JOURNAL OF VOICE嗓音杂志
JOURNAL OF VOICE(英文缩写 J VOICE),ISSN 0892-1997,eISSN 1873-4588,中文译名:嗓音杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-27 至 2026-09-27，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 2.300 | Q2 |
| 2022 | 2.200 | Q2 |
| 2023 | 2.500 | Q1 |
| 2024 | 2.400 | Q1 |
| 2025 | 2.300 | Q1 |
JOURNAL OF VOICE 最新收录文献
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1. An Acoustic Exploration of Female Voice Under Loading in Beijing's Winter Environment.
PMID:日期:2026-09-22This exploratory study examined whether female university students with different residence durations in Beijing differed in subjective voice symptoms, baseline acoustic characteristics, and acoustic responses to a laryngeal diadochokinesis vocal loading task (LDDK-VLT) in winter. Forty-one nonsmoking female undergraduate students aged 18-21 years were recruited at Beijing Language and Culture University and divided into recent arrivals (n = 16), intermediate residents (n = 14), and local controls (n = 11). Acoustic recordings were obtained at baseline (t0), immediately after the LDDK-VLT (t1), and after a 15-minute quiet rest (t2). Measures included Maximum Phonation Time (MPT), Dysphonia Severity Index (DSI), Fundamental Frequency (F0), Intensity, Jitter, Shimmer, Harmonics-to-Noise Ratio (HNR), and Smoothed Cepstral Peak Prominence (CPPS). Participants completed the Voice Handicap Index-10 (VHI-10) and Vocal Fatigue Index (VFI) after all recordings. Group differences, acoustic change scores, questionnaire-acoustic associations, and longitudinal acoustic trajectories were analyzed. Recent arrivals showed numerically higher VHI-10 and VFI Factor 1 scores than local controls, but no questionnaire or baseline acoustic measure differed significantly across groups after false discovery rate (FDR) correction. Change-score analyses showed an uncorrected group difference for post-rest Jitter (free speech) change, but this did not survive FDR correction. Linear mixed-effects models showed significant corrected time effects for MPT, DSI, Intensity (reading), Intensity (free speech), Shimmer (reading), CPPS (reading), and CPPS (free speech). No group main effect or Group × Time interaction remained significant after correction. Questionnaire-acoustic associations were exploratory and did not survive correction. The LDDK-VLT elicited measurable time-dependent acoustic changes, whereas residence duration in Beijing did not significantly moderate longitudinal acoustic trajectories after correction. Descriptive patterns in subjective scores and selected acoustic changes suggest that residence duration may be relevant to voice status and recovery, but larger studies with direct environmental exposure assessment are needed.
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2. Performance of In-Office Laryngeal Procedures Using Single-Use Endoscopes.
PMID:日期:2026-09-19In-office laryngeal procedures have expanded in recent years due to several factors, including advances in equipment and efforts to reduce health care costs. Single use endoscopes have been adopted primarily in the inpatient setting and offer several advantages over reusable equipment, including lower capital investment and the elimination of costs of reprocessing and repairs. This study investigates the performance of single use endoscopes for in-office laryngeal procedures. A retrospective review at a single institution of patients who underwent in-office laryngeal procedures using single-use channeled endoscopes. Data including demographics, pathology, equipment, treatment outcomes, and adverse events were collected retrospectively. Twenty-four patients who underwent in-office blue light laser or biopsy procedures between 10/2023 and 4/2024 were included. Among seven completed biopsies, six specimens (85.7%) were adequate for diagnosis; there were no complications. Twenty-one laser procedures were performed, with 20 successfully completed. One patient had poor tolerance requiring early termination. There were 2 minor post-procedural adverse effects (11.1%), including dyspnea and headache. Pathologies treated included laryngeal papilloma (44.4%), vocal fold polyps (27.8%), dysplasia (16.7%), redundant arytenoid/postcricoid mucosa (11.1%), vascular ectasias (16.7%), and hyperkeratosis (5.56%). Laser output ranged from 9 to 289 Joules. Ten patients had resolution of lesion(s) (55.6%), 4 had reduction in disease burden (22.2%), 2 had stable disease (11.1%), and 1 had disease progression (5.56%). One patient was lost to follow-up. In-office laryngeal procedures using single-use endoscopes are feasible, with acceptable outcomes which align with standard of care. This treatment modality may improve access to centers where reusable equipment is not available, and may improve efficiency in the treatment of laryngeal disorders.
