Evidence map›Paper›PMID 42035249›Full record

ArticleThe Laryngoscope2026

Validation of the TruBlue Light Laser for Laryngeal Somatosensory and Perturbation Testing.

Adrianna C Shembel, Ted Mau, Youri Maryn, Elizabeth Young, Julianna Smeltzer, Lesley Childs, Shumon Dhar

Abstract readValidation Study
In one paragraph

Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Adrianna C ShembelSchool of Behavioral and Brain Sciences, University of Texas at Dallas, Richardson, Texas, USA.
Ted MauDivision of Laryngology, Department of Otolaryngology - Head and Neck Surgery, Stanford University School of Medicine, Palo Alto, California, USA.ORCID https://orcid.org/0000-0002-1804-6707
Youri MarynPhonanium, Antwerp, Belgium.
Elizabeth YoungSchool of Behavioral and Brain Sciences, University of Texas at Dallas, Richardson, Texas, USA.
Julianna SmeltzerSchool of Behavioral and Brain Sciences, University of Texas at Dallas, Richardson, Texas, USA.
Lesley ChildsDepartment of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0002-2594-0731
Shumon DharDepartment of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0001-9873-8641

Funding

Sensory Mechanisms in Primary Muscle Tension DysphoniaR01DC021447 · NIDCD · UT SOUTHWESTERN MEDICAL CENTER · PI Adrianna Shembel · 2023 to 2026
$2.0M
National Institute of Deafness and Other Communication Disorders R01DC021447NIDCD NIH HHS R01 DC021447
6 · The paper itself

Abstract

objectivesClinical assessment of laryngeal somatosensation is limited by the lack of precise tools to directly stimulate the larynx and quantify sensorimotor responses. This study validated a blue light laser method for laryngeal somatosensory testing in vocally healthy adults and developed acoustic measures to quantify vocal responses to controlled laryngeal perturbations.

methodsIn this prospective validation study, a 445-nm diode blue light laser was delivered through a channeled flexible laryngoscope to the arytenoid mucosa. Single subablative pulses (1-10 W, 30 ms) were applied during quiet breathing or sustained phonation to determine perceptual and reflexive sensory thresholds, discrimination acuity, and laryngeal perturbation responses. Acoustic recordings during perturbations were analyzed in Praat using custom software to extract continuous fundamental frequency variability and quantify perturbation magnitude and recovery.

resultsParticipants demonstrated reliable perceptual detection and laryngeal reflexive responses to laser stimulation. Mean perceptual sensory threshold was 1.46 W (SD = 1.17) and mean laryngeal response threshold was 4.62 W (SD = 2.04). Sensory ratings were higher during stimulation than foil trials (p < 0.001). Sensory perception increased with stimulation intensity (~0.3 points per 1 W; p < 0.001), and higher wattage increased odds of eliciting a laryngeal response (OR = 1.38; p < 0.001). Discrimination accuracy averaged 78.5% (OR = 1.45; p = 0.002). Laser stimulation during phonation produced measurable acoustic perturbations (peak SD(f

conclusionBlue light laser stimulation is a feasible and precise method for evaluating laryngeal somatosensation and vocal sensorimotor responses. LEVEL OF EVIDENCE: 3:

Indexed as

LarynxLasers, SemiconductorSensory ThresholdsAdultBlue LightFemaleHumansMalePhonationProspective StudiesYoung Adultblue light laserfundamental frequency variabilitylaryngeal perturbationlaryngeal protective closure reflexlaryngeal somatosensation

Identifiers

PMID42035249
PMCPMC13460908

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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.