Evidence map›Paper›PMID 41693119›Full record

Trial reportThe Laryngoscope2026

Patient Report Versus Instrumental Measurement of Voice Use During Postsurgical Voice Rest.

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

Abstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Marianna RubinoDepartment of Communication Sciences and Disorders, The University of Tulsa, Tulsa, Oklahoma, USA.ORCID 0000-0002-9011-4639
Ruiqing 'Stephanie' FanDepartment of Communication Sciences and Disorders, University of Houston, Houston, Texas, USA.
Paulina A KuleszTexas Institute for Measurement, Evaluation, and Statistics, University of Houston, Houston, Texas, USA.
Yin YiuDepartment of Otolaryngology, Head & Neck Surgery, Texas Voice Center, Houston Methodist, Houston, Texas, USA.ORCID 0000-0002-5040-4308
Abigail DueppenDepartment of Communication Sciences and Disorders, University of Houston, Houston, Texas, USA.
Teresa ProcterDepartment of Otolaryngology, Head & Neck Surgery, Texas Voice Center, Houston Methodist, Houston, Texas, USA.
Maurice E GoodwinPrivate Practice, Houston, Texas, USA.
Apurva A ThekdiDepartment of Otolaryngology, Head & Neck Surgery, Texas Voice Center, Houston Methodist, Houston, Texas, USA.
Ashwini JoshiDepartment of Communication Sciences and Disorders, University of Houston, Houston, Texas, USA.

Funding

Voice Rest Adherence after PhonomicrosurgeryR21DC017205 · NIDCD · UNIVERSITY OF HOUSTON · PI JOSHI, ASHWINI · 2020 to 2022
$436k
NIDCD NIH HHS R21 DC017205
6 · The paper itself

Abstract

objectivesComplete or relative voice rest is recommended following phonomicrosurgery. Primarily, adherence to rest has been measured using patient reports, but their validity is unknown. Instrumental measures of rest adherence are uncommon. Furthermore, to our knowledge, subjectively and instrumentally measured voice rest has not been compared in voice patients. We aimed to compare patient-reported voice use (daily and overall schedules) to concurrent dosimeter readings in postsurgical patients prescribed complete or relative voice rest.

methodSixteen women (M = 45.88 years, SD = 15.39, range: 21-69 years) and seven men (M = 46.43 years, SD = 13.43, range: 31-70 years) who underwent microflap phonosurgery for a primary benign vocal fold lesion were randomized to complete or relative rest, controlling for sex and lesion type. Postoperatively, they wore a VocaLog2 Vocal Activity Monitor for a 7-day voice rest period and used a visual analog scale to record daily and overall subjective adherence. Within-subjects (daily/overall report) and between-subjects (relative/complete rest) factors were compared using analysis of variance; dosimeter data were the outcome variable.

resultsFor both groups, daily (F

conclusionSubjective patient reports of adherence should be carefully considered. The duration of voice use did not differ by the type of voice rest recommended. LEVEL OF EVIDENCE: 3:

Indexed as

MicrosurgeryPatient ComplianceRestVocal CordsVoice QualityAdultAgedFemaleHumansMaleMiddle AgedPostoperative PeriodYoung Adultadherencedosimeterpatient reportsurgeryvoice rest

Identifiers

PMID41693119
PMCPMC13134387

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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.