Related Experiment Video
Updated: Jan 18, 2026
A Protocol for Comprehensive Assessment of Bulbar Dysfunction in Amyotrophic Lateral Sclerosis ALS
Published on: February 21, 2011
Clinical Characteristics and Prognosis Analysis of Dysphonia in Live Streamers
Qingcui Wang1, Yuhong Lin1, Liyu Cheng1
1Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China; Key Laboratory of Otorhinolaryngology Head and Neck Surgery (Capital Medical University), Ministry of Education, Beijing, China.
Objectives:
To explore the clinical characteristics, influencing factors, and prognosis of dysphonia in live streamers.
Methods:
A retrospective analysis was conducted on the basic characteristics, occupational features, voice quality assessment, stroboscopy, and prognosis of 43 live streamers who sought medical attention for dysphonia.
Results:
Twenty-seven female (62.79%) and 16 male (37.21%) patients were included, with an average age of 36.81 ± 8.97 years and a median course of 6 months. All patients presented with the chief complaint of hoarseness. Triggers were phonotrauma in 35 (81.40%), unclear in 6 (13.95%), and infections in 2 (4.65%). Thirty-seven patients (86.05%) were full-time streamers. The streaming duration was 2.93 ± 2.46 years, with the daily vocal use of 4.58 ± 1.55 hours and streaming frequency of 6.35 ± 1.11 days per week. Forty-one (95.35%) required high volume, and 37 (86.05%) required rapid speech. Audio-perceptual analysis showed 1.42 ± 0.52 in G and R scales and 0.41 ± 0.37 in B scale. Objective analysis revealed increased jitter (1.96% ± 1.33%), shimmer (6.52% ± 2.29%), and reduced maximum phonation time (12.67 ± 5.93 seconds). Laryngoscopy revealed polyps in 15 patients (34.88%), Reinke's edema in 14 (32.56%), cysts in 6 (13.95%), chronic hypertrophic laryngitis in 4 (9.30%), leukoplakia in 3 (6.98%), and scarring in four patients (9.30%). Of the 14 patients who underwent surgery, 13 (92.86%) significantly improved. Among 29 conservatively managed patients, 14 (48.28%) improved, with few received vocal training and education.
Conclusions:
Long-term, high-frequency, high-volume, and fast-paced vocal use may contribute to dysphonia in live streamers. Benign proliferative lesions are common voice disorders in the current treatment-seeking population. Surgery may improve voice quality, but its recurrence rate is unclear. Proper vocal training and education are crucial for live streamers and may enhance their prognosis.
Related Concept Videos
01:21Larynx
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
01:22Chronic Obstructive Pulmonary Disease
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
01:26Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
01:28Physical Assessment of the Respiratory Tract IV: Auscultation
Breath Sounds
Breath sounds are categorized into vesicular, bronchovesicular, and bronchial.
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
01:20COPD: Pathogenesis and Clinical Features
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...