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Journal of Voice
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    • Research Article17
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    • Open Access

    Voice in the Times of the COVID- 19 Pandemic

    The pandemic of COVID-19 (SARS-CoV-2) affected the modern world in a way never seen before. After an initial phase of disbelief, we all have been affected, some personally with irreparable losses, others collectively, with difficulties maintaining professional activities and ensuring a dignified survival. There are almost 4.5 million dead, more than 200 million infected as of August 2021 (1); and the pandemic is still not over. Global markets have been shaken, and the impact on commerce, industry, employment, and income has been profound. The global economy will suffer years before it recovers.

    The human voice also was affected profoundly. Artistic voice professionals had their events cancelled, and thousands of support professionals in the productions were left unemployed. Visits to teachers of singing and voice health providers were reduced to voice emergencies. Clinical voice evaluation through laryngoscopy, as well as the acoustic and aerodynamic measurements, are tasks that potentially disseminate viruses by aerosols or droplets and were restricted to severe cases or modified to reduce the risk of infection.

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    • Research Article

      Vocal Fold Paralysis Following COVID-19 Vaccination: Query of VAERS Database

      Journal of Voice
      In Press Corrected Proof
      Published online: January 23, 2022
      • Osama A. Hamdi
      • Rachel H. Jonas
      • James J. Daniero
      Cited in Scopus: 1
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        Vocal fold paresis or paralysis (VFP) may severely affect quality of life due to dysphonia and respiratory distress. As an increasing percentage of the United States population receives the COVID-19 vaccination, the objective of this study is to determine the correlation of COVID-19 postvaccination recurrent laryngeal neuropathy and resulting VFP.
      • Research Article

        The Effect of Masks and Respirators on Acoustic Voice Analysis During the COVID-19 Pandemic

        Journal of Voice
        In Press Corrected Proof
        Published online: November 28, 2021
        • Ebru Karakaya Gojayev
        • Zahide Çiler Büyükatalay
        • Tuğba Akyüz
        • Mustafa Rehan
        • Gürsel Dursun
        Cited in Scopus: 2
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          World Health Organization declared the coronavirus disease (COVID-19) as a global pandemic on March 11, 2020. The aim of this study was to determine the effectiveness and reliability of voice analysis performed with surgical masks and respirators during the pandemic and to discuss its routine applicability.
        • Research Article

          Voice Quality and Vocal Tract Discomfort Symptoms in Patients With COVID-19

          Journal of Voice
          In Press Corrected Proof
          Published online: October 12, 2021
          • Seyed Abolfazl Tohidast
          • Banafshe Mansuri
          • Mohammad Memarian
          • Amir Hosein Ghobakhloo
          • Ronald Callaway Scherer
          Cited in Scopus: 3
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            Dysphonia and laryngeal problems are some of the manifestations of the COVID-19 pandemic due to respiratory disease as a primary effect of COVID-19. The aim of the present study was to investigate voice quality and vocal tract discomfort symptoms in patients with COVID-19.
          • Review Article

            Effect of Face Mask on Voice Production During COVID-19 Pandemic: A Systematic Review

            Journal of Voice
            In Press Corrected Proof
            Published online: October 10, 2021
            • Sheela Shekaraiah
            • Kiran Suresh
            Cited in Scopus: 15
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              The Coronavirus Disease 2019 (COVID-19) is an ongoing global pandemic and wearing face mask is recommended across the globe to break the transmission chain of infection. The masks available in the market are of different types and materials and tend to alter the voice characteristics of the speaker. This can therefore impair optimal communication and the present study is a systematic review exploring the effect of various masks on voice production parameters.
              Effect of Face Mask on Voice Production During COVID-19 Pandemic: A Systematic Review
            • Editorial

