Voice

Question 1

Name perceptions of voice quality

Answer 1

Hoarseness

Harshness

Breath

Strained- effortfull

Glottal fry

Diplophonia

Question 2

voice pathologies

Answer 2

Nodes

Polyps

Granulomas

Reinke’s edema

contact ulcers

leukoplakia

Question 3

Describe polyps

Answer 3

SOUND OF VOICE:

Dysphonic

Diplophonia (because they are unilateral)

COMPLAINTS

Abnormal voice quality

Vocal fatigue

Discomfort after extensive talking

Problems with breathing

CAUSE

Trauma or impact to the VF. Smokers too

TREATMENT:

Resolve on their own

Vocal hygiene

Surgery. But unless a smoker stops smoking dr. won’t remove them

Question 4

Describe contact ulcers

Answer 4

Caused by:

slamming arytenoids together

GERD

intubation

Painful

Question 5

Describe nodules

Answer 5

Blister like or callous like swelling.

Symmetrical small bumps along the anterior portion of the vocal folds

Normal to breathy, very hoarse and strained. Inability to sing high, soft notes is one of the hallmarks of nodules

COMPLAINS

Abnormal voice quality

Limited pitch and volume

Vocal fatigue

Discomfort after extensive voice use

CAUSE

Vocal abuse causing thickening of surface layer of VF

Natural response to increased trauma

TREATMENT

Vocal hygiene

Short phrases

Humming

Short phrases using masala to bring that sound forward

Question 6

Describe Reinke’s edema

Answer 6

CAUSED BY SMOKING!!!

Swelling of VFs due to fluid collection as a result of:

smoking

GER

hormonal change

chronic vocal abuse

TREATMENT

Removal of irritant (smoking)

QUALITY

raspiness and significantly lower pitch (women notice before men since their voices are already low)

Cause SOB due to size because airway can be blocked

Question 7

General tx approaches for voice disorders

Answer 7

Educate vocal abusive habits- increase their awareness

Learn new and healthy habits that will ensure optimal vocal health production

Education, tx, medical or surgery

Understand their tx goals

Breathing exercising

Vocal hygiene

Easy onset (use lots of air)

Audio recordings

Lifestyle changes

Voice rest

Question 8

Age related voice disorder characterized by perceptual changes in quality, range, loudness & pitch

Answer 8

Presbyphonia

Question 9

Granulomas

Answer 9

Benign growths known for reoccurring

Posterior portion of VF

Weak, breathy voice with “breaks” (because VF aren’t closing)

Rough, irregular sounds (because lesion is interfering with vibration, not closure)

Continued vocal abuse can cause Granulomas grow

TREATMENT
surgery but reoccurrence is common

anti-reflux meds

steroid to reduce size

after surgery, vocal rest for 3-5 days

complete use of voice may take 1-4 months after surgery

SLP to teach techniques while speaking:

   vocal hygiene
   amplification
   NO WHISPERING
   vocal rest
   humming

Question 10

Leukoplakia

Answer 10

benign

precancerous

caused by smoking, alcohol, vocal abuse

white patches