{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T01:54:28Z","timestamp":1790992468925,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100016257","name":"University of California Davis School of Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016257","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To demonstrate the feasibility of restoring intelligible, own\u2010voice speech after total laryngectomy using noninvasive surface electromyography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>One post\u2010laryngectomy patient and one healthy reference speaker silently articulated a closed\u2010vocabulary corpus of 499 dates and times while surface electromyographic (sEMG) signals were recorded from a 20\u2010electrode face, jaw, and neck montage. A decoder mapped sEMG into speaker\u2010independent speech tokens, which a public token\u2010to\u2010speech stack converted into audible speech; for the patient, the output was re\u2010rendered in his own pre\u2010surgical voice using approximately 8\u2009min of audio recorded before surgery. A per\u2010subject procedure identified a reduced electrode subset, and performance was evaluated by five human listeners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The system produced intelligible speech in the patient's own pre\u2010surgical voice. Mean word error rate by human listeners was 20.2% (95% CI 11.0%\u201331.5%) for the patient and 14.9% (6.8%\u201324.9%) for the reference speaker. Electrode\u2010selection analysis indicated that roughly half of the recorded electrodes captured 95% of the multi\u2010channel signal (9 of 20 for the patient, 11 of 18 for the reference), supporting more compact hardware. Single\u2010trial recordings showed coordinated muscle activity tracking each silently articulated word despite the absence of phonation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Noninvasive sEMG\u2010based speech restoration is feasible after total laryngectomy. By decoding muscle activity into a speaker\u2010independent representation, the approach sidesteps the absence of post\u2010surgical own\u2010voice audio and remains applicable to patients unable to phonate. Unlike existing alternatives (electrolarynx, esophageal speech, tracheoesophageal puncture), it can also restore the patient's own pre\u2010surgical voice, offering a high\u2010performing, low\u2010complication path toward clinical use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>4.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lio2.70559","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T01:24:49Z","timestamp":1788398689000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Noninvasive Speech Restoration After Total Laryngectomy Using Surface Electromyography: Pilot Study"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4664-0700","authenticated-orcid":false,"given":"Naresh K.","family":"Kaushal","sequence":"first","affiliation":[{"name":"Center for Mind and Brain, University of California, Davis  Davis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel C.","family":"Comstock","sequence":"additional","affiliation":[{"name":"Center for Mind and Brain, University of California, Davis  Davis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter C.","family":"Belafsky","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of California, Davis  Davis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adolfo","family":"Ramirez\u2010Aristizabal","sequence":"additional","affiliation":[{"name":"Accenture Labs  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee M.","family":"Miller","sequence":"additional","affiliation":[{"name":"Center for Mind and Brain, University of California, Davis  Davis California USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of California, Davis  Davis California USA"},{"name":"Department of Neurobiology, Physiology and Behavior University of California, Davis  Davis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1192\/j.eurpsy.2021.1829"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.04.023"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.27901"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2015.2480"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_AJSLP\u201020\u201000092"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1044\/2018_PERS\u2010SIG3\u20102018\u20100013"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100039\u20103402497"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.1212"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4818"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apjon.2023.100362"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1088\/1741\u20102552\/aac965"},{"key":"e_1_2_12_13_1","unstructured":"D.GaddyandD.Klein \u201cAn Improved Model for Voicing Silent Speech \u201daccessed April 28 2023 http:\/\/arxiv.org\/abs\/2106.01933."},{"key":"e_1_2_12_14_1","unstructured":"T.Benster G.Wilson R.Elisha F. 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