Therapeutic tactics for aphonia depend on the root cause of the disorder.
The true form of pathology requires the removal of tumor neoplasms, excision of scar tissue, etc. At the same time, it is necessary to provide vocal rest. Physiotherapy is indicated.
The paralytic form is difficult to treat, or it is not treated at all, if the cause of the problem is not eradicated (esophageal tumor, aortic aneurysm, inflammatory reaction, etc.).
The spastic and functional form of the disease requires general strengthening therapy while taking sedatives. Classes with a psychotherapist, breathing and phonopedic exercises are also recommended.
The functional form may require long-term treatment: it all depends on the depth of the neurosis and the general condition of the patient. Regular work with a psychotherapist is required. Drug therapy involves taking tranquilizers against the background of physiotherapy procedures. 
If aphonia has developed against the background of a viral infection or a cold, then drugs are prescribed that correspond to these diseases. If, after recovering from acute respiratory viral infections or flu, the voice is not restored, then additional diagnostics are prescribed.
If the cause of aphonia is thyroid dysfunction, then an endocrinologist's consultation will be required with further normalization of the hormonal balance.
With a combination of voice loss and a lingering dry cough, the doctor prescribes bronchodilators that eliminate perspiration, dry throat. After such problems are corrected, the voice function usually returns to normal.
The concomitant aphonia swelling of the throat is eliminated by taking antiallergic (antihistamines) drugs.
Patients with a psychogenic form of the disease are shown psychoanalytic consultations, suggestion therapy. Autogenic training has a good effect, and hypnotherapy helps in advanced cases. Many patients require correction of other disorders that could provoke a loss of voice. An important role is played by a positive attitude and instilling faith in the patient in the success of the treatment.
Urgent measures require cases of aphonia in childhood, which could be triggered by foreign objects entering the throat or larynx region. After removing such an object, the doctor must carefully examine the patient to exclude damage to the mucous tissues. , 
Medicines are prescribed as part of complex therapy, with a prerequisite for compliance with a gentle regimen for the larynx. The use of such medicines is possible:
- Tincture of ginseng, lemongrass, as well as other stimulants and vitamins help to eliminate hypotonic aphonia, improve microcirculation and restore the ability to speak.
- Lemongrass tincture is taken 20 drops three times a day 15 minutes before meals, for two weeks. The drug is contraindicated in children under 12 years of age. May cause allergies.
- Ginseng tincture is taken in the first half of the day, 20 drops half an hour before meals, twice a day for a month. In the course of treatment, there may be increased excitability, sleep disturbance, headache, and increased heart rate.
- Psychotropic drugs, tranquilizers, neuroleptics, antidepressants and antispasmodic drugs can eliminate hyperkinetic aphonia.
- Adaptol is a tranquilizer drug that is taken 500 mg twice a day. The duration of treatment is determined individually. Possible side effects: decreased blood pressure, dizziness, weakness.
- Tranquezipam is taken orally at 0.5-1 mg 2-3 times a day, with a possible increase in dosage. The duration of treatment is 2 weeks, with a gradual withdrawal of the drug. Contraindications for use: children under 18 years of age, angle-closure glaucoma.
- Spasms are eliminated with γ-aminobutyric acid and Aminalon preparations.
- Aminalon is prescribed in individual dosages. The treatment can take several weeks. Possible side effects: nausea, instability of blood pressure, digestive disorders, sleep disturbances.
- Vitamin and homeopathic medicines can speed up recovery and quickly restore the lost function.
- Homeovox is a homeopathic multicomponent remedy that is taken orally between meals, 2 tablets every hour (on the 1st day), then 2 tablets five times a day. The duration of treatment is one week. Allergic reactions to the drug are possible.
- With ARVI and influenza, antiviral drugs, immunomodulators can be prescribed. For inflammatory bacterial diseases, antibiotics, sulfa drugs are indicated.
Physiotherapy is prescribed for patients with aphonia according to individual indications, since not only the peculiarities of the course of the pathology are taken into account, but also its causes and stage, age and other factors. Treatment is almost always perceived positively, there are no side effects.
