{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T09:17:44Z","timestamp":1778923064269,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:00:00Z","timestamp":1769126400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:00:00Z","timestamp":1769126400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the clinical value of real\u2010time ultrasound measurement of thyrohyoid space dynamics in assessing vocal hyperfunction mode (VHM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>The 161 chronic laryngitis patients, 55 with vocal cord polyps, and 44 normal controls were studied at Sun Yat\u2010sen Memorial Hospital, Sun Yat\u2010sen University, from June 2024 to January 2025. Voice quality, aerodynamic parameters, and thyrohyoid space were assessed using VHI\u201010, GRBAS scale, voice analysis, aerodynamic profiling, palpation scoring, and ultrasound. Data analysis was conducted using Python.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant differences (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) in\n                      <jats:styled-content style=\"fixed-case\">VHI<\/jats:styled-content>\n                      \u201010 scores, G, R, B, S, Jitter, and Shimmer are observed between male and female vocal cord polyp groups. Aerodynamic analysis indicates distinct variations in mean airflow rate across both genders (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), while maximum phonation time and subglottic pressure differ significantly in females alone (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Palpation scores for the thyrohyoid space and\n                      <jats:styled-content style=\"fixed-case\">F0<\/jats:styled-content>\n                      do not show substantial differences (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05) between groups. Conversely, real\u2010time ultrasound evaluations of the thyrohyoid space, including pre\u2010phonation\/phonation minimum distances (left\/right), rates of unilateral (left\/right) narrowing, and maximum narrowing rate, exhibit notable differences (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) across three groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Real\u2010time ultrasound measurement of the thyroid\u2013hyoid gap is simple, feasible, and provides a more quantitative assessment of VHM than subjective palpation or vocal aerodynamic measures. It therefore represents a useful clinical tool for evaluating voice function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70388","type":"journal-article","created":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T06:24:41Z","timestamp":1769235881000},"page":"2663-2671","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Real\u2010Time Dynamic Ultrasound Characteristics of the Thyrohyoid Space in Vocal Hyperfunction Mode"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6187-1938","authenticated-orcid":false,"given":"Liao","family":"Fang","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Sun Yat\u2010sen Memorial Hospital, Sun Yat\u2010sen University  Guangzhou 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Yat\u2010sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruan","family":"Jingliang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Sun Yat\u2010sen Memorial Hospital, Sun Yat\u2010sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liu","family":"Rongbin","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Sun Yat\u2010sen Memorial Hospital, Sun Yat\u2010sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su","family":"Yangzhou","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Sun Yat\u2010sen Memorial Hospital, Sun Yat\u2010sen University  Guangzhou China"},{"name":"Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation Sun Yat\u2010Sen Memorial Hospital, Sun Yat\u2010sen University  Guangzhou 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