There are few data analysing to what specific extent phonomicrosurgery improves vocal function in patients suffering from Reinke's oedema (RE). The recently introduced parameter vocal extent measure (VEM) seems to be suitable to objectively quantify vocal performance. The purpose of this clinical prospective study was to investigate the outcomes of phonomicrosurgery in 60 RE patients (6 male, 54 female; 56 ± 8 years ([mean ± SD]) by analysing its effect on subjective and objective vocal parameters with particular regard to VEM. Treatment efficacy was evaluated at three months after surgery by comparing pre- and postoperative videolaryngostroboscopy (VLS), auditory-perceptual assessment (RBH-status), voice range profile (VRP), acoustic-aerodynamic analysis and patient's self-assessment using the voice handicap index (VHI-9i). Phonomicrosurgically, all RE were carefully ablated. VLS revealed removal or substantial reduction of oedema with restored periodic vocal fold vibration. All subjective and most objective acoustic and aerodynamic parameters significantly improved. The VEM increased on average from 64 ± 37 to 88 ± 25 (p #x003C; 0.001) and the dysphonia severity index (DSI) from 0.5 ± 3.4 to 2.9 ± 1.9. Both parameters correlated significantly with each other (rs = 0.70). RBH-status revealed less roughness, breathiness and overall grade of hoarseness (2.0 ± 0.7 vs 1.3 ± 0.7). The VHI-9i-score decreased from 18 ± 8 to 12 ± 9 points. The average total vocal range enlarged by 4 ± 7 semitones, and the mean speaking pitch rose by 2 ± 4 semitones. These results confirm that: (1) the use of VEM in RE patients objectifies and quantifies their vocal capacity as documented in the VRP, and (2) phonomicrosurgery is an effective, objectively and subjectively satisfactory therapy to improve voice in RE patients.

This article proposes a new perspective on avant-garde travel writing through the lens of scientific field work, investigating these new writing techniques in Boris Pil’niak’s expedition prose. In the 1920s, the researching writer represents a hidden, but influential counterpart to the widely propagated figure of the working writer. While the author as producer combines word and deed in an operative act, the author as researcher investigates the production of knowledge. This entails revising the centrality of facts. Literature as artistic research subverts factography by going beyond the horizons of veristic data registration to include uncharted realms and vague possibilities. This exploration leads to specific genres: the author as researcher tries his hand at a kind of laboratory text, a prolific genre at the intersection of testing equipment, recording media, and hypothetical thought. Not confined to a sterile lab, avant-garde writer-researchers, as members of research expeditions, oscillate between their home writing desks and the remote depths of the emerging USSR. At the same time, they explore writing practices situated between data acquisition, sampling, fact-finding, observation and recording.