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Voice therapy is effective in improving self rated and expert rated
quality of voice in dysphonia but does not have any significant effect
on the clinical appearance of the larynx. MacKenzie et al (p 658)
report the first randomised controlled trial of the efficacy of voice
therapy in a heterogeneous group of dysphonic patients. The
psychological distress and reduced quality of life seen in patients
with dysphonia were unaffected by voice therapy. Dysphonia, or
hoarseness, is very common, with approximately 40 000 patients being
referred annually for voice therapy in the United Kingdom.