Rehabilitation of paralytic dysphonia.

Vocal rehabilitation has been successful for patients with paralytic dysphonia. At the discretion of the laryngologist, vocal rehabilitation is used alone or in combination with intracordal injection. Except for post-surgical patients, a complete diagnostic evaluation is advisable before vocal therapy is undertaken. During vocal rehabilitation, pitch, volume, quality, breath support and the vocal image are realigned to afford an optimal and efficient voice. For the 18 patients completing vocal therapy, the results were excellent in 14 and good in four. Vocal therapy was completed within six months for 11 patients; seven were treated for periods ranging from six months to a year.