Laryngology nonoperative therapy Flashcards
When is voice therapy alone an appropriate
treatment option for patients with dysphonia?
When medically and surgically treatable causes have been
ruled out and a patient continues to have decreased voice related quality of life
When should antireflux medications be prescribed for hoarseness (dysphonia)?
Only when there are signs or symptoms of reflux disease or
chronic laryngitis
True or False. Proton Pump Inhibitors (PPIs) may cause dysphonia in some patients.
True. PPI use can cause laryngeal dryness and candidiasis
leading to dysphonia.
Why should the histamine 2 (H2) receptor antagonists cimetadine and ranitidine be pre-
scribed with caution in patients taking either tricyclic antidepressants or benzodiazepines?
Cimetadine and, to a lesser extent, ranitidine inhibit the cytochrome p450 enzymes that metabolize these medications and can lead to increased blood levels.
What are the most common side effects of PPI
therapy?
Abdominal pain, diarrhea, nausea, vomiting, elevated liver function tests, candidiasis, headache, osteoporosis
Which asthma medications are associated with
voice changes?
Inhaled and systemic steroids, β-agonists, and anticholi-
nergics
Why should thyroid hormone levels be monitored
in professional voice users?
Hypothyroidism may cause voice changes.
Describe the voice changes associated with hormonal therapy (androgens, estrogen, proges-
terone).
Lower fundamental frequency and increased roughness
Describe the difference between indirect and direct
voice therapy.
Indirect voice therapy focuses on improving vocal hygiene
and decreasing phonotrauma. Direct voice therapy focuses
on improving voice production.
What voice therapy technique has been proven to
improve speech and speech-related activities in
patients with Parkinson disease?
Lee Silverman voice therapy (LSVT)
