{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T23:46:19Z","timestamp":1783208779069,"version":"3.54.6"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T00:00:00Z","timestamp":1693785600000},"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":[[2024,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Age\u2010related vocal atrophy (ARVA) is associated with vocal fold bowing, persistent glottal gap during phonation, and dysphonia. Bilateral medialization thyroplasty is sometimes performed in patients with ARVA to improve vocal fold closure and voice. We set out to quantify stroboscopic changes in vocal fold bowing, glottal closure, and abduction angle following bilateral thyroplasty and determine how these changes affect voice quality among patients with ARVA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifteen individuals with ARVA who underwent bilateral medialization thyroplasty were included in this study. Two independent investigators calculated bowing index (BI), normalized glottal gap area (NGGA), and maximum abduction angle from laryngostroboscopic exams using ImageJ\u2122. Consensus Auditory\u2010Perceptual Evaluation of Voice (CAPE\u2010V) and patient\u2010reported measures were collected before and after thyroplasty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thyroplasty resulted in a 10\u2010point improvement in overall CAPE\u2010V (Mean dif \u221210; 95% CI \u201317, \u22123.3, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) and VHI\u201010 (mean dif \u22123.8; 95% CI \u20139.8, 2.3, <jats:italic>p<\/jats:italic>\u2009=\u20090.19, <jats:italic>n<\/jats:italic>\u2009=\u20098). NGGA and BI significantly decreased following surgery (mean dif \u221278; 95% CI \u2013155, \u22121.5, <jats:italic>p<\/jats:italic>\u2009=\u20090.05; and mean dif \u22122.1; 95% CI \u20132.4, \u22120.84, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01, respectively). BI correlated with CAPE\u2010V scores (<jats:italic>r<\/jats:italic>\u2009=\u20090.66, 95% CI 0.22, 0.87, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). When considering the normalized combined contributions of both NGGA and BI, there was a stronger correlation in CAPE\u2010V scores (<jats:italic>r<\/jats:italic>\u2009=\u20090.87, 95% CI 0.50, 0.97, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) compared with either measure alone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Thyroplasty resulted in a decrease in vocal fold bowing, glottal gap area, and CAPE\u2010V scores in patients with ARVA. Correction of vocal bowing and glottal gap, following bilateral thyroplasty, improved voice measures following surgery. Quantitative evaluation of vocal fold morphology may be valuable when assessing the severity and treatment\u2010response in patients with ARVA following bilateral thyroplasty. <jats:italic>Laryngoscope<\/jats:italic>, 134:835\u2013841, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31026","type":"journal-article","created":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T11:10:15Z","timestamp":1693825815000},"page":"835-841","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Quantitative Evaluation of Vocal Bowing Following Bilateral Thyroplasty in Age\u2010Related Vocal Atrophy"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9685-5575","authenticated-orcid":false,"given":"David J.","family":"Cvancara","sequence":"first","affiliation":[{"name":"Division of Laryngology Department of Otolaryngology \u2013 Head and Neck Surgery University of Washington School of Medicine  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4080-5597","authenticated-orcid":false,"given":"Hans C.","family":"Baertsch","sequence":"additional","affiliation":[{"name":"Keck School of Medicine University of Southern California  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio A.","family":"de Leon","sequence":"additional","affiliation":[{"name":"Division of Laryngology Department of Otolaryngology \u2013 Head and Neck Surgery University of Washington School of Medicine  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric D.","family":"Hollenbaugh","sequence":"additional","affiliation":[{"name":"Division of Laryngology Department of Otolaryngology \u2013 Head and Neck Surgery University of Washington School of Medicine  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8706-3909","authenticated-orcid":false,"given":"J. P.","family":"Giliberto","sequence":"additional","affiliation":[{"name":"Division of Laryngology Department of Otolaryngology \u2013 Head and Neck Surgery University of Washington School of Medicine  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2505-5326","authenticated-orcid":false,"given":"Melissa","family":"Zheng","sequence":"additional","affiliation":[{"name":"Division of Laryngology Department of Otolaryngology \u2013 Head and Neck Surgery University of Washington School of Medicine  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neel K.","family":"Bhatt","sequence":"additional","affiliation":[{"name":"Division of Laryngology Department of Otolaryngology \u2013 Head and Neck Surgery University of Washington School of Medicine  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41999-018-0095-6"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30653"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940511400510"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200111000-00029"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949610500407"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2017.10.014"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13936"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25398"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30394"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2023.111483"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215121000475"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949710600702"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360(2008\/08-0017)"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200409000-00009"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.exger.2010.08.029"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199804000-00010"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215118001573"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200007000-00004"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2009.09.006"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.4103\/2230-8210.190523"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2008.10.010"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949410300504"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.31026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T06:09:41Z","timestamp":1705903781000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.31026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,4]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1002\/lary.31026"],"URL":"https:\/\/doi.org\/10.1002\/lary.31026","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,4]]},"assertion":[{"value":"2023-03-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}