{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T04:54:14Z","timestamp":1767156854167,"version":"3.40.4"},"reference-count":23,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Folia Phoniatr Logop"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Objective:&lt;\/i&gt;&lt;\/b&gt; To evaluate voice function in patients with adductor spasmodic dysphonia (AdSD) who discontinued botulinum toxin (BTX) treatment because they felt that their voice had improved sufficiently. &lt;b&gt;&lt;i&gt;Patients and Methods:&lt;\/i&gt;&lt;\/b&gt; Twenty-eight patients quit treatment in 2004, of whom 20 fulfilled the inclusion criteria for the study, with 3 subsequently excluded because of return of symptoms, leaving 17 patients (11 males, 6 females) included in this follow-up study. A questionnaire concerning current voice function and the Voice Handicap Index were completed. Audio-perceptual voice assessments were done by 3 listeners. The inter- and intrarater reliabilities were &lt;i&gt;r&lt;\/i&gt; &gt; 0.80. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; All patients had a subjectively good stable voice, but with differences in their audio-perceptual voice assessment scores. Based on the pre-\/posttreatment auditory scores on the overall degree of AdSD, patients were divided into 2 subgroups showing more and less improvement, with 10 and 7 patients, respectively. The subgroup with more improvement had shorter duration from the onset of symptoms until the start of BTX treatment, and included 7 males compared to only 4 males in the subgroup with less improvement. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; It seems plausible that the symptoms of spasmodic dysphonia may decrease over time. Early intervention and male gender seem to be important factors for long-term reduction of the voice symptoms of AdSD.<\/jats:p>","DOI":"10.1159\/000449100","type":"journal-article","created":{"date-parts":[[2016,12,2]],"date-time":"2016-12-02T22:01:25Z","timestamp":1480716085000},"page":"144-151","source":"Crossref","is-referenced-by-count":5,"title":["Long-Term Follow-Up of Patients with Spasmodic Dysphonia and Improved Voice despite Discontinuation of Treatment"],"prefix":"10.1159","volume":"68","author":[{"given":"Ahmed","family":"Geneid","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Per-\u00c5ke","family":"Lindestad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Svante","family":"Granqvist","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riitta","family":"M\u00f6ller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"S\u00f6dersten","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2016,12,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199810000-00003"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(98)80041-6"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1177\/000348940010900808"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.3109\/14015439709075324"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1177\/000348940111001009"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2004.03.006"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000253"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(84)80015-0"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1177\/0003489415588557"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S0967-5868(03)00020-1"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.38.8.1220"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(02)00080-2"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1177\/000348940010900906"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/01.moo.0000145959.50513.5e"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1080\/14015430902839185"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1080\/14015430310015255"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2002\/009)"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2015.11.003"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200409000-00009"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360.0603.66"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1177\/000348949610500106"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2015.03.007"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31815e8be0"}],"container-title":["Folia Phoniatrica et Logopaedica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/449100","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/449100","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/449100","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T17:09:44Z","timestamp":1745428184000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000449100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":23,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2017,1,20]]},"published-print":{"date-parts":[[2017,1,27]]}},"URL":"https:\/\/doi.org\/10.1159\/000449100","archive":["Portico"],"relation":{},"ISSN":["1021-7762","1421-9972"],"issn-type":[{"type":"print","value":"1021-7762"},{"type":"electronic","value":"1421-9972"}],"subject":[],"published":{"date-parts":[[2016]]}}}