{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T23:46:16Z","timestamp":1783208776175,"version":"3.54.6"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,4,24]],"date-time":"2022-04-24T00:00:00Z","timestamp":1650758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We aimed to evaluate the reliability of laryngoscopic features of vocal fold atrophy as assessed by novice otolaryngology trainees and expert laryngologists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Two expert fellowship\u2010trained laryngologists and three non\u2010expert otolaryngology resident trainees were recruited to view 50 anonymised laryngo\u2010stroboscopic examinations of patients presenting with dysphonia and non\u2010voice, laryngeal complaints. Reviewers were asked to stratify the patient's age, provide an opinion about the presence of age\u2010related vocal fold atrophy and specify which laryngoscopy features were present to make the diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary care laryngology practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Two fellowship\u2010trained laryngologists and three trainee otolaryngologists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Accuracy of age categorisation was determined and Kappa analysis was performed to assess inter\u2010rater agreement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age of patients was 54.9\u2009years old with near equal male to female distribution. The overall accuracy of age category determination by raters was only 30.8%. Kappa analysis demonstrated fair agreement regarding the presence of vocal fold atrophy in non\u2010expert reviewers, and moderate agreement amongst expert reviewers. Features of glottic gap, muscular atrophy of vocal folds and prominent vocal processes were all identified with high agreement (&gt;80.0%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study illustrates that while raters can agree on the presence of age\u2010related vocal fold atrophy, the findings may be non\u2010specific and do not necessarily correlate with age.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13936","type":"journal-article","created":{"date-parts":[[2022,4,9]],"date-time":"2022-04-09T14:01:07Z","timestamp":1649512867000},"page":"516-520","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Laryngoscopic findings of age\u2010related vocal fold atrophy are reliable but not specific"],"prefix":"10.1111","volume":"47","author":[{"given":"Jin Soo","family":"Song","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2010Head and Neck Surgery, Department of Surgery, College of Health Sciences University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, Faculty of Medicine University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui Jun","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery, Laryngology, St. Michael's Hospital University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5536-4915","authenticated-orcid":false,"given":"Caroline C.","family":"Jeffery","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head and Neck Surgery, Department of Surgery, College of Health Sciences University of Alberta  Edmonton Alberta Canada"},{"name":"Department of Communication Sciences and Disorders, Faculty of Rehabilitation Medicine University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28489"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2011.12.002"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2016.11.013"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2009.11.013"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2018.03.012"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2018.01.010"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2019.03.005"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811404640"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.2147\/ciia.2006.1.3.253"},{"issue":"1","key":"e_1_2_11_11_1","first-page":"226","article-title":"Presbylarynx: does body muscle mass correlate with vocal atrophy? 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