The main methods used are considered to be:
- Inductothermy involves the use of a high-frequency alternating magnetic field. The procedure causes vasodilation in the area of exposure, acceleration of blood circulation, arrest of the inflammatory reaction, resorption of infiltrates. At the same time, the tone of the muscles and the excitability of nerve receptors decrease, which causes an antispasmodic, analgesic and sedative effect.
- UHF therapy is based on the influence of an ultra-high frequency electromagnetic field. UHF has an anti-inflammatory antispasmodic effect, reduces tissue edema, activates cell proliferation, and relieves pain. Among the indications for the procedure are tonsillitis, laryngitis, neuritis, acute and chronic inflammatory processes of the ENT organs.
- Magnetotherapy is based on the effect of an alternating low-frequency magnetic field on a specific area of the body. The procedure provides an analgesic, antispasmodic, anti-inflammatory and anti-edema effect, normalizes the tone of blood and lymphatic vessels, improves the functioning of the autonomic and endocrine systems, and also helps to improve the psycho-emotional state of the patient.
- Ultrasound therapy has a chemical-physical, mechanical and low thermal effect. Ultrasonic waves have a strong analgesic, anti-inflammatory, antispasmodic, antihistamine effect, improve tissue trophism.
The most common physiotherapy method for treating aphonia is electrical stimulation. This procedure involves the use of impulse currents that change the functional state of the muscles and nerves. Thanks to electrical stimulation, it is possible to maintain the contractile properties of the muscles, increase blood circulation, optimize tissue metabolism, and prevent the development of atrophic processes. The procedure is especially indicated if aphonia develops against the background of paresis of the laryngeal muscles.
Auxiliary methods of influence can be:
- hydrotherapy, balneotherapy;
- massage of the neck and collar zone;
In order to restore the voice function with aphonia, you can additionally use effective herbal remedies:
- Take half a glass of aniseed, boil for about 15 minutes in 200 ml of water. After cooling, the broth is filtered, add 1 tbsp. L. Honey and the same amount of cognac. This remedy is taken 10-15 minutes after meals three times a day.
- A decoction of marshmallow flowers (can be replaced with pharmacy syrup) is mixed with honey and drunk in 1-2 tbsp. L. Three times a day, swallowing a little.
- They drink a warm broth of zucchini or cucumber with honey. This will soften the throat area and speed up recovery.
- Take 100 g of leeks, chop and boil in 500 ml of boiling water for 15 minutes. Filter and take a couple of sips several times a day.
- Pour 1 tbsp. L. Thyme herbs 200 ml of boiling water, kept under the lid for 10 minutes, filtered, honey and lemon juice are added. Drink during the day instead of tea.
- Drink infusion of boiling water and tangerine peel, several times a day.
- Boil in 500 ml of water for 10 minutes ½ tsp. Carnations. Add honey and lemon juice. It is taken warm in a few sips shortly before bedtime.
In addition to such treatment for aphonia, several more rules must be observed:
- give up bad habits (smoking and drinking alcohol);
- regularly moisturize the pharyngeal area;
- give up spicy seasonings, too hot or too cold dishes;
- avoid tension of the vocal cords (even in a whisper, one should not speak for a long time);
- monitor the state of the nervous system, pay attention to the quality of digestive processes and the work of the thyroid gland.
Surgical assistance is required only with persistent aphonia provoked by hypotension: implantation surgery or thyroplasty is indicated, which are performed to enhance the adduction of the vocal folds.
False-fold phonation with hypertrophied vestibular folds requires prompt removal of areas of hypertrophy. After the operation, anti-inflammatory drugs are prescribed, phonopedics and stimulating therapy are used to improve the tone of the true vocal folds.
Laryngoplasty, thyroplasty, tracheostomy - these interventions are indicated for patients with persistent aphonia, which does not lend itself to medical correction. To restore the voice function, the surgeon performs scars excision, removes tumor neoplasms.