II. Pathophysiology

  1. Use of false cords (instead of true cords) for speech
  2. May follow Laryngitis, and persist after infection
  3. Represents a symptom of other disease process

III. Symptoms

  1. Constantly harsh, low pitched voice
  2. Strangulation sound or "Stage whisper"
  3. Normal Cough (shows normal glottis closure)

IV. Signs

  1. False cords are closely approximated on phonation
    1. Obscures true cords

V. Management

  1. Laryngology or ENT referral for diagnosis

VI. Resources

  1. Voice Doctor Website (Dr. Thomas)
    1. http://www.voicedoctor.net

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