Recent Discovery: LDP is also caused by functional dysphonia

Be especially careful after any throat or voice recovery, because LDP is also caused by functional dysphonia. This recent discovery is why I highly recommend going to see a Specialty Doctor in tandem with your Otolaryngologist if you have functional dysphonia.

If you still have issues with your voice, even after taking proper treatment in a hospital and have fully healed from functional dysphonia, you might possibly have LDP caused by the functional dysphonia.
LDP (larynx in a deep position) is a condition of the muscles relating to vocalization, not a medical disease.
If you feel that ‘it is difficult to let out your voice’ or ‘you lack the basic muscle strength needed to sing a song well,’ then you are probably experiencing LDP. More signs are commonly when the musculus extrinsic laryngis contracts, the larynx gets in deep causing coughing or choking, and additionally losing the resonance of your voice as well as the ability to produce or sustain a high-pitch voice.

In conclusion, if a person kept the above voice condition for an extended period of time (years), then it is more than likely because they were unaware that LDP will still stubbornly remain even though they had healed another disease of the voice in the past. All too often, in this case, multiple treatment plans were necessary but not addressed.

Keep in mind, the longer a person has LDP the more difficult it will be to retrain those muscles and recover!

Anyone currently suffering, or post recovery from a disease of the voice or throat I highly recommend you determine an annual action plan with both a Doctor and a Voice Care Specialist to start at the core by also focusing on curing the muscles relating to vocalization.


Change or failure of the voice due to aging

A lot of female singers have visited me at the Voice Care Salon over the years. I have learned that a female singer changes her voice depending on the genre of song and her age.

  • Music Vocalists, pop singers or soprano opera singers usually tend to have the most issues with their voice after their late twenties.
  • Mezzo-soprano, alto or jazz singers usually tend to have issues with their voice after their thirties.

I investigated the possible root causes which are the following:
1.Muscle weakness relating to vocalization due to aging
2.Drop of the sustained forces for vocalization (gravity pulling the muscles)
3. Increased hardness of the musculus extrinsic laryngis
4.Stress, fatigue or illness
5.Stiff muscles due to insufficient exercise

Note1:In the case study of the Male singer, being a vocal music singer ,pop singer or tenor opera singer, they usually tend to have issues with the voice after their thirties. Following that, the baritone, bass or jazz singer usually tends to have issues with their voice after their forties.

Note2:Please consult with your Doctor or Specialist if your voice issue is caused by an illness or stress.
If the root cause is the muscles relating to the vocalization, it is possible to recover if you take proper treatment! Age is not a factor regarding the health of the muscles relating to vocalization.
An 80-year-old female opera singer performed a great concert after having proper treatment from us.

Which is better an early start or late start when singing in an accompaniment?

Timing is everything when singing with others. It takes some practice to be good at. When is the best time to start singing when learning to have the same timing with an accompaniment?
Some people are better to sing solo than with a group, and vice versa. Amateurs or people who are not good at singing yet, usually start to sing too early or too late with an accompaniment.
As a listener, we basically tend to value a person’s singing based off of our first impression of them. If they fail to start singing at the right timing with the group, it will surely give the listener a bad impression of their singing.
However, when a person fails to start singing on time, an early start is still better than a late start.
Because, generally speaking: a late start tends to give a worse impression of a bad singer.
It is terrible to listen if someone is singing a song noticeably far behind their accompaniment. The listener will also question if the later in timing singer had forgotten the words?
But if you start singing earlier than the accompaniment, the accompaniment is following your singing and you can hide your false start. This is tricking the listener using your voice because you are in turn making them think that you are controlling and leading the song.
If you get used to it, you can even be successful with first-time encounters (karaoke) such as singing a duet song with another (stranger) person and still being able to stand out and attract the listener with ‘your’ voice.
However, please be aware that if you start singing an absurd amount of time before the accompaniment, people will notice you are using the trick. A mere moment or a second or two of a false start is the correct way.
Although, an early start is easier and less frowned upon than a late start if you try to sing the same timing with an accompaniment for a chorus in the middle of a song, the same timing to sing with the accompaniment from the beginning is always the best. Do not compromise striving for that.

LDP causes weakness in the muscles relating to vocalization

When the larynx is in a deepened position, it causes weakness in the muscles relating to vocalization.
The muscles directly associated with LDP relating to vocalization are thin with a narrow range of motion. This is because the muscle strength is proportional to the area of muscle mass.
The longer you have LDP, the worse your weakened muscle status becomes. If you feel choking and/or it is difficult for your throat or voice to sing a song, than you should not just stand by. You should consider all three of the following treatment options.
To resolve LDP is 1: Flexibility of musculus extrinsic laryngis, including muscles relating to vocalization.
and 2: Forward displacement of the larynx.
Recently, through real-life case studies, we found 3: Increasing muscle strength (daily exercise routines) relating to vocalization is also an important factor to repair/fix LDP.
Even if circumstances of 1 and 2 are met, it is common for people to have LDP return again. This is because the root cause is still unknown.
As a Voice Care Professional, I firmly believe to prevent a recurrence of LDP, 3 is also needed after fixing 1 and 2.
If muscle strength is improved and the range of motion in the muscles relating to the vocalization returns, both will increase preventing a future recurrence, and it will be easier to let out the voice as well as having noticeable better singing abilities. Furthermore, if you also focus to improve the cricothyroid muscle’s strength, you’ll see your voice range is going to be wider.
LDP(Larynx deep position) is the abbreviation, which refers to the process in which the larynx gets in deeper than normal and the muscles relating to vocalization stiffen. This is a treatable condition, not an incurable disease.

