Summary: Complete loss of phonation due to organic disease of the larynx or to nonorganic (i.e., psychogenic) causes.

Top Publications

  1. Harris C, Richards C. Functional aphonia in young people. J Laryngol Otol. 1992;106:610-2 pubmed
    ..All the patients were 'cured' by speech therapy, that is the voice returned to its premorbid state. This study looks at common characteristics of presentation, different approaches to management, and the patterns of voice return. ..
  2. Willinger U, Völkl Kernstock S, Aschauer H. Marked depression and anxiety in patients with functional dysphonia. Psychiatry Res. 2005;134:85-91 pubmed
    ..quot; Both symptoms of depression and anxiety should be taken into consideration in the diagnostic as well as the therapeutic process of patients with functional dysphonia. ..
  3. Kuczkowski K, Goldsworthy M. Transient aphonia and aphagia in a parturient after induction of combined spinal-epidural labor analgesia with subarachnoid fentanyl and bupivacaine. Acta Anaesthesiol Belg. 2003;54:165-6 pubmed
  4. Spraggs P, Perry A, Cheesman A. The 'Allan Johnson' voice prosthesis. A modification of the Bivona voice prosthesis for immediate post-fitting aphonia after secondary tracheo-oesophageal puncture. J Laryngol Otol. 1994;108:579-81 pubmed
    ..The 'Allan Johnson' modification of the Bivona voice prosthesis incorporates a stainless steel slide and has been successfully used to remedy such a circumstance. ..
  5. Artal Sánchez R, Alfonso Collado J, Sebastián J, Bondía A, Vallés H. [Assessment of degree of psychological health involvement in pre-laryngectomized patients]. Acta Otorrinolaringol Esp. 2011;62:220-7 pubmed publisher
  6. Daie N, Witztum E. Short-term strategic treatment in traumatic conversion reactions. Am J Psychother. 1991;45:335-47 pubmed
    ..This therapy model is composed of behavioral and paradoxical techniques based on the understanding of the dynamic material and cultural content. ..
  7. Ozawa H, Satako K, Mizutari K, Fujimine T, Fujii M, Syunji I, et al. Aphonia and dysphagia after gastrectomy. Acta Otolaryngol. 2005;125:1244-6 pubmed
    A 67-year-old male was referred to our otolaryngological clinic because of aphonia and dysphagia. His voice was breathy and he could not even swallow saliva following a total gastrectomy for gastric carcinoma performed 2 weeks previously...
  8. Gunther V, Mayr Graft A, Miller C, Kinzl H. A comparative study of psychological aspects of recurring and non-recurring functional aphonias. Eur Arch Otorhinolaryngol. 1996;253:240-4 pubmed
    The present study is based on the hypothesis that patients with recurrent attacks of aphonia differ from those with non-recurring attacks of aphonia in their anxiety levels, social assertiveness and stress-coping strategies...
  9. Bhatia M, Vaid L. Hysterical aphonia--an analysis of 25 cases. Indian J Med Sci. 2000;54:335-8 pubmed
    ..In the present prospective study in a tertiary care teaching hospital, 25 cases of hysterical aphonia were analysed. There were 17 females and 8 males. Mean age of presentation was 18.4 years in females and 21...

More Information


  1. Plaza Martin A. [Food allergies in paediatrics: Current concepts]. An Pediatr (Barc). 2016;85:50.e1-5 pubmed publisher
    ..IgE mediated) such as urticaria, angioedema, immediate vomiting, abdominal pain, both upper respiratory (aphonia or rhinitis) and lower (wheezing or dyspnoea) symptom, and cardiovascular symptoms...
  2. Vansteensel M, Pels E, Bleichner M, Branco M, Denison T, Freudenburg Z, et al. Fully Implanted Brain-Computer Interface in a Locked-In Patient with ALS. N Engl J Med. 2016;375:2060-2066 pubmed publisher
    ..Funded by the Government of the Netherlands and the European Union; ClinicalTrials.gov number, NCT02224469 .). ..
  3. Olive M, Mora A, Cortes C, Ballvé M, Cabarrocas E. [A rare complication of endotracheal intubation: posterior luxation of the left arytenoid cartilage]. Rev Esp Anestesiol Reanim. 1991;38:118-20 pubmed
    ..Symptoms usually are aphonia, dysphonia, pain or discomfort in the throat, odynophagia and laryngeal stridor...
