C_S_D 4220 Lecture 7: Voice disorders part 2 (7)
31 May 2016
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Document Summary
Neurological: * vocal fold paralysis, * spasmodic dysphonia, secondary, * parkinson"s disease (pd, * amyotrophic lateral sclerosis (als, multiple sclerosis (ms, huntington"s disease (hd, myesthenia gravis (mg, * essential tremor, pseudobulbar palsy, bulbar palsy. Vf: resonant voice therapy- light vf adduction with focus emphasis, lee silverman voice therapy (lsvt)- loud & effortful phonation, medical / surgical, medialization /thyroplasty, augmentation- injection of material into vf. 3-5 months: voice therapy, few behavioral treatments- botox best, some success in easy onset voicing, whispered/breathy phonation, pitch control training, slp to monitor voice changes with ent, emphasis on acoustic measures. Three types of nodules: acute, chronic, reactive nodular change. Voice characteristics: raspy, hoarse, and breathy voice, easily fatigues, loss of vocal range (typically higher pitch range, management, vocal hygiene education, voice production therapy, phonosurgical procedures (typically not required) Polyps: description & etiology, benign, lesions of superficial lamina propria; on middle 1/3 vf, usually unilateral, caused by acute or chronic vocal misuse (phonotrauma)
