13 - Pediatric and Geriatric Voice Disorders Flashcards
What are the five major congenital voice disorders?
VF Paralysis
Laryngeal stenosis
Laryngomalacia
Laryngocele – air filled dilation of the laryngeal vestibule.
Webbing
What is Laryngeal Stenosis?
Narrowing of the lower airway
What is Laryngomalacia?
2
Flaccid epiglottis obstructing the airway.
‘Omega shaped’ epiglottis
What is a Laryngocele?
Air filled dilation of the laryngeal vestibule
What are signs and symptoms that might exist in children with voice disorders?
(7)
Dysphonia
Intermittent aphonia
Voice breaks
Pitch breaks
An excessively loud voice for no reason
An inability to sustain a note when singing
An effortful or strained voice, voice (sounds as if it takes special effort to produce and is not efficient)
What Dysphonias might exist in children?
4
Hoarseness
Breathiness
Rough voice
Excessive glottal fry
What is Intermittent Aphonia?
Recurring temporary loss of voice.
What are Voice Breaks?
Fleeting interruptions in voice during singing or speech
What are Pitch Breaks?
When do this usually appear?
Abrupt changes in pitch or voice
Usually when going from lower to higher pitch
What may cause Phonotrauma in children?
6
Talking and singing in excess
Overusing the voice (when cheerleading, emotionally upset or tired)
Glottal attack.
Children who do not rest voice (sore throat, asthma, or post nasal drip)
Extreme emotional use (crying, laughing, loud and long outbursts of emotions, tantrums, inability to cope properly with negative emotions, related to loud, forceful use of voice)
Shouting, cheering, and screaming
What anatomical changes happen in Geriatric Voice?
7
Atrophy
Vocal fold thinning (due to atrophy)
Bowing of vocal folds.
Discoloration of the vocal folds.
Edema of superficial lamina propria.
Ossification of cartilages.
Decreased blood supply.
What is Atrophy?
Wasting of muscles
What perceptual voice changes happen in Geriatric Voice?
6
Altered pitch
Roughness
Breathiness
Weakness
Hoarseness
Tremulousness/instability
