SLPA 150 Lecture Notes - Lecture 7: Aphonia, Phonation, Hypernasal Speech

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Structure of vf changes over lifespan, and this affects pitch of voice over time (table 8. 1 in book) Loudness: monoloudness, loudness variations: pitch: monopitch, inappropriate pitch, pitch breaks, quality: horse/rough, breathiness, tremors, strain/struggle, non-voice behaviors. Excessive throat clearing: aphonia-: lack of phonation. Types of vocal disorders-categories: vocal misuse/abuse (functional): misuse or abuse of voice that can result in tissue change. Suppressing of emotion, converts emotional con icts into physical symptoms: vocal folds are normal and function normally for nonspeech behaviors, conversion aphonia-whisper to produce voice, can cough and clear throat normally. Surgical removal of the larynx: person who has operation is called a laryngectomee, breathe through stoma instead of nose and mouth. Loss of smell and taste: home and work environmental changes, alaryngeal speech methods. Evaluation of voice disorders: medical examination - ent, mirror or indirect laryngoscopy, nasal or oral endoscopy, videostroboscopy, medication, recommendation. Speech therapy or surgrey: voice evaluation, case history, history of voice use.

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