Muscle Tension Dysphonia and Puberphonia

  • Marshall E. SmithEmail author
  • Daniel R. Houtz


The voice has a significant role in oral communication and is important as an expression of our health, emotion, gender, and age. It forms part of one’s individual identity and personality. In children, this organ is developing in physical structure along with the rest of the speech mechanism. At the same time, the neurocognitive, behavioral growth and maturation of the child occurs. The larynx has highly developed neural connections, so it is not surprising that the voice is sensitive to neural input and control. This includes input derived from emotional centers in the brain. The larynx has been labeled “the valve of emotion” (Roy et al. J Voice 11:443–1, 1997). It is highly responsive to emotional state and stress at all ages.


Muscle tension dysphonia and puberphonia Puberphonia Aphonia Mutational falsetto Strained voice quality Adolescent voice 


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Division of Otolaryngology/Head and Neck Surgery, Primary Children’s HospitalUniversity of Utah School of MedicineSalt Lake CityUSA
  2. 2.Intermountain Voice and Swallowing Center, Intermountain HealthcareSalt Lake CityUSA

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