{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T09:12:26Z","timestamp":1765876346086,"version":"3.48.0"},"reference-count":71,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100018777","name":"College of Arts and Sciences, Indiana University Bloomington","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018777","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare self\u2010reported voice, cough, and dyspnea symptom impacts, aerodynamics, and laryngeal kinematics in young adults who do and do not use electronic cigarettes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 26 electronic cigarette users (\n                      <jats:styled-content style=\"fixed-case\">EC<\/jats:styled-content>\n                      group; 10 male, 16 female) and 39 nonusers (control group; 10 male, 29 female) completed the study. Standardized questionnaires related to voice, dyspnea, and cough symptoms were completed. Aerodynamic measures of peak expiratory flow and volume for cough, subglottal pressure, and vital capacity were obtained. Laryngeal kinematics were evaluated during tasks of sustained \/i:\/ and \/hi\u2010hi\/ from high\u2010speed videoendoscopy. Comparisons between\n                      <jats:styled-content style=\"fixed-case\">EC<\/jats:styled-content>\n                      and controls were examined, and regression analyses were calculated to evaluate how characteristics of use (e.g., duration, frequency, co\u2010use with marijuana) were related to outcome measures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The\n                      <jats:styled-content style=\"fixed-case\">EC<\/jats:styled-content>\n                      group reported significantly greater voice and cough symptoms on standardized questionnaires compared to controls, with a longer duration of use significantly related to greater symptoms. Use of marijuana was related to greater cough symptoms as well. The\n                      <jats:styled-content style=\"fixed-case\">EC<\/jats:styled-content>\n                      group also exhibited significantly smaller vocal fold adductory velocities during \/hi\u2010hi\/ productions as well as significantly lower amplitude quotient variability and phase asymmetry.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study provides preliminary evidence of the negative effects of daily electronic cigarette use in young adults, with users reporting more voice\/cough symptoms, along with subtle changes to laryngeal kinematics. However, voice and cough aerodynamics were not affected. Future studies should investigate how factors of duration and use of marijuana influence voice and cough in electronic cigarette users.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.32469","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:09:09Z","timestamp":1753870149000},"page":"4830-4839","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effects of Daily Electronic Cigarette Use on the Vocal Mechanism: A Multimodality Study"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4230-905X","authenticated-orcid":false,"given":"Victoria S.","family":"McKenna","sequence":"first","affiliation":[{"name":"School of Communication Sciences and Disorders University of Central Florida  Orlando Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cora","family":"Ling","sequence":"additional","affiliation":[{"name":"Speech, Language, and Hearing Sciences Indiana University  Bloomington Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andres F.","family":"Llico","sequence":"additional","affiliation":[{"name":"Biomedical Engineering University of Cincinnati  Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5354-5210","authenticated-orcid":false,"given":"Rita","family":"Patel","sequence":"additional","affiliation":[{"name":"Speech, Language, and Hearing Sciences Indiana University  Bloomington Indiana USA"},{"name":"Otolaryngology\u2010Head and Neck Surgery Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2019.5436"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.11336"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD010216.pub5"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/10826084.2014.958857"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntu124"},{"key":"e_1_2_11_7_1","unstructured":"Center for Disease Control and Prevention E\u2010Cigarette Use Among Youth and Young Adults. A Report of the Surgeon General(Department of Health and Human Services Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Office on Smoking and Health 2016)."},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000896"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.7326\/M17\u20103440"},{"key":"e_1_2_11_10_1","doi-asserted-by":"crossref","unstructured":"E. 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