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Confirmation that the proper position has been reached occurs when EMG shows a sharp increase in electrical activity as the patient phonates. The disadvantage of this technique is that it requires an EMG machine and a person who is familiar with the performance and interpretation of laryngeal EMG.
Cases of osteochemone- crosis have been found among patients taking nitrogen-based bisphos- phonate medicines, including Fosamax, Actonel and Boniva and the IV cancer drugs Aredia and Zometa.
The frequency range is determined by having the patient phonate from the middle of his/her range up to the highest attainable note and again down to the lowest attainable note.
With spectral analysis, the patient is asked to phonate various vocal tasks into a microphone.
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