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June 1983

Psychogenic Aphonia Masking Mutational Falsetto

Author Affiliations

From the Section of Speech Pathology, Department of Neurology, Gundersen Clinic Ltd and the Gundersen Medical Foundation, La Crosse, Wis (Dr Hartman); and the Section of Speech Pathology, Department of Neurology, Mayo Clinic, Rochester, Minn (Dr Aronson).

Arch Otolaryngol. 1983;109(6):415-416. doi:10.1001/archotol.1983.00800200061017

• Aphonia, originally due to laryngeal inflammation, became psychogenic and superimposed on the unstable pitch of adolescent voice change. We presumed that the aphonia was adopted as a means of dealing with peer pressure to maintain a high preadolescent pitch as well. Voice therapy was effective in alleviating both the aphonia and mutational falsetto. Clinicians should be alert to underlying mutational falsetto when confronted with an aphonic or dysphonic adolescent patient with no organic laryngeal pathologic condition.

(Arch Otolaryngol 1983;109:415-416)