{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:06:39Z","timestamp":1777532799683,"version":"3.51.4"},"reference-count":63,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["MOST 111\u20102314\u2010B\u2010002\u2010193 \u2010MY3"],"award-info":[{"award-number":["MOST 111\u20102314\u2010B\u2010002\u2010193 \u2010MY3"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005762","name":"National Taiwan University Hospital","doi-asserted-by":"publisher","award":["NTUH. 111\u2010S0135"],"award-info":[{"award-number":["NTUH. 111\u2010S0135"]}],"id":[{"id":"10.13039\/501100005762","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005762","name":"National Taiwan University Hospital","doi-asserted-by":"publisher","award":["NTUH. 112\u2010S0226"],"award-info":[{"award-number":["NTUH. 112\u2010S0226"]}],"id":[{"id":"10.13039\/501100005762","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Adenotonsillectomy is one of the most common surgical procedures performed on children. Caregivers are often concerned about voice change after the procedure, and such concerns remain unsettled. This meta\u2010analysis analyzed voice change in children after adenotonsillectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>The PubMed, Medline, EMBASE, and Cochrane databases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>The study protocol was registered on PROSPERO. Two authors independently searched for articles using keywords \u201cadenoidectomy,\u201d \u201ctonsillectomy, \u201cvoice,\u201d \u201cnasalance,\u201dand \u201cspeech.\u201d English articles specifying voice changes after adenotonsillectomy were pooled with standardized mean difference (SMD) using random\u2010effects model. Evaluation methods were computerized acoustic voice analysis, aerodynamic analysis, nasometer, rhinomanometry, evaluations from a speech\u2010language pathologist or otolaryngologist, and a caregiver assessment questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010three studies with 2154 children were analyzed (mean age: 8.0 y; 58% boys; mean sample size: 94 children). Due to insufficient data for other outcome variables, this meta\u2010analysis only summarized changes in the computerized acoustic voice analysis 1\u2009month and 3\u2009months after surgery. The computerized acoustic analysis revealed significant changes in jitter (SMD\u2009=\u2009\u22120.36; 95% confidence interval [CI]: \u22120.60 to \u22120.11), shimmer (SMD\u2009=\u2009\u22120.34; 95% CI: \u22120.57 to \u22120.11), and soft phonation index (SMD\u2009=\u2009\u22120.36; 95% CI: \u22120.57 to \u22120.15) at 1\u2009month after surgery. Parameters including fundamental frequency, jitter, noise\u2010to\u2010harmonics ratio, and shimmer were not significantly changed at 3\u2009months after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      This meta\u2010analysis observed small improvements in jitter, shimmer, and soft phonation index 1\u2009month after surgery. No significant effects were observed in voice outcomes 3\u2009months after surgery.\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 134:2538\u20132550, 2024\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.31140","type":"journal-article","created":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T08:57:12Z","timestamp":1698829032000},"page":"2538-2550","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Voice Change After Adenotonsillectomy in Children: A Systematic Review and\n                    <scp>Meta\u2010Analysis<\/scp>"],"prefix":"10.1002","volume":"134","author":[{"given":"Sz\u2010Ting","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation National Taiwan University Hospital  Taipei Taiwan"},{"name":"Graduate Institute of Clinical Medicine, College of Medicine National Taiwan 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