Persistent complete aphonia after acquired brain injury: A case report

Changes in phonation can occur after acquired brain injury, significantly impacting patients’ rehabilitation and community integration. Despite the prevalence of voice disorders after brain injury, the management of aphonia is rarely discussed in the literature. Due to a significant knowledge gap in etiology, diagnosis, and treatment, the treatment of voice disorders after brain injury can be challenging. We describe a case of persistent complete aphonia after hypoxic-ischemic brain injury despite numerous therapeutic interventions. Voice production consists of numerous pathways and components; thus, multimodal rehabilitation approaches should be used to maximize functional communication and achieve independence in patients with voice disorders.