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Related Experiment Video

Updated: Feb 17, 2026

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Patient Report Versus Instrumental Measurement of Voice Use During Postsurgical Voice Rest.

Marianna Rubino1, Ruiqing 'Stephanie' Fan2, Paulina A Kulesz3

  • 1Department of Communication Sciences and Disorders, The University of Tulsa, Tulsa, Oklahoma, USA.

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|February 16, 2026
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Patients often underestimate their voice use after surgery. Subjective reports of voice rest adherence differ significantly from objective dosimeter readings, suggesting caution when relying on patient recall.

Keywords:
adherencedosimeterpatient reportsurgeryvoice rest

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Area of Science:

  • Otolaryngology
  • Speech-Language Pathology
  • Biomedical Engineering

Background:

  • Voice rest is crucial after phonomicrosurgery.
  • Patient self-reports are the primary method for measuring voice rest adherence.
  • The accuracy of subjective adherence measures is largely unknown.

Purpose of the Study:

  • To compare patient-reported voice use with objective instrumental measurements.
  • To assess the validity of subjective adherence reports in postsurgical voice patients.
  • To evaluate differences in voice use between complete and relative voice rest protocols.

Main Methods:

  • 16 women and 7 men underwent microflap phonosurgery for benign vocal fold lesions.
  • Participants were randomized to complete or relative voice rest for 7 days post-surgery.
  • Voice activity was monitored using a VocaLog2 Vocal Activity Monitor, with concurrent subjective adherence ratings via visual analog scale.

Main Results:

  • Patient-reported voice use (daily and overall) significantly differed from dosimeter readings (p=0.04 for both).
  • Subjective estimates were consistently lower than instrumental data, by 79-83 standardized units.
  • No significant difference in voice use duration was found between complete and relative voice rest groups.

Conclusions:

  • Subjective patient reports of voice rest adherence require careful interpretation due to discrepancies with objective data.
  • Instrumental monitoring provides a more accurate measure of voice use compared to self-reporting.
  • The type of voice rest (complete vs. relative) did not influence the duration of voice use in this study.