Of particular interest are the recommendations for medications, foods and behaviors that singers should avoid and explanations of the causes and remedies for glottal attack
and throat tension.
His fundamental frequency (speaking voice) was 124 Hz, and a hard glottal attack
and hyperfunction were noted.
Additional therapeutic goals include the elimination of hard glottal attack
, balance of oral and nasal resonance, forward placement of voicing, and development of relaxed phonation and articulation.
Granulomas can occur as a result of the combination of acute mucosal ulceration of the vocal process, LPR, and chronic vocal trauma caused by throat clearing and/or a hard glottal attack