Exam 1 Flashcards
What does laryngeal pathology refer to?
It refers to organic changed to the larynx associated with injury, disease, etc.
Do laryngeal pathologies have to be malignant?
They can be benign or malignant
The closer pathologies are to the vocal folds, the more …
it affects voice
What problems may involve if organic changes occur in the vocal folds?
Voice quality/ periodicity
Pitch
Loudness
Management of breath supply during speech
Vocal tract resonance
Airway protection during swallowing
Acute laryngitis (โรคกล่องเสียงอักเสบ)results from….
inflammation of the vocal folds mucous membrane
-virus
-bacteria
-acute phonotrauma
What is the voice usually like if the individual has acute laryngitis?
Low-pitched
Dysphonic (การออกเสียงลำบาก) due to edema and associated mass increase
Chronic laryngitis (เรื้อรัง) results from
Long-term irritation
What does chronic laryngitis look like?
Thick mucous
Thickened vocal fold cover
Common causes of chronic laryngitis
Smoking
Long term phonotrauma
Frequent episodes of acute laryngitis
Speaking in a dehydrated state
Allergens
Focus of treatment of chronic laryngitis
Optimizing technique and vocal hygiene
Vocal nodules lesion type
Benign, bilateral lesions
Vocal nodules’ formation/ location
They form @juncture of anterior & middle 1/3 of the VF
“The point of maximum contact”
Acute nodules vs chronic nodules
Acute: softer, more pliable than chronic type
: more responsive to the therapy
Chronic: fibrotic, stiffer
: less responsive
: surgical removal may be required
Nodules in puberty
Common
Usually resolve in males but persist in females
Voice quality is breathy, hoarse & strained
Treatment for voice nodules
-voice therapy
-hygiene counseling
-surgery (if therapy is unsuccessful)
Vocal polyps lesion type
Blister-like, vascularized lesions
Unilateral (usually)
Vocal polyps result from…
They result from acute or repeated phonotrauma
Vocal polyps originate from…
Sub epithelial space/ Reinke’s
2 types of vocal polyps
Pedunculted (on a stalk)
Sessile (broad based)
Where can polyps occur?
Polyps can occur anywhere on the VFs but often on the free margin of VF where contact occurs
Treatment for vocal polyps
Surgery is often needed coz if their vascularized nature (being supplied with blood vessels)
Reinke’s edema cause
Caused by fluid build-up under the epithelium
Reinke’s edema a.k.a.
Polyploid degeneration
Coz the entire VF can become polyp-like (polypoid)
VFs appear…
plump, pillow-like and sometimes grayish in color