Spastic dysphonia: A patient profile of 200 cases

Document Type

Article

Publication Title

American Journal of Otolaryngology

ISSN

0196-0709

Volume

5

Issue

1

DOI

10.1016/S0196-0709(84)80015-0

First Page

7

Last Page

14

Publication Date

2-1-1984

Abstract

A comprehensive case history profile of spastic dysphonia patients was established,using 200 patients matched to 200 controls. The case histories and epidemiologic profiles for male and female patients revealed few dissimilarities. Likewise, intergroup (patients-controls) health history profiles differed in only a few specific instances. The data suggest non-psychogenic, non-behavioral causation of spastic dysphonia; however, neither a definitive cluster or clusters of events at onset nor any unequivocal epidemiologic factor was accountable for spastic dysphonia. Short of qualified improvement with voice therapy in some patients, no form of treatment other than recurrent laryngeal nerve section was shown to be of any significant help for the patient population sampled.

Comments

Supported in part by grant NS-14199 from the National Institutes of Health.

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