Glottalization Glottalization Glottalization is the complete or partial closure of the glottis during the articulation of another sound. Glottalization of vowels and other sonorants is most often realized as creaky voice (partial closure). Glottalization of obstruent consonants usually involves complete closure of the glottis; another way to describe this phenomenon is to say that a glottal stop is made simultaneously with another consonant. In certain cases, the glottal stop can even wholly replace the voiceless consonant. The term 'glottalized' is also used for ejective and implosive consonants; see glottalic consonant for examples. There are two other ways to represent glottalization of
Vocal cord dysfunction of the larynx (voice box). The glottic closure reflex (or laryngeal adductor reflex) serves to protect the airway, and it is possible that this reflex becomes hyperactive in some individuals, resulting in the paradoxical vocal fold closure seen in VCD. Two major causes of laryngeal inflammation and hyperresponsiveness are gastroesophageal reflux disease (GERD) and postnasal drip (associated with rhinosinusitis, allergic or nonallergic rhinitis, or a viral upper respiratory tract infection (URI)). Rhinosinusitis is very common among patients with VCD and for many patients, VCD symptoms are ameliorated when the rhinosinusitis is treated. GERD is also common among VCD patients, but