{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:49:28Z","timestamp":1786978168569,"version":"build-2736575974"},"reference-count":82,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,6,26]],"date-time":"2022-06-26T00:00:00Z","timestamp":1656201600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["T32\u2010DC009401"],"award-info":[{"award-number":["T32\u2010DC009401"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study employed acoustic measures as well as auditory\u2010perceptual assessments to examine the effects of voice therapy in children presenting with benign vocal fold lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective, observational cohort design was employed. Sustained vowels produced by 129 children diagnosed with benign vocal fold lesions were analyzed, as well as connected speech samples produced by 47 children. Treatment outcome measures included Consensus of Auditory\u2010Perceptual Evaluation of Voice (CAPE\u2010V), jitter, shimmer, Noise\u2010to\u2010Harmonic Ratio (NHR), cepstral peak prominence (CPP), and Low\u2010to\u2010High Ratio (LHR) on sustained vowels, and CPP and LHR on connected speech.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Following voice therapy, significant improvements in CAPE\u2010V ratings (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) were observed. Additionally, jitter (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.041), NHR (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.019), and CPP (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) on sustained vowels, and CPP (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002), and LHR (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.008) on connected speech significantly improved following voice therapy. CPP increased with age in males but did not change in females. CAPE\u2010V ratings and perturbation measures indicated that dysphonia was more severe in younger children pre and post\u2010therapy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Auditory\u2010perceptual and acoustic measures demonstrated improved voice quality following voice therapy in children with dysphonia. CPP effectively quantified voice therapy gains and allowed for analysis of connected speech, in addition to sustained vowels. These findings demonstrate the value of CPP as a tool in assessing therapy outcomes and support the efficacy of voice therapy for children presenting with vocal fold lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      4\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 133:977\u2013983, 2023\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.30263","type":"journal-article","created":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T01:31:19Z","timestamp":1656293479000},"page":"977-983","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Voice Therapy Improves Acoustic and\n                    <scp>Auditory\u2010Perceptual<\/scp>\n                    Outcomes in 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