Laryngeal Pathologies Associated with the Genre of Singing and Professional Singing Status in a <scp>Treatment‐Seeking</scp> Population

Rotsides, Janine M.; Chen, Sophia; Winchester, Arianna; Amin, Milan R.; Johnson, Aaron M.

doi:10.1002/lary.29303

Cited by 7 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Rotsides et al had previously reported that professional singers who sought care for their voice problem had a higher prevalence of laryngeal pathology than amateur singers, 32 consistent with the generally increased risk of pathology in professional singers 33 . The current work extends the implication of professional/amateur classification to the likelihood of undergoing surgery.…”

Section: Discussionsupporting

confidence: 80%

Profile of Injured Singers: Expectations and Insights

2022

View full text Add to dashboard Cite

Objectives To discover patterns of phonotraumatic lesions in singers and investigate factors that differentiate those who underwent surgery from those who did not. We hypothesized that 1) lesion type distribution differs by age, sex, singer classification (professional/amateur), and history of formal voice training; 2) the likelihood of surgery is associated with singer classification and voice training. Study Design Retrospective. Methods Retrospective review of 438 singers with phonotraumatic lesions over a 9‐year period. Lesion type distribution was analyzed with respect to sex, age, singer classification, and voice training. The association of eventual surgery with these factors was also analyzed. Results Nodules accounted for over half of the cohort (58%), followed by pseudocysts (20%), polyps (14%), and cysts (4%). Nearly two of every three injured female singers, but fewer than one out of every three injured male singers, had nodules. In contrast, over half of the injured males had polyps, whereas only 6% of injured females had polyps. In females, polyps occurred at a later age, and in males, nodules occurred at a younger age compared to other lesion types. Only 14% of the total cohort eventually underwent surgery. Professional singers without formal voice training were almost eight times more likely to have undergone surgery than amateur singers with voice training. Conclusions Professional singers were more likely to undergo surgery than amateurs, and formal voice training was associated with a lower likelihood of surgery. The observation that polyps tended to occur in older women may have implications for the pathogenesis of vocal fold polyps. Level of Evidence 4 Laryngoscope, 132:2180–2186, 2022

show abstract

Section: Discussionsupporting

confidence: 80%

Profile of Injured Singers: Expectations and Insights

2022

View full text Add to dashboard Cite

show abstract

“…12 In a study of 302 singers, Rotsides et al examined the prevalence of laryngeal pathology across different singing genres. 13 Although the frequencies of each pathology varied by genre, the differences did not reach statistical significance when analyzed across three aggregated genres. These findings suggest that, with a larger sample size and finer delineation of singing genres, previously unrecognized patterns could emerge.…”

Section: Introductionmentioning

confidence: 93%

“…Lesion type distribution and location were noted to differ in Japanese female rock versus classical singers 12 . In a study of 302 singers, Rotsides et al examined the prevalence of laryngeal pathology across different singing genres 13 . Although the frequencies of each pathology varied by genre, the differences did not reach statistical significance when analyzed across three aggregated genres.…”

Section: Introductionmentioning

confidence: 99%

Association of Genre of Singing and Phonotraumatic Vocal Fold Lesions in Singers

Childs¹,

D'Oto²,

Beams³

et al. 2022

The Laryngoscope

View full text Add to dashboard Cite

Objectives/Hypothesis To determine if (1) the likelihood of presenting with phonotraumatic lesions differs by singing genre in treatment‐seeking singers and (2) if the distribution of phonotraumatic lesion types differs by singing genre. Study Type Retrospective. Methods Records of singers who presented with a voice complaint over the course of 2.5 years (June 2017–December 2019) were reviewed to determine the proportion of those with phonotraumatic lesions as a function of genre (Study 1). Separately, the lesion types and genres of singers diagnosed with phonotraumatic lesions over a 9‐year period (July 2011–March 2020) were determined (Study 2). Results In Study 1, 191 of 712 (26.8%) dysphonic singers were diagnosed with phonotraumatic lesions. Country/folk, gospel/jazz, and musical theater singers were more likely to present with phonotraumatic lesions. In Study 2, in 443 singers with phonotraumatic lesions, polyps and pseudocysts, but not nodules, were found to be distributed unequally across genres (χ2 p = 0.006, p < 0.0001, p = 0.064, respectively). Praise/worship singers had significantly higher proportions of polyps compared to choral singers (OR 4.8 [95% CI 1.9–12.5]) or compared to musical theater singers (OR 7.2 [95% CI 2.5–20.8]). Opera singers had significantly higher proportions of pseudocysts than choral singers (OR 3.1 [95% CI 1.5–6.1]) or musical theater singers (OR 3.7 [95% CI 1.8–7.6]). Conclusions The higher incidence of polyps in praise/worship singers likely reflects the more emphatic nature of singing and the tendency for acute injury. The higher incidence of pseudocysts in opera singers may reflect a more chronic nature of injury. Level of Evidence 4 Laryngoscope, 133:1683–1689, 2023

show abstract

“…Historically, classical singers have received more attention and had been the subject of investigation regarding vocal function and vocal health. Over the last decade, more studies have focused on vocal function and health in nonclassical styles of singing 3–8 …”

Section: Introductionmentioning

confidence: 99%

“…Over the last decade, more studies have focused on vocal function and health in nonclassical styles of singing. [3][4][5][6][7][8] To this date, there is little known about the prevalence and incidence of pathologies in contemporary genres of singing, particularly as it compares to classical genres. A recent study published by Childs et al reported an increased prevalence of phonotraumatic lesions in singers of musical theatre and contemporary genres, including country/folk and gospel/jazz, in singers across the lifespan.…”

Section: Introductionmentioning

confidence: 99%

Vocal Fold Pathologies Among Undergraduate Singing Students In Three Different Genres

et al. 2022

View full text Add to dashboard Cite

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

show abstract

Laryngeal Pathologies Associated with the Genre of Singing and Professional Singing Status in a Treatment‐Seeking Population

Cited by 7 publications

References 16 publications

Profile of Injured Singers: Expectations and Insights

Profile of Injured Singers: Expectations and Insights

Association of Genre of Singing and Phonotraumatic Vocal Fold Lesions in Singers

Vocal Fold Pathologies Among Undergraduate Singing Students In Three Different Genres

Contact Info

Product

Resources

About