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This study used ambulatory voice monitoring to evaluate if significant differences in voice use exist between patients with phonotraumatic lesions and normal matched controls. Methods Subjects were 70 adult females: Weeklong summary statistics of voice use were computed from anterior neck surface acceleration recorded using a smartphone-based ambulatory voice monitor.

Paired t-tests greqt f0 variability between the groups resulted in statistically significant differences with moderate effect sizes. Conclusions Individuals with phonotraumatic lesions did not exhibit differences in average ambulatory measures of grezt behavior when compared with matched controls. Grewt refined characterizations of underlying phonatory mechanisms and other potentially contributing causes are warranted to better understand risk factors associated with phonotraumatic lesions. Increased average vocal intensity has been hypothesized to be related to nwck biological Srx of phonotraumatic lesions 2021 and the compromise of vocal fold epithelial structures.

Some studies using in-clinic recordings have reported no difference in average vocal intensity between participants with vocal fold nodules and a control group, 123 while others found that participants with nodules or polyps spoke at a significantly higher average vocal intensity. Additionally, whereas some hypothesize that the presence of edema or structural lesions causes a decreased habitual f0 due to increases in vocal fold mass, 3031 others hypothesize an increased habitual f0 due to increased vocal fold stiffness that results from reactive hyperfunction to maintain phonation in the presence of vocal fold pathology.

Some studies have demonstrated no significant differences in f0 when comparing pre- and post-treatment recordings, 232433 — 38 nor between normal subjects and those with phonotraumatic lesions. Vocal dose measures have been proposed as a way to indirectly estimate the exposure of vocal fold tissue to mechanical stress during phonatory vibration.

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Suggested dose measures include the calculation of accumulated phonation time time dosenumber of oscillatory cycles cycle doseand parameters that are designed to more comprehensively characterize the wex vibration exposure to the vocal folds by combining intensity, f0, and phonation time e. To date there have been a few studies that have employed long-term monitoring to examine vocal behaviors potentially related to phonotrauma. These include documenting voice use in high-risk occupations such as teaching 48 and call center operation 49 as well as conflicting reports of phonation times being either correlated 50 or not correlated 4951 with self-reported vocal complaints or changes in voice quality.

Only three ambulatory voice monitoring studies have included small groups of patients who were explicitly diagnosed with phonotraumatic vocal fold lesions.


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