Voice Disorders: Part 2 Flashcards
Organic disorders can be divided into what 2 types?
- Disease
2. congenital/trauma
What are the 8 organic disorders caused by disease?
- Contact ulcers & granulomas
- Infectious laryngitis
- Gastroesophageal & laryngealpharyngeal reflux
- Vocal fold papilloma
- Candida
- Leukoplakia & Hyperkeratosis
- Sulcus Vocalis
- Laryngeal Cancer
What are the 4 organic disorders caused congenitally or by trauma?
- Laryngeal web
- Laryngeal cleft
- Subglottic stenosis
- Laryngomalacia
The three typical causes for Ulcers and Granulomas
- GERD or LPR
- Phonotrauma
- Intubation Trauma
Granulomas/Ulcers form on the _______ aspect of the ______ third of the VFs (cartilaginous portion).
Medial; posterior
What are granuloms comprised of?
Lymphocytes and fibrotic connective tissue
Granulomas and ulcers are usually bilateral, but can unilateral. T or F?
False; they are usually unilateral, but can bilateral.
Granulomas and Ulcers: glottic closure is ______ and mucosal wave is ________.
- Variable; complete to incomplete.
- decreased
Phonotrauma=
excessive medial compression of posterior glottis during low pitched phonation; hard glottal attacks; increased loudness, throat clearing; coughing.
GERD/LPR=
affects of stomach acid and enzymes on VF tissue. Signs are heartburn, chronic hoarseness worse in a.m., nocturnal coughing, excessive mucous, belching, sour/acid taste, burning in throat.
Intubation=
trauma to VF’s from prolonged intubation due to endotracheal tube rubbing the VF’s.
Ulcers & granulomas: perceptual characteristics
Low pitch, vocal fry, hoarse and breathy.
Ulcers & granulomas: acoustic characteristics
low habitual pitch, increased frequency, intensity perturbations if granuloma is large and reflux is present.
Ulcers & granulomas: patient complaints
vocal fatigue, sensation of something in the throat, pain on phonation, voice worsens with prolonged use
Reflux Laryngitis: GERD and LPR perceptual & acoustic signs
Perceptual: hoarseness, breathiness, decreased Fo.
Acoustic: Increased noise levels, increased frequency & intensity perturbations.