              Challenges and Opportunities in Deploying COVID-19 Cough AI Systems

              Journal of Voice
              Vol. 35Issue 6p811–812Published online: September 6, 2021
              • Amil Khanzada
              • Siddhi Hegde
              • Shreya Sreeram
              • Grace Bower
              • William Wang
              • Rishi P. Mediratta
              • and others
              Cited in Scopus: 4
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                What if COVID-19 could be detected by cough and voice sounds? A reliable diagnosis based on cough and voice sounds would provide a fast and convenient way to detect COVID-19 in both symptomatic and asymptomatic individuals. During the COVID-19 pandemic, several groups, including OpenSigma with the Massachusetts Institute of Technology, AI4 Covid-19 with the University of Oklahoma, COVID-19 Sounds with the University of Cambridge, COUGHVID with the Swiss Federal Institute of Technology Lausanne, and Saama AI research, and Wadhwani AI with the Bill and Melinda Gates Foundation, have successfully isolated acoustic patterns characteristic of COVID-19 with smartphone-recorded voluntary cough and voice samples using artificial intelligence (AI).
              • Research Article

                Vocal Signs and Symptoms Related to COVID-19 and Risk Factors for their Persistence

                Journal of Voice
                In Press Corrected Proof
                Published online: August 10, 2021
                • Ana Paula Dassie-Leite
                • Tatiane Prestes Gueths
                • Vanessa Veis Ribeiro
                • Eliane Cristina Pereira
                • Perla do Nascimento Martins
                • Christiane Riedi Daniel
                Cited in Scopus: 4
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                  To compare the occurrence of vocal signs and symptoms before, during, and after coronavirus disease (COVID-19) and analyze possible risk factors for the persistence of these signs and symptoms after disease resolution.
                • Research Article

                  Persistent Dysphonia in Hospitalized COVID-19 Patients

                  Journal of Voice
                  In Press Corrected Proof
                  Published online: July 23, 2021
                  • Carlos Leis-Cofiño
                  • Paula Arriero-Sánchez
                  • Ramón González-Herranz
                  • Óscar Arenas-Brítez
                  • Estefanía Hernández-García
                  • Guillermo Plaza
                  Cited in Scopus: 5
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                    The main objective of this study is to estimate the prevalence of persistent dysphonia in hospitalised COVID-19 patients.
                    Persistent Dysphonia in Hospitalized COVID-19 Patients
                  • Research Article

                    Adjustment of Health-Care Service Delivery Among Phoniatricians and ENT Specialists During the COVID-19 Pandemic, A UEP Survey

                    Journal of Voice
                    In Press Corrected Proof
                    Published online: June 22, 2021
                    • Mariam S. Shadi
                    • John S. Rubin
                    • Ahmed Geneid
                    • Elham Magdy
                    • Reham Abdelwakil Ibrahim
                    Cited in Scopus: 1
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                      Applying measures that prioritize staff safety, while protecting patient safety and care, represents a challenge during the current pandemic. Many documents of recommendations toward safe practice have been developed for this purpose.
                      Adjustment of Health-Care Service Delivery Among Phoniatricians and ENT Specialists During the COVID-19 Pandemic, A UEP Survey
                    • Research Article

                      Prevalence of Dysphonia in Non hospitalized Patients with COVID-19 in Lombardy, the Italian Epicenter of the Pandemic

                      Journal of Voice
                      In Press Corrected Proof
                      Published online: March 14, 2021
                      • Giovanna Cantarella
                      • Mirko Aldè
                      • Dario Consonni
                      • Gianvincenzo Zuccotti
                      • Federica Di Berardino
                      • Stefania Barozzi
                      • and others
                      Cited in Scopus: 14
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                        Dysphonia has been described in patients affected by coronavirus disease 2019 (COVID-19). The aim of this study was to evaluate the prevalence of dysphonia, and its severity and extent, of voice fatigue and of dysphagia in non hospitalized patients affected by COVID-19 in Lombardy, the Italian region most hit by the first explosive outbreak of COVID-19 in Europe.
                      • Research Article
                        Open Access

                        Voice Differences When Wearing and Not Wearing a Surgical Mask

                        Journal of Voice
                        In Press Corrected Proof
                        Published online: March 9, 2021
                        • Maria Luisa Fiorella
                        • Giada Cavallaro
                        • Vincenzo Di Nicola
                        • Nicola Quaranta
                        Cited in Scopus: 20
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                          The purpose of our study was to investigate the impact of surgical mask on some vocal parameters such as F0, vocal intensity, jitter, shimmer and harmonics-to-noise ratio in order to understand how surgical mask can affect voice and verbal communication in adults.
                        • Research Article

