dysphonia resulting from increased muscular tension in the larynx and neck is associated with 1 ) palpably increased phonatory muscle tension in the paralaryngeal and suprahyoid muscles , 2 ) elevation of the larynx in the neck on increasing vocal pitch , 3 ) an open posterior glottic chink between the arytenoid cartilages on phonation , and 4 ) variable degrees of mucosal changes such as vocal nodules or chronic laryngitis .
C0027530
neck
C0155836
chronic laryngitis