Singing and Spastic Dysphonia
Here are the responses to the Spasmodic Dysphonia email I sent out Sunday
night. Thanks for all of the responses. In my research I found an article about a procedure performed at UCLA that severed the nerve that causes the spasms and reconnects to a properly functioning nerve. Has anyone heard of this procedure and its success rate with singers? Yes, I did make contact with the Choral director that is married to an ENT. Thanks to her for responding as well. Roy Benson 1. I live in Chicago and there is a wonderful clinic (here)....Bastian Vocal Institute. Dr. Bastian specializes in vocal disorders, and the therapist he has on staff is amazing. On the website it has a broadcast of an interview with Dr. Bastian (one of the topics is spasmodic dysphonia). Dr. Bastian has helped a few of my private voice students, and I know he is far away, but perhaps may serve as a resource for you. Emily Floyd Crystal Lake, IL 2. I had a fellow singer suffer from the same problem. She too endured Botox injections. In between injections she had a window of a few weeks when she could sing in a manner approaching normal. It was tragic as she was a highly accomplished musician who could "sight-read the notes off the wall" and had grown up in a family in which music was a huge, loving, enriching part. If you like, I'll see if she would be willing to talk to your singer. I don't know whether her news would be encouraging or depressing, but just talking with someone who's "been there" might lighten the load for your friend. --Ginny 3. Dear Roy, From a quick Google I found: What are the features of spasmodic dysphonia? In adductor spasmodic dysphonia, sudden involuntary muscle movements or spasms cause the vocal folds (or vocal cords) to slam together and stiffen. These spasms make it difficult for the vocal folds to vibrate and produce voice. Words are often cut off or difficult to start because of the muscle spasms. Therefore, speech may be choppy and sound similar to stuttering. The voice of an individual with adductor spasmodic dysphonia is commonly described as strained or strangled and full of effort. Surprisingly, the spasms are usually absent while whispering, laughing, singing, speaking at a high pitch or speaking while breathing in. Stress, however, often makes the muscle spasms more severe. Perhaps singing is not totally out of the picture. Has she tried Googling on-line for information and resources? Best wishes, Maryanne Rumancik 4. Mr. Benson, In case he doesn't see this (although he's on this mailing listserv so I'm hoping he will!), try to contact Leon Thurman. He is kind of our "resident specialist" on vocal rehabilitation and where/how to locate good doctors who work with professional singers on restoring their voices after physiological problems have set in. He is the "go-to-" guy in these instances he would definitely be my very first recourse in such a situation! Contact info: http://www.vasta.org/professional_index/thurmanl.html I'm sure Mr. Thurman will be able to help steer you to the appropriate doctor. I'll say a prayer for your singer. In Christ's service, Cherwyn 5. Hi Roy! My hubby actually did a fellowship at Vandy--in otology--but I've met Ossiff (sp?) and he has come up to Chicago to speak to the local ENT organization and I've seen him there as well. The Botox is standard and when it was first being used to for wrinkle relief, I was confused since I've known about the vocal fold use since the 80s! Anyway, am forwarding your post to hubby and we'll see what he says. I think sending her to Ossiff is right on the money and the absolute correct thing to do. If she can be helped, he is the right person to do so. Marie 6. The man who wrote the book on voice use - literally wrote the book - is Dr. Joseph Sataloff in Philadelphia. Julie Andrews was seen in his office.....AFTER her surgery, as was just about every other professional voice user you can think of. They have a voice team that coaches you through getting back to normal, and they work closely with the patient and doctor to make sure you are doing the right things. Although I see a different doctor in this office, this is the only office I would go to. Their number is 215-545-3322 Joy Hirokawa 7. Try voice therapy. I've had dysphonia resulting from tonsillectomy recovery and my cords are approximating better, I'm louder and have gained range, in just 5 weeks. The specific treatment they gave me is Lee Silverman voice treatment, and it has been used successfully with Parkinson's patients who lose vocal functioning. -Isabel Once again thanks to all. Roy Roy Benson choirstuff(a)sbcglobal.net |