                          Role of Famotidine and Other Acid Reflux Medications for SARS-CoV-2: A Pilot Study

                          Journal of Voice
                          In Press Corrected Proof
                          Published online: January 20, 2021
                          • Bailey Balouch
                          • Swetha Vontela
                          • Heather Yeakel
                          • Ghiath Alnouri
                          • Robert T. Sataloff
                          Cited in Scopus: 2
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                            Infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for the coronavirus-19 disease (COVID-19) pandemic. The H-2 blocker famotidine has been suggested as an FDA-approved drug that could potentially be repurposed for treatment of COVID-19. Famotidine has since been shown to improve patient outcomes and reduce symptom severity in patients acutely ill with COVID-19. Other studies have suggested that proton pump inhibitors (PPIs) might have an association with COVID-19.
                          • Review Article

                            COVID-19: Impact on the Musician and Returning to Singing; A Literature Review

                            Journal of Voice
                            Vol. 37Issue 2p292.e1–292.e8Published online: January 14, 2021
                            • Dylan Vance
                            • Priyanka Shah
                            • Robert T. Sataloff
                            Cited in Scopus: 8
                            Online Extra
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                              The purpose of this study was to review current literature of the impact of COVID-19 on musicians and returning to singing.
                            • Research Article

                              High Rate of SARS-CoV-2 Transmission Due to Choir Practice in France at the Beginning of the COVID-19 Pandemic

                              Journal of Voice
                              Vol. 37Issue 2p292.e9–292.e14Published online: December 22, 2020
                              • Nathalie Charlotte
                              Cited in Scopus: 26
                              Online Extra
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                                To document the case of a high transmission rate of SARS-CoV-2 generating a cluster linked to an indoor choir rehearsal hold at the beginning of the COVID-19 pandemic in France.
                                High Rate of SARS-CoV-2 Transmission Due to Choir Practice in France at the Beginning of the COVID-19 Pandemic
                              • Research Article

                                Evaluating the Quality of Rigid Optic Videolaryngoscopy Image Taken Through Dental Protection Cap and Its Feasibility as Additional Barrier Method Against COVID-19

                                Journal of Voice
                                Vol. 37Issue 1p141.e13–141.e21Published online: November 2, 2020
                                • Mariana Nagata Cavalheiro
                                • Vinicius Ribas Fonseca
                                • Bianca Simone Zeigelboim
                                • Diego F. Costa
                                • Lucas Viomar de Lima
                                • Marlon Kleber Bozzo
                                • and others
                                Cited in Scopus: 1
                                Online Extra
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                                  Videolaryngoscopy screening is essential to help assessing human larynx. The use of 70° optical fiber in association with image recording by analog or digital cameras is one of the methods adopted to perform this examination. Endoscopic exams can contaminate the equipment with several microorganisms. The pandemic caused by the new coronavirus reinforces the importance of developing efficient barrier methods to be adopted in videolaryngoscopy procedures. Although dental intraoral camera covers are a barrier method authorized by Brazilian health organs, it has not yet been used in videolaryngoscopy examinations.
                                  Evaluating the Quality of Rigid Optic Videolaryngoscopy Image Taken Through Dental Protection Cap and Its Feasibility as Additional Barrier Method Against COVID-19
                                • Research Article

                                  In-Person or Virtual? – Assessing the Impact of COVID-19 on the Teaching Habits of Voice Pedagogues

                                  Journal of Voice
                                  Vol. 36Issue 5p735.e19–735.e25Published online: October 13, 2020
                                  • Kristen Murdaugh
                                  • Josipa Bainac Hausknecht
                                  • Christian T. Herbst
                                  Cited in Scopus: 1
                                  Online Extra
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                                    The social distancing measures implemented world-wide in the wake of the novel Coronavirus (COVID-19) crisis have forced voice pedagogues to alter their teaching habits, likely shifting from customary in-person teaching to virtual teaching. An online survey, distributed world-wide in April/May 2020, investigated how singing voice pedagogues were impacted by the COVID-19 crisis. The collected responses from 387 survey participants suggest that, overall, voice teachers were only moderately satisfied with having to teach virtually, indicating that virtual voice teaching is not a sufficient replacement for in-person teaching.
                                    In-Person or Virtual? – Assessing the Impact of COVID-19 on the Teaching Habits of Voice Pedagogues
                                  • Research Article

