Vocal Rehabilitation of Paralytic Dysphonia: VII. Paralysis of the Superior Laryngeal Nerve

Arnold, Godfrey E.

doi:10.1001/archotol.1962.00740040564012

Cited by 16 publications

(3 citation statements)

References 30 publications

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“…Previous papers [11][12][13][14][15][16][17][18] have been devoted to a systematic discussion of laryngeal paralysis from the various viewpoints of anatomy, neurophysiology, pathology, laryngeal acoustics, vocal symptomatology, and the very complex interrelations among the physical, functional, emotional, and psychoauditory factors that determine the outcome of any laryngeal lesion in the individual case. It was shown that numerous details of laryngeal physiology and pathology are now known with considerable certainty.…”

Section: Introductionmentioning

confidence: 99%

Vocal Rehabilitation of Paralytic Dysphonia: VIII. Phoniatric Methods of Vocal Compensation

Arnold¹

1962

Archives of Otolaryngology - Head and Neck Surgery

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Section: Introductionmentioning

confidence: 99%

Vocal Rehabilitation of Paralytic Dysphonia: VIII. Phoniatric Methods of Vocal Compensation

Arnold¹

1962

Archives of Otolaryngology - Head and Neck Surgery

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“…Specific speech therapy for vocal fold tension asymmetry caused by cricothyroid muscle paralysis had traditionally been unsuccessful. 23 Arnold in 19612 first proposed two procedures for vocal fold tightening. Thyrohyoidocricorraphy involved suturing the thyrohyoid muscle to the cricoid.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Treatment of Unilateral Cricothyroid Muscle Paralysis with a Modified Isshiki Type 4 Thyroplasty

Shaw

Searl

Hoover

1995

Otolaryngol.--head neck surg.

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Cricothyroid adduction increases tension to the vocal folds, thus increasing fundamental frequency and upper pitch range. We treated 10 patients with cricothyroid muscle dysfunction using this technique. Preoperative electromyographic, acoustic, and perceptual analysis was performed. Intraoperatively the effect of increasing tension on the fundamental, falsetto, and basal frequencies was measured by using a strain gauge to the adducting suture at several tensions and a cervical microphone connected to a pitch meter. Postoperative acoustic and perceptual analysis was then performed up to 18 months later. Analysis of pitch vs. tension curves indicates a near-linear relationship until very high tensions are applied. Statistically significant improvement was achieved in both acoustic and perceptual analysis, although some deterioration was noted between early and late results. Cricothyroid adduction is indicated for a large range of vocal fold tension problems.

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“…The contraction of the cricothyroid lengthens and tenses the vocal cords; being responsible for vocal range and pitch (Faaborg-Andersen, 1957;Arnold, 1962). There is no consensus in the literature as to whether the thyroid cartilage, the cricoid cartilage or both cartilages move on contraction of this muscle.…”

Section: Introductionmentioning

confidence: 99%

Cricothyroid muscle paralysis: its recognition and diagnosis

1989

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Cricothyroid muscle paralysis is often missed as the symptoms are not dramatic and the laryngeal observations, on conventional indirect mirror examination, are inconclusive. The anatomy and physiology of the superior laryngeal nerve (SLN) and cricothyroid muscle are described. Three case reports are presented to illustrate our diagnostic techniques. Videofibrolaryngoscopy and electromyography are found to be invaluable tools for the diagnosis of this condition. The importance in diagnosing this entity is discussed.

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Vocal Rehabilitation of Paralytic Dysphonia: VII. Paralysis of the Superior Laryngeal Nerve

Cited by 16 publications

References 30 publications

Vocal Rehabilitation of Paralytic Dysphonia: VIII. Phoniatric Methods of Vocal Compensation

Vocal Rehabilitation of Paralytic Dysphonia: VIII. Phoniatric Methods of Vocal Compensation

Diagnosis and Treatment of Unilateral Cricothyroid Muscle Paralysis with a Modified Isshiki Type 4 Thyroplasty

Cricothyroid muscle paralysis: its recognition and diagnosis

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