  4. de Trey L, Lambercy K, Monnier P, Sandu K. Management of severe congenital laryngeal webs - a 12 year review. Int J Pediatr Otorhinolaryngol. 2016;86:82-6 pubmed publisher
    ..Fourteen patients were included. Information on the pre-operative voice was available in 11 patients. Aphonia was present in 6 patients (55%), dysphonia was severe in 1 (9%), moderate in 2 (18%) and mild in 2 (18%)...
  5. Tsunoda K, Sekimoto S, Baer T. Brain activity in aphonia after a coughing episode: different brain activity in healthy whispering and pathological aphonic conditions. J Voice. 2012;26:668.e11-3 pubmed publisher
    A 48-year-old woman visited the authors' clinic because of aphonia. Laryngeal fiberscopic examination indicated laryngitis and bronchitis, and the authors recognized glottal incompetence when she tried to phonate...
  6. Moreno C, Fonseca S. Aphonia after shoulder surgery: case report. Braz J Anesthesiol. 2016;66:321-3 pubmed publisher
    In this case report we highlight the uniqueness of aphonia as, to the best of our knowledge, cases of aphonia related to interscalene brachial plexus block (IBPB) are not described in the literature...
  7. Ghosh J, Chakrabarty S, Singh A, Gupta D. Wilson's disease--unusual features. Indian J Pediatr. 2004;71:937-8 pubmed
    ..Apart from clinical profile both the cases were diagnosed by grossly reduced serum ceruloplasmin level. However, Kayser-Fleischer rings were found in each case. ..
  8. Lewin J, Zinner R. Images in clinical medicine. Reversal of laryngeal paresis. N Engl J Med. 2007;357:e25 pubmed
  9. Kramp B, Dommerich S. [Tracheostomy cannulas and voice prostheses]. Laryngorhinootologie. 2009;88 Suppl 1:S95-118 pubmed publisher
    ..Each doctor taking care of patients with speech prostheses after laryngectomy should know exactly what to do in case the device fails or gets lost. ..
  10. Elmiyeh B, Dwivedi R, Jallali N, Chisholm E, Kazi R, Clarke P, et al. Surgical voice restoration after total laryngectomy: an overview. Indian J Cancer. 2010;47:239-47 pubmed publisher
    ..Special emphasis has been given to the surgical technique, special considerations, complications, and the prevention / treatment of tracheoesophageal voice restoration. ..
  11. Velez Cubian F, Toosi K, Glover J, Pancholy B, Hong E. Transient Aphonia After Mediastinoscopy. Ann Thorac Surg. 2017;103:e549-e550 pubmed publisher
    ..who experienced transient bilateral vocal cord paralysis after mediastinoscopy, which manifested in complete aphonia. This patient's ability to maintain his airway was carefully followed up, but neither endotracheal intubation nor ..
  12. Heaton J, Robertson M, Griffin C. Development of a wireless electromyographically controlled electrolarynx voice prosthesis. Conf Proc IEEE Eng Med Biol Soc. 2011;2011:5352-5 pubmed publisher
    ..This paper describes both technical and human factors considered while designing the new EMG-EL voice prosthesis. ..
  13. Sinkiewicz A, Jaracz M, Mackiewicz Nartowicz H, Wiskirska Woźnica B, Wojnowski W, Bielecka A, et al. Affective temperament in women with functional aphonia. J Voice. 2013;27:129.e11-129.e14 pubmed publisher
    The aim of the present study was to assess the affective temperament in women with functional aphonia. Cross-sectional...
  14. Cantor Cutiva L, Fajardo A, Burdorf A. Associations between self-perceived voice disorders in teachers, perceptual assessment by speech-language pathologists, and instrumental analysis. Int J Speech Lang Pathol. 2016;18:550-559 pubmed
  15. Sharma H, Daud A. Antrochoanal polyp--a rare paediatric emergency. Int J Pediatr Otorhinolaryngol. 1997;41:65-70 pubmed
    ..An emergency removal was planned and only during the operation could it be diagnosed as a antrochoanal polyp because of its pedicle in the lateral wall of the nose, which was confirmed by histopathological examination. ..
