Therapeutic choices for curing dysodia?...three clinical cases

These three clinical cases provide an approach to the management of anatomical voice disorders. When confronted with a laryngeal diagnosis, talented musicians often suffer a crisis of self-confidence which may propel them toward maladaptive compensations; these may destabilize their usual techniques, already disrupted by the changes in their vocal acoustics. In their forties, each of these patients presents with an angiomatous lesion of the vocal fold, associated in two of the cases with a congenital structural weakness. For the three of them, the recommended therapeutic choice was alternating recorded laryngoscopic follow-up, alternative medicine prescriptions, and "artistic sessions" that required that their phoniatrician adapt to their repertory, their temperament, the constraints of the stage and their laryngeal disorder in order that they achieve a compromise between the needs of their career and the laryngeal anatomic realities of the moment. These "artistic guidance sessions" are recorded so as to allow the patient to become aware of the quality of their public performance and to learn the functional elements contributing to it.