XXXX combined with insufficient glottic closure by phonation.

@entity1 @entity2915 @entity49360 @entity7364
The authors describe the case history of a @entity1 who suffered from symptoms deriving from two different origins. The @entity1 's voice was @entity7364 interrupted and pressed. At the same time, his voice was powerless, too. The reason for this was that besides the @entity7364 caused by @entity2915 , an incomplete closure of the vocal cords during phonation in the middle third was present. It was caused by the @entity49360 . In order to eliminate the symptoms, initially we injected 25 IU Botox into the left vocal cord transcutaneously under the direction of EMG control. It resulted in a fluent, though breathy voice. In order to manage the closing insufficiency during phonation, we performed lipoaugmentation on the left vocal cord under high-frequency jet anaesthesia. The result of the two-step procedure was a fluent and clear voice. The speech without interruption lasted for 5 months, until the drug was eliminated. Of course, to prolong the result, the Botox injection should be repeated.
