![]() ![]() It usually begins without warning or explanation. No one fully understands what causes MTD. Muscle tension dysphonia is also referred to as muscle misuse dysphonia. Secondary MTD - In this type, there is an abnormality in the voice box that causes you to over-use other muscles to help produce your voice.Primary MTD - In this type, the muscles in your neck are tense when you use your voice but there is no abnormality in the larynx (voice box).MTD is more prevalent among people in the 40- to 50-year-old age group, especially women. It occurs when the muscles around the larynx (voice box) are so tight during speaking that the voice box does not work efficiently. ![]() Muscle tension dysphonia (MTD) is one of the most common voice disorders. A dysphonia (diss-PHONE-nee-ah) is the medical term for a voice disorder.
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