Lecture 12

Question 1

5 groups of phonosurgery

Answer 1

(JAIL)

1. removal of pathological tissue
2. surgical correction of vf shop, position, or tension
   3) Alteration or restoration of laryngeal neuromuscular function
   4) Surgical reconstruction for partial loss or deformity of larynx
   5) Surgical reconstruction for total larynx loss - laryngectomy

Question 2

What are intrafold injection, Thyroplasty and arytenoid rotation used to remediate ?

Answer 2

Hypofunction

For Unilateral Paralysis, Bowing, Glottic incompetency

Question 3

What is the goal of endolaryngeal microsurgery?

Answer 3

Remove cancerous lesion by only take as much VF tissue as necessary and preserving as much of the mucosa as possible

Question 4

Know pharmacological treatments (drugs) for tremor

Answer 4

Propranolol (beta blocker) , Primidone (anticonvulsant)

Question 5

Know pharmacological treatments (drugs) for papilloma

Answer 5

THE REST

Question 6

Know pharmacological treatments (drugs) for SD

Answer 6

botox

Question 7

Role of voice tx in treatment of SD

Answer 7

• eliminate negative compensatory strategies
• improve breath support
• decr muscle tension in jaw, face, neck, shoulders

Question 8

Know tx approaches for tremor

Answer 8

• Crescendo exercises (soft to loud)
• Dec negative compensatory strategies
• Try different pitch and loudness
• Staccato speech / easy onset
• Breath support

Question 9

Voice treatment for Parkinson’s disease

Answer 9

Lee Silverman Voice Therapy

Question 10

Lee Silverman Voice Therapy

Answer 10

(parkinsons)

a. Sustained loud /a/
b. Pitch glides up and down
c. Use of loud voice for functional phrases, sentences, paragraphs, conversation
d. Take use of loud voice out of clinic into public settings

Question 11

LSVT improves what other aspects besides voice

Answer 11

articulation & swallowing

Question 12

Treatment approaches for voice problems related to TBI, Hyperkinetic Spastic Dysarthria, CP

Answer 12

1. Address breathing – increase support &
   incr. both inspiratory and expiratory volume
   
   2. Teach easy onsets and linking to decr excessive muscle activity
   3. Utilize aspiration, i.e. air flow prior to voicing
   4. Use Lee Silverman Voice Therapy – evidence for TBI and CP