{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T11:08:32Z","timestamp":1790680112599,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T00:00:00Z","timestamp":1664928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To determine if (1) the likelihood of presenting with phonotraumatic lesions differs by singing genre in treatment\u2010seeking singers and (2) if the distribution of phonotraumatic lesion types differs by singing genre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Type<\/jats:title><jats:p>Retrospective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Records of singers who presented with a voice complaint over the course of 2.5\u2009years (June 2017\u2013December 2019) were reviewed to determine the proportion of those with phonotraumatic lesions as a function of genre (Study 1). Separately, the lesion types and genres of singers diagnosed with phonotraumatic lesions over a 9\u2010year period (July 2011\u2013March 2020) were determined (Study 2).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In Study 1, 191 of 712 (26.8%) dysphonic singers were diagnosed with phonotraumatic lesions. Country\/folk, gospel\/jazz, and musical theater singers were more likely to present with phonotraumatic lesions. In Study 2, in 443 singers with phonotraumatic lesions, polyps and pseudocysts, but not nodules, were found to be distributed unequally across genres (<jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup> <jats:italic>p<\/jats:italic>\u00a0=\u00a00.006, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.064, respectively). Praise\/worship singers had significantly higher proportions of polyps compared to choral singers (OR 4.8 [95% CI 1.9\u201312.5]) or compared to musical theater singers (OR 7.2 [95% CI 2.5\u201320.8]). Opera singers had significantly higher proportions of pseudocysts than choral singers (OR 3.1 [95% CI 1.5\u20136.1]) or musical theater singers (OR 3.7 [95% CI 1.8\u20137.6]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The higher incidence of polyps in praise\/worship singers likely reflects the more emphatic nature of singing and the tendency for acute injury. The higher incidence of pseudocysts in opera singers may reflect a more chronic nature of injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 133:1683\u20131689, 2023<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30414","type":"journal-article","created":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T11:18:55Z","timestamp":1664968735000},"page":"1683-1689","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Association of Genre of Singing and Phonotraumatic Vocal Fold Lesions in Singers"],"prefix":"10.1002","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2594-0731","authenticated-orcid":false,"given":"Lesley F.","family":"Childs","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Clinical Center for Voice Care  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"D'Oto","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Clinical Center for Voice Care  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4011-1111","authenticated-orcid":false,"given":"Dylan R.","family":"Beams","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Clinical Center for Voice Care  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Hynan","sequence":"additional","affiliation":[{"name":"Departments of Clinical Sciences and Psychiatry University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1804-6707","authenticated-orcid":false,"given":"Ted","family":"Mau","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Clinical Center for Voice Care  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2020.12.038"},{"key":"e_1_2_6_3_1","volume-title":"Manual of Singing Voice Rehabilitation: A Practical Approach to Vocal Health and Wellness","author":"Scearce L","year":"2016"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(01)00019-4"},{"key":"e_1_2_6_5_1","volume-title":"Vocology: The Science and Practice of Voice Habilitation","author":"Titze IR","year":"2012"},{"key":"e_1_2_6_6_1","volume-title":"Care of the Professional Voice: A 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