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Updated: Jul 4, 2026

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Synthetic, Multi-Layer, Self-Oscillating Vocal Fold Model Fabrication
Published on: December 2, 2011
Vocal fold self-disruption after phonotrauma on a lead actor: a case presentation
Mara Behlau1, Gisele Oliveira, Paulo Pontes
1Centro de Estudos da Voz, Sao Paulo, Brazil. mbehlau@uol.com.br
Summary
A professional actor experienced a sudden vocal fold detachment during a performance. Prompt voice therapy and behavioral modifications led to exceptional healing and a full voice recovery.
Area of Science:
- Laryngology
- Vocal Fold Pathology
- Performing Arts Medicine
Background:
- Phonotraumatic events can cause vocal fold inflammation, hemorrhage, and lesions.
- Professional voice users are susceptible to acute vocal injuries.
- Previous medical history may influence vocal fold healing.
Observation:
- A 43-year-old actor presented with sudden voice loss during a performance.
- Laryngeal examination revealed complete detachment of the right vocal fold and Reinke's edema on the left.
- The actor had a history of smoking and gastrointestinal issues.
Findings:
- Perceptual and acoustic analyses showed mild voice deviations.
- The vocal fold injury healed exceptionally well with modified vocal rest and targeted exercises.
- Full voice function was restored within days.
Implications:
- This case highlights the potential for rapid healing of severe vocal fold injuries.
- Vocal technique, training, and potentially Reinke's edema-associated gene expression may be protective factors.
- Understanding scar formation after phonotrauma is crucial for managing professional voice users.
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