True regarding Functional aphonia
Incidence in males
Due to vocal cord paralysis
On laryngoscopy vocal cord is abducted
Speech therapy is the treatment of choice
FUNCTIONAL APHONIA (HYSTERICAL APHONIA) It is a functional disorder mostly seen in emotionally labile females in the age group of 15-30 years. Aphonia is usually sudden and unaccompanied by other laryngeal symptoms. Patient communicates with whisper. clinical examination:- On examination, vocal cords are seen in abducted position and fail to adduct on phonation; however, adduction of vocal cords can be seen on coughing, indicating normal adductor function. Even though patient is aphonic, sound of cough is good. Treatment:- Treatment given is to reassure the patient of normal laryngeal function and psychotherapy. Ref:- Dhingra; pg num:-314
Larynx