  16. Sahu K, Thirtha A, Devgarha S, Mathur R. Giant pseudoaneurysm of right subclavian artery presenting with severe respiratory distress. Ann Vasc Surg. 2011;25:1139.e13-5 pubmed publisher
    ..report of huge subclavian artery pseudoaneurysm presenting with hoarseness of voice, respiratory distress, and aphonia. Patient was operated through median sternotomy, with the incision extended over the swelling...
  17. Santos P, Afrassiabi A, Weymuller E. Risk factors associated with prolonged intubation and laryngeal injury. Otolaryngol Head Neck Surg. 1994;111:453-9 pubmed
    ..01). Delayed true vocal cord immobility developed only in patients with a size 8 endotracheal tube.(ABSTRACT TRUNCATED AT 250 WORDS) ..
  18. Vic P, Blondin G, Guergnon C, Lapostolle C, Le Gall F, Geffroy F. [Staphylococcal tracheitis and toxic shock syndrome in a child]. Arch Pediatr. 2010;17:1540-2 pubmed publisher
    ..We report the observation of toxic shock syndrome-complicated bacterial tracheitis in a 14-year-old boy. We describe the signs and symptoms of these conditions as well as the principles of treatment. ..
  19. Gallivan G, Eitnier C. Vocal fold polyp in a professional brass/wind instrumentalist and singer. J Voice. 2006;20:157-64 pubmed
    ..singer, wind and brass instrumentalist, was referred by musician colleagues with intermittent dysphonia, aphonia, and inability to sing high notes...
  20. Sato K, Nakashima T, Nonaka S, Harabuchi Y. Histopathologic investigations of the unphonated human vocal fold mucosa. Acta Otolaryngol. 2008;128:694-701 pubmed publisher
    ..The stellate cells synthesized fewer extracellular matrices, such as fibrous protein and glycosaminoglycan. Cytoplasmic processes of the stellate cells were short and shrinking. The stellate cells appeared to have decreased activity. ..
  21. Paperman M. [The phoniatrist-orthophonist relationship: a team of 2 or a team of 3?]. Rev Laryngol Otol Rhinol (Bord). 2002;123:336-7 pubmed
  22. Neeleman J, Mann A. Treatment of hysterical aphonia with hypnosis and prokaletic therapy. Br J Psychiatry. 1993;163:816-9 pubmed
    A patient with chronic refractory hysterical aphonia was treated by prokalesis (challenge) and hypnosis within a psychotherapeutic relationship. A temporary remission was achieved but this was followed by subsequent relapse...
  23. Tsunoda K, Takanozawa M, Choh K. Sudden onset aphonia caused by a Japanese-style bath. J Laryngol Otol. 1998;112:480-1 pubmed
    An 86-year-old man was referred by his family physician to our clinic because of sudden onset aphonia immediately after a Japanese-style bath...
  24. Oestreicher Kedem Y, DeRowe A, Nagar H, Fishman G, Ben Ari J. Vocal fold paralysis in infants with tracheoesophageal fistula. Ann Otol Rhinol Laryngol. 2008;117:896-901 pubmed
    ..born with TEFs who presented to our pediatric otolaryngology unit and intensive care unit because of dyspnea or aphonia in the years 2005 and 2006, and who were found to have vocal fold paralysis. Five boys and 1 girl were studied...
  25. Haile D, Frie E, Hall B, Sprung J. Transient postoperative aphonia following instillation of bupivacaine into the shoulder joint. Can J Anaesth. 2006;53:212-3 pubmed
  26. Kambeyanda D, Singer L, Cronk S. Potential problems associated with use of speech recognition products. Assist Technol. 1997;9:95-101 pubmed
  27. Butcher P. Psychological processes in psychogenic voice disorder. Eur J Disord Commun. 1995;30:467-74 pubmed
    ..The paper concludes by briefly considering some areas of future research. ..
  28. Parano E, Pavone L, Musumeci S, Giambusso F, Trifiletti R. Acute palsy of the recurrent laryngeal nerve complicating Epstein-Barr virus infection. Neuropediatrics. 1996;27:164-6 pubmed
    We report an 11-year-old boy with active Epstein-Barr virus (EBV) infection who developed acute aphonia and had signs and symptoms of recurrent laryngeal nerve palsy...
