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ENT Larynx c072acce

Which of the following is not true about spasmodic dysphonia

A
Local laryngeal disorder
B
May be associated with other focal dysphonia
C
Patient with the abductor type have strained and strangled voice
D
Botulinum toxin is the standard treatment for it
High-Yield Explanation
SPASMODIC DYSPHONIA Spasmodic dysphonia is also called as laryngeal dysphonia. The condition is characterised by spasm of phonatory muscles. It is a neurological disorder and is of following types: (A) Adductor spasm (M/C):- Adductor muscles go into spasm lead ing to strained and strangled voice (scratchy creaky voice). Management :- Botulinum toxin injection in thyroarytenoid muscle. (B) Abductor spasm:- Abductor muscles go into spasm. Vocal cords are unable to abduct leading to leakage of air during speech. The voice is breathy or whispery. Management :- Botulinum toxin injection in posterior cricoarytenoid muscle. Ref:- Dhingra; pg num:-314

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