{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:54:20Z","timestamp":1790934860169,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"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":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Unilateral vocal cord palsy (UVCP) significantly affects phonation and swallowing. While injection laryngoplasty and medialisation thyroplasty are effective, both may require revision. Vocal Implant System (VOIS; APrevent Biotech GmbH) is an adjustable titanium\u2010silicone thyroplasty implant that allows postoperative modification, potentially reducing the need for further surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twelve patients, seven male and five female, underwent VOIS implantation. Voice outcomes were assessed pre\u2010 and postoperatively using the GRBAS scale and the Voice Handicap Index\u201010 (VHI\u201010).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The composite GRBAS score improved significantly from 9.0\u2009\u00b1\u20091.87 to 3.75\u2009\u00b1\u20092.49 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0024). The VHI\u201010 decreased from 25.75\u2009\u00b1\u20099.36 to 14.92\u2009\u00b1\u20099.55 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0093). No intra\u2010 or postoperative complications occurred. Two patients required postoperative implant volume adjustments\u2014one performed in clinic and one under local anaesthetic in theatre.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The VOIS implant thyroplasty demonstrated significant improvement in both perceptual and patient\u2010reported voice outcomes with a favourable safety profile. Larger, long\u2010term studies are warranted to confirm its comparative efficacy and durability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.70142","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:15:27Z","timestamp":1784247327000},"page":"902-907","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adjustable Vocal Implant System (\n                    <scp>VOIS<\/scp>\n                    ) for Unilateral Vocal Fold Paralysis: Short\u2010Term Outcomes From a 12\u2010Patient Case Series"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4844-9194","authenticated-orcid":false,"given":"Sam","family":"Kebbe","sequence":"first","affiliation":[{"name":"Leicester Medical School, George Davies Centre  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Keane","sequence":"additional","affiliation":[{"name":"Leicester Medical School, George Davies Centre  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuanyu","family":"Gao","sequence":"additional","affiliation":[{"name":"Northampton General Hospital  Northampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6389-8397","authenticated-orcid":false,"given":"Yadsan","family":"Devabalan","sequence":"additional","affiliation":[{"name":"Northampton General Hospital  Northampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guan\u2010Min","family":"Ho","sequence":"additional","affiliation":[{"name":"Mackay Memorial Hospital  Taipei Taiwan"},{"name":"Yomin ENT &amp; Pediatric Clinic  New Taipei City Taiwan"},{"name":"APrevent Medical  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohan","family":"Bidaye","sequence":"additional","affiliation":[{"name":"Northampton General Hospital  Northampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2018.0067"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/14015439.2014.902497"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030\u20106665(03)00172\u20105"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25739"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21143"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.5152\/b\u2010ent.2023.231247"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016487409126379"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1067\/s0892\u20101997(03)00080\u20108"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40136\u2010014\u20100044\u2010y"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537\u2010199811000\u201000020"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21004"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.1059"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29958"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405\u2010023\u201008367\u20101"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004050000299"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058\u20100360.0603.66"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27001"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106\u2010025\u201001640\u20101"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2012.42"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2009.12.003"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405\u2010010\u20101327\u20107"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2011.09.005"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000168059.12949.a6"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318041f6ed"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.70142","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/coa.70142","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.70142","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:08:52Z","timestamp":1790932132000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.70142"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,16]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1111\/coa.70142"],"URL":"https:\/\/doi.org\/10.1111\/coa.70142","archive":["Portico"],"relation":{},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,16]]},"assertion":[{"value":"2025-12-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}