Note1:LDP mostly contracts the cricothyroid muscle.
Note2:You can work to acquire A.Stretching the pharyngeal cavity. B.Improving the epiglottis standing up C.Ease by gently pressing the vagus nerves(recover from a cough) D. Improving the motion range of the cricothyroid articulation (Required for a high-pitch voice)

Trouble letting out the voice after having the throat choked

Several people over the years have visited me at my clinic, stating: they have a problem letting out their voice after the trauma of having their throat choked.
The reason ‘why someone chocked my neck’ is the common explanation of martial arts, wrestling or judo. A sport where the throat is often hit directly when fighting. Others are, I hit my throat when falling down, or the neck was struck by an air-bag in a car accident. e.g.
First and most importantly, go see a Doctor for an evaluation to check the movement of your vocal cord and see if the hyoid bone is broken or not.
If nothing is broken nor any other problems are identified at the hospital, then the issue is with the musculus extrinsic laryngis.
A problem with the musculus extrinsic laryngis is usually caused by (1)injury to the muscles relating to vocalization, (2)larynx deep position(LDP) or (3)subluxation of the cricothyroid articulation/or the arytenoid cartilage.
The course of action to start is to recover from all of the above 3 factors.
However, it is harder to treat if you have bleeding or any type of scar or adhesion on any of the muscles relating to the vocalization.
If you cherish your voice or are a Professional Singer, please in the future try to avoid and prevent from having those kinds of injuries.

Note1:Some Professional Singers have had to abruptly end their careers due to problems with controlling their musical pitch, after being choked around the neck.
The reason why it is unstable, and they can’t control their pitch is because the muscles relating to vocalization lost their mobility.
If you get injured in the throat, the cricothyroid muscle or superior laryngeal nerve, it becomes impossible to let out a high-pitch singing voice.
This is fatal for a Career Singer.

Why its good for Singers & Songwriters to listen to a lot of different music

Often when you hear a song, a melody or set of lyrics will sometimes sound familiar to you, even though it is your first time hearing that specific song.
Currently, there is diverse music all over the world. It is becoming difficult to create a popular song with an original melody and lyrics.
Some Singer-Song writers claim that if they listen to someone’s song, (because they are also musicians) the song is stuck in their head and they cannot make their own raw original song. Ultimately they end up incorporating the stuck melody into their own evolved version. Many Singer-Song Writers try not to listen music before writing, in the hopes of not being easily influenced.
I understand that approach, but cannot agree.
Although it is really great to make a 100% original song, the ‘Creator’ might always be writing in the same melody range, and the ‘Listeners’ may get bored of the ‘Artist’s’ style quickly.

For example, in the case of a Novelist, if they always write novels using basic limited vocabulary and narrow-minded character paths, then their whole story would be flat, predictable and ultimately not hold the readers attention.

Following suit in that aspect, if you want to attract a lot of listeners, you should listen to a lot of music! Establish your own original style first, then evolve and be influenced by other styles around you that are fresh and attract you.

Lyrics are composed of words and music is composed of sound.
If you listen a lot of music, you are familiarizing yourself to what kind of melodies and beats are attracting the current bulk of listeners. Which, will assist your judgement when writing your own great original song.

Be mindful of the mirror effect:
If you limit yourself to only listening to a select few songs all the time, then you will unconsciously tend to copy those same old melodies or phrases all the time too, and the songs you write will always be noticeably similar to each other.

Listen to a lot of music, regardless of genre, if you are singer-song writer!

Note1:Please focus to hear every instrument, sound effect, and lyric when you listen to music.
Note2:Striving to make only one popular hit song is not an easy task to do. I don’t advise that. Instead, try to make as many songs as possible.
Because even if those songs are not top of the charts they may still supply you with industry connections leading to royalty income. That income could put you into a financially secure lifestyle and motivate you to make even more songs!
I’m looking forward to your future success.

Countermeasures for a sudden hoarse voice

A hoarse voice is commonly caused by glottic closure failure or thickening of the vocal folds.
With glottic closure failure, the air is leaked because the glottic cannot close and is unable to move the vocal chord properly, in turn loosing control of vocalization causing a hoarse voice.

The root cause of a hoarse voice caused by the internal laryngeal is as follows:
1.Infection, such as a cold or flu
2.Inflammation, such as a pharyngitis or vocal cord inflammation
3.Disease, such as a vocal nodule or vocal fold polyp
4.Functional voice disorder

1.Receive treatment at an otological hospital.

The root cause of a hoarse voice caused by the external laryngeal is as follows.
1.The muscles relating to vocalization are stiff due to excessive vocalization or fatigue of the throat muscles (resulting in LDP)
2.The larynx is positioned in deep, pressing the lesser horn of cartilage to make the glottis open. This larynx deeply positioned decreases the oxygen flow to the superior laryngeal artery and veins, resulting in an edema of the vocal folds.

1.Create flexibility of the muscles relating the vocalization by stretching
2.Improve blood circulation by stretching

Note1:The muscles relating to vocalization are really small as well as delicate. You must ask a Professional, of throat and voice, to give you stretching exercises and assist you to prevent a possible injury or accident.
However, if you must wait for assistance and are in need of relief soon… find the right position of the thyroid foramen. You can massage and stretch those muscles by yourself, without worry of injury. This area is really helpful to target when you suddenly have a hoarse voice.