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).
KeywordsVocal Cord Nasal Congestion Direct Laryngoscopy Superior Laryngeal Nerve Voice Usage
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