PMID- 36567624 OWN - NLM STAT- MEDLINE DCOM- 20230811 LR - 20230830 IS - 1531-4995 (Electronic) IS - 0023-852X (Linking) VI - 133 IP - 9 DP - 2023 Sep TI - Vocal Fold Pathologies Among Undergraduate Singing Students In Three Different Genres. PG - 2317-2324 LID - 10.1002/lary.30533 [doi] AB - OBJECTIVE: This 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. METHODS: This 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. RESULTS: During 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. CONCLUSION: No 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 EVIDENCE: 2 Laryngoscope, 133:2317-2324, 2023. CI - (c) 2022 The American Laryngological, Rhinological and Otological Society, Inc. FAU - Bretl, Michelle M AU - Bretl MM AUID- ORCID: 0000-0003-0930-0985 AD - Department of Otolaryngology, Division of Laryngology and Voice and Division of Speech Pathology, University of Miami, Miller School of Medicine, Miami, Florida, USA. FAU - Gerhard, Julia AU - Gerhard J AD - Department of Otolaryngology, Division of Laryngology and Voice and Division of Speech Pathology, University of Miami, Miller School of Medicine, Miami, Florida, USA. FAU - Rosow, David E AU - Rosow DE AUID- ORCID: 0000-0002-4289-0158 AD - Department of Otolaryngology, Miller School of Medicine, Department of Otolaryngology, Division of Laryngology and Voice, University of Miami, Miami, Florida, USA. AD - Division of Vocal Performance, University of Miami, Frost School of Music, Miami, Florida, USA. FAU - Anis, Mursalin AU - Anis M AUID- ORCID: 0000-0003-1215-4114 AD - Department of Otolaryngology, Miller School of Medicine, Department of Otolaryngology, Division of Laryngology and Voice, University of Miami, Miami, Florida, USA. FAU - Landera, Mario A AU - Landera MA AD - Department of Otolaryngology, Division of Laryngology and Voice and Division of Speech Pathology, University of Miami, Miller School of Medicine, Miami, Florida, USA. FAU - Libman, Dana AU - Libman D AD - Department of Otolaryngology, Division of Audiology, University of Miami, Miller School of Medicine, Miami, Florida, USA. FAU - Marchman, Judy AU - Marchman J AD - School of Music, Hardin-Simmons University, Abilene, Texas, USA. FAU - Ragsdale, Frank AU - Ragsdale F AD - Division of Vocal Performance, University of Miami, Frost School of Music, Miami, Florida, USA. FAU - Moore, Stephannie AU - Moore S AD - Division of Vocal Performance, University of Miami, Frost School of Music, Miami, Florida, USA. FAU - Ma, Ruixuan AU - Ma R AD - Department of Public Health Sciences, Division of Biostatistics, University of Miami, Miller School of Medicine, Miami, Florida, USA. FAU - Hoffman, Bari AU - Hoffman B AUID- ORCID: 0000-0001-6913-6377 AD - School of Communication Sciences and Disorders, University of Central Florida, Orlando, Florida, USA. FAU - Ivey, Chandra AU - Ivey C AUID- ORCID: 0000-0002-8119-2213 AD - Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA. FAU - Johns, Michael M AU - Johns MM AD - University of Southern California, Keck School of Medicine of USC, Department of Otolaryngology, Division of Laryngology, California, Los Angeles, USA. FAU - Menton, Stacey M AU - Menton SM AD - Department of Otolaryngology, Mayo Clinic, Jacksonville, Florida, USA. FAU - Lloyd, Adam T AU - Lloyd AT AUID- ORCID: 0000-0002-0985-397X AD - Department of Otolaryngology, Division of Laryngology and Voice and Division of Speech Pathology, University of Miami, Miller School of Medicine, Miami, Florida, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221225 PL - United States TA - Laryngoscope JT - The Laryngoscope JID - 8607378 SB - IM MH - Humans MH - *Singing MH - Vocal Cords MH - Reproducibility of Results MH - Voice Quality MH - *Voice Disorders/epidemiology/etiology MH - Students OTO - NOTNLM OT - classical OT - contemporary commercial music OT - musical theatre OT - singers OT - vocal pathology EDAT- 2022/12/27 06:00 MHDA- 2023/08/11 06:42 CRDT- 2022/12/26 02:33 PHST- 2022/11/04 00:00 [revised] PHST- 2022/06/10 00:00 [received] PHST- 2022/11/29 00:00 [accepted] PHST- 2023/08/11 06:42 [medline] PHST- 2022/12/27 06:00 [pubmed] PHST- 2022/12/26 02:33 [entrez] AID - 10.1002/lary.30533 [doi] PST - ppublish SO - Laryngoscope. 2023 Sep;133(9):2317-2324. doi: 10.1002/lary.30533. Epub 2022 Dec 25.