{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T21:04:59Z","timestamp":1789765499278,"version":"4.0.1"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:00:00Z","timestamp":1787961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jvoice.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Voice"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.jvoice.2026.08.043","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T20:47:46Z","timestamp":1789764466000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Voice Alterations Associated with Implanted Vagus Nerve Stimulation in Epilepsy: A Systematic Review and Meta-Analysis"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8509-7865","authenticated-orcid":false,"given":"Ayl\u00e9n Chiara","family":"Fern\u00e1ndez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7390-4180","authenticated-orcid":false,"given":"Germ\u00e1n","family":"G\u00e1lvez-Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adri\u00e1n","family":"P\u00e9rez del Olmo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9628-3989","authenticated-orcid":false,"given":"Fernando","family":"Gordillo-Le\u00f3n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0961-2869","authenticated-orcid":false,"given":"Mauricio","family":"Barramu\u00f1o-Medina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6902-763X","authenticated-orcid":false,"given":"Tatiana","family":"Romero-Arias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvoice.2026.08.043_bib1","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.yebeh.2018.06.032","article-title":"Vagus nerve stimulation (VNS) therapy update","volume":"88","author":"Wheless","year":"2018","journal-title":"Epilepsy Behav"},{"key":"10.1016\/j.jvoice.2026.08.043_bib2","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1007\/s40473-014-0010-5","article-title":"Vagus nerve stimulation","volume":"1","author":"Howland","year":"2014","journal-title":"Curr Behav Neurosci Rep"},{"key":"10.1016\/j.jvoice.2026.08.043_bib3","doi-asserted-by":"crossref","first-page":"5729","DOI":"10.1007\/s10072-025-08446-7","article-title":"VNS treatment in super-refractory status epilepticus: report of two cases and systematic review of literature","volume":"46","author":"Bosisio","year":"2025","journal-title":"Neurol Sci"},{"key":"10.1016\/j.jvoice.2026.08.043_bib4","doi-asserted-by":"crossref","DOI":"10.3389\/fnins.2022.922424","article-title":"Rapid effects of vagus nerve stimulation on sensory processing through activation of neuromodulatory systems","volume":"16","author":"Rodenkirch","year":"2022","journal-title":"Front Neurosci"},{"key":"10.1016\/j.jvoice.2026.08.043_bib5","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1111\/head.12647","article-title":"Vagus nerve and vagus nerve stimulation, a comprehensive review: part I","volume":"56","author":"Yuan","year":"2016","journal-title":"Headache"},{"key":"10.1016\/j.jvoice.2026.08.043_bib6","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.jocn.2022.09.013","article-title":"Vagus nerve stimulation paired with rehabilitation for stroke: implantation experience from the VNS-REHAB trial","volume":"105","author":"Liu","year":"2022","journal-title":"J Clin Neurosci"},{"key":"10.1016\/j.jvoice.2026.08.043_bib7","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1177\/000348940511400103","article-title":"Vagal nerve stimulation: clinical and electrophysiological effects on vocal fold function","volume":"114","author":"Shaffer","year":"2005","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"10.1016\/j.jvoice.2026.08.043_bib8","doi-asserted-by":"crossref","first-page":"777.e9","DOI":"10.1016\/j.jvoice.2015.01.010","article-title":"Impact of vagal nerve stimulation on objective vocal quality: a pilot study","volume":"29","author":"Van Lierde","year":"2015","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2026.08.043_bib9","series-title":"Principles of Voice Production","author":"Titze","year":"1994"},{"key":"10.1016\/j.jvoice.2026.08.043_bib10","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1111\/j.1528-1157.1994.tb02482.x","article-title":"Vagus nerve stimulation for treatment of partial seizures: a controlled study of effect on seizures","volume":"35","author":"Ben-Menachem","year":"1994","journal-title":"Epilepsia"},{"key":"10.1016\/j.jvoice.2026.08.043_bib11","series-title":"Cochrane Handbook for Systematic Reviews of Interventions. Version 6.5","year":"2024"},{"key":"10.1016\/j.jvoice.2026.08.043_bib12","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"10.1016\/j.jvoice.2026.08.043_bib13","doi-asserted-by":"crossref","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan-a web and mobile app for systematic reviews","volume":"5","author":"Ouzzani","year":"2016","journal-title":"Syst Rev"},{"key":"10.1016\/j.jvoice.2026.08.043_bib14","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1037\/h0031619","article-title":"Measuring nominal scale agreement among many raters","volume":"76","author":"Fleiss","year":"1971","journal-title":"Psychol Bull"},{"key":"10.1016\/j.jvoice.2026.08.043_bib15","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The measurement of observer agreement for categorical data","volume":"33","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"10.1016\/j.jvoice.2026.08.043_bib16","unstructured":"Joanna Briggs Institute. Joanna Briggs Institute reviewers' manual: 2014 edition. 2014. https:\/\/joannabriggs.org\/assets\/docs\/sumari\/ReviewersManual-2014.pdf."