Organic Voice Disorder Treatments Flashcards

1
Q

Treatment: Vocal Fold Nodules, Polyps, and Cysts

A

> Modified voice rest
Low impact voice
Voice therapy (laryngeal relaxation, RVT, VFE)
Surgical removal

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2
Q

Treatment: Papilloma

A

Laser surgery w/ Mitomycin C (deterrent applied at the anterior commisure)

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3
Q

Treatment: Candida/Fungus

A

> Anti-fungal meds

>Hydration

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4
Q

Treatment: Granuloma/Contact Ulcers

A
>PPI x6+ months
>Reflux diet
>Hydration
>Modified voice rest
>Low impact voice
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5
Q

Treatment: Congenital (stenosis, atresia, fistula)

A

> Surgery

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6
Q

Treatment: Web

A

Surgery w/ Mitomycin C

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7
Q

Treatment: Hemmorhage

A

> Modified voice rest
Hydration
Reflux diet (no caffeine, alcohol, smoking)
Steriods
Voice therapy (laryngeal relaxation, RVT)

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8
Q

Treatment: Laryngitis

A

> Modified voice rest
Medications (PPI, antibiotics, allergy steriods)
Hydration

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9
Q

Treatment: Reinke’s Edema

A
>Surgery (if occluding airway)
>Smoking cessation (a must)
>Hydartion
>Reflux diet
>PPI
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10
Q

Treatment: Leukoplakia

A

> Biopsy (determine that it’s not cancer)
Smoking cessation
Hydration
Reflux diet

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11
Q

Treatment: Cancer

A

> Surgery (laser, partial/complete larygectomy)
Voice therapy (post laryngectomy)
»Compensatory cordectomy (partial)
»Alaryngeal voice (electrolarynx, Es, TEP)
Smoking cessation
Hydration
Radiation/Chemotherapy

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12
Q

Treatment: Laryngeal Trauma

A

> Modified voice rest
Hydration
Medication: steroids, antibiotics

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13
Q

Treatment: LPR

A

> PPI x6+ months
Reflux diet
Hydration

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14
Q

Treatment: Paralysis (LMN involvement)

A

> Voice therapy
(compensatory techniques: hard glottal attacks, isometric push, swallowing precautions)
Surgery
(VF augmentation and medialization)

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15
Q

Treatment: Flaccidity (LMN involvement)

A

Voice therapy
>Compensatory & strengthening techniques
>Swallowing precautions
>Palatal lift

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16
Q

Treatment: Spastic Dysarthria (UMN)

A
>Respiratory training
>Voice therapy
>>>Laryngeal relaxation
>>>Neck stretches
>>>RVT
>>>Visipitch
17
Q

Treatment: Hypokinetic Dysarthria (PD)

A

> Respiratory training
Voice therapy
»LSVT
»VFE’s

18
Q

Treatment: Hyperkinetic Dysarthria (SD)

A

> Botox injections

>Possible voice therapy

19
Q

Treatment: Ataxic Dysarthria

A

> Speech therapy
»metronome
»over articulation
(these aren’t voice treatments)

20
Q

Treatment: Mixed Dysarthrias

A

> ALS (spastic-flaccid) NO Voice treatment
»AAC & compensatory maintenance
MS
»Max out strengthening during remission
TBI
»Respiratory training

21
Q

Treatment: Transgender

A
>Surgery
>>>Male to female: thyroid shave
>>>Female to male: VF augmentation
>Voice therapy
>>>Pitch control (visipitch, VFE's)
>>>Gestures