The Clinical Utility of Vocal Dosimetry for Assessing Voice Rest

Stephanie Misono; Kathryn Banks; Philippe Gaillard; George S. Goding; Bevan Yueh

doi:10.1002/lary.24887

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The Clinical Utility of Vocal Dosimetry for Assessing Voice Rest

Journal article

Peer reviewed

The Clinical Utility of Vocal Dosimetry for Assessing Voice Rest

Stephanie Misono, Kathryn Banks, Philippe Gaillard, George S. Goding and Bevan Yueh

The Laryngoscope, Vol.125(1), pp.171-176

01/2015

DOI: 10.1002/lary.24887

PMCID: PMC4280313

PMID: 25137621

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https://www.ncbi.nlm.nih.gov/pmc/articles/4280313View

Open Access

Abstract

Objectives/HypothesisVoice rest is frequently recommended following surgical disruption of vocal fold epithelium, but patients report variable adherence to voice rest recommendations. The objective of this study was to assess the clinical utility of an ambulatory vocal dosimeter for measuring adherence to voice rest recommendations. Study DesignOutcomes research. MethodsPart 1: To determine the utility of the dosimeter in nonclinical use, the relationship between self-reported voice use and dosimeter measurements was examined in normal subjects (n=11) who prospectively logged voice use while wearing the dosimeter. Part 2: To determine clinical utility of the dosimeter, patients undergoing vocal fold surgery for which postoperative voice rest was recommended (n=11) wore a dosimeter for 2 days prior to and 2 days after surgery. Phonation percent and sound level were compared at baseline and during voice rest. ResultsThe dosimeter performed as hypothesized with both normal subjects and patients. A moderate correlation (r=0.62) was noted between self-reported voice use and dosimeter measurements in normal subjects. In patients on voice rest, a statistically and clinically significant decrease was observed in measured voice use, both in phonation time (P=.002) and intensity of phonation (P=.004). ConclusionsAmbulatory vocal dosimetry may have clinical utility for assessing adherence to voice rest recommendations. This information will be useful for the design of future studies on voice rest. Level of Evidence2c Laryngoscope, 125:171-176, 2015

Life Sciences & Biomedicine

Medicine, Research & Experimental

Otorhinolaryngology

Research & Experimental Medicine

Science & Technology

Details

Title: Subtitle: The Clinical Utility of Vocal Dosimetry for Assessing Voice Rest
Creators: Stephanie Misono - University of Minnesota
Kathryn Banks - University of Minnesota
Philippe Gaillard - University of Minnesota
George S. Goding - University of Minnesota
Bevan Yueh - University of Minnesota
Resource Type: Journal article
Publication Details: The Laryngoscope, Vol.125(1), pp.171-176
DOI: 10.1002/lary.24887
PMID: 25137621
PMCID: PMC4280313
NLM abbreviation: Laryngoscope
ISSN: 0023-852X
eISSN: 1531-4995
Publisher: Wiley
Number of pages: 6
Grant note: UL1TR000114 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA UL1TR000114 / NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) Lions Club of Minnesota
Language: English
Date published: 01/2015
Academic Unit: Otolaryngology
Record Identifier: 9984966746002771

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