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3. Therapy Dogs During In-Office Laryngologic Procedures: A Pilot Study.
PMID:日期:2026-09-19To evaluate the association between interaction with a certified therapy dog prior to awake, in-office laryngologic procedures and patient-reported anxiety, depression, and pain compared with standard care. This was a prospective pilot study of adult patients undergoing in-office laryngologic procedures. Participants completed pre- and post- assessments of anxiety, depression, and pain. Patients who were seen with certified therapy dogs comprised the canine group and were compared with a control group of patients who were not seen with therapy dogs. Group differences were assessed using independent-samples t tests or Mann-Whitney U tests for nonparametric data. Within-group changes were analyzed with paired t tests or Wilcoxon signed-rank tests. Group × time interactions were assessed using mixed two-way ANOVA. Fifty patients were included (31 canine, 19 control). Baseline demographics were similar between groups. In the canine cohort, anxiety and depression decreased significantly following the procedure, while pain showed a nonsignificant reduction. In the control group, anxiety decreased significantly, but pain and depression did not change significantly. Post-procedure pain and depression were significantly lower in the canine group compared with controls. "Significant group × time interactions were observed for anxiety, pain, and depression." Patients who interacted with therapy dogs was associated with lower patient-reported anxiety and depression, supporting the use of therapy dog programs to improve patient experience during in-office procedures. These findings support further investigation of animal-assisted interventions using randomized study designs and validated outcome measures.
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5. Trends in Medicare Part B Fee-for-Service Billing of Diagnostic Flexible Laryngoscopy and Videolaryngostroboscopy by Provider Type, 2015-2023.
PMID:日期:2026-09-19This study aims to evaluate national trends and 2023 state-level variation in diagnostic flexible laryngoscopy (DFL) and videolaryngostroboscopy (VLS) utilization by physicians and advanced practice providers (APPs). This is a repeated cross-sectional analysis of Medicare Part B fee-for-service data from 2015 to 2023, collected in the annual Medicare Provider Utilization and Payment Data: Physician and Other Practitioners Public Use Files and the Medicare Monthly Enrollment data published by the Centers for Medicare and Medicaid Services. Compound annual growth rates (CAGR) and linear and log-linear regression models were calculated to assess trends in APP and otolaryngologist annual DFL, VLS, and combined DFL and VLS volume per 10,000 beneficiaries. Log-linear analysis indicated no significant change in national annual combined DFL and VLS density (P = 0.786). Conversely, log-linear analysis indicated significant increases in national annual VLS density (P < 0.001) with an increase from 19.7 per 10,000 beneficiaries in 2015 to 29.6 in 2023 (CAGR +5.2%). From 2015 to 2023, APP annual combined DFL and VLS density increased (CAGR +17.2%), while the log-linear model estimates approximately 16.0% growth per year (P < 0.001). Meanwhile, otolaryngologist combined DFL and VLS density did not significantly change (P = 0.085). By 2023, APPs contributed over 20% of the annual combined DFL and VLS density in seven states. While otolaryngologists remain the primary providers of DFL and VLS, APP national annual DFL, VLS, and combined DFL and VLS density is rapidly growing. Insignificant changes in otolaryngologist national annual combined DFL and VLS density suggest stable utilization by otolaryngologists despite rapid growth associated with APPs. The significant growth in national annual VLS utilization suggests increasing adoption of VLS. These findings suggest evolving procedure choices and rapid growth for APPs within otolaryngology, prompting further study of procedural training and outcomes across provider types.
