Osborne Head and Neck Institute Case Presentation:
The patient is a 34 year old female who has had a several month history of decreased range. She has lost 2-3 notes off the top of her vocal range. This has occurred gradually but she is currently unable to access her upper range. Her history is only significant for a motor vehicle accident around the time of onset, but evaluation at that time did not demonstrate any vocal injury. Other symptoms include vocal fatigue and mild neck discomfort in the anterior neck.