Monday L A
J Otolaryngol. 1983 Oct;12(5):307-10.
Functional dysphonia is a voice impairment without any organic lesion of the phonating system. It may be classified into two categories: functional dysphonia itself where no lesions are found and functional laryngopathies where vocal cord lesions may be attributed to vocal abuse or misuse. The clinical evaluation of a dysphonic patient is performed in three steps: history taking, vocal evaluation, and examination. History taking helps the diagnosis and may be considered also as a therapeutic procedure. Vocal evaluation is oriented toward the voice itself and how it is produced. Then an ENT examination is performed with special attention to the larynx. In functional dysphonia, usually, everything looks normal but there may be signs of inflammation, hyperkinetism, hypokinetism, excessive laryngeal movements, etc. Functional laryngopathies include vocal nodules, laryngitis, polyps, and contact ulcer.
功能性发声障碍是一种发声系统无任何器质性病变的嗓音障碍。它可分为两类：一类是未发现病变的功能性发声障碍本身，另一类是声带病变可能归因于发声滥用或误用的功能性喉病。对嗓音障碍患者的临床评估分三步进行：病史采集、嗓音评估和检查。病史采集有助于诊断，也可视为一种治疗手段。嗓音评估针对嗓音本身及其产生方式。然后进行耳鼻喉检查，并特别关注喉部。在功能性发声障碍中，通常一切看起来正常，但可能有炎症、运动亢进、运动减退、喉部运动过度等体征。功能性喉病包括声带小结、喉炎、息肉和接触性溃疡。
