An encyclopedia about voice, swallowing, airway, coughing, & other head + neck disorders.

Dysphonia is the abnormal production of vocal sound; more commonly used as a synonym for hoarseness. Dysphonia may be the result of injury to the mucosa of the vocal cords; or it may be neurogenic, the result of a benign or malignant tumor; or it may be nonorganic.

Dysphonia vs. Dysphagia vs. Dysesthesia vs. Dysphasia

Dysphagia is the medical term for difficulty swallowing. This may involve discomfort, the sensation of food sticking, or actual impairment of the swallowing process such as when food or liquid “goes down the wrong tube” (aspiration) and induces coughing.

Dysesthesia refers to an abnormal sensation—often unpleasant—such as burning, tingling, or prickling. It may be an exaggerated response to a normal stimulus, or it can occur in the absence of any stimulus at all.

Dysphasia refers to difficulty with language processing (not voice or articulation). There are two broad types:

Word Roots

A word-root tip: As you continue learning, you’ll find that understanding word roots is very helpful—and even fun. You’re probably doing this already, but here’s a little encouragement to keep going:

The more you learn the roots, the easier it is to decode medical terms. So keep looking for those roots—they’ll serve you well!

This Subtle, Submucosal Mass is made more Evident with High Pitch. It is likely a Rheumatoid Nodule

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Submucosal mass (1 of 4)

This young woman has abandoned her strong avocational interest in singing years earlier due to chronic and apparently unresolvable hoarseness. Speaking voice can pass for normal. Consistent with submucosal pathology, her swelling checks become abruptly (rather than gradually) impaired as she sings up the scale. Even in this breathing position, the left vocal cord (right of photo) appears to have a whitish submucosal mass.

Open phase (2 of 4)

At F#4 (370 Hz) under strobe light, open phase of vibration. The lesion remains indistinct.

Closed phase (3 of 4)

Closed phase of vibration, same pitch.

Much higher pitch (4 of 4)

At the much higher pitch of E5 (659 Hz), the mucosa is stretched and thinned so that the lesion is much more visible (right of photo). This is likely a rheumatoid nodule. The only other oval submucosal white lesion is an open epidermoid cyst, but the axis of the oval is always anterior-posterior rather than medial-lateral.