Journal of Audiology, Otoneurology & Phoniatrics http://jaop.org.mx/index.php/rmcaof <p><strong>JAOP</strong> is an Open Access continuous publication, whose contents are disseminated under an international Creative Commons License Attribution-NonCommercial 4.0 International (CC BY-NC 4.0), without a publication fee; it is published and funded by <strong>Asociación Mexicana de Comunicación, Audiología, Otoneurología y Foniatría, A.C.</strong>, which has <em>Revista Mexicana de Comunicación, Audiología, Otoneurología y Foniatría</em>, published from 2012 to 2017, as a background. &nbsp;</p> <p><strong>JAOP</strong> adheres to the general guidelines established by the <em>International Committee of Medical Journal Editors</em> (ICMJE) (<a href="http://www.icmje.org">www.icmje.org</a>) and to the indications of the <em>Committee on Publication Ethics</em> (COPE) (<a href="https://publicationethics.org/">https://publicationethics.org/</a>).</p> <p><strong>JAOP</strong> is an Open Access continuous publication, whose contents are disseminated under an international Creative Commons License Attribution-NonCommercial 4.0 International (CC BY-NC 4.0), without a publication fee; it is published and funded by <strong>Asociación Mexicana de Comunicación, Audiología, Otoneurología y Foniatría, A.C.</strong>, which has <em>Revista Mexicana de Comunicación, Audiología, Otoneurología y Foniatría</em>, published from 2012 to 2017, as a background. &nbsp;</p> <p><strong>JAOP</strong> adheres to the general guidelines established by the <em>International Committee of Medical Journal Editors</em> (ICMJE) (<a href="http://www.icmje.org">www.icmje.org</a>) and to the indications of the <em>Committee on Publication Ethics</em> (COPE) (<a href="https://publicationethics.org/">https://publicationethics.org/</a>).</p> <p class="western">&nbsp;</p> Asociación Mexicana de Comunicación, Audiología, Otoneurología y Foniatría en-US Journal of Audiology, Otoneurology & Phoniatrics Recording of endoscopy and fluoroscopy of the vocal tract with sound (or its absence): a disappointment http://jaop.org.mx/index.php/rmcaof/article/view/20 <p>There is an old say: “The devil knows more for being old than for being the devil”. One of the advantages of being old and observing clinical practice and clinical research advance is that successful procedures and methods can be selected and put into practice. Indeed, it is possible to define when practices we thought could be used by our peers simply by being reported in the literature have proven to be doubtful hopes that leave us trying to find out what went wrong. Such is the case with imaging procedures of the vocal tract during speech tasks.</p> Robert J. Shprintzen Pablo Antonio Ysunza Copyright (c) 2020 Journal of Audiology, Otoneurology & Phoniatrics 2020-11-24 2020-11-24 2 4 Design, building and validation of an instrument to assess occupational dysphonia risk http://jaop.org.mx/index.php/rmcaof/article/view/21 <p><strong>Objective:</strong> to design and validate an instrument that enables self-reported risk assessment<br>for occupational dysphonia.</p> <p><strong>Method:</strong> transversal design, exploratory type of evaluative nature. Four phases were developed (1) consolidation of the conceptual framework of occupational dysphonia risk; (2) design of the instrument; (3) judge evaluation - content validity; and, (4) application of the instrument, reliability.</p> <p><strong>Results:</strong> The Assessment Instrument for Risk of Occupational Dysphonia - AIROD is composed of 25 items, distributed into 5 categories established by Risk Factors assessed on a Likert scale. The statistical test yielded a modified Lawshe’s index of 0.853 and a Cronbach’s Alpha of 0.809. A review of the literature is provided to support the conceptualization of risk factors related to occupational dysphonia.</p> <p><strong>Conclusions:</strong> AIROD becomes an objective tool designed and validated to measure the risk of occupational dysphonia. It enables a self-reported identification of the risks a person who uses his or her voice as a work tool may be exposed to.