A Comparison of Initial and Subsequent Follow-Up Strobovideolaryngoscopic Examinations in Singers

Myint, Calvin; Moore, John W.; Hu, Amanda; Jaworek, Aaron; Sataloff, Robert T.

doi:10.1016/j.jvoice.2015.06.013

Cited by 17 publications

(21 citation statements)

References 26 publications

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“…There was a low percentage of organic vocal fold pathologies reported in these studies. Myint et al reported a greater percentage of vocal fold masses and other organic pathologies compared to other studies . That study included older singers, with a mean age of 26 years, compared to the present study, with a mean age of 18 years, with the older participants likely having a heavier vocal load with the passage of time.…”

Section: Discussionmentioning

confidence: 48%

“…The prevalence of vocal pathologies has been evaluated with classical singers. Asymptomatic professional classical singers had abnormal laryngeal findings in 58% of examinations, laryngeal abnormalities were found in more than 74.5% of professional classical singers, and initial stroboscopic examinations in opera students were found to be abnormal 88.2% of the time . Previously at our institution, prevalence of abnormal laryngeal findings were found to be as high as 61% in asymptomatic singing students (72% classical) .…”

Section: Introductionmentioning

confidence: 63%

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Prevalence of Vocal Fold Pathologies Among First‐Year Singing Students Across Genres

Lloyd

Gerhard²,

Baker

et al. 2019

The Laryngoscope

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Objectives/Hypothesis The purpose of the study was to compare the prevalence of vocal fold pathologies among first‐year singing students from the classical, musical theatre, and contemporary commercial music (CCM) genres. Study Design Prospective cohort study. Methods Videostroboscopic examinations were rated by blinded expert raters. Vocal pathology was defined as a vocal fold abnormality on the membranous or cartilaginous portions of the vocal folds or hypomobility. Consensus among three of four raters confirmed presence of pathology. Association between genre of singer and presence of pathology, interrater reliability, and intrarater reliability were calculated. Differences in singing voice handicap, and voice use and vocal hygiene were compared. Results Fifty‐seven participants were included. Seventeen percent of CCM, 40% of musical theatre, and 0% of classical singers were found to have vocal fold pathology. Interrater reliability was 0.522 between all four raters, 0.591 between the two laryngologists, and 0.581 between the two speech–language pathologists, showing a moderate agreement (P < .0001). Intrarater reliability was 1.000 (P < .0001) for the two laryngologists and 0.452 (P = .949) and 0.622 (P = .828) for the two speech–language pathologists. Singing Voice Handicap Index‐10 data across genre showed differences between CCM and classical singers. No significant differences were found in voice usage or vocal hygiene. Conclusions No classical students were found to have vocal fold pathology, whereas CCM and musical theatre students had significantly higher prevalence of pathologies. Voice use, vocal hygiene, and physiologic phonatory differences among classical, musical theatre, and CCM genres may be risk factors for development of vocal pathology. Level of Evidence 2b Laryngoscope, 130: 1996–2002, 2020

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Section: Discussionmentioning

confidence: 48%

Section: Introductionmentioning

confidence: 63%

Prevalence of Vocal Fold Pathologies Among First‐Year Singing Students Across Genres

Lloyd

Gerhard²,

Baker

et al. 2019

The Laryngoscope

View full text Add to dashboard Cite

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“…Nacci et al exhibited a higher prevalence of both cyst and sulcus in singing students who had higher RSI and RFS scores in comparison with nonsinging students . Myint et al showed that opera students with suspected LPR had a higher prevalence of sulcus vocalis than students without LPR symptoms . Pérez Fernandez and Preciado López also observed a higher prevalence of cysts and LPR in teachers without exploration of a potential link between both clinical entities .…”

Section: Resultsmentioning

confidence: 99%

“…18 Myint et al showed that opera students with suspected LPR had a higher prevalence of sulcus vocalis than students without LPR symptoms. 35 Pérez Fernandez and Preciado López also observed a higher prevalence of cysts and LPR in teachers without exploration of a potential link between both clinical entities. 28 The authors of these two studies suggested a possible association with LPR, but reflux was not demonstrated with pH monitoring.…”