  29. Schuster J, Mouchabac S, Le Strat Y, Limosin F. [Hysterical mutism]. Encephale. 2011;37:339-44 pubmed publisher
    ..Search terms used were mutism, functional aphonia, conversion disorder, hysteria. The epidemiology of hysterical mutism is difficult to assess...
  30. Trinidade A, Shakeel M, Stickle B, Ah See K. Laryngeal Fracture Caused by a Lacrosse Ball. J Coll Physicians Surg Pak. 2015;25:843-4 pubmed publisher
    ..A 23-year man sustained a direct blow to his left neck by a lacrosse ball during play, resulting in immediate aphonia and stridor. CT scan confirmed a left thyroid lamina fracture...
  31. Lorenz R, Hicks D, Shields R, Fritz M, Strome M. Laryngeal nerve function after total laryngeal transplantation. Otolaryngol Head Neck Surg. 2004;131:1016-8 pubmed
    ..We herein report the results of these exams, as well as the results of electromyographic recordings of the laryngeal musculature 4 years posttransplantation. ..
  32. Bhalla R, Watson G, Taylor W, Jones A, Roland N. Acoustic analysis in asthmatics and the influence of inhaled corticosteroid therapy. J Voice. 2009;23:505-11 pubmed publisher
    ..0001). They were more likely to have hoarseness, weakness of voice, aphonia, sore throat, throat irritation, and cough (P<0.0001)...
  33. Nawka T, Hosemann W. [Voice disorder. Surgical procedures]. Laryngorhinootologie. 2005;84 Suppl 1:S201-12 pubmed
  34. Karlsen T, Grieg A, Heimdal J, Aarstad H. Cross-cultural adaption and translation of the voice handicap index into Norwegian. Folia Phoniatr Logop. 2012;64:234-40 pubmed publisher
    ..Folia Phoniatr Logop 2009;61:37-48] and Rosen et al. [Laryngoscope 2004;114:1549-1556]. This Norwegian version of the VHI questionnaire seems to be psychometrically sound. ..
  35. Jain A, Verma K, Solanki R, Sidana A. Is hysteria still prevailing? A retrospective study of sociodemographic and clinical characteristics. Indian J Med Sci. 2000;54:395-7 pubmed
    ..Nearly half of them had faced some stress prior to onset of their illness. Fits of unconsciousness and aphonia were the commonest presentation in female and male patients respectively...
  36. Painter C. Semi-automated voice evaluation. Am J Otolaryngol. 1991;12:329-42 pubmed
  37. Tsintzas D, Vithoulkas G. Treatment of Postoperative Sore Throat With the Aid of the Homeopathic Remedy Arnica montana: A Report of Two Cases. J Evid Based Complementary Altern Med. 2017;:2156587217735986 pubmed publisher
    We present 2 cases of severe postoperative sore throat, hoarseness, aphonia, and dysphagia, after a laryngeal mask insertion, who were treated successfully with the homeopathic remedy Arnica montana...
  38. Liu F, Cherng Y, Chang H. Aphonia and quadriplegia---a rare complication following epidural labor analgesia. Acta Anaesthesiol Taiwan. 2008;46:142-5 pubmed publisher
    ..Ten minutes after receiving a loading dose, the patient developed aphonia, quadriplegia, and facial palsy while retaining normal consciousness and stable hemodynamics...
  39. Cantarella G, Pagani D, Fasano V, Scaramellini G. Glottic tuberculosis masquerading as early multifocal carcinoma. Tumori. 2007;93:302-4 pubmed
    ..We report the case of a 52-year-old female smoker who complained of persistent aphonia. Videostroboscopy showed bilateral vocal fold erythroleukoplakias...
  40. Scheuermann K, Delank K. [Ackerman's tumor of the larynx and occupational exposure to asbestos]. Laryngorhinootologie. 2007;86:588-91 pubmed
    ..This brings us to the conclusion that the Ackerman's tumor of the larynx is no asbestos-induced laryngeal tumor as per German occupational disease regulations. ..
