![]() ![]() The exam allows your team to look for lesions, stiffness, paralysis, irregular movements, muscle strain, or incomplete closure of the vocal cords. Your nose may be sprayed with topical anesthetic for your comfort. A flashing strobe light simulates slow motion video images of your vocal cords. A tiny camera attached to a small tube called an endoscope is inserted through your nose and allows us to see your vocal cords and larynx (voice box). This detailed visual exam helps us evaluate how your vocal cords vibrate while you speak or sing. Your laryngologist will evaluate the role of any medical conditions that can cause voice changes, such as surgeries or recent illnesses. We also assess your voice use patterns - how much and how loudly you speak or sing - and what your voice sounds like. ![]() ![]() We will examine your head, neck, and larynx (voice box) as part of a comprehensive voice evaluation. Other factors that may contribute to muscle tension dysphonia include excessive talking without breaks, screaming, talking loudly in noisy environments, or habitually speaking at a pitch that is too high or too low for you. Even when your vocal cords have healed after the illness is over, you can get stuck in a pattern of relying on these muscles. Because of that injury, you may start relying on other muscles in your throat to speak. Muscle tension dysphonia can happen when you’ve been sick and developed a vocal cord injury, such as laryngitis or swelling of the vocal cords. It is common to experience muscle tension dysphonia along with another voice problem. ![]() Muscle tension dysphonia can make your voice sound strained or hoarse and can make it uncomfortable to talk. You may not be using your breath to effectively energize your voice, or your throat muscles may be too tight when you speak. This common voice problem can occur even if your vocal cords are normal but the muscles in your throat are working inefficiently. If your voice is tired, your throat feels tight, or it hurts to talk, you may have muscle tension dysphonia, or voice strain caused muscle tightness. ![]()
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