Larynx

Functional Aphonia

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Functional Aphonia, Aphonia, Psychogenic Aphonia

  • Pathophysiology
  1. Mild form of Vocal Cord Dysfunction
    1. More severe forms cause Stridor, Dyspnea
  2. Typically, no underlying organic cause
  3. Often coexists with psychiatric disorders
  • Symptoms
  1. Constant absence of voice or whispering
  2. Throat dryness or soreness
  3. Able to produce a normal cough on demand
  1. See Vocal Cord Dysfunction
  2. Bowed Vocal Cords that do not adduct on phonation
  • Management
  1. See Vocal Cord Dysfunction
  2. Speech pathology referral
  3. Consider mental health Consultation