Voice: Classification Flashcards
1
Q
What are examples of STRUCTURAL pathologies for voice?
A
Nodules Polyps Reinke's Oedema Laryngitis Contact Ulcers Cysts
2
Q
Patient x has come to see you concerning a hoarse raspy voice quality. She’s a singer in her school choir and does acting at an out of school club. What is her diagnosis most likely to be? How would you find out?
A
Vocal Nodules. (benign/ bilateral)
(maybe Polyps)
Through a nasal endoscopy.
3
Q
What is Reinke’s Oedema? How is it caused? What are symptoms?
A
- Build up of fluid on superficial layer of vocal cords
- Caused by chronic trauma or exposure to irritants such as smoking or reflux
- Fluctuating hoarse voice, gravelly quality, lowered pitch
4
Q
What are contact ulcers? How are they caused? What are the symptoms?
A
- Can be unilateral or bilateral, raw sores on vocal folds
- Caused by LPR (reflux), Intubation trauma, phonotrauma (aka- vocal abuse).
- Localised pain, globus sensation, reduced pitch range, chronic throat clearing.
5
Q
What is sulcus vocalis?
A
Thinning of vocal cord tissue
thought to be linked with smoking
hoarse/weak voice
6
Q
Discuss Papilloma as a vocal pathology.
A
- Caused by the HPV virus.
- Onset in childhood- perinatal from mother
- Grows on vocal folds, spread to trachea, bronchi, palate, nasopharynx.
- Reoccurrence is likely
- Roughness is main symptom
7
Q
What is a Laryngeal Web?
A
- Rare membrane formation across the laryngeal lumen
- Usually congenital (embryonic development)
- Blocks airway
- Can be acquired following intubation
- Symptoms: Difficulty breathing, high pitched wheezing, hoarseness
8
Q
What is Subglottic Stenosis?
A
- Narrowing of the tissue below the vocal cords.
- Usually caused by scar tissue
- Symptoms: low pitch cough, high pitched wheezing (stridor), hoarseness, breathiness
9
Q
What is a Laryngeal Cleft?
A
- Rare condition
- Gap between the oesophagus and the trachea, allowing food or fluid to pass into airway
- causes feeding problems
