Voice Evaluation

Question 1

Advantages and disadvantages of mirror laryngoscopy

Answer 1

Advantages:
-Quick overview of laryngeal anatomy and physiology
-Prognostic for either rigid or flexible laryngoscopy
Disadvantages:
-Poorly tolerated by some patients
-Can only assess sustained vowels and not connected speech or singing
-Alters typical laryngeal behavior

Question 2

Advantages and disadvantages of rigid (oral) laryngoscopy

Answer 2

Advantages
-Good lighting/photography
-Good magnification/videography
Disadvantages
-Poorly tolerated by some patients
-Can only assess sustained vowels, not connected speech
--Cannot assess entire vocal tract
-Alters typical laryngeal behavior

Question 3

Advantages and disadvantages of flexible (nasal) laryngoscopy

Answer 3

Advantages
-Well tolerated by almost all
-Minimal alteration of laryngeal behavior
-Assesses connected speech and entire vocal tract
Disadvantages
-Inferior optics/magnification to rigid laryngoscopy

Question 4

What is the laryngologists primary role?

Answer 4

Identify and manage conditions that interfere with normal voice production

Question 5

What is the SLPs role?

Answer 5

Evaluate and facilitate voice production given the known medical status of the patient, make recommendations for further testing

Question 6

How is hearing/vision related to voice/voice disorders?

Answer 6

A hearing loss could lead to not having auditory feedback of the voice, speaking in an unnatural pitch, loudness, glottal attack, etc.

A vision loss could result in lack of awareness of where others are, leading to inaccurate loudness

Question 7

What are some big important questions to answer in a case history?

Answer 7

Description of problem and cause, onset and duration of the problem, variability of the problem, description of vocal demands, previous therapy,