Chronic Laryngitis

Question 1

chronic laryngitis

Answer 1

any pathologic condition characterized by the long-standing inflammation of the laryngeal mucosa secondary to laryngeal trauma

Question 2

2 types of laryngitis

Answer 2

1. chronic laryngitis
2. acute laryngitis

Question 3

which type can become the other type?

Answer 3

acute laryngitis can become chronic laryngitis

Question 4

chronic laryngitis different from AL

Answer 4

• directly related to phono-traumatic behavior
• won’t respond to the same treatments as AL
• vfs need to be visualized prior to treatment

Question 5

symptoms of chronic laryngitis

Answer 5

sore throat, no fever, and no signs of infection

Question 6

acute laryngitis

Answer 6

• related to bacterial/viral infection
• medical problem, and therapy does not work until person overcomes infection

Question 7

symptoms of acute laryngitis

Answer 7

• sore throat with a fever
• accompanied by green and yellow mucous and/or a coating along the back throat

Question 8

excessive vf approximation

Answer 8

• hyperfunction disorder
• vfs appear inflamed, reddish
• vfs demonstrate increased mass/hypertrophy
• vf edges are a little rounded rather than sharp

Question 9

starter disorder

Answer 9

• easily treatable, but can progress pass CL and become something more significant
• if person “talks over” the laryngitis

Question 10

can progress pass CL and become something more significant such as…

Answer 10

polyp core degernation

Question 11

if a person “talks over” the laryngitis

Answer 11

• instead of giving opportunity to spontaneously heal, the person keeps going about their activities
• pain is ignored

Question 12

etiologies of laryngitis: phono-traumatic behaviors

Answer 12

• persistent coughing/throat clearing
• excessive talking
• vocal strain
• yelling/screaming
• faulty singing technique
• smoking (marijuana worse than tobacco)
• persistent mouth breathing
• abusive mouth washes/gargles
• gastroesophageal reflux disease

Question 13

gastroesophageal reflux disease

Answer 13

• medical intervention required
• lower esophageal sphincter
• allows refluxate to enter the esophagus
• worse at the night

Question 14

vfs lose their pearly white color

Answer 14

• typically reddish
• appear irregularly thickened
• sometimes small dilated blood vessels
• rounded edges

Question 15

medical management

Answer 15

• focusing on doing things that cause CL symptoms that can be medically treated
• allergies, reflux, smoking

Question 16

speech pathology management

Answer 16

• highly effective for taking care of CL
• look to see what poor vocal habits they have and eliminate those habits
• if the functional manner of voicing, addressed using therapy techniques
• environmental modifications if possible
• short period of vocal rest

Question 17

look to see what poor vocal habits they have and eliminate those habits

Answer 17

• if demonstrating vocal abuse/misuse, eliminate those habits
• requires them to stop doing something, and give them something to do instead of the bad habit
• vocal abuse/misuse reduction plan with vocal hygiene

Question 18

if the functional manner of voicing, addressed using therapy techniques

Answer 18

phonate in less effortful style