{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T16:58:58Z","timestamp":1777568338641,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,1,13]],"date-time":"2024-01-13T00:00:00Z","timestamp":1705104000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,1,13]],"date-time":"2024-01-13T00:00:00Z","timestamp":1705104000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["R21DC017205"],"award-info":[{"award-number":["R21DC017205"]}],"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":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Voice rest is commonly recommended for patients with benign vocal fold lesions (BVFLs) after phonomicrosurgery. The study compares the clinical voice outcomes of two protocols, 7\u2010day complete voice rest (CVR) and 3\u2010day CVR followed by 4\u2010day relative voice rest (CVR\u2009+\u2009RVR), for patients with BVFLs after phonomicrosurgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Prospective, randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Patients with BVFLs undergoing phonomicrosurgery were recruited prospectively and randomly assigned to either protocol. Outcomes were assessed on objective measures of acoustics (fundamental frequency, frequency range, mean intensity, cepstral peak analysis) and aerodynamics (vital capacity, airflow rate, subglottal pressure, phonation threshold pressure), as well as subjective measures, both provider\u2010reported through the Consensus Auditory\u2010Perceptual Evaluation of Voice (CAPE\u2010V), and patient\u2010reported through the Voice Handicap Index (VHI). Clinical measures were collected at three\u2010time points: preoperatively, 1\u2010week postoperatively (on voice rest), and 1\u2010month postoperatively. In addition, adherence was estimated using a vocal dosimeter.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010five patients were recruited and randomized to 7\u2010day CVR (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200913) and CVR\u2009+\u2009RVR regimen (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912). Statistically significant changes were found within both groups for subglottal pressure (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03) and VHI score (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) comparing pre\u2010operative baseline to 1\u2010month postoperative follow\u2010up. There were no statistically significant differences between the groups. Regardless of group assignment, a significant decrease in overall severity ratings for the CAPE\u2010V was found by comparing the preoperative scores to postoperative scores at 1\u2010week (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and 1\u2010month (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both groups improved their overall voice quality comparably 1\u2009month after undergoing phonomicrosurgery as measured by objective and subjective parameters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Levels of Evidence<\/jats:title>\n                    <jats:p>\n                      2.\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 134:2812\u20132818, 2024\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.31250","type":"journal-article","created":{"date-parts":[[2024,1,13]],"date-time":"2024-01-13T07:09:21Z","timestamp":1705129761000},"page":"2812-2818","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Clinical Voice Outcomes for Two Voice Rest Protocols after Phonomicrosurgery"],"prefix":"10.1002","volume":"134","author":[{"given":"Ruiqing Stephanie","family":"Fan","sequence":"first","affiliation":[{"name":"Dept. of Communication Sciences and Disorders University of Houston  Houston Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5040-4308","authenticated-orcid":false,"given":"Yin","family":"Yiu","sequence":"additional","affiliation":[{"name":"Texas Voice Center Houston Methodist Department of Otolaryngology\u2010Head &amp; Neck Surgery  Houston Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulina A.","family":"Kulesz","sequence":"additional","affiliation":[{"name":"Department of Psychology, Texas Institute for Measurement, Evaluation, and Statistics University of Houston  Houston Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abigail","family":"Dueppen","sequence":"additional","affiliation":[{"name":"Dept. of Communication Sciences and Disorders University of Houston  Houston Texas U.S.A."},{"name":"Texas Voice Center Houston Methodist Department of Otolaryngology\u2010Head &amp; Neck Surgery  Houston Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Procter","sequence":"additional","affiliation":[{"name":"Texas Voice Center Houston Methodist Department of Otolaryngology\u2010Head &amp; Neck Surgery  Houston Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurice E.","family":"Goodwin","sequence":"additional","affiliation":[{"name":"Texas Voice Center Houston Methodist Department of Otolaryngology\u2010Head &amp; Neck Surgery  Houston Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Apurva A.","family":"Thekdi","sequence":"additional","affiliation":[{"name":"Texas Voice Center Houston Methodist Department of Otolaryngology\u2010Head &amp; Neck Surgery  Houston Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5031-0838","authenticated-orcid":false,"given":"Ashwini","family":"Joshi","sequence":"additional","affiliation":[{"name":"Dept. of Communication Sciences and Disorders University of Houston  Houston Texas U.S.A."},{"name":"Texas Voice Center Houston Methodist Department of Otolaryngology\u2010Head &amp; Neck Surgery  Houston Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215113001485"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2008.10.011"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26979"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(89)80127-4"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940010900709"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940511400105"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24263"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28287"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/14015439.2018.1504985"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414560583"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2016.02.009"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1044\/2021_AJSLP-21-00115"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599810390465"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30082"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2022.12.008"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1044\/2018_AJSLP-17-0009"},{"key":"e_1_2_9_18_1","unstructured":"KayPentax.Phonatory Aerodynamic System (PAS) Model 6600 [Instruction Manual]. 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