Nonorganic voice (1 of 2)
Normal vocal cord posturing with, accordingly, normal voice production.

Nonorganic voice (2 of 2)
Same patient, moments earlier in the same examination, with nonorganic vocal cord posturing and, accordingly, nonorganic voice disturbance.

Nonorganic voice (1 of 4)
Breathing position, standard light, showing normal morphology and mucosa.

Nonorganic voice (2 of 4)
Voicing position. During this moment of appropriate vocal cord posturing and tensing, we see normal adduction and hear normal voice.

Nonorganic voice (3 of 4)
Strobe light, voicing, open phase of vibration. Nonorganic vocal cord posturing (see separate vocal processes) combined with nonorganic flaccidity (non-contraction) of the thyroarytenoid muscles such that the cords flap like unsecured sails in the wind (luffing).

Nonorganic voice (4 of 4)
Only moments later, normal tension is returned volitionally to the vocal cords. The flaccidity is gone and vocal cord vibration and resulting voice return to normal.

Nonorganic voice (1 of 3)
Panoramic view of normal breathing position with abducted vocal cords.

Nonorganic voice (2 of 3)
Vocal cord position for normal voice.

Nonorganic voice (3 of 3)
Abnormal voice created on a non-organic (functional) basis: Vibratory blur of supraglottic tissues - especially arytenoid mounds - create an inappropriate, rough, growling voice.