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Research Article|Articles in Press

Increased 18F-FDG Uptake in the Posterior Region of Contralateral Vocal Folds in Beagle Dogs With Unilateral Vocal Fold Immobility Disorders

  • Xinlin Xu
    Affiliations
    Department of Voice, School of Medicine, Key Laboratory of Voice of Xiamen City, Zhongshan Hospital of Xiamen University, Xiamen University, Xiamen, China
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  • Serena Gacek
    Affiliations
    Division of Otolaryngology−Head and Neck Surgery, Department of Surgery, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin
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  • Jie Cai
    Affiliations
    Department of Voice, School of Medicine, Key Laboratory of Voice of Xiamen City, Zhongshan Hospital of Xiamen University, Xiamen University, Xiamen, China
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  • Fusheng Lin
    Affiliations
    Department of General Surgery, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen University, Xiamen, China
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  • Chao Ma
    Affiliations
    Department of Nuclear Medicine, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen University, Xiamen, China
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  • Peiyun Zhuang
    Correspondence
    Address correspondence and reprint requests to Peiyun Zhuang, Department of Voice, School of Medicine, Key Laboratory of Voice of Xiamen City, Zhongshan Hospital of Xiamen University, Xiamen University, Hubin South Road 201-209, Xiamen, 361004, China
    Affiliations
    Department of Voice, School of Medicine, Key Laboratory of Voice of Xiamen City, Zhongshan Hospital of Xiamen University, Xiamen University, Xiamen, China
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Published:January 30, 2023DOI:https://doi.org/10.1016/j.jvoice.2023.01.010

      Summary

      Objective

      To explore the glycolytic metabolism of contralateral vocal fold compensation by examining the glycolytic metabolism of the posterior region of vocal folds in beagles with unilateral vocal fold immobility disorders and its correlation with acoustic parameters.

      Study Design

      Prospective animal study.

      Setting

      Department of Voice

      Methods

      Ten adult beagles were divided randomly into three groups: a unilateral cricoarytenoid joint dislocation (UCAJD) group (n = 4), a unilateral vocal fold paralysis (UVFP) group (n = 4), and a control group (n = 2). Positron emission tomography-computed tomography (PET/CT) scans of larynx and recordings of vocalizations were collected 4 months after the operations. The maximum standardized uptake values (SUVmax) of 18F-FDG within each posterior region of the vocal folds were obtained from PET/CT and voice recordings were analyzed for acoustic parameters F0, jitter, shimmer, and loudness using PRAAT.

      Results

      In both UCAJD and UVFP groups, a significant increase of SUVmax was observed in the contralateral vocal fold relative to the impaired fold (P < 0.05). The SUVmax values of the contralateral vocal folds and the SUVmax values of the impaired vocal folds in the UCAJD, UVFP, and control groups were both found to be significantly different (P < 0.05). The SUVmax of the contralateral vocal fold may exhibit a potentially negative correlation with jitter and shimmer, with R2 values of 0.42 and 0.26 and P values of 0.03 and 0.11, respectively.

      Conclusion

      UCAJD and UVFP can cause enhanced glycolytic metabolism of the contralateral vocal fold relative to the impaired vocal fold. The SUVmax of the contralateral vocal fold may be positively correlated with acoustic quality.

      Key Words

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