</p> Carlos Alberto Calvache-Mora Jennifer Zarate-Serna Copyright (c) 2020 Journal of Audiology, Otoneurology & Phoniatrics 2020-11-24 2020-11-24 2 4 Reviewing the Concept of Voice: Toward a Comprehensive Definition http://jaop.org.mx/index.php/rmcaof/article/view/22 <p>The concept of voice is usually defined in different manners depending on the perspective of each author. Currently, there exists neither a unique definition for “voice” nor “normal voice”. Also, traditional definitions tend to be narrow and do not integrate all the available perspectives. A more comprehensive definition of voice can be obtained by compiling different perspectives, which potentially can complement and broaden the existing vision regarding the process of vocal intervention, both in training and in rehabilitation.</p> <p><strong>Purpose:</strong> The present article aims to propose a more comprehensive definition of the concept of voice. Also, a brief discussion about the idea of “normal voice” is presented.</p> <p><strong>Conclusion:</strong> A sufficiently broad definition of voice is needed to include the whole variety of factors that converge when working with people with specific vocal needs. Also, a review of the concept of “normality” is needed to better understand the physical, biological, and social phenomenon of voice. A comprehensive perspective of the voice implies changing the approaches of intervention, which need to be adapted to the cultural and generational changes that accompany human beings throughout their history.</p> Marcelo Saldías Copyright (c) 2020 Journal of Audiology, Otoneurology & Phoniatrics 2020-11-24 2020-11-24 2 4 The phoniatric in the COVID-19 pandemic: a time full of challenges http://jaop.org.mx/index.php/rmcaof/article/view/23 <p>SARS-CoV-2 is a coronavirus type B, named because of its crown-like appearance under the electron microscope. On January 30, 2020, WHO officially declared the COVID-19 epidemic a public health emergency of international concern. The clinical management of respiratory failure in ICUs is of significant meaning to the phoniatric physician, who will be essential in the rehabilitation of patients. This document aims to review the risks to which we are exposed, and the sequelae we will face in the coming months, which, although we are trained to treat, will increase the risk of contagion and the severity of these conditions due to the change in ICU algorithms.</p> Víctor Manuel Valadez-Jiménez Annel Gómez-Coello Carolina Daniela Tejeda-Franco Mónica Segura-Hernández Copyright (c) 2020 Journal of Audiology, Otoneurology & Phoniatrics 2020-11-24 2020-11-24 2 4 Recommendations and practices for dysphagia attention during the COVID-19 pandemic http://jaop.org.mx/index.php/rmcaof/article/view/24 <p><strong>Introduction:</strong> Coronavirus infection (SARS-CoV-2) leading to COVID-19 is highly contagious and its management may require hospitalization and ventilatory support. Healthcare providers are exposed to contagion during the diagnosis and treatment of dysphagia. Practices should be modified in relation to available resources and staff safety.</p> <p><strong>Methods:</strong> Recommendations issued by PAHO and from associations aimed at the study and treatment of dysphagia were collected, and the present work was designed to provide guidance on outpatient, hospital management, and follow-up of patients with COVID-19.</p> <p><strong>Relevance:</strong> Options are provided for diagnostic and treatment modalities, as well as for inpatient care, intensive care and possible post-hospital complications. These guidelines will serve healthcare providers to properly and safely manage dysphagia during a healthcare crisis such as the COVID-19 pandemic.</p> <p><strong>Conclusions:</strong> We recommend considering each case multidisciplinary and on the basis of the patient’s individual circumstances and the availability of resources. Innovation, introducing telemedicine and other techniques are needed to resolve current difficulties and to produce new scientific evidence as well.</p> Ana Paola Escalante-Ornelas Ángela Susana Herrera-Bandín Úrsula Gutiérrez-Canencia Joanny Paola Alatriste-Cequera Liliana Martínez-Sánchez Eduardo Pérez-Alba Mario Fernando Yáñez-Cabrera Marco Abiel Hernández-Camacho Copyright (c) 2020 Journal of Audiology, Otoneurology & Phoniatrics 2020-11-24 2020-11-24 2 4