Lecture 16 & 17

Question 1

Who are professional voice users?

Answer 1

anyone who needs their voice to carry out their job a professional voice users
“vocal athletes”

Question 2

What are some of the etiologies of voice disorders in actors and singers?

Answer 2

physiological overcompensation of the laryngeal mechanism as a result of infection or irritation to larynx

excessive muscle tension
phonotrauma
poor or absent vocal training
poor amplification and/or performance environment
emotional reactions to life stress
use of character voice
allergy/reflux

Question 3

What is the definition of vocology?

Answer 3

Vocology is the study of voice, but as a professional discipline it has a narrower focus: the science and practice of voice habilitation, which includes evaluation, diagnosis, and intervention (DIE*)

Question 4

T/F: Head and neck cancers account for 5%-7% of all cancers.

Answer 4

False: 2-5%

Question 5

T/F: The current male to female ratio is 5 to 1.

Answer 5

FALSE: 3 to 1

Question 6

Which of the following is not a primary perceptual symptom?

a. hoarseness
b. stridor
c. vocal effort
d. lump in neck
e. all of the above

Answer 6

d. lump in neck

Question 7

Name 3 (6 total) components of diagnosis for laryngeal cancer?

Answer 7

1. head & neck exam
2. videostroboscopy
3. CT scans and MRI
4. biopsy & histological analysis
5. x rays
6. modified barium swallow

Question 8

Name 4 treatment options for laryngeal cancer.

Answer 8

Radiation therapy
chemotherapy
surgery
surgery & radiation

Question 9

Which of the following is not a side effect of radiation tx?

a. loss of salivary glands
b. keratosis
c. reflux
d. dysphagia
e. all of the above

Answer 9

c. reflux

Question 10

What is the pre-op role of an SLP?

Answer 10

educate patient regarding surgery
possible outcomes
communication options post-surgery
address patient concerns
assess cognitive status
status of pt.'s hearing/handwriting/etc.

Question 11

what is the post-op role of an SLP?

Answer 11

review pre-op discussion
assess voice, speech, swallowing
demo electronic speech aids
teach use of oral type instrument
discuss rehabilitation plans
schedule meeting w/ other laryngectomee patients

Question 12

T/F: a TEP is a surgical procedure in which a small puncture is made thru the tracheal wall into the pharynx

Answer 12

FALSE: into the esophagus

Question 13

What is the role of the prosthesis?

Answer 13

act as a shunt to direct air into the esophagus

Question 14

T/F: PE segment allows air to create sound and be resonated/articulated

Answer 14

True

Question 15

Name 3 artificial larynx

Answer 15

Tokyo, Cooper, electrolarynx

Question 16

What is an advantage of esophageal speech?

Answer 16

no external devices
sounds more natural
pitch & loudness control
no batteries
both hands-free

Question 17

What is a disadvantage of esophageal speech?

Answer 17

takes long time to learn/master
must have great artic
not very loud in noise

Question 18

What is a pneumatic speech aid?

Answer 18

Tokyo

Question 19

What’s the disadvantage for Tokyo?

Answer 19

bulky

allows access to stoma

Question 20

What are the electronic aids?

Answer 20

cooper, electrolarynx

Question 21

Disadvantages for Cooper

Answer 21

need batteries