From the Guidelines
The treatment for Mesophonia, a vocal disorder, should primarily focus on a multidisciplinary approach including education, symptomatic, and psychological interventions, as outlined in the most recent and highest quality study by Baker J, et al. 1.
Key Components of Treatment
- Education and explanatory approaches are crucial, involving a clear explanation of the nature of the disorder and the rationale for the diagnosis, as well as reviewing laryngoscopy examination results with the patient to ensure understanding of the condition's reversibility 1.
- Symptomatic strategies include natural, reflexive, or instinctive behaviors accompanied by sound, such as coughing, yawning, or whimpering, to help manage symptoms 1.
- Psychological interventions, such as communication counseling and cognitive-behavioral therapy (CBT), are essential for addressing predisposing, precipitating, and perpetuating issues related to the onset and maintenance of voice symptoms, including social or other phobic anxiety 1.
Importance of Patient Understanding and Strategies
Outcomes are more likely to be positive if the patient understands the relationship between the voice problem and any ongoing psychosocial issues and has strategies in place to deal with them, highlighting the need for basic supportive counseling and, when necessary, referral for additional support from a mental health professional 1.
Evidence Base
Systematic reviews of randomized controlled trials have reported moderate-to-good evidence for the efficacy of symptomatic voice therapy for functional dysphonia, supporting the use of direct symptomatic and behavioral voice therapies, either alone or in combination with indirect therapies 1.
From the Research
Treatment for Mesophonia (Vocal Disorder)
There are no research papers to assist in answering this question as the provided studies do not specifically address the treatment of Mesophonia.
Related Vocal Disorders and Their Treatments
However, the following treatments are available for related vocal disorders:
- Vocal atrophy, scar, and sulcus vocalis: Office-based injections of Platelet-rich plasma (PRP) may serve as a source of improved wound healing 2
- Laryngeal nerve paralysis: Treatment can be conservative, with the help of speech therapy, or surgical, including injection laryngoplasty, medialization thyroplasty, arytenoid adduction, and re-innervation procedures 3, 4
- Presbyphonia: Voice therapy with a speech-language pathologist is the preferred first-line treatment, with interventions including vocal function exercises and employing a predominantly Organ Functions approach 5
- Unilateral vocal cord paralysis: Traditional treatments include intracordal injection, laryngeal framework surgery, and laryngeal reinnervation, as well as transcutaneous intracordal silicon injection 6
Key Findings
- The provided studies demonstrate the effectiveness of various treatments for related vocal disorders, including voice therapy, injection laryngoplasty, and surgical procedures.
- These treatments can result in improved vocal quality, favorable clearance of sputum, and aspiration control.
- The choice of treatment depends on the specific vocal disorder, its severity, and the individual patient's needs.