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Journal of Speech and Hearing Disorders Vol.54 526-529 November 1989.
© American Speech-Language-Hearing Association
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A Case of Superior Laryngeal Nerve Paresis and Psychogenic Dysphonia

David E. Hartman 1, William W. Daily 2, and Kenneth N. Morin 3

1 Speech Pathology, Department of Neurology Gundersen Clinic Ltd. and Gundersen Medical Foundation La Crosse, WI
2 Otolaryngology Head and Neck Surgery Gundersen Clinic Ltd. and Gundersen Medical Foundation La Crosse, WI
3 Neuropsychology, Department of Neurology Gundersen Clinic Ltd. and Gundersen Medical Foundation La Crosse, WI

A psychogenic voice disorder co-occurred or evolved with the symptoms and signs of unilateral superior laryngeal nerve paresis. We speculated that the former was a manifestation of a musculoskeletal tension or conversion reaction disorder, whereas the latter was a sequela to a self-limiting inflammatory process. Voice therapy proved effective for alleviating the psychogenic dysphonia after the signs of the neuropathy had resolved, whereas psychotherapy offered strategies for stress management. A multidisciplinary approach to this patient provided for differential diagnosis and efficacious treatment.

Key Words: laryngeal paresis • psychogenic dysphonia

Submitted on July 5, 1988
Accepted on October 26, 1988






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