Spasmodic dysphonia

Spasmodic dysphonia

Spasmodic dysphonia (Stiff voice or tight voice)

Spasmodic dysphonia is a neurologic disorder that science does not yet know the cause or exactly how it works. Spasmodic dysphonia is one type of a family of disorders called focal dystonias. When a single muscle or small group of muscles contract spontaneously and irregularly without good voluntary control, those muscles are dystonic. When the voice is the primary site affected, then the laryngeal dystonia is called spasmodic dysphonia. It has also been referred to as spastic dysphonia Adductor spasmodic dysphonia is the most common type of laryngeal dystonia and involves spasms of the muscles that close the vocal folds

The mainstay of therapy starting in the late 1980's has become botulinum toxin injections into the muscles . The injections are temporary causing a beneficial effect for three to four months. Other treatments tried include, cutting a nerve to the voice box,, changing the shape of the voice box by phonosurgery,and voice rehabilitation While each of these treatments have been successful in some, they have not been successful in others Our preferred methods of treatment are Voice rehabilitation and phono or voice Surgery


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