“…It is commonplace to regard some styles, especially those that use strong glottal adduction and high subglottal pressures, as potentially harmful to the phonatory mechanism [31] and consider them detrimental to vocal health [32,33]. Different styles of singing employ a broad range of special vocal effects labeled as Distortion, Rattle, Growl, Grunt, Creaking, Air added to the voice, Screams, Vocal Breaks, and Ornamentation technique [32]. Although largely perceived as unhealthy, more and more frequently it is argued in literature that these effects can be achieved in a healthy manner [34].…”