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PubMed · 2196615

Hoarseness.

N E Maragos
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Abstract

The symptom of hoarseness is one with many causes and several treatments. It is the abnormal production of sound, perceived as raspiness, breathiness, harshness, vocal tension, or lower pitched voice. Whether the patient notices vocal fatigue or says that it's harder to talk with a worsening voice as the day progresses, the underlying cause of the hoarseness must be found. Only then can the hoarseness or the disease leading to it be treated competently to bring the patient and the voice back to health.

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HoarsenessHumansLarynxJournal ArticleReview

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N E Maragos. 1990. Hoarseness.. https://pubmed.ncbi.nlm.nih.gov/2196615/

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PubMed2005

[Therapy for unilateral vocal fold palsy].

The main symptom of unilateral vocal fold palsy is hoarseness, which can cause considerable disturbance to the patient depending on its extent and the patient's individual situation. Therapy aims at the restitution of a tuneful and resilient voice, which can be achieved by surgical or conservative means, improving the glottal closure and synchronizing the vocal fold vibrations during phonation. Vocal therapy is a common conservative method that may be supported by psychotherapeutic or physical procedures. In surgical therapy, there is a distinction between techniques of endoscopic augmentation by injecting different materials into the vocal folds and transcutaneous laryngeal framework surgery, i.e., transferring the paralyzed vocal fold to the glottal midline. Particularly apt for injection are biocompatible materials amount and position whose can easily be controlled. However, the inevitable resorption of many materials causes deterioration in voice quality. Furthermore, the change of vocal fold morphology obstructs regular phonatory vibration. On the other hand, medialization thyroplasty leads to permanent voice amelioration without a substantial complication rate when performed by experienced surgeons.

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