organic voice disorders and treatment

Question 1

nodules

Answer 1

• benign masses on medial VF surfaces
• misuse/abuse
• hoarseness, rough voice, edema
• Treatment: modified voice rest, low impact voice, voice therapy (laryngeal relaxation, RVT, VFE’s)

Question 2

polyp (fibrous, hemorraghic, pedunculated)

Answer 2

-unilateral soft mass
-misuse/abuse
-edema, hoarseness, rough voice
-Treatment: SAME AS nodules
surgery if cant get rid of them with therapy but do behavioral management for misuse/abuse

Question 3

cyst

Answer 3

• benign mass originating under vf surface
• misuse/abuse
• vocal fatigue, hoarseness, rough voice, edema
• Treatment: SAME AS nodules

Question 4

papilloma

Answer 4

• HPV wart like growths of larynx
• congenital, acquired at birth
• hoarseness, rough scratchy voice, scarring
• laser surgery with Mitomycin C

Question 5

candida/fungus

Answer 5

• fungal infection
• leukoplakia if meds haven’t taken it away after 14 days
• anti fungal meds, hydration

Question 6

granuloma

Answer 6

• polyp on vocal process
• causes are LPR and intubation
• globus sensation, throat clearing, heartburn/indigestion
• PPI X 6 months, reflux diet, hydration, modified voice rest, low impact voice

Question 7

contact ulcer

Answer 7

• raw sores on mucous membrane overlying vocal process of arytenoid
• misuse/abuse, LPR, smoking, intubation
• throat clearing, globus sensation
• Treatment: SAME AS GRANULOMA

Question 8

sulcus vocalis

Answer 8

• thinning or absence or superficial lamina
• unknown cause
• harsh voice, higher pitch
• Treatment: surgery. no therapy will help

Question 9

web

Answer 9

• web of tissue across larynx
• congenital, post surgery
• may not have voice problems
• Treatment: surgery with mitomycin C

Question 10

hemmorhage

Answer 10

• bleeding into superficial lamina propia
• misuse/abuse, meds
• vf erythema, hoarseness, edema
• modified voice rest, hydration, reflux diet, steroids, voice therapy (laryngeal relaxation, RVT)

Question 11

laryngitis

Answer 11

• inflammation of vf’s
• infection, LPR, allergies
• sore throat, cough, fever
• Treatment: modified voice rest, meds (PPI, antibiotics, allergy, steroids), hydration

Question 12

reinkes edema

Answer 12

• swelling of entire superficial lamina propia
• smoking
• gravelly voice, low pitch, edema
• Treatment: surgery (if occluding airway) smoking cessation, hydration, reflux diet, PPI

Question 13

leukoplakia

Answer 13

• white patches/growths on epithelium
• smoking, chemical exposure,
• hoarseness, edema, decreased vf vibration
• biopsy, smoking cessation, hydration, reflux diet

Question 14

cancer

Answer 14

• smoking, alcohol, chemical exposure
• rough voice, pain
• surgery, laryngectomy, smoking cessation, radiation, chemotherapy, hydration

Question 15

laryngeal trauma

Answer 15

• hit in the head, weight lifting

- Treatment: modified voice rest, hydration, meds

Question 16

LPR

Answer 16

Treatment: PPI X 6 months, reflux diet, hydration