Ist European Laryngological
Live Surgery Broadcast

2nd December 2015 | 9.00 - 16.00 CET

Dr Ton Langeveld, Dr Elisabeth Sjögren

Patient 2
24 years old with adductor spasmodic dysphonia history
2011: remitted to outpatients clinic because of voice problems
  • unstable, trembling voice
  • vocal fatigue
  • complaints brought on by stress
Prior history: perinatal asphyxia, dystonia of right arm and shoulder
Diagnosis and follow-up:
Adductor spasmodic dysphonia
  • 2011-2014 treatment with Botox with good results (audio during surgery)
  • 2014 (October) bilateral myoneurectomy
  • 3 months good results: voicing more stable with less effort
  • after 3 months return of complaints
  • plan: repeat-myoneurectomy
Part 1 Part 2 Part 3

Examination (November 2015):
  • voice is tight and strained with voice breaks (audio during surgery)
  • normal vocal fold ab- and adduction
  • no structural lesions
  • slightly irregular vocal fold vibration (phase), total closure during phonation
  • "perfect" wound healing after surgery
during surgery 2014

November 2015