I once read a story (that claimed to be based on a true one but, well, grain of salt) where a character got hit in the throat by a rock and lost their voice permanently, thus becoming mute. Is that kind of thing possible? Could there be any injury/illness to the throat that would only damage the, I guess vocal chords, without screwing up everything else?
Can someone permanently lose their voice if they have their throat slashed? Would that cause other permanent issues?
Hey nonny. I’m getting a lot of questions on traumatic muteness, so let’s rap a bit.
Yes, I would believe a blunt injury to the throat causing vocal cord damage. Here’s why.
The vocal cords sit in a cage made of cartilage (specifically, the thyroid cartilage).
That shield-looking thing in the middle? That’s where the vocal cords hang out. It’s pretty well protected from slashing trauma.
However, blunt trauma can crush, or at least partially damage, the thyroid cartilage -- and thus alter the shape and length of the cords. It’s not impossible for the vocal cords to be damaged in such a way that they can no longer produce vocalizations, or at least, in the same ways that the character would use them before.
With slashing it’s a little less likely, but still not at all impossible.
Slashing the throat usually doesn’t affect the cartilaginous cage at all. Usually when someone gets their “throat” slashed, the affected area is the trachea below the level of the cords, meaning that the vocal cords themselves aren’t affected.
But what often happens with that is that the trachea gets opened and breath comes out through the new hole rather than going through the mouth. Air will follow the shortest path of least resistance, which can mean “oh look new hole!”. Basically, the character has gotten a stoma from an unlicensed medical professional.
What’s usually done in that case is that the unlicensed stoma just gets corrected into a full tracheostomy by the trauma team, so that they have someplace to breathe through. (I’m a BIG fan of just shoving an endotracheal tube into these injuries and rolling right along with them.)
But having a trach in place still makes it hard to speak, because remember, the air still wants to come out of the hole in the front of the neck. So many (not all, but many) trach patients have to hold their finger over their trach, exhale, and then speak on the exhale. It takes more work and more effort.
Could a character lose their voice from a slashing injury? Yes, but it’s a lot more difficult. Could they lose it from a blunt injury? Absolutely. Would your audience likely believe either? I’m pretty sure they would.
Best of luck to the both of you!
Shape the blog. See the future. Have you considered becoming a clairvoyant?
FreeeBook: 10 BS “Medical” Tropes that Need to Die TODAY!