Abstract
A case is reported of a sixteen year old female who developed simultaneously both functional laryngeal stridor and functional aphonia. After appropriate diagnosis was made, the stridor resolved promptly with behavioral intervention. The aphonia, however, persisted for five months. Speech therapy was also eventually successful in restoring normal voice. Therapy was aided by temporary voice restoration via unilateral recurrent laryngeal nerve block with lidocaine. Sources of contributing associated psychological and physiological stress in both functional disorders were identified. The case illustrates application of a contemporary clinical framework for evaluation and treatment of voice disorders that is pertinent to the pediatric population.

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