A Case of Hormonal Dysphonia with Functional Dysphonia Treated with a Combination of Voice Therapy, Physical Therapy, and Type 4 Thyroplasty

Kunieda Chikako, Nakamura Kazuhiro, Nishihori Takesumi, Kuze Bunya, Terasawa Kosuke, Ogawa Takenori

doi:10.2468/jbes.74.15

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Other Title

機能性発声障害を伴うホルモン音声障害に対し，音声治療と理学療法と甲状軟骨形成術4型を併用した症例
キノウセイハッセイショウガイオトモナウホルモンオンセイショウガイニタイシ,オンセイチリョウトリガクリョウホウトコウジョウナンコツケイセイジュツ 4ガタオヘイヨウシタショウレイ

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Abstract

<p>As a treatment for female menopausal disorder, the patient underwent fixed-dose male and follicle-stimulating hormone injection therapy. As side effects, her speaking fundamental frequency (SFF) became lower and her vocal range narrowed. In addition, she developed functional dysphonia, which made it difficult for her to speak freely. Voice therapy (VT) for functional dysphonia enabled her to speak freely, and laryngeal stroboscopy enabled confirmation of vocal cord mucosal waves recovery. However, as the lowered SFF and narrowed vocal range did not improve, type 4 thyroplasty (TP4) was performed. In addition, starting from before the operation, physical therapy (PT) was performed by a physical therapist for respiratory muscle group activation, transversus abdominis muscle activation, and neck massage. The vocal cords, which had undergone organic changes, were extended by TP4, and VT was continued while vocal cord muscle tone was maintained, allowing the voice range to expand as well as pitch match, enabling singing of nursery rhymes with little inflection. Irreversible organic changes may have occurred not only in the vocal muscle group but also in the respiratory muscle group. Combined use of VT, PT, and TP4 was effective.</p>

Journal

Nihon Kikan Shokudoka Gakkai Kaiho

Nihon Kikan Shokudoka Gakkai Kaiho 74 (1), 15-20, 2023-02-10

The Japan Broncho-esophagological Society

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