Vocal Rehabilitation for Contact Ulcer of the Larynx

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Abstract
VOCAL rehabilitation has developed most rapidly as a discipline in the past quarter century. This method of treatment, which is the retraining of a patient's voice in the proper use of pitch, volume, quality, and rate, is referred to by various terms including vocal reeducation, voice retraining, and vocal therapy. Reports concerning the advantageous effects of vocal rehabilitation upon contact ulcer of the larynx have appeared more and more frequently.1-8 Contact ulcer is best defined as an inflammatory response to vocal trauma which occurs on the medial opposing surfaces of the arytenoid cartilages. The lesion may vary in appearance from an inconspicuous area of mild erythema to an advanced process consisting of an area of exposed necrotic cartilage surrounded by a rim of raised granulation tissue. The term "contact inflammation" may be more appropriate than "ulcer." Contact ulcer of the larynx was first reported by Jackson9 in 1928.

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