WordNet

mental or emotional rather than physiological in origin; "a psychogenic disorder"
speech disorder attributable to a disorder of phonation

PrepTutorEJDIC

心因性の(精神・心理作用から生じる)

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1. 声帯奇異性運動 paradoxical vocal cord motion
2. 成人における嗄声 hoarseness in adults
3. 小児における嗄声の病因および管理 etiology and management of hoarseness in children
4. 小児における喘息以外の喘鳴疾患 wheezing illnesses other than asthma in children
5. 反応性気道機能障害症候群および刺激に誘発された喘息 reactive airways dysfunction syndrome and irritant induced asthma

English Journal

[Present and future of the transcranial magnetic stimulation].

Leon-Sarmiento FE, Granadillo E, Bayona EA.Author information Smell and Taste Center, Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia 19104, USA. feleones@gmail.comAbstractMagnetic stimulation has called the attention of neuroscientists and the public due to the possibility to stimulate and "control" the nervous system in a non-invasive way. It has helped to make more accurate diagnosis, and apply more effective treatments and rehabilitation protocols in several diseases that affect the nervous system. Likewise, this novel tool has increased our knowledge about complex neural behavior, its connections as well as its plastic modulation. Magnetic stimulation applied in simple or paired-pulse protocols is a useful alternative in the diagnosis of diseases such as multiple sclerosis, Parkinson disease, epilepsy, dystonia, amyotrophic lateral sclerosis, cerebrovascular disease, and sleep disorders. From the therapeutic perspective, magnetic stimulation applied repetitively has been found useful, with different degrees of efficacy, in treating resistant depression, tinnitus, psychogenic dysphonia, Alzheimer disease, autism, Parkinson disease, dystonia, stroke, epilepsy, generalized anxiety as well as post traumatic stress disorder, auditory hallucinations, chronic pain, aphasias, obsessive-compulsive disorders, L-dopa induced dyskynesia, mania and Rasmussen syndrome, among others. The potential of magnetic stimulation in neurorehabilitation is outstanding, with excellent range of safety and, in practical terms, without side effects.
Investigación clínica.Invest Clin.2013 Mar;54(1):74-89.
Magnetic stimulation has called the attention of neuroscientists and the public due to the possibility to stimulate and "control" the nervous system in a non-invasive way. It has helped to make more accurate diagnosis, and apply more effective treatments and rehabilitation protocols in several disea
PMID 23781715

[The use of fibrolaryngoscopy in muscle tension dysphonia in telemarketers].

Paoletti OA, Fraire ME, Sanchez-Vallecillo MV, Zernotti M, Olmos ME, Zernotti ME.Author information Servicio de Otorrinolaringología, Sanatorio Allende, Córdoba Capital, Provincia de Córdoba, Argentina. oapaoletti@yahoo.comAbstractINTRODUCTION: Muscle tension dysphonia (MTD) is a voice disorder in the absence of current organic laryngeal pathology, without obvious psychogenic or neurological aetiology. The laryngeal features of MTD include a posterior glottal gap and supraglottic hyperfunctional activities; however, it remains unclear if these features are specific to MTD. This report aims to compare the laryngeal features in telemarketer patients with MTD versus non-dysphonic control subjects.
Acta otorrinolaringológica española.Acta Otorrinolaringol Esp.2012 May-Jun;63(3):200-5. doi: 10.1016/j.otorri.2011.12.003. Epub 2012 Mar 19.
INTRODUCTION: Muscle tension dysphonia (MTD) is a voice disorder in the absence of current organic laryngeal pathology, without obvious psychogenic or neurological aetiology. The laryngeal features of MTD include a posterior glottal gap and supraglottic hyperfunctional activities; however, it remain
PMID 22436600

Post-thyroidectomy dysphonia in patients with bilateral resection of the superior laryngeal nerve: a comparative spectrographic study.

Neri G, Castiello F, Vitullo F, DE Rosa M, Ciammetti G, Croce A.Author information Neurosciences and Imaging Department, "G. d'Annunzio" University Chieti-Pescara. neri@unich.itAbstractThe most serious complications of total thyroidectomy, in cases of widespread and invasive diseases, are mainly hypoparathyroidism and laryngeal inferior nerve palsy. Lesions of the external branch of superior laryngeal nerve instead, although less obvious than the those caused by the recurrent laryngeal nerve lesions, have been taken less into consideration. The frequency of this lesion varies from 14% to 20% of cases, although in reality it is underestimated; in fact, on the one hand it is difficult to assess this, and on the other, post-thyroidectomy dysphonia is often considered inevitable. In the present retrospective research, 15 thyroidectomized patients (4 male, 11 female), have been subjected to qualitative and quantitative evaluation of the voice. Of these, 7 had a nerve lesion, while 8 did not. All the patients received a self-evaluation voice questionnaire (VHI). In all cases, a videolaryngostroboscopy has been carried out and the voice acoustic features examined through a spectrographic analysis. The results showed that removal of the thyroid, at the end of a 12-month post-surgery period, still causes an impact on the qualitative and quantitative aspects of the vocal function, whether the superior larynx nerve was injured or not. The majority of the patients, in both groups, reported that their voice had worsened in quality and durability. Hence, we have shown that the patients with upper larynx nerve lesion have an alteration of F0, show a lower energy level and a modified spectrographic quality compared to patients without injury. This low voice is often considered by patients as a normal consequence of thyroid surgery. The present research confirms that the attempt to identify and protect the superior laryngeal nerve is essential to prevent post-thyroidectomy dysphonia, but this is not sufficient to obtain the best results because of the existence of muscular and psychogenic factors that reduce the still voice capacity of the patient.
Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale.Acta Otorhinolaryngol Ital.2011 Aug;31(4):228-34.
The most serious complications of total thyroidectomy, in cases of widespread and invasive diseases, are mainly hypoparathyroidism and laryngeal inferior nerve palsy. Lesions of the external branch of superior laryngeal nerve instead, although less obvious than the those caused by the recurrent lary
PMID 22065652

Japanese Journal

心因性発声障害の治療経験

五島史行,矢部はる奈,中井貴美子,藤野紀子,小川郁
日本心療内科学会誌 12(1), 5-9, 2008-02-20
NAID 10024175290

痙攣性発声障害 (spasmodic dysphonia, SD) との鑑別(特別発言)

小林武夫
音声言語医学 = The Japan Journal of Logopedics and Phoniatrics 48(4), 359-360, 2007-10-20
… In order to treat spasmodic dysphonia (SD), exact diagnosis is mandatory. … A diagnosis of adductor SD also requires ruling out abductor SD, voice tremor, psychogenic aphonia, ventricular dysphonia, stuttering, dysphonia due to head and neck dystonia, and hyperfunctional dysphonia. …
NAID 10019830437

What Should Be the Working Relationship between Otolaryngologists and Speech Language Pathologists?

WOO Peak
音声言語医学 = The Japan Journal of Logopedics and Phoniatrics 48(2), 123-132, 2007-04-20
… post operative voice use surrounding phono-surgery, management of functionally based benign lesions of the larynx (nodules, contact granuloma, muscle tension dysphonia, presbyphonia, puberphonia, and voice enhancement), c) evaluation and management of functional voice disorders such as psychogenic dysphonia, dysphonia for secondary gain and conversion voice disorders and d) optimizing the power, source, and filter system to improve phonatory function by voice rehabilitation. …
NAID 10020161329