},{"key":"10.1016\/j.jvoice.2026.08.043_bib17","article-title":"ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions","volume":"355","author":"Sterne","year":"2016","journal-title":"BMJ"},{"key":"10.1016\/j.jvoice.2026.08.043_bib18","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1136\/bmj.39489.470347.AD","article-title":"GRADE: an emerging consensus on rating quality of evidence and strength of recommendations","volume":"336","author":"Guyatt","year":"2008","journal-title":"BMJ"},{"key":"10.1016\/j.jvoice.2026.08.043_bib19","doi-asserted-by":"crossref","first-page":"2028","DOI":"10.1097\/00005537-200111000-00030","article-title":"The effect of vagal nerve stimulation on voice","volume":"111","author":"Charous","year":"2001","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2026.08.043_bib20","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.jvoice.2013.08.007","article-title":"The role of voice therapy in the treatment of dyspnea and dysphonia in a patient with a vagal nerve stimulation device","volume":"28","author":"Gillespie","year":"2014","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2026.08.043_bib21","doi-asserted-by":"crossref","first-page":"1521","DOI":"10.1002\/ohn.196","article-title":"The clinical impact of vagal nerve stimulator implantation on laryngopharyngeal function in children: a single-center experience","volume":"168","author":"Hazkani","year":"2023","journal-title":"Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2026.08.043_bib22","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/S0892-1997(05)80259-0","article-title":"Effects of vagal nerve stimulation on laryngeal function","volume":"7","author":"Lundy","year":"1993","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2026.08.043_bib23","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1177\/000348940611500403","article-title":"Predictors of laryngeal complications in patients implanted with the Cyberonics vagal nerve stimulator","volume":"115","author":"Shaw","year":"2006","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"10.1016\/j.jvoice.2026.08.043_bib24","doi-asserted-by":"crossref","first-page":"928","DOI":"10.1177\/00034894241266802","article-title":"Stimulated vocal fold immobility after vagal nerve stimulator placement: a case series","volume":"133","author":"Schuman","year":"2024","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"10.1016\/j.jvoice.2026.08.043_bib25","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1177\/00034894211047459","article-title":"Intermittent vagal nerve stimulation-associated vocal fold movement impairment","volume":"131","author":"Yan","year":"2022","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"10.1016\/j.jvoice.2026.08.043_bib26","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1684\/epd.2021.1250","article-title":"Clinical management of voice and breathing problems in two patients with vagus nerve stimulation therapy","volume":"23","author":"Alantie","year":"2021","journal-title":"Epileptic Disord"},{"key":"10.1016\/j.jvoice.2026.08.043_bib27","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1016\/j.amjoto.2017.03.011","article-title":"The vagal nerve stimulation outcome, and laryngeal effect: otolaryngologists' roles and perspective","volume":"38","author":"Al Omari","year":"2017","journal-title":"Am J Otolaryngol"},{"key":"10.1016\/j.jvoice.2026.08.043_bib28","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/S0892-1997(02)00094-2","article-title":"Laryngeal and vocal changes during vagus nerve stimulation in epileptic patients","volume":"16","author":"Kersing","year":"2002","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2026.08.043_bib29","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1016\/j.jvoice.2020.07.033","article-title":"Vocal outcomes in vagus nerve stimulation: a laryngeal pattern-based objective analysis","volume":"36","author":"Saibene","year":"2022","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2026.08.043_bib30","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1044\/1058-0360.0603.66","article-title":"The Voice Handicap Index (VHI): development and validation","volume":"6","author":"Jacobson","year":"1997","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.jvoice.2026.08.043_bib31","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1001\/archotol.132.7.717","article-title":"Validation of the pediatric voice-related quality-of-life survey","volume":"132","author":"Boseley","year":"2006","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2026.08.043_bib32","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1044\/1058-0360(2008\/08-0017)","article-title":"Consensus auditory-perceptual evaluation of voice: development of a standardized clinical protocol","volume":"18","author":"Kempster","year":"2009","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.jvoice.2026.08.043_bib33","series-title":"Clinical Examination of Voice","author":"Hirano","year":"1981"},{"key":"10.1016\/j.jvoice.2026.08.043_bib34","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1378\/chest.85.6.751","article-title":"The measurement of dyspnea: contents, interobserver agreement, and physiologic correlates of two new clinical indexes","volume":"85","author":"Mahler","year":"1984","journal-title":"Chest"},{"key":"10.1016\/j.jvoice.2026.08.043_bib35","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.eplepsyres.2010.01.005","article-title":"Vagus nerve stimulation for epilepsy activates the vocal folds maximally at therapeutic levels","volume":"89","author":"Ardesch","year":"2010","journal-title":"Epilepsy Res"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199726004662?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199726004662?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T20:47:51Z","timestamp":1789764471000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0892199726004662"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":35,"alternative-id":["S0892199726004662"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2026.08.043","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Voice Alterations Associated with Implanted Vagus Nerve Stimulation in Epilepsy: A Systematic Review and Meta-Analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Voice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvoice.2026.08.043","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc. on behalf of The Voice Foundation.","name":"copyright","label":"Copyright"}]}}