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6. Voice Alterations Associated with Implanted Vagus Nerve Stimulation in Epilepsy: A Systematic Review and Meta-Analysis.
PMID:日期:2026-09-18Implanted vagus nerve stimulation (VNS) is an established treatment for drug-resistant epilepsy. However, stimulation-related voice disturbances are among the most frequently reported adverse effects. This systematic review and meta-analysis synthesized available evidence regarding voice outcomes associated with implanted VNS in patients with epilepsy. Systematic review and meta-analysis. A systematic search of PubMed, Scopus, and Web of Science was conducted following PRISMA guidelines. Studies evaluating acoustic, perceptual, aerodynamic, phonatory, laryngeal, or patient-reported voice outcomes associated with implanted VNS in epilepsy were eligible. Methodological quality was assessed using Joanna Briggs Institute critical appraisal tools and ROBINS-I. Evidence certainty was evaluated using the GRADE approach. Random-effects meta-analyses were performed for outcomes reported in controlled studies. Thirteen studies published between 1993 and 2024 met the inclusion criteria, comprising case reports, case series, observational studies, and two controlled comparative studies. Qualitative synthesis consistently demonstrated increased jitter and shimmer during active stimulation, reduced maximum phonation time (MPT), perceptual voice deterioration, and greater voice-related handicap. Quantitative synthesis demonstrated shorter MPT in participants with implanted VNS than in healthy controls (MD = -8.66 s, 95% CI -11.31 to -6.01; P < 0.00001). Participants with VNS also showed significantly higher scores in the functional (MD = 6.58, 95% CI 4.13-9.04; P < 0.00001) and physical (MD = 8.49, 95% CI 3.40-13.58; P = 0.001) domains of the Voice Handicap Index. Evidence certainty ranged from low to very low. Implanted VNS appears to be associated with alterations in voice function, including reduced phonatory efficiency, increased acoustic perturbation, and greater self-perceived vocal handicap. Although evidence certainty remains limited, the consistency of findings and meta-analytic results support clinically relevant VNS-related voice effects. Routine voice monitoring should be considered as part of the long-term clinical management of patients receiving implanted VNS for drug-resistant epilepsy.
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7. Validation of FUDAN VOICE: Signal and Acoustic Feature Comparison with Computerized Speech Lab (CSL).
PMID:日期:2026-09-18This study aimed to validate the consistency between audio acquired by a custom WeChat mini-program, FUDAN VOICE (named Voice Acquisition in our earlier study), and Computerized Speech Lab (CSL) recordings at both signal and acoustic feature levels, and to characterize aggregate signal deviations between the two recording pathways, encompassing contributions from hardware, platform-level processing, and environmental noise. A simultaneous recording design was employed, capturing parallel audio from CSL and FUDAN VOICE across a soundproof room and a quiet office environment. Signal-level agreement was assessed using the root mean square error (RMSE), Pearson correlation coefficient (Pearson's rho), and mean coherence. Acoustic features such as fundamental frequency (F0), jitter, shimmer, noise-to-harmonic ratio (NHR), cepstral peak prominence (CPP), and cepstral/spectral index of dysphonia (CSID) were extracted and compared for correlation analysis and intraclass correlation coefficients (ICC). Signal-domain analysis revealed favorable agreement between FUDAN VOICE and CSL, with low RMSE and preserved spectral structure below 5 kHz, although high-frequency attenuation (> 5 kHz) was observed. Feature-level verification demonstrated excellent concordance for F0 mean, CPP, and CSID (r > 0.82, ICC > 0.82) across environments, whereas F0 extreme values-particularly F0 min-showed marked degradation in non-soundproof settings. Jitter and NHR remained robust, while shimmer exhibited environmental sensitivity. FUDAN VOICE achieves reliable remote acoustic acquisition for F0 mean, CPP, and CSID across soundproof and office environments, though high-frequency attenuation (> 5 kHz) and noisy-setting F0 degradation warrant caution. This study establishes the first validation framework for super-app-based voice acquisition, supporting the standardization of WeChat mini-programs in mobile health.
