Voice Disorders: Part 2 Flashcards

1
Q

Organic disorders can be divided into what 2 types?

A
  1. Disease

2. congenital/trauma

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2
Q

What are the 8 organic disorders caused by disease?

A
  1. Contact ulcers & granulomas
  2. Infectious laryngitis
  3. Gastroesophageal & laryngealpharyngeal reflux
  4. Vocal fold papilloma
  5. Candida
  6. Leukoplakia & Hyperkeratosis
  7. Sulcus Vocalis
  8. Laryngeal Cancer
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3
Q

What are the 4 organic disorders caused congenitally or by trauma?

A
  1. Laryngeal web
  2. Laryngeal cleft
  3. Subglottic stenosis
  4. Laryngomalacia
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4
Q

The three typical causes for Ulcers and Granulomas

A
  1. GERD or LPR
  2. Phonotrauma
  3. Intubation Trauma
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5
Q

Granulomas/Ulcers form on the _______ aspect of the ______ third of the VFs (cartilaginous portion).

A

Medial; posterior

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6
Q

What are granuloms comprised of?

A

Lymphocytes and fibrotic connective tissue

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7
Q

Granulomas and ulcers are usually bilateral, but can unilateral. T or F?

A

False; they are usually unilateral, but can bilateral.

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8
Q

Granulomas and Ulcers: glottic closure is ______ and mucosal wave is ________.

A
  • Variable; complete to incomplete.

- decreased

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9
Q

Phonotrauma=

A

excessive medial compression of posterior glottis during low pitched phonation; hard glottal attacks; increased loudness, throat clearing; coughing.

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10
Q

GERD/LPR=

A

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.

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11
Q

Intubation=

A

trauma to VF’s from prolonged intubation due to endotracheal tube rubbing the VF’s.

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12
Q

Ulcers & granulomas: perceptual characteristics

A

Low pitch, vocal fry, hoarse and breathy.

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13
Q

Ulcers & granulomas: acoustic characteristics

A

low habitual pitch, increased frequency, intensity perturbations if granuloma is large and reflux is present.

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14
Q

Ulcers & granulomas: patient complaints

A

vocal fatigue, sensation of something in the throat, pain on phonation, voice worsens with prolonged use

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15
Q

Reflux Laryngitis: GERD and LPR perceptual & acoustic signs

A

Perceptual: hoarseness, breathiness, decreased Fo.
Acoustic: Increased noise levels, increased frequency & intensity perturbations.

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16
Q

GERD and LPR cause…

A

edema, erythema, arytenoid & posterior commissure hypertrophy, pachydermia (thickening of tissue between arytnoids).

17
Q

An inflammatory response of the larynx due to a viral or bacterial infection where VF’s and laryngeal inlet appear red and swollen = ?

A

Infectious Laryngitis

18
Q

What are symptoms of infectious laryngitis?

A

total or partial voice loss, hoarseness, breathiness, low pitch