Section: Laryngopharyngeal Reflux Cysts and Sulcus Vocalismentioning

confidence: 96%

“…Counting articles across several categories when appropriate, 32 of these articles are related to nodules, 29 to polyps, 18 to cysts, 32 to Reinke's edema, and 10 to sulcus vocalis. When filtered through the inclusion and exclusion criteria, a total of 35 articles were kept for analysis: 16 are related to nodules, 5,7,[17][18][19][20][21][22][23][24][25][26][27][28][29][30] eight to polyps, 7,20,[22][23][24]26,31,32 three to cysts, 18,20,30 five to Reinke's edema, 22,24,26,33,34 and three to sulcus vocalis 7,18,35 (Fig. 1).…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

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Association between laryngopharyngeal reflux and benign vocal folds lesions: A systematic review.

et al. 2019

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Objectives To investigate the role of laryngopharyngeal reflux (LPR) in the development of benign lesions of the vocal folds (BLVF). Methods PubMed, Cochrane Library, and Scopus were searched by three independent investigators for articles published between January 1990 and November 2018 providing substantial information about the role of LPR in the development of nodules, polyps, cysts, Reinke's edema, and sulcus vocalis. Inclusion, exclusion, diagnostic criteria and clinical outcome evaluation of included studies were analyzed using Preferred Reporting Items for Systematic Reviews and Meta‐Analyses criteria. Results Of the 155 relevant publications, 42 studies were included. Thirty‐five were clinical studies and seven were experimental research studying the impact of reflux on vocal fold tissue. Only seven clinical studies utilized objective LPR diagnoses (pH monitoring), suggesting an association between LPR and the development of nodules, polyps, and Reinke's edema. These studies were characterized by a substantial heterogeneity due to discrepancies in inclusion/exclusion criteria, diagnostic methods, and clinical outcome evaluation. The few basic science studies on this topic support that LPR creates an environment that may predispose to BLVF through changes in defense mechanisms of the vocal folds, cell‐to‐cell dehiscence, inflammatory reaction of the vocal folds, and reaction to phonotrauma. Conclusions Caustic mucosal injury from LPR could cause increased susceptibility of the vocal fold mucosa to injury and subsequent formation of nodules, polyps, or Reinke's edema. However, the heterogeneity and the low number of high‐quality studies limit the ability to draw definitive conclusions. Future clinical and experimental studies are needed to better identify the role of reflux in development of BLVF. Laryngoscope, 129:E329–E341, 2019

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Vocal Fold Pathologies Among Undergraduate Singing Students In Three Different Genres

et al. 2022

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ObjectiveThis study aimed to compare the prevalence and incidence of vocal fold pathologies among undergraduate classical, musical theatre, and contemporary commercial music (CCM) students over two‐time points.MethodsThis study is part of a longitudinal investigation. Videostroboscopic examinations were rated, with consensus among three of four expert blinded raters confirming the presence of pathology. Association between genre of singer and the presence of pathology, interrater reliability, and intra‐rater reliability were calculated. Prevalence and incidence of pathologies were compared across genres.ResultsDuring first‐year evaluations, 32% of musical theatre, 18% of CCM, and 0% of classical students had vocal pathologies. The prevalence at third‐year evaluations showed 22% of classical, 39% of musical theatre, and 27% of CCM participants having vocal fold pathologies. The incidence of pathologies was 67% of musical theatre students compared to 22% of classical students and 27% of CCM students. The four raters demonstrated fair to moderate interrater agreement. Singing Voice Handicap Index‐10 scores were normal for CCM singers at both time points but elevated for musical theatre and classical singers.ConclusionNo classical singers were found to have pathology during first‐year evaluations, although CCM and musical theatre singers showed evidence of vocal fold pathologies. At third‐year evaluations, all three genres had an apparent increase in prevalence of pathologies. Implications of this study suggest that more time in the field and intense voice usage may lead to a greater risk of pathology for all singers, regardless of genre.Level of Evidence2 Laryngoscope, 133:2317–2324, 2023

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A Comparison of Initial and Subsequent Follow-Up Strobovideolaryngoscopic Examinations in Singers

Cited by 17 publications

References 26 publications

Prevalence of Vocal Fold Pathologies Among First‐Year Singing Students Across Genres

Prevalence of Vocal Fold Pathologies Among First‐Year Singing Students Across Genres

Association between laryngopharyngeal reflux and benign vocal folds lesions: A systematic review.

Vocal Fold Pathologies Among Undergraduate Singing Students In Three Different Genres

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