Perceptual ratings were obtained from voice samples of 19 patients wit
h adductor spasmodic dysphonia before and 1 week after unilateral trea
tment with Botulinum toxin. Five experienced listeners judged samples
of sustained phonation using a seven-point equal-interval scale. The p
erceptual parameters assessed were overall severity, strain-strangled
voice quality, and breathiness. Perceptual results were related to the
standard deviation of fundamental frequency and the voice break facto
r, two acoustic parameters previously shown to be significantly improv
ed following Botulinum toxin injection. Results indicate that in gener
al the spasmodic dysphonia voice is perceived as less severe, less str
ain-strangled, and more breathy 1 week after treatment. Interrelations
among perceptual parameters and relationships with acoustic analyses
are discussed.