Muscle Tension Dysphonia (MTD) is a condition where excessive muscular tension or muscle misuse is associated with phonation. It has multifactorial etiologies. It can be a primary or secondary Muscle Tension Dysphonia. While it can affect anyone, sufferers usually belong to a particular group. It has very serious impact on sufferer's personal, social & professional life. We are presenting here, our 1 year prospective study done in the department of Otorhinolaryngology, Silchar Medical College & Hospital from June 2012 to July 2013. Voice therapy was given to every patient whether primary or secondary muscle tension dysphonia & Pre therapy-versus-post therapy comparisons were made of selfratings of Voice Handicap Index, Auditory-Perceptual Ratings, as well as, Visual - Perceptual Evaluations of laryngeal images. Outcome of voice therapy results in such patients were found to be very good. As the disease is multifactorial so treatment approach should be broad based involving multidisciplinary team