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8. Interpretable Acoustic Domains in Smoking-Status Prediction From Sustained Phonation: A Speaker-Independent Secondary Analysis.
PMID:日期:2026-09-18To determine whether a previously developed 208-variable smoking-status voice model could be compressed into interpretable acoustic domains without materially reducing speaker-independent discrimination, and to assess which domains remained stable across model, perturbation, and counterfactual analyses. A secondary analysis was performed on the previously reported cohort of 64 speakers (30 smokers and 34 nonsmokers), using one primary smartphone-recorded sustained /a/ phonation per speaker. The exact 208-variable prosody-spectral feature cache was grouped into 16 prespecified acoustic domains. Domain scores were constructed independently within each leave-one-speaker-out fold using training-only imputation, robust scaling, direction alignment, and median aggregation. A balanced logistic model was evaluated from raw out-of-fold scores. Full-pipeline permutation tests, demographic residualization, domain-only models, demographic-conditional domain replacement, one-speaker jackknife analysis, a secondary Explainable Boosting Machine, and empirical counterfactual searches were performed. The 16-domain model achieved an area under the receiver operating characteristic curve (AUC) of 0.753 (95% confidence interval [CI], 0.624-0.864), compared with 0.769 (95% CI, 0.645-0.878) for the recovered 208-variable model; the paired difference was -0.016 (95% CI, -0.129 to 0.095). Full-pipeline permutation tests were significant under both unrestricted permutation (P = 0.00599) and permutation restricted within age-by-gender strata (P = 0.00500). Spectral centroid, formant structure, and harmonicity/noise were significant as standalone domains after Holm correction. No single conditional-replacement test remained significant after correction. Spectral centroid ranked first in 49 of 64 jackknife analyses and appeared in 57.1% of minimal plausible counterfactuals. A plausible counterfactual was found for 98.4% of speakers, with one domain sufficient for 84.4%. Smoking-associated voice discrimination could be represented compactly through interpretable acoustic domains. The evidence favored a distributed, partially redundant spectral and resonance pattern rather than a single indispensable biomarker. The results describe model behavior in this cohort and require external validation before clinical interpretation.
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9. Timing of Laryngeal Surgery in Gender Affirming Care: A Single Institution Review.
PMID:日期:2026-09-18To understand where laryngeal surgery falls in the order of gender-affirming surgeries (GAS) for transgender and gender diverse (TGD) patients, by analyzing: (1) number and types of GAS pursued, (2) chronological order of GAS pursued, and (3) whether the timing of laryngeal surgery impacts functional voice outcomes METHODS: Retrospective chart review of adult patients undergoing laryngeal surgery within a single institution's Otolaryngology department for a primary diagnosis of "Gender Dysphoria." TGD patients pursuing voice therapy (VT) only were enlisted as controls. Charts were reviewed for all GAS performed and voice-related questionnaires (VHI-10 and TWVQ). Seventy-two patients status post laryngeal surgery with an average (standard deviation [SD]) age of 35 (13) years; 62 underwent vocal feminization, and 10 underwent vocal masculinization. On average (SD), patients underwent 2.61 (1.52) GAS, consisting of 1.42 (0.64) laryngeal surgeries, 0.34 (0.70) facial surgeries, 0.43 (0.58) top surgeries, and 0.44 (0.58) bottom surgeries. Twenty-nine pursued laryngeal surgery only. Among the 43 who underwent multiple GAS, seven pursued laryngeal surgery first, seven pursued laryngeal surgery between other GAS, and 29 pursued laryngeal surgery last (P < 0.0001). Patients who pursued laryngeal surgery first had higher preoperative TWVQ scores (P = 0.018). No significant differences in postoperative or delta TWVQ scores by timing of laryngeal surgery were observed. Forty-six patients status post VT were enrolled as controls, consisting of 40 transfeminine and six transmasculine patients. Significant differences were identified in post-intervention (P = 0.0007) and delta (P = 0.0074) TWVQ scores between surgery and VT cohorts. Laryngeal surgery is highly effective in treating vocal incongruence. Most patients pursue laryngeal surgery last. However, timing of laryngeal surgery does not affect voice outcomes. There is a need to increase awareness of voice surgery as an effective option for gender dysphoria, especially considering the many barriers to laryngeal surgery (insurance limitations, scarcity of specialized surgeons, geographic disparities, etc). Retrospective cohort study, single institution chart review.
