NIDCD

Treatment

Hoarseness -- Treatment for hoarseness usually involves learning to use a more efficient voice, eliminating any vocal abuse, modified voice rest and using a low impact voice temporarily.  Frequently, modifications, changing of vocal focus, relaxation exercises, stress reduction, laryngeal massage, vocal strengthening exercises, diet and exercise are also considered.  When voice therapy is performed, delayed audio, video and videostroboscopic feedback are provided.  Treatment is designed for work and home settings.  Therapy sessions are usually performed weekly for one-half hour over a period of one to three months. 

Spasmodic dysphonia -- In the past treatment has ranged from psychotherapy and hypnosis to voice therapy and surgery, all with poor to mediocre results.  The treatment of choice today is an injection of a small amount of toxin which weakens the vocal folds and reduces or eliminates the spasms.  Used in combination with voice therapy, the injection frequently improves the voice.  The procedure is done in the office. 

Cancer of the larynx --   Hoarseness associated with tumor removal or radiation may be treated with various surgical and voice therapy techniques.  When surgical removal of the entire larynx is necessary, patients nearly always resume communication using one or a combination of the following: an Electrolarynx, esophageal speech or a prosthetic device.    

Special Treatment And Therapies