Bridging the Gap: Glottic Insufficiency in Singers

Resources & Bibliography

This poster explores how glottic insufficiency, characterized by incomplete vocal fold closure, affects vocal production in singers. It highlights the multidisciplinary approach to diagnosing and treating conditions like vocal fold atrophy, paralysis, and sulcus vocalis. This poster will provide resources and strategies for creating evidence-based, functional interventions that align with the specific goals of singing voice clients.

Etiology

Allen J. (2010). Cause of vocal fold scar. Current opinion in otolaryngology & head and neck surgery, 18(6), 475–480. https://doi.org/10.1097/MOO.0b013e32833fecd1

Almothahbi, A., Bukhari, M., Almohizea, M., Alshammari, H., Alammari, G., & Zagzoog, F. (2024). Evaluating Interventions for Sulcus Vocalis or Vocal Fold Scar: A Systematic Review and Meta-analysis. Journal of voice : official journal of the Voice Foundation, S0892-1997(23)00386-7. Advance online publication. 

Rosow, D. E., & Pan, D. R. (2019). Presbyphonia and Minimal Glottic Insufficiency. Otolaryngologic clinics of North America, 52(4), 617–625. https://doi.org/10.1016/j.otc.2019.03.005

Intervention

Bick, E., Dumberger, L. D., Farquhar, D. R., Davis, H., Ramsey, E., Buckmire, R. A., & Shah, R. N. (2021). Does Voice Therapy Improve Vocal Outcomes in Vocal Fold Atrophy?. The Annals of otology, rhinology, and laryngology, 130(6), 602–608. https://doi.org/10.1177/0003489420952464

Kruse, C. M., Hoffman, M. R., Hennessy, B. N., Schoeff, S. S., & Dailey, S. H. (2023). Voice Outcomes Following Serial Office-Based Steroid Injections and Voice Therapy for Vocal Fold Scar. Journal of voice : official journal of the Voice Foundation, S0892-1997(23)00093-0. Advance online publication. https://doi.org/10.1016/j.jvoice.2023.02.036

Walton, C., Carding, P., & Flanagan, K. (2018). Perspectives on voice treatment for unilateral vocal fold paralysis. Current opinion in otolaryngology & head and neck surgery, 26(3), 157–161. https://doi.org/10.1097/MOO.0000000000000450

Woo, P., & Murry, T. (2023). Short-Term Voice Improvement after Repeated Office-Based Platelet-Rich Plasma PRP Injection in Patients with Vocal Fold Scar, Sulcus, and Atrophy. Journal of voice : official journal of the Voice Foundation, 37(4), 621–628. https://doi.org/10.1016/j.jvoice.2021.02.022