Endoscopic Findings in Male Prepubertal Choir Singers.
Identifieur interne : 000019 ( Main/Exploration ); précédent : 000018; suivant : 000020Endoscopic Findings in Male Prepubertal Choir Singers.
Auteurs : David R. Lee [États-Unis] ; Barbara Weinrich [États-Unis] ; Stephanie Zacharias [États-Unis] ; Wendy Leborgne [États-Unis] ; Janet Beckmeyer [États-Unis] ; Christopher Eanes [États-Unis] ; Meredith E. Tabangin [États-Unis] ; Alessandro De Alarcon [États-Unis]Source :
- The Laryngoscope [ 1531-4995 ] ; 2020.
Abstract
OBJECTIVES/HYPOTHESIS
The male singing voice through puberty undergoes many changes that present challenges for the singer and choral director. The purpose of this study was to discuss the endoscopic findings seen in prepubescent choir singers.
STUDY DESIGN
Single-institution prospective study.
METHODS
Subjects were recruited from the Cincinnati Boychoir and were described as Cooksey stage unchanged or mid-voice I, as described by the Boychoir artistic director. Vocal history was obtained via questionnaire at the initial visit. Subjects with known laryngeal pathologies were excluded. Endoscopic laryngeal examinations were performed using videoendoscopy. During examination, each subject sang four discrete frequencies. Findings of the endoscopic exam were judged by a board-certified pediatric otolaryngologist specializing in pediatric voice.
RESULTS
We evaluated 28 subjects prior to vocal maturation. Their age range was 8 to 13 years old (mean = 10.2 ± 1.2 years). The singing voice category of all 28 subjects was described as soprano vocal range by the Boychoir artistic director. The subjects had a mean of 1.7 ± 1.1 years in the Boychoir (0-5 years). None reported history of vocal issues or voice problems in the past; seven (25%) subjects had vocal fold lesions seen at one or more frequencies; 24 (85%) subjects had a posterior gap seen at one or more frequencies. Two subjects (7%) had a posterior gap at one frequency, C3 and G3, respectively. Five subjects (18%) had a posterior gap at two frequencies, seven subjects (25%) at three frequencies, and 10 subjects (36%) in all four frequencies.
CONCLUSIONS
Our study aimed to describe the laryngeal examination of dedicated Boychoir singers prior to undergoing pubertal development and vocal maturation. In elite pediatric singers we found that vocal nodules are common (25%) and are not correlated with vocal symptoms. These findings may suggest that asymptomatic lesions may be more prevalent than previously thought. In these individuals, posterior glottic gap is common and can be considered a normal glottal configuration.
LEVEL OF EVIDENCE
4 Laryngoscope, 2020.
DOI: 10.1002/lary.28786
PubMed: 32589783
Affiliations:
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Lee</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Weinrich, Barbara" sort="Weinrich, Barbara" uniqKey="Weinrich B" first="Barbara" last="Weinrich">Barbara Weinrich</name><affiliation wicri:level="2"><nlm:affiliation>Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Department of Speech Pathology and Audiology, Miami University, Oxford, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Speech Pathology and Audiology, Miami University, Oxford, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Zacharias, Stephanie" sort="Zacharias, Stephanie" uniqKey="Zacharias S" first="Stephanie" last="Zacharias">Stephanie Zacharias</name><affiliation wicri:level="2"><nlm:affiliation>Head and Neck Regenerative Medicine Laboratory, Mayo Clinic Arizona, Division of Pediatric Otolaryngology, Phoenix Children's Hospital, Phoenix, Arizona, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Head and Neck Regenerative Medicine Laboratory, Mayo Clinic Arizona, Division of Pediatric Otolaryngology, Phoenix Children's Hospital, Phoenix, Arizona</wicri:regionArea><placeName><region type="state">Arizona</region></placeName></affiliation></author><author><name sortKey="Leborgne, Wendy" sort="Leborgne, Wendy" uniqKey="Leborgne W" first="Wendy" last="Leborgne">Wendy Leborgne</name><affiliation wicri:level="2"><nlm:affiliation>Professional Voice Center of Greater Cincinnati, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Professional Voice Center of Greater Cincinnati, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Beckmeyer, Janet" sort="Beckmeyer, Janet" uniqKey="Beckmeyer J" first="Janet" last="Beckmeyer">Janet Beckmeyer</name><affiliation wicri:level="2"><nlm:affiliation>Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Eanes, Christopher" sort="Eanes, Christopher" uniqKey="Eanes C" first="Christopher" last="Eanes">Christopher Eanes</name><affiliation wicri:level="2"><nlm:affiliation>Cincinnati