100% RAP Inc, >100% increase in vocal jitter from pre-operative value; 25% MPHR-High Dec, ≥25% decrease in maximum phonational frequency (Hz) from pre-operative value. The p Values represent significant differences between symptomatic and asymptomatic changes according to number of objective voice changes (≤3 vs >3) and predictive effect of criteria early >100% RAP increase and ≥25% MPFR-High decrease (voice will vs won’t change).