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Muscle tension dysphonia (MTD) was originally coined in 1983 by Morrison [2] and describes a dysphonia caused by increased muscle tension of the muscles surrounding the voice box: the laryngeal and paralaryngeal muscles. [3] MTD is a unifying diagnosis for a previously poorly categorized disease process.
The recurrent laryngeal nerves control all intrinsic muscles of the larynx except for the cricothyroid muscle. [15] [a] These muscles act to open, close, and adjust the tension of the vocal cords, and include the posterior cricoarytenoid muscles, the only muscle to open the vocal cords.
Laryngopharyngeal reflux (LPR) or laryngopharyngeal reflux disease (LPRD) is the retrograde flow of gastric contents into the larynx, oropharynx and/or the nasopharynx. [4] [5] LPR causes respiratory symptoms such as cough and wheezing [6] and is often associated with head and neck complaints such as dysphonia, globus pharyngis, and dysphagia. [7]
Vocal cord paresis, also known as recurrent laryngeal nerve paralysis or vocal fold paralysis, is an injury to one or both recurrent laryngeal nerves (RLNs), which control all intrinsic muscles of the larynx except for the cricothyroid muscle. The RLN is important for speaking, breathing and swallowing.
The cricothyroid muscle produces tension and elongation of the vocal cords. [ 3 ] [ 5 ] They draw up the arch of the cricoid cartilage and tilt back the upper border of the cricoid cartilage lamina. [ 3 ] [ 5 ] The distance between the vocal processes and the angle of the thyroid is increased, elongating [ 3 ] and thus tensing the vocal folds ...
Spasmodic dysphonia, also known as laryngeal dystonia, is a disorder in which the muscles that generate a person's voice go into periods of spasm. [ 1 ] [ 2 ] This results in breaks or interruptions in the voice, often every few sentences, which can make a person difficult to understand. [ 1 ]
The laryngeal cavity (cavity of the larynx) extends from the laryngeal inlet downwards to the lower border of the cricoid cartilage where it is continuous with that of the trachea. [ 12 ] [ 13 ] It is divided into two parts by the projection of the vocal folds , between which is a narrow triangular opening, the rima glottidis .
They cause muscle tension on the cricoid cartilage, leading to a globus feeling. Pharyngeal spasms, a more common source of a globus feeling, cause tension on the thyroid cartilage. They move up and down, left and right in the pharyngeal muscles. Both may be present. The patient complains about the signs and symptoms enumerated above.