Features of functional aphonia:
|A||Incidence in males|
|B||Due to vocal cord paralysis|
|D||On laryngoscopy vocal cord is abducted|
|E||Speech therapy is the treatment of choice|
Ref. Dhingra 5th/ed p 334, 6th/ed p 3 74; Mohan Bansal p 497
a. Functional aphonia or hysterical aphonia is a functional disorder mostly seen in emotionally labile females in th age group of 7 5-30 years.
b. Laryngoscopy Examination shows vocal cord in abducted position and fails to adduct on phonation, however adduction is seen on coughing, indicating normal adductor function.
c. Treatment: - Reassurance of the patient of normal laryngeal function and psychotherapy. - Speech therapy has no role in it.