPMC11078619
OpenAlexW4390841281

What OpenQuestion holds

Textmetadata
LicenceTDM
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.