Laryngeal hyperfunction during whispering: reality or myth?

Journal of Voice : Official Journal of the Voice Foundation
Adam D RubinRobert Thayer Sataloff

Abstract

For years, otolaryngologists and voice therapists have warned voice patients that whispering causes more trauma to the larynx than normal speech. However, no large series of patients has ever been examined fiberoptically during whispering to test this hypothesis. As part of our routine examination, patients are asked to count from 1 to 10 in a normal voice and in a whispered voice. We reviewed recorded fiberoptic examinations of 100 patients who had voice complaints. We compared supraglottic hyperfunction and vocal fold closure during the normal and whispered phonation of each patient. Sixty-nine percent of the patients demonstrated increased supraglottic hyperfunction with whispered voice. Eighteen percent had no change, and 13% had less severe hyperfunction. The most common glottal configuration during whisper was an inverted Y, which resulted from compression of the anterior and middle thirds of the true vocal folds. However, 12 patients had no true vocal fold contact during whispered voice, despite having adequate glottic closure with normal voice. Although whispering involves more severe hyperfunction in most patients, it does not seem to do so in all patients. In some patients, it may be less traumatic than normal voice.

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Citations

Oct 29, 2009·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Claudio StorckMarkus Gugatschka
May 10, 2011·Journal of Voice : Official Journal of the Voice Foundation·Hamid Reza SharifzadehMartin J Russell
Jul 24, 2013·The Laryngoscope·Ross M MayerhoffAdam D Rubin
Oct 4, 2006·Journal of Voice : Official Journal of the Voice Foundation·Slobodan T Jovicić, Zoran Sarić
Mar 29, 2014·The Annals of Otology, Rhinology, and Laryngology·Daniel J CroakeRichard D Andreatta
Apr 2, 2014·Journal of Speech, Language, and Hearing Research : JSLHR·Lucie BaillyMarkus Hess
Apr 4, 2009·Current Opinion in Otolaryngology & Head and Neck Surgery·Mara Behlau, Gisele Oliveira
Oct 16, 2018··Masaaki Fukumoto, Masaaki Fukumoto

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