Detection and Correction of Faults

  • Donald F. Proctor


In contrast to the problems which we have just discussed the question of the voice in trouble in spite of reasonable attention to vocal hygiene may offer a knotty problem indeed. This chapter is directed at the voice in trouble and the multiple considerations necessary for detection of the cause as well as, whenever possible, restoration of normal function. Prompt and proper attention to these individuals is particularly urgent for two reasons. First, from the vocal point of view these persons are at least partially incapacitated. Second, the longer the voice problem persists the greater the likelihood or irreversible damage to the vocal folds. Obviously much of what is said in this last chapter must be directed to those on whom the responsibility falls for detection and correction of faults in the phonatory mechanisms; but the wise voice student, mature singer, or professional speaker should know enough to at least recognize the individual who pursues a reasonable course in diagnosis and therapy (8, 12, 16, 17, 18).


Vocal Cord Nasal Congestion Direct Laryngoscopy Superior Laryngeal Nerve Voice Usage 
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  1. 1.
    Amado, J. H. (1954): Modifications des caractéristiques phonatoires sous l’influence de divers états endocriens. Rev. Laryngol. Suppl. 75, 235-250.Google Scholar
  2. 2.
    Amado, J. H. (1955): Glandes endocrines et phonation l’endocrino-phoniatrie. Conférence du Palais de la Découverte, Série A, 211, 1–48.Google Scholar
  3. 3.
    Bauer, H. (1967): Der Einfluß endokriner Störungen auf die Stimme. Wien. klin. Wschr. 79, 850–853.PubMedGoogle Scholar
  4. 4.
    Bicknell, P. G. (1973): Mild hypothyroidism and its effects on the larynx. J. Laryngol. 87, 123–127.CrossRefGoogle Scholar
  5. 5.
    Bloch, C. S., Gould, W. J. (1974): Vocal therapy in lieu of surgery for contact granu-loma: A case report. J. Speech Hearing Dis. 39, 478–485.Google Scholar
  6. 6.
    Brewer, D.W., Briess, F. B., Faaborg-Andersen, K. (1960): Phonation, Clinical testing versus electromyography. Ann. Otol. 69, 781–804.Google Scholar
  7. 7.
    Brodnitz, F. S. (1963): Goals, results and limitations of vocal rehabilitation. Arch. Otolaryngol. 77, 148–156.PubMedCrossRefGoogle Scholar
  8. 8.
    Brodnitz, F. S. (1960): Actor and singer as patients of the otolaryngologist. Trans. Amer. Acad. Ophth., Instruction Section, Course 414.Google Scholar
  9. 9.
    Ferguson, G. B. (1977): Speech and voice changes that aid in diagnosis. Trans. Amer. Acad. Ophth. 84, 90–91.Google Scholar
  10. 10.
    Frable, M. A. (1962): Hoarseness, a symptom of pre-menstrual tension. Arch. Otolaryngol. 75, 66–68.PubMedCrossRefGoogle Scholar
  11. 11.
    Goldman, J. L., Salmon, V.J. (1942): Effect of androgen therapy on voice and vocal cords of adult women. Ann. Otol. 51, 961–994.Google Scholar
  12. 12.
    Greene, M. C. L. (1964): The Voice and its Disorders. Philadelphia: J. B. Lippincott.Google Scholar
  13. 13.
    Haglund, S. (1973): Electromyography in the Diagnosis of Laryngeal Motor Disorders. Stockholm.Google Scholar
  14. 14.
    Härmä, R., Sonninen, A., Vartiainen, E., Haveri., P., Väisänen, A. (1975): Vocal polyps and nodules. Folia Phoniatr. 27, 19–25.CrossRefGoogle Scholar
  15. 15.
    Hirano, M., Koike, Y., Leden, H. v. (1968): Maximum phonation time and air usage during phonation. Clinical study. Folia Phoniatr. 20, 185–201.CrossRefGoogle Scholar
  16. 16.
    Macfie, D. D. (1966): Asymptomatic laryngoceles in wind-instrument bandsmen. Arch. Otolaryngol. 83, 270–275.PubMedCrossRefGoogle Scholar
  17. 17.
    Moore, G. P. (1976): Observations on laryngeal disease, laryngeal behavior and voice. Ann. Otol. 85, 553–564.Google Scholar
  18. 18.
    Moses, P. J. (1963): Der Laryngologe und die neueren Probleme des Singens. Z. Laryngol. Rhinol. Otol. 42, 445–452.PubMedGoogle Scholar
  19. 19.
    Proetz, A. W. (1950): Further observations of the effects of thyroid insufficiency on the nasal mucosa. Laryngoscope 60, 627–633.PubMedCrossRefGoogle Scholar
  20. 20.
    Sander, E. K. (letter) (1975): Reply to Bloch and Gould’s “Vocal therapy”. J. Speech Hearing Dis. 40, 544.PubMedGoogle Scholar
  21. 21.
    Sonninen, A. (1970): La voz en el mongolismo y en el hipotiroidismo. Fonoaudiologica 16, 357–370.Google Scholar
  22. 22.
    Ward, P. H., Berci, G., Calcaterra, T. C. (1977): Superior laryngeal nerve paralysis. Trans. Amer. Acad. Ophth. 84, 78–89.Google Scholar
  23. 23.
    Zerffi, W. A. C. (1935): Vocal nodules and crossed arytenoids. Laryngoscope 45, 532 to 534.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Wien 1980

Authors and Affiliations

  • Donald F. Proctor
    • 1
  1. 1.The Johns Hopkins Schools of Medicine and Hygiene and Public HealthBaltimoreUSA

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