Boychoir, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Cincinnati Boychoir, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Cathedral Choral Society, Washington National Cathedral, Washington, District of Columbia, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Cathedral Choral Society, Washington National Cathedral, Washington, District of Columbia</wicri:regionArea><wicri:noRegion>District of Columbia</wicri:noRegion></affiliation></author><author><name sortKey="Tabangin, Meredith E" sort="Tabangin, Meredith E" uniqKey="Tabangin M" first="Meredith E" last="Tabangin">Meredith E. Tabangin</name><affiliation wicri:level="2"><nlm:affiliation>Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="De Alarcon, Alessandro" sort="De Alarcon, Alessandro" uniqKey="De Alarcon A" first="Alessandro" last="De Alarcon">Alessandro De Alarcon</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32589783</idno><idno type="pmid">32589783</idno><idno type="doi">10.1002/lary.28786</idno><idno type="wicri:Area/Main/Corpus">000010</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000010</idno><idno type="wicri:Area/Main/Curation">000010</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000010</idno><idno type="wicri:Area/Main/Exploration">000010</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Endoscopic Findings in Male Prepubertal Choir Singers.</title><author><name sortKey="Lee, David R" sort="Lee, David R" uniqKey="Lee D" first="David R" last="Lee">David R. Lee</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Weinrich, Barbara" sort="Weinrich, Barbara" uniqKey="Weinrich B" first="Barbara" last="Weinrich">Barbara Weinrich</name><affiliation wicri:level="2"><nlm:affiliation>Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Department of Speech Pathology and Audiology, Miami University, Oxford, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Speech Pathology and Audiology, Miami University, Oxford, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Zacharias, Stephanie" sort="Zacharias, Stephanie" uniqKey="Zacharias S" first="Stephanie" last="Zacharias">Stephanie Zacharias</name><affiliation wicri:level="2"><nlm:affiliation>Head and Neck Regenerative Medicine Laboratory, Mayo Clinic Arizona, Division of Pediatric Otolaryngology, Phoenix Children's Hospital, Phoenix, Arizona, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Head and Neck Regenerative Medicine Laboratory, Mayo Clinic Arizona, Division of Pediatric Otolaryngology, Phoenix Children's Hospital, Phoenix, Arizona</wicri:regionArea><placeName><region type="state">Arizona</region></placeName></affiliation></author><author><name sortKey="Leborgne, Wendy" sort="Leborgne, Wendy" uniqKey="Leborgne W" first="Wendy" last="Leborgne">Wendy Leborgne</name><affiliation wicri:level="2"><nlm:affiliation>Professional Voice Center of Greater Cincinnati, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Professional Voice Center of Greater Cincinnati, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Beckmeyer, Janet" sort="Beckmeyer, Janet" uniqKey="Beckmeyer J" first="Janet" last="Beckmeyer">Janet Beckmeyer</name><affiliation wicri:level="2"><nlm:affiliation>Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Eanes, Christopher" sort="Eanes, Christopher" uniqKey="Eanes C" first="Christopher" last="Eanes">Christopher Eanes</name><affiliation wicri:level="2"><nlm:affiliation>Cincinnati Boychoir, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Cincinnati Boychoir, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Cathedral Choral Society, Washington National Cathedral, Washington, District of Columbia, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Cathedral Choral Society, Washington National Cathedral, Washington, District of Columbia</wicri:regionArea><wicri:noRegion>District of Columbia</wicri:noRegion></affiliation></author><author><name sortKey="Tabangin, Meredith E" sort="Tabangin, Meredith E" uniqKey="Tabangin M" first="Meredith E" last="Tabangin">Meredith E. Tabangin</name><affiliation wicri:level="2"><nlm:affiliation>Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="De Alarcon, Alessandro" sort="De Alarcon, Alessandro" uniqKey="De Alarcon A" first="Alessandro" last="De Alarcon">Alessandro De Alarcon</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author></analytic><series><title level="j">The Laryngoscope</title><idno type="eISSN">1531-4995</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES/HYPOTHESIS</b></p><p>The male singing voice through puberty undergoes many changes that present challenges for the singer and choral director. The purpose of this study was to discuss the endoscopic findings seen in prepubescent choir singers.