{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T07:44:23Z","timestamp":1778139863998,"version":"3.51.4"},"reference-count":0,"publisher":"Science and Medicine, Inc.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medical Problems of Performing Artists"],"published-print":{"date-parts":[[2017,12,1]]},"abstract":"<jats:p>There are few data demonstrating the specific extent to which surgical intervention for vocal fold nodules (VFN) improves vocal function in professional (PVU) and non-professional voice users (NVU). The objective of this study was to compare and quantify results after phonomicrosurgery\n for VFN in these patient groups. METHODS: In a prospective clinical study, surgery was performed via microlaryngoscopy in 37 female patients with chronic VFN manifestations (38\u00b112 yrs, mean\u00b1SD). Pre- and postoperative evaluations of treatment efficacy comprised videolaryngostroboscopy,\n auditory-perceptual voice assessment, voice range profile (VRP), acoustic-aerodynamic analysis, and voice handicap index (VHI-9i). The dysphonia severity index (DSI) was compared with the vocal extent measure (VEM). RESULTS: PVU (n=24) and NVU (n=13) showed comparable laryngeal findings and\n levels of suffering (VHI-9i 16\u00b17 vs 17\u00b18), but PVU had a better pretherapeutic vocal range (26.8\u00b17.4 vs 17.7\u00b15.1 semitones, p&lt;0.001) and vocal capacity (VEM 106\u00b118 vs 74\u00b129, p&lt;0.01). Three months postoperatively, all patients had straight vocal\n fold edges, complete glottal closure, and recovered mucosal wave propagation. The mean VHI-9i score decreased by 8\u00b16 points. DSI increased from 4.0\u00b12.4 to 5.5\u00b12.4, and VEM from 95\u00b127 to 108\u00b123 (p&lt;0.001). Both parameters correlated significantly (rs=0.82).\n The average vocal range increased by 4.1\u00b15.3 semitones, and the mean speaking pitch lowered by 0.5\u00b11.4 semitones. CONCLUSIONS: These results confirm that phonomicrosurgery for VFN is a safe therapy for voice improvement in both PVU and NVU who do not respond to voice therapy\n alone. Top-level artistic capabilities in PVU were restored, but numeric changes of most vocal parameters were considerably larger in NVU.<\/jats:p>","DOI":"10.21091\/mppa.2017.4035","type":"journal-article","created":{"date-parts":[[2017,12,6]],"date-time":"2017-12-06T02:03:28Z","timestamp":1512525808000},"page":"187-194","source":"Crossref","is-referenced-by-count":14,"title":["Phonomicrosurgery in Vocal Fold Nodules: Quantification of Outcomes in Professional and Non-Professional Voice Users"],"prefix":"10.21091","volume":"32","author":[{"given":"Philipp P","family":"Caffier","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatjana","family":"Salmen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatiana","family":"Ermakova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleanor","family":"Forbes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seo-Rin","family":"Ko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen","family":"Song","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manfred","family":"Gross","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadeus","family":"Nawka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8662","container-title":["Medical Problems of Performing Artists"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/scimed\/mppa\/2017\/00000032\/00000004\/art00001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,6,2]],"date-time":"2020-06-02T08:00:46Z","timestamp":1591084846000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.21091\/mppa.2017.4035"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,1]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,12,1]]}},"alternative-id":["0885-1158(20171201)32:4L.187;1-"],"URL":"https:\/\/doi.org\/10.21091\/mppa.2017.4035","relation":{},"ISSN":["0885-1158"],"issn-type":[{"value":"0885-1158","type":"print"}],"subject":[],"published":{"date-parts":[[2017,12,1]]}}}