{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T16:12:12Z","timestamp":1764259932358,"version":"build-2065373602"},"reference-count":5,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[1983,8,1]],"date-time":"1983-08-01T00:00:00Z","timestamp":428544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1983,8]]},"abstract":"<jats:p>Singers and actors who abuse their voices may develop either polyps, nodules, contact ulcers, and\/or contact granuloma. Rarely a vascular lesion consisting of a hypertrophic vessel projecting above the medial or superior mucosal surface of the vocal cord is encountered that may contain a small knucklelike deformity. Clinically this is not dissimilar in appearance to a vessel found on the anterior nasal septum that is responsible for epistaxis. When the voice is strained, these vessels can rupture, causing recurrent submucosal hemorrhages in the professional voice user. The case described is that of a well\u2010known actress in whom vocal abuse did not produce a submucosal hemorrhage from the varix but rather an edematous change and symptoms identical to those of a soft, early vocal cord nodule.<\/jats:p>","DOI":"10.1177\/019459988309100417","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T06:58:43Z","timestamp":1448434723000},"page":"435-436","source":"Crossref","is-referenced-by-count":17,"title":["Varix of the Vocal Cord in the Professional Voice User"],"prefix":"10.1002","volume":"91","author":[{"given":"Robert J.","family":"Feder","sequence":"first","affiliation":[{"name":"Chief Division of Otolaryngology Cedars\u2010Sinai Medical Center Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1983,8]]},"reference":[{"volume-title":"Keep your voice healthy","year":"1953","author":"Brodnitz FS","key":"e_1_2_1_2_1"},{"volume-title":"Diseases and injuries of the larynx","year":"1959","author":"Jackson C","key":"e_1_2_1_3_1"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348948209100410"},{"key":"e_1_2_1_5_1","first-page":"147","volume":"12","year":"1969","journal-title":"Collected letters of the International Correspondence Society of Ophthamologists and Otolaryngologists"},{"key":"e_1_2_1_6_1","first-page":"412","article-title":"Laryngeal problems in singers","volume":"66","author":"Baker DC","year":"1962","journal-title":"Trans Am Acad Otol Otolaryngol"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988309100417","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988309100417","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:46:00Z","timestamp":1760957160000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459988309100417"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1983,8]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1983,8]]}},"alternative-id":["10.1177\/019459988309100417"],"URL":"https:\/\/doi.org\/10.1177\/019459988309100417","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[1983,8]]}}}