</p></div><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>Single-institution prospective study.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Subjects were recruited from the Cincinnati Boychoir and were described as Cooksey stage unchanged or mid-voice I, as described by the Boychoir artistic director. Vocal history was obtained via questionnaire at the initial visit. Subjects with known laryngeal pathologies were excluded. Endoscopic laryngeal examinations were performed using videoendoscopy. During examination, each subject sang four discrete frequencies. Findings of the endoscopic exam were judged by a board-certified pediatric otolaryngologist specializing in pediatric voice.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We evaluated 28 subjects prior to vocal maturation. Their age range was 8 to 13 years old (mean = 10.2 ± 1.2 years). The singing voice category of all 28 subjects was described as soprano vocal range by the Boychoir artistic director. The subjects had a mean of 1.7 ± 1.1 years in the Boychoir (0-5 years). None reported history of vocal issues or voice problems in the past; seven (25%) subjects had vocal fold lesions seen at one or more frequencies; 24 (85%) subjects had a posterior gap seen at one or more frequencies. Two subjects (7%) had a posterior gap at one frequency, C3 and G3, respectively. Five subjects (18%) had a posterior gap at two frequencies, seven subjects (25%) at three frequencies, and 10 subjects (36%) in all four frequencies.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Our study aimed to describe the laryngeal examination of dedicated Boychoir singers prior to undergoing pubertal development and vocal maturation. In elite pediatric singers we found that vocal nodules are common (25%) and are not correlated with vocal symptoms. These findings may suggest that asymptomatic lesions may be more prevalent than previously thought. In these individuals, posterior glottic gap is common and can be considered a normal glottal configuration.</p></div><div type="abstract" xml:lang="en"><p><b>LEVEL OF EVIDENCE</b></p><p>4 Laryngoscope, 2020.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32589783</PMID><DateRevised><Year>2020</Year><Month>06</Month><Day>26</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1531-4995</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Jun</Month><Day>26</Day></PubDate></JournalIssue><Title>The Laryngoscope</Title></Journal><ArticleTitle>Endoscopic Findings in Male Prepubertal Choir Singers.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1002/lary.28786</ELocationID><Abstract><AbstractText Label="OBJECTIVES/HYPOTHESIS" NlmCategory="OBJECTIVE">The male singing voice through puberty undergoes many changes that present challenges for the singer and choral director. The purpose of this study was to discuss the endoscopic findings seen in prepubescent choir singers.</AbstractText><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Single-institution prospective study.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Subjects were recruited from the Cincinnati Boychoir and were described as Cooksey stage unchanged or mid-voice I, as described by the Boychoir artistic director. Vocal history was obtained via questionnaire at the initial visit. Subjects with known laryngeal pathologies were excluded. Endoscopic laryngeal examinations were performed using videoendoscopy. During examination, each subject sang four discrete frequencies. Findings of the endoscopic exam were judged by a board-certified pediatric otolaryngologist specializing in pediatric voice.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We evaluated 28 subjects prior to vocal maturation. Their age range was 8 to 13 years old (mean = 10.2 ± 1.2 years). The singing voice category of all 28 subjects was described as soprano vocal range by the Boychoir artistic director. The subjects had a mean of 1.7 ± 1.1 years in the Boychoir (0-5 years). None reported history of vocal issues or voice problems in the past; seven (25%) subjects had vocal fold lesions seen at one or more frequencies; 24 (85%) subjects had a posterior gap seen at one or more frequencies. Two subjects (7%) had a posterior gap at one frequency, C3 and G3, respectively. Five subjects (18%) had a posterior gap at two frequencies, seven subjects (25%) at three frequencies, and 10 subjects (36%) in all four frequencies.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our study aimed to describe the laryngeal examination of dedicated Boychoir singers prior to undergoing pubertal development and vocal maturation. In elite pediatric singers we found that vocal nodules are common (25%) and are not correlated with vocal symptoms. These findings may suggest that asymptomatic lesions may be more prevalent than previously thought. In these individuals, posterior glottic gap is common and can be considered a normal glottal configuration.