organic voice disorders 2
DESCRIPTION
organic voice disorders 2. - Contact ulcers(granulomas) -Reflux - Webbing. topics. Contact Ulcers( granulomas ). Cause/etiology Hard glottal attack along with throat clearing and coughing Laryngopharyngeal reflux (most common cause) Postnasal drip Endotracheal intubation - PowerPoint PPT PresentationTRANSCRIPT
-Contact ulcers(granulomas)-Reflux-Webbing
Cause/etiology Hard glottal attack along with throat
clearing and coughing Laryngopharyngeal reflux (most common
cause) Postnasal drip Endotracheal intubation Surgery on the VFs
Teflon granuloma of the larynx Removal of cysts
Segmentation of VFs The anterior two - thirds
Muscle - vocalis portion of the thyroarytenoids Menbrane
Posterior third Arytenoids Menbrane
Location Medial aspect of the vocal processes of
the arytenoid cartilages Bilateral (mostly)
Typical symptoms Vocal fatigue - after prolonged
vocalization Hoarseness or roughness
Pain in laryngeal area or/and one ear
Contact ulcers with granulomas
Treatments
Treatments
The focus of voice therapy Elevate pitch Greater mouth and jaw relaxation Lower level of volume Eliminate all traces of excessively hard
glottal attack
Attention If surgical revision of the larynx has
resulted in a better voice, and then months or years afterwards the voice deteriorates, the larynx should be reexamined using endoscopy or stroboscopy in order to identify possible reactive granuloma
Location Lower esophageal sphincter Upper esophageal sphincter
Types GERD - Gastroesophageal reflux disease LPR or EER- Laryngopharyngeal reflux or
Extraesophageal reflux
Symptoms
Examinations
Treatments
Behavioral therapy Elevating the head of the bed Remaining upright at least 60 mins after
meals Avoid spicy food No exercise after eating Cutting down caffeine, carbonated drinks
and alcohol, esp afternoon and evening
Behavioral therapy Don’t drink too much water right before
bed No activities that compress the abdomen Weight loss Wearing looser clothing around the waist Eliminating smoking
Pharmacy PPI (proton - pump inhibitor 质子泵抑制剂 ) Prokinetic agent 胃肠蠕动促进剂
Surgery Surgical laparoscopic fundoplication (腹腔镜下胃底折叠术 )
Types Congenital Acquired
Cause/etiology Chromosome 22q deletion - Congenital Bilateral trauma of the medial edges of
the VFs – Acquired Bilateral surgery (laryngeal or tracheal) External trauma
Location Anterior one-third of VFs (mostly)
Typical symptoms High - pitched rough sound
Shorter length of VFs Shortness of breath
Seriously compromising the open glottis
Webbing
Examinations
Treatments