II. Pathophysiology

  1. Mild form of Vocal Cord Dysfunction
    1. More severe forms cause Stridor, Dyspnea
  2. Typically, no underlying organic cause
  3. Often coexists with psychiatric disorders

III. Symptoms

  1. Constant absence of voice or whispering
  2. Throat dryness or soreness
  3. Able to produce a normal cough on demand

IV. Signs: Laryngeal Exam

  1. See Vocal Cord Dysfunction
  2. Bowed Vocal Cords that do not adduct on phonation

V. Management

  1. See Vocal Cord Dysfunction
  2. Speech pathology referral
  3. Consider mental health Consultation

Images: Related links to external sites (from Bing)

Related Studies

Ontology: Aphonia (C0003564)

Definition (MSHCZE) Ztráta hlasu. Příznak některých onemocnění hrtanu. (cit. Velký lékařský slovník online, 2013 http://lekarske.slovniky.cz/ )
Definition (NCI_CTCAE) A disorder characterized by the inability to speak. It may result from injuries to the vocal cords or may be functional (psychogenic).
Definition (NCI) A term referring to the inability to speak. It may result from injuries to the vocal cords or may be functional (psychogenic).
Definition (MSH) Complete loss of phonation due to organic disease of the larynx or to nonorganic (i.e., psychogenic) causes.
Concepts Sign or Symptom (T184)
MSH D001044
ICD9 784.41
ICD10 R49.1
SnomedCT 206970009, 206971008, 44564008, 441913003, 286329004, 158307003, 158308008, 299702006, 286359009
French APHONIE, Perte de la voix, Aphonie
English APHONIA, Aphonia, [D]Aphonia (context-dependent category), [D]Loss of voice (context-dependent category), [D]Aphonia, [D]Loss of voice, Absence of Voice, Voice Absence, Voice Absences, Aphonia (disorder), Aphonia [Disease/Finding], loss voice, loss of voice, Loss (of);voice, absence of voice, Does not produce voice (finding), [D]Aphonia (situation), [D]Loss of voice (situation), Loss of voice, Absence of voice, Does not phonate, Does not produce voice, Does not vocalise, Does not vocalize, Loss of voice (finding), aphonia, loss; voice, voice loss, voice; loss
Portuguese AFONIA, Perda da voz, Afonia
Spanish AFONIA, Pérdida de la voz, [D]pérdida de la voz (categoría dependiente del contexto), [D]afonía (categoría dependiente del contexto), afonía (trastorno), [D]afonía, [D]afonía (situación), [D]pérdida de la voz (situación), [D]pérdida de la voz, afonía (hallazgo), afonía, ausencia de voz, pérdida de voz, Afonía
Dutch verlies van stem, stem; verlies, verlies; stem, afonie, Afonie
German Verlust der Stimme, STIMMLOSIGKEIT, Aphonie, Stimmverlust
Italian Perdita della voce, Assenza di voce, Afonia
Swedish Röstförlust
Japanese シッセイショウ, シッセイ, 発声不能症, 失声症, 失声
Czech afonie, Afonie, Ztráta hlasu, ztráta hlasu
Finnish Afonia
Korean 무발성증
Polish Afonia, Bezgłos
Hungarian Aphonia, Hang elvesztése
Norwegian Stemmebortfall, Afoni, Tap av stemme

Ontology: Psychogenic aphonia (C1442975)

Concepts Mental or Behavioral Dysfunction (T048)
ICD10 F44.4
SnomedCT 191719007, 268771003, 192424009, 154921000, 191958006, 95439001
English Dissociative aphonia, Hysterical aphonia, Aphonia psychogenic, hysterical aphonia, Psychogenic aphonia, Aphonia - hysterical, [X]Psychogenic aphonia, Dissociative aphonia (disorder), psychogenic aphonia (diagnosis), psychogenic aphonia, Psychogenic aphonia (disorder), hysterical; aphonia, aphonia; hysterical
Italian Afonia psicogena, Afonia isterica
Dutch psychogene afonie, hysterische afonie, afonie; hysterisch, hysterisch; afonie, afonie psychogeen
French Aphonie psychogène, Aphonie hystérique, Aphonie d'origine psychogène
German hysterische Aphonie, psychogene Aphonie, Aphonie psychogen
Portuguese Afonia histérica, Afonia psicogénica
Spanish Afonía histérica, afonía psicógena (trastorno), afonía psicógena, Afonía psicógena
Japanese 心因性失声症, ヒステリー性失声, シンインセイシッセイショウ, ヒステリーセイシッセイ
Czech Hysterická afonie, Psychogenní afonie
Hungarian Psychogen aphonia, Psychogén aphonia, Hysteriás aphonia