SPASTIC APHONIA

\spˈastɪk afˈə͡ʊni͡ə], \spˈastɪk afˈə‍ʊni‍ə], \s_p_ˈa_s_t_ɪ_k a_f_ˈəʊ_n_iə]\
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2010 - Medical Dictionary Database
By DataStellar Co., Ltd
 
1916 - Appleton's medical dictionary
By Smith Ely Jelliffe