{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T03:03:18Z","timestamp":1775012598087,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,5,29]],"date-time":"2013-05-29T00:00:00Z","timestamp":1369785600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81070773"],"award-info":[{"award-number":["81070773"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81028004"],"award-info":[{"award-number":["81028004"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01 DC008153"],"award-info":[{"award-number":["R01 DC008153"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["F31 DC012495"],"award-info":[{"award-number":["F31 DC012495"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To present a new method of quantifying arytenoid movement during inspiration and determine if it can be used to distinguish arytenoid dislocation from vocal fold paralysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Retrospective study conducted in a university laboratory based on university hospital data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Endoscopic videos from 8 patients with dislocation and 5 patients with vocal fold paralysis diagnosed by electromyography were included. Vector analysis measured cuneiform movement, an indirect measurement of arytenoid movement, during 1\u00a0inspiration. Measurements normalized and not normalized to vocal fold length were evaluated. Interrater reliability (2 raters) and intrarater reliability (1 rater performing the analysis twice) were evaluated using intraclass correlation coefficient (ICC) analysis. Raters were blinded to subject group during analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pixel\u2010valued cuneiform movement was 81.16 \u00b1 25.62 for dislocation and 30.22 \u00b1 23.60 for paralysis (<jats:italic>P<\/jats:italic> =. 019). Unitless cuneiform movement was 0.58 \u00b1 0.17 for dislocation and 0.24 \u00b1 0.18 for paralysis (<jats:italic>P<\/jats:italic> =. 030). Interrater ICC was 0.942 for pixel\u2010valued measurements and 0.962 for unitless measurements. Intrarater ICC was 0.909 for pixel\u2010valued measurements and 0.881 for unitless measurements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Both pixel\u2010valued and unitless measures of arytenoid movement were significantly greater in arytenoid dislocation than vocal fold paralysis. Pixel\u2010valued measurements were included to demonstrate the ability to make quantitative comparisons across subjects without precise knowledge of camera precision, provided position is approximately stable, as each measurement is inherently normalized by vocal tract length. Future studies will apply this new method of evaluating vocal fold immobility disorders on a larger scale and incorporate a more diverse group of etiologies.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599813491222","type":"journal-article","created":{"date-parts":[[2013,5,30]],"date-time":"2013-05-30T00:20:25Z","timestamp":1369873225000},"page":"451-456","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Differentiating Arytenoid Dislocation and Recurrent Laryngeal Nerve Paralysis by Arytenoid Movement in Laryngoscopic Video"],"prefix":"10.1002","volume":"149","author":[{"given":"Peiyun","family":"Zhuang","sequence":"first","affiliation":[{"name":"Xiamen University Zhongshan Hospital ENT Department Xiamen Fujian China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Nemcek","sequence":"additional","affiliation":[{"name":"University of Wisconsin\u2013Madison School of Medicine and Public Health Department of Surgery Division of Otolaryngology\u2013Head and Neck Surgery Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ketan","family":"Surender","sequence":"additional","affiliation":[{"name":"University of Wisconsin\u2013Madison School of Medicine and Public Health Department of Surgery Division of Otolaryngology\u2013Head and Neck Surgery Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew R.","family":"Hoffman","sequence":"additional","affiliation":[{"name":"University of Wisconsin\u2013Madison School of Medicine and Public Health Department of Surgery Division of Otolaryngology\u2013Head and Neck Surgery Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Fudan University Shanghai EENT Hospital ENT Department Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William J.","family":"Chapin","sequence":"additional","affiliation":[{"name":"University of Wisconsin\u2013Madison School of Medicine and Public Health Department of Surgery Division of Otolaryngology\u2013Head and Neck Surgery Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack J.","family":"Jiang","sequence":"additional","affiliation":[{"name":"University of Wisconsin\u2013Madison School of Medicine and Public Health Department of Surgery Division of Otolaryngology\u2013Head and Neck Surgery Madison Wisconsin USA"},{"name":"Fudan University Shanghai EENT Hospital ENT Department Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,5,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2004.11.002"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21276"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199411000-00007"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S002221511100226X"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1272\/jnms.70.382"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2007.05.012"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1978.00790050033007"},{"key":"e_1_2_8_9_1","first-page":"145","article-title":"Arytenoid injury and subluxation in anesthetic practice","volume":"22","author":"Jensen NF","year":"1995","journal-title":"Am J Anesthesiol"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(96)70156-0"},{"key":"e_1_2_8_11_1","first-page":"653","article-title":"Laryngeal electromyographic characteristics of vocal fold immobility","volume":"41","author":"Wen X","year":"2006","journal-title":"Chin J Otorhinolaryngol Head Neck Surg"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/14015430410017009"},{"key":"e_1_2_8_13_1","first-page":"152","article-title":"Study of characteristics of normal laryngeal electromyography","volume":"13","author":"Lizhen H","year":"2005","journal-title":"J Audiol Speech Pathol"},{"key":"e_1_2_8_14_1","volume-title":"Laryngeal Electromyography","author":"Sataloff RT","year":"2005"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5541030202"},{"key":"e_1_2_8_16_1","first-page":"120","article-title":"Fast normalized cross\u2010correlation","volume":"1995","author":"Lewis JP","journal-title":"Vision Interface"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(03)00146-1"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989411100612"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940010900405"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940711600110"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31817f1940"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599813491222","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599813491222","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599813491222","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:57:41Z","timestamp":1760968661000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599813491222"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,29]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,9]]}},"alternative-id":["10.1177\/0194599813491222"],"URL":"https:\/\/doi.org\/10.1177\/0194599813491222","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5,29]]},"assertion":[{"value":"2013-01-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-05-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-05-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}