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10. Music-Supported Vocal Rehabilitation in Parkinson's Disease: Effects on Voice Intensity and Speech Performance.
PMID:日期:2026-09-18Hypokinetic dysarthria is a highly prevalent and functionally disabling communication disorder in Parkinson's disease (PD), encompassing hypophonia, imprecise articulation, and festinating speech. Music-supported vocal rehabilitation-operationalized through the Accent Method (AM), a rhythm- and breathing-based voice therapy approach grounded in hierarchical respiratory-phonatory-prosodic coordination-offers a theoretically grounded mechanism for addressing PD dysarthria by exploiting the well-documented facilitatory effect of external rhythmic auditory cueing on motor control in PD. Despite widespread clinical use of the AM in Scandinavian centers, rigorous controlled evidence for its effects on voice intensity and speech performance in PD remains limited. Prospective, parallel-group, randomized controlled trial comparing a structured, four-phase PD-adapted AM protocol with an active nonspecific control program (vocal hygiene and general breathing exercises) over 20 weeks. Ninety-two adults with idiopathic PD (Hoehn and Yahr stages 2-3) were randomized to music-supported AM rehabilitation (n = 46) or active control (n = 46). Blinded assessors evaluated outcomes at baseline and at 6, 12, and 20 weeks. Primary outcome: Voice Handicap Index-30 (VHI-30). Secondary outcomes: GRBAS perceptual dysphonia scale, sound pressure level (SPL), maximum phonation time (MPT), acoustic parameters (jitter, shimmer, fundamental frequency [F0]), speech intelligibility rated by blinded naive listeners, UPDRS speech sub-item, and PDQ-39 communication subscale. All between-group comparisons at 20 weeks favored music-supported AM rehabilitation (all P < 0.001, Bonferroni corrected; adjusted α = 0.005). VHI-30 improvement: -36.8 points (AM) vs. -9.4 points (Control); between-group difference 26.8 points (95% CI: 22.2-31.4; Cohen's d = 2.47). Voice intensity (SPL) improved by +14.8 dB in the AM group versus +4.3 dB in the control group-a nearly threefold greater improvement. Speech intelligibility improved from 67.4% to 84.6% in the AM group versus 68.1% to 73.4% in the control group (+17.2%-point between-group difference), representing a movement from clinically impaired intelligibility to near-functional communicative levels. Jitter normalized from 4.12 ± 0.98% to 1.04 ± 0.31% (AM) versus 4.08 ± 0.94% to 2.96 ± 0.77% (Control), and shimmer from 10.41 ± 2.37% to 3.18 ± 0.84% versus 10.28 ± 2.29% to 6.74 ± 1.61%. Effect sizes were large to very large across all domains (Cohen's d range: 1.41-2.47). Music-supported vocal rehabilitation using the PD-adapted Accent Method yields large, consistent, and clinically meaningful improvements in voice intensity, acoustic stability, speech intelligibility, and communication-related quality of life compared with an active nonspecific control program. These findings establish the AM as an evidence-based behavioral management option for PD-associated hypokinetic dysarthria. Head-to-head comparative trials against LSVT LOUD and SPEAK OUT! are the essential next step.