WORK-up: There are multiple infectious causes of fever, sore throat, dysphonia
, and stridor to consider before proceeding with diagnostic measures.
(or laryngeal dystonia) is a voice disorder caused by involuntary movements of one or more muscles of the larynx or voice box.
Max McCormick, a consultant ear, nose and throat surgeon at the Royal Liverpool University Hospital found she was suffering from spasmodic dysphonia
- difficulty in speaking because of a spasm in the vocal chords.
However, problems like spasmodic dysphonia
, which produces a severely strained, strangled-sounding voice, and laryngectomy (surgical removal of the voice box), which requires patients to have a new source of sound for voice, are disruptive to all aspects of living (cf.
involves the muscles of the throat that control speech.
Adductor spasmodic dysphonia
, in which involuntary closing of the vocal cords interrupts the airstream and produces a strained, hoarse, choppy voice.
0%), and the percentage of patients with oropharyngeal/laryngeal adverse events (such as oral candidiasis, dysphonia
and pharyngolaryngeal pain) was low and comparable for each of the treatment groups.
Strobovideolaryngoscopy revealed immobility of the left vocal fold with a jostle sign, muscle tension dysphonia
, reflux laryngitis, vocal fold bowing with glottic insufficiency, and a left vocal fold pseudocyst--a "paresis podule" (1) (figure).
Difficulties in producing vocal emissions are known as dysphonia
, which occurs when voice is not produced naturally [1-3].
demonstrated that up to one third of patients with thyroid disease experienced dysphonia
at the time of presentation.
Thanks to Good Samaritans who contributed to my surgery for spasmodic dysphonia
, a speech disorder.
In our case the foreign body was thin and got impacted antero-posteriorly because of its large size and was asymptomatic (silent) and produced dysphonia
because of restriction of movements of vocal cords.