{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T22:23:29Z","timestamp":1773008609307,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T00:00:00Z","timestamp":1645747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T00:00:00Z","timestamp":1645747200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2022,12]]},"abstract":"\n Objectives<\/jats:title>\n Acute vocal fold edema (VFE) is often a consequence of illness, allergy, or voice overuse, causing dysphonia. Although VFE typically resolves with voice rest and treatment of predisposing causes, oral glucocorticoids are often considered for performers with imminent performance demands. There are limited data about performers' perceptions of vocal change during treatment and how this relates to their ability to perform. This study aims to examine performers' self\u2010perceptions of vocal function with steroid treatment.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Fifty\u2010five performers (34\u2009F; 21\u2009M) diagnosed with VFE who chose treatment with a 6\u2010day methylprednisolone taper were prospectively assessed. They completed the Evaluation of the Ability to Sing Easily (EASE) and reported on their voice use, regimen, performance obligations, and ability to perform. Findings were compared between Day 1 and Day 6 using paired\n t<\/jats:italic>\n \u2010tests and nonparametric Wilcoxon signed\u2010rank tests.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Nearly all subjects completed scheduled performances without interruption. Following treatment, all subscales of the EASE were decreased at Day 6 (Vocal Function 29.78\u201320.59; Pathologic Risk Indicator 26.60\u201317.33; Vocal Concerns 6.10\u20134.20). These differences were statistically significant (\n p<\/jats:italic>\n \u2009<\u20090.0001) and greater in subjects with performances scheduled and subjects who consistently completed vocal warmups. These findings demonstrate significant improvement in several facets of performers' self\u2010perception of function.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Subjects reported significant improvement in vocal function with oral steroid treatment and were able to meet performance obligations. It remains important that steroids are not prescribed without laryngeal examination. Examination should be repeated when dysphonia persists, recurs swiftly, or when patients seek repeated treatment, as there may be increased risk of adverse outcomes, and continued steroid use may mask underlying chronic pathology that is best treated by other means.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n \n 4\n Laryngoscope<\/jats:italic>\n , 132:2434\u20132441, 2022\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lary.30072","type":"journal-article","created":{"date-parts":[[2022,2,26]],"date-time":"2022-02-26T01:59:48Z","timestamp":1645840788000},"page":"2434-2441","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Performers' Perceptions of Vocal Function During Oral Steroid Treatment of Vocal Fold Edema"],"prefix":"10.1002","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4021-5108","authenticated-orcid":false,"given":"Christine","family":"Murphy Estes","sequence":"first","affiliation":[{"name":"The Sean Parker Institute for the Voice, Department of Otolaryngology \u2013 Head & Neck Surgery Weill Cornell Medical College New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6144-0259","authenticated-orcid":false,"given":"Keith","family":"Chadwick","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology \u2013 Head & Neck Surgery Stony Brook University Stony Brook New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7976-238X","authenticated-orcid":false,"given":"Babak","family":"Sadoughi","sequence":"additional","affiliation":[{"name":"The Sean Parker Institute for the Voice, Department of Otolaryngology \u2013 Head & Neck Surgery Weill Cornell Medical College New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8586-450X","authenticated-orcid":false,"given":"Katerina","family":"Andreadis","sequence":"additional","affiliation":[{"name":"The Sean Parker Institute for the Voice, Department of Otolaryngology \u2013 Head & Neck Surgery Weill Cornell Medical College New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Sussman","sequence":"additional","affiliation":[{"name":"The Sean Parker Institute for the Voice, Department of Otolaryngology \u2013 Head & Neck Surgery Weill Cornell Medical College New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8989-2073","authenticated-orcid":false,"given":"Lucian","family":"Sulica","sequence":"additional","affiliation":[{"name":"The Sean Parker Institute for the Voice, Department of Otolaryngology \u2013 Head & Neck Surgery Weill Cornell Medical College New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,25]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2007.05.009"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27431"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(05)70257-7"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/014556130108000705"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(01)00011-X"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2013.11.002"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.0151-2019"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20140626-54"},{"key":"e_1_2_6_10_1","volume-title":"Care of the Professional Voice","author":"Davies DG","year":"1998"},{"key":"e_1_2_6_11_1","volume-title":"Laryngitis from Reflux: Prevention for the Performing Singer. 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Head and Neck Surgery \u2013 Otolaryngology","author":"Bailey B","year":"2014"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29437"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2011.01.006"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20580"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2013.01.019"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2016.12.003"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360(2008\/08-0017)"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(00)80082-X"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2007.10.013"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.12.041"},{"key":"e_1_2_6_22_1","first-page":"305","article-title":"A proposal to adapt the voice handicap index to the singing voice","volume":"126","author":"Morsomme D","year":"2005","journal-title":"Rev Laryngol Otol Rhinol (Bord)"},{"key":"e_1_2_6_23_1","first-page":"305","article-title":"Voicehandicap index adapted to the singing voice","volume":"128","author":"MorsommeD GM","year":"2007","journal-title":"Rev Laryngol Otol Rhinol (Bord)"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23691"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.30072","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.30072","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.30072","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T20:28:19Z","timestamp":1773001699000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.30072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,25]]},"references-count":23,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1002\/lary.30072"],"URL":"https:\/\/doi.org\/10.1002\/lary.30072","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,25]]},"assertion":[{"value":"2022-01-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}