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ENT · Larynx and airway: ventricular dysphonia
Sample itemA patient with a paralysed true vocal fold develops a rough, low-pitched voice produced by approximation of the false cords. What is this called?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Ventricular (dysphonia plicae ventricularis) phonation
In plica ventricularis dysphonia, the vestibular folds adduct during voice production to compensate for poor true cord function, giving a coarse low-pitched voice. It occurs after vocal fold paralysis or surgery and in muscle tension disorders. Speech therapy redirects voicing to the true cords.
Option by option
A. Spasmodic dysphonia
Spasmodic dysphonia is a task-specific laryngeal dystonia.
B. Ventricular (dysphonia plicae ventricularis) phonation (correct)
Correct. The false cords are used for voicing.
C. Puberphonia
Puberphonia is persistence of a high voice after puberty.
D. Aphonia
Aphonia is the absence of voice.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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