</AbstractText><AbstractText Label="LEVEL OF EVIDENCE" NlmCategory="METHODS">4 Laryngoscope, 2020.</AbstractText><CopyrightInformation>© 2020 The American Laryngological, Rhinological and Otological Society, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>David R</ForeName><Initials>DR</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-4040-0143</Identifier><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, U.S.A.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Weinrich</LastName><ForeName>Barbara</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Speech Pathology and Audiology, Miami University, Oxford, Ohio, U.S.A.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zacharias</LastName><ForeName>Stephanie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Head and Neck Regenerative Medicine Laboratory, Mayo Clinic Arizona, Division of Pediatric Otolaryngology, Phoenix Children's Hospital, Phoenix, Arizona, U.S.A.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>LeBorgne</LastName><ForeName>Wendy</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Professional Voice Center of Greater Cincinnati, Cincinnati, Ohio, U.S.A.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beckmeyer</LastName><ForeName>Janet</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Eanes</LastName><ForeName>Christopher</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Cincinnati Boychoir, Cincinnati, Ohio, U.S.A.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Cathedral Choral Society, Washington National Cathedral, Washington, District of Columbia, U.S.A.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tabangin</LastName><ForeName>Meredith E</ForeName><Initials>ME</Initials><AffiliationInfo><Affiliation>Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Alarcon</LastName><ForeName>Alessandro</ForeName><Initials>A</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-4792-4676</Identifier><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, U.S.A.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Laryngoscope</MedlineTA><NlmUniqueID>8607378</NlmUniqueID><ISSNLinking>0023-852X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Singers</Keyword><Keyword MajorTopicYN="N">larynx</Keyword><Keyword MajorTopicYN="N">pubertal voice</Keyword><Keyword MajorTopicYN="N">vocal fold lesions</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>01</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>04</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>05</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>6</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>6</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>6</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32589783</ArticleId><ArticleId IdType="doi">10.1002/lary.28786</ArticleId></ArticleIdList><ReferenceList><Title>BIBLIOGRAPHY</Title><Reference><Citation>Mayerhoff RM, Guzman M, Jackson-Menaldi C, et al. 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Lee</name></region><name sortKey="Beckmeyer, Janet" sort="Beckmeyer, Janet" uniqKey="Beckmeyer J" first="Janet" last="Beckmeyer">Janet Beckmeyer</name><name sortKey="De Alarcon, Alessandro" sort="De Alarcon, Alessandro" uniqKey="De Alarcon A" first="Alessandro" last="De Alarcon">Alessandro De Alarcon</name><name sortKey="De Alarcon, Alessandro" sort="De Alarcon, Alessandro" uniqKey="De Alarcon A" first="Alessandro" last="De Alarcon">Alessandro De Alarcon</name><name sortKey="Eanes, Christopher" sort="Eanes, Christopher" uniqKey="Eanes C" first="Christopher" last="Eanes">Christopher Eanes</name><name sortKey="Eanes, Christopher" sort="Eanes, Christopher" uniqKey="Eanes C" first="Christopher" last="Eanes">Christopher Eanes</name><name sortKey="Leborgne, Wendy" sort="Leborgne, Wendy" uniqKey="Leborgne W" first="Wendy" last="Leborgne">Wendy Leborgne</name><name sortKey="Tabangin, Meredith E" sort="Tabangin, Meredith E" uniqKey="Tabangin M" first="Meredith E" last="Tabangin">Meredith E. Tabangin</name><name sortKey="Weinrich, Barbara" sort="Weinrich, Barbara" uniqKey="Weinrich B" first="Barbara" last="Weinrich">Barbara Weinrich</name><name sortKey="Weinrich, Barbara" sort="Weinrich, Barbara" uniqKey="Weinrich B" first="Barbara" last="Weinrich">Barbara Weinrich</name><name sortKey="Zacharias, Stephanie" sort="Zacharias, Stephanie" uniqKey="Zacharias S" first="Stephanie" last="Zacharias">Stephanie Zacharias</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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