                                    Songbirds Must Sing: How Artistic Voice Users Perceive Their Voice in Times of COVID-19

                                    Journal of Voice
                                    Vol. 36Issue 4p586.e1–586.e5Published online: August 18, 2020
                                    • Adi Primov-Fever
                                    • Ilan Roziner
                                    • Ofer Amir
                                    Cited in Scopus: 9
                                    Online Extra
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                                      The COVID-19 pandemic has led to a critical disruption in the music and performing arts industry, and affected singers and other artists. This study was designed to examine the effect of this unique time on artistic voice users, the way they perceive their voice and their voice-related behaviors.
                                    • Research Article

                                      COVID-19 After Effects: Concerns for Singers

                                      Journal of Voice
                                      Vol. 36Issue 4p586.e7–586.e14Published online: August 6, 2020
                                      • Lynn Helding
                                      • Thomas L. Carroll
                                      • John Nix
                                      • Michael M. Johns
                                      • Wendy D. LeBorgne
                                      • David Meyer
                                      Cited in Scopus: 11
                                      Online Extra
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                                        Many discussions about assessing the risk of COVID-19 center around three possible outcomes: (1) avoiding infection altogether, (2) contracting COVID-19 illness and recovering, and (3) contracting COVID-19 illness and dying. Another outcome must be considered: contracting COVID-19 illness, surviving, and living with its sequelae, or aftereffects.
                                        COVID-19 After Effects: Concerns for Singers
                                      • Research Article

                                        Safer Singing During the SARS-CoV-2 Pandemic: What We Know and What We Don't

                                        Journal of Voice
                                        Vol. 35Issue 5p765–771Published online: July 1, 2020
                                        • Matthew R. Naunheim
                                        • Jonathan Bock
                                        • Philip A. Doucette
                                        • Matthew Hoch
                                        • Ian Howell
                                        • Michael M. Johns
                                        • and others
                                        Cited in Scopus: 25
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                                          While the novel coronavirus outbreak has profoundly altered health care systems across the globe, it has also affected similar change and devastation on the social, educational, and cultural communities upon which many rely, including communities of choral singers, solo performers, conductors, voice teachers, and the professionals that collaborate with them. Even as citizens of the most heavily impacted countries took to their balconies to serenade first responders and health care workers, singers of most genres who typically perform in ensembles have been told to not carry on their beloved practice.
                                          Safer Singing During the SARS-CoV-2 Pandemic: What We Know and What We Don't
                                        • Research Article

                                          Implementation of Telemedicine in a Laryngology Practice During the COVID-19 Pandemic: Lessons Learned, Experiences Shared

                                          Journal of Voice
                                          Vol. 36Issue 3p396–402Published online: June 23, 2020
                                          • Madeleine P. Strohl
                                          • Christopher D. Dwyer
                                          • Yue Ma
                                          • Clark A. Rosen
                                          • Sarah L. Schneider
                                          • VyVy N. Young
                                          Cited in Scopus: 19
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                                            The novel coronavirus disease 2019 has posed significant limitations and barriers to providing in-person healthcare. We aim to provide a summary of learned experiences and important considerations for implementing and offering telehealth to provide laryngology subspecialty care during the COVID-19 pandemic and thereafter.
                                          • Research Article

                                            Psychological Stress and Vocal Symptoms Among University Professors in Israel: Implications of the Shift to Online Synchronous Teaching During the COVID-19 Pandemic

                                            Journal of Voice
                                            Vol. 36Issue 2p291.e9–291.e16Published online: June 5, 2020
                                            • Avi Besser
                                            • Sari Lotem
                                            • Virgil Zeigler-Hill
                                            Cited in Scopus: 78
                                            Online Extra
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                                              Psychological stress may have an adverse impact on the voice. The purpose of the present cross-sectional study was to investigate the relationship between the change in levels of perceived psychological stress and vocal symptoms among Israeli academic college professors required to shift to synchronous online teaching during the global COVID-19 pandemic.
                                              Psychological Stress and Vocal Symptoms Among University Professors in Israel: Implications of the Shift to Online Synchronous Teaching During the COVID-19 Pandemic
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