  41. Cakir Z, Yigit O, Kocak I, Sunter A, Dogan M. Sulcus vocalis in monozygotic twins. Auris Nasus Larynx. 2010;37:255-7 pubmed publisher
  42. Tsuruga K, Kobayashi T, Hirai N, Kato S. [Foreign accent syndrome in a case of dissociative (conversion) disorder]. Seishin Shinkeigaku Zasshi. 2008;110:79-87 pubmed
    ..Then she developed aphonia. After aphonia was resolved, she began to speak haltingly as if a Chinese woman was trying to speak Japanese...
  43. Kraemer R, Plante E, Green G. Changes in speech and language development of a young child after decannulation. J Commun Disord. 2005;38:349-58 pubmed
  44. Bautista R, Ciampetti M. Expressive aprosody and amusia as a manifestation of right hemisphere seizures. Epilepsia. 2003;44:466-7 pubmed
    ..Treatment with phenytoin (PHT) almost immediately caused her speech and singing to return to baseline. A repeated EEG was normal Seizures of right temporooccipital origin can manifest with expressive aprosody and amusia. ..
  45. Kariminejad A, Hennekam R. Aphonia, microstomia, deafness, retinal dystrophy, duplicated halluces and intellectual disability. Am J Med Genet A. 2012;158A:2756-62 pubmed publisher
    ..unique combination of signs and symptoms consisting of intellectual disability, congenital absent voice (aphonia), hearing loss, optic atrophy, retinal dystrophy, mildly broad thumbs, and duplicated halluces...
  46. Kuljić B. [Cognitive-behavioral therapy of conversion aphonia]. Vojnosanit Pregl. 2004;61:695-8 pubmed
    ..A case of conversion disorder, diagnosed as a psychogenic aphonia that persisted for a week, was reported in this paper...
  47. Abraham R, Shapshay S, Galati L. Botulinum toxin-assisted endoscopic repair of traumatic vocal fold avulsion. Ear Nose Throat J. 2010;89:452-8 pubmed
    ..Compared with open repair, it is associated with a shorter hospital stay and a lower risk of stenosis and fibrosis. ..
  48. Gultekin E, Yelken K, Garca M, Develioglu O, Kulekci M. Effects of neck dissection and radiotherapy on short-term speech success in voice prosthesis restoration patients. J Voice. 2011;25:245-8 pubmed publisher
    ..the surgery and 3-4 weeks after the cessation of radiotherapy, using a 1-3 scale (1 = failure to develop speech (aphonia); 2=communicate with short phrases only; and 3 = communicate with fluency and long sentences)...
  49. Lazzarino L, Nicolai A. Aphonia as the only speech disturbance from bilateral paramedian thalamic infarction. Clin Neurol Neurosurg. 1988;90:265-7 pubmed
    ..right-handed woman showing transient coma, amnesia, mild right hemiparesis, vertical gaze impairment and aphonia without aphasia...
  50. van Harten P, Schutte H. [Psychogenic aphonia; an effective and rapidly treatable conversion]. Ned Tijdschr Geneeskd. 1992;136:790-3 pubmed
    Psychogenic aphonia is a conversion symptom which is quite annoying to the patient. This article concentrates on the treatment of psychogenic aphonia. The literature contains only few articles on this subject...
  51. Wygoda A, Rutkowski T, Ponikiewska D, Hejduk B, Składowski K. Ewing's sarcoma of the larynx. Effective treatment with organ preservation. Strahlenther Onkol. 2013;189:586-9 pubmed publisher
    ..the unusual case of a tumor originating in the larynx of a 68-year-old male with hoarseness and occasional aphonia. We report successful treatment with sequential chemo- and radiotherapy...
  52. Bader C, Schick B. [Psychogenic aphonia. A challenging diagnosis?]. HNO. 2013;61:678-82 pubmed publisher
    ..The medical records of 14 patients (all female) with psychogenic aphonia first diagnosed at the ENT department of the Saarland University Clinic were evaluated in a retrospective study...
  53. Kosztyła Hojna B, Południewska B, Tupalska M, Mikiel W. [Voice pathology in patients with allergic rhinitis]. Otolaryngol Pol. 1997;51:191-9 pubmed
    ..It caused serious voice pathology (dysphonia) which was confirmed by an objective spectrographic method. Larynx organic pathology was not in 15% patients. In these cases rhinophonia was found in consequence of resonance nasal defect. ..