Diplophonia

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A voice disorder characterized by the perception of two distinct pitches


Diplophonia is a voice disorder characterized by the perception of two distinct pitches during phonation. This condition occurs when the vocal folds produce two different frequencies simultaneously, leading to a "double voice" effect. Diplophonia can be caused by various factors affecting the larynx and vocal fold vibration.

Causes[edit | edit source]

Diplophonia can result from several underlying conditions that affect the normal vibration of the vocal folds. Common causes include:

  • Vocal fold paralysis: When one or both vocal folds are paralyzed, they may not vibrate symmetrically, leading to diplophonia.
  • Vocal fold nodules or polyps: These benign growths can cause irregularities in vocal fold vibration.
  • Laryngitis: Inflammation of the larynx can alter the tension and mass of the vocal folds, resulting in diplophonia.
  • Muscle tension dysphonia: Excessive tension in the laryngeal muscles can disrupt normal vocal fold vibration.
  • Reinke's edema: Swelling of the vocal folds can lead to asymmetrical vibration.

Symptoms[edit | edit source]

The primary symptom of diplophonia is the perception of two distinct pitches during speech or singing. This can make the voice sound hoarse, rough, or "double." Other symptoms may include:

  • Vocal fatigue
  • Hoarseness
  • Difficulty controlling pitch
  • Strain or discomfort while speaking

Diagnosis[edit | edit source]

Diagnosis of diplophonia typically involves a thorough evaluation by an otolaryngologist or a speech-language pathologist. The assessment may include:

  • Laryngoscopy: A procedure to visualize the vocal folds and assess their function.
  • Stroboscopy: A specialized technique that uses a strobe light to observe vocal fold vibration in slow motion.
  • Acoustic analysis: Analyzing the sound of the voice to identify irregularities in pitch and frequency.

Treatment[edit | edit source]

Treatment for diplophonia depends on the underlying cause. Options may include:

  • Voice therapy: Conducted by a speech-language pathologist to improve vocal technique and reduce strain.
  • Surgical intervention: In cases where structural abnormalities like nodules or polyps are present, surgery may be necessary.
  • Medical management: Treating underlying conditions such as laryngitis or reflux that may contribute to diplophonia.

Prognosis[edit | edit source]

The prognosis for diplophonia varies depending on the cause and the effectiveness of treatment. Many individuals experience significant improvement with appropriate therapy and management.

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Contributors: Prab R. Tumpati, MD