Vocal Fold Pathologies
Groove on medial side of vocal folds.
Causes hoarseness, vocal weakness, fatigue.
What is Sulcus Vocalis?
Most common vocal fold paralysis
What is unilateral paralysis on the left side?
Provides view of larynx and tissues via a camera inserted through nose. Can see phonation.
What is flexible nasalendoscope?
Wait and see. Use AAC while waiting.
Pulling exercise: Hold breath, pull chair sit on, grunt like lifting a heavy thing. Goal: increase dB, hard glottal attack on vowels.
Pushing: palm to palm with SLP, phonate while pushing
What is treatment for unilateral adductor VF paralysis?
Fluid build up between epithelium and superficial lamina propria. Signs include a low pitched voice and hoarseness.
What is Reinke's Edema?
Risk factors include: smoking, reflux and hypothyroidism.
Adductor paralysis means the vocal fold is in the _____ position when paralysis occurred.
(Most common kind)
What is open?
Endoscope attached to a camera with stroboscopic light source. Helps to differentiate functional and organic voice disorders.
What is videostroboscopy?
Breath in through nose, exhale through partial resistance. Draw attn to exhale, can use straw for resistance. Ssss or shhhh. (Dr. Watson's slides)
Or rhythmic breathing with opening of VF (review)
What is treatment for paradoxical vocal fold motion?
Small bilateral calluses on the vocal folds caused by chronic phonotrauma.
What are vocal fold nodules?
Breathy (overcompensating by pushing air), rough voice, airway protection problems, contralateral fold moves normally. Greatest potential for spontaneous recovery in first 6 mo.
What is common presentation of unilateral paralysis?
Measure of patient's ability to sustain phonation /a/ following one inhalation on three trials. Compare results with norms.
What is maximum phonation time?
What is treatment for functional dysphonia?
Growth on vocal folds. Typically unilateral. Caused by blocked mucosal gland.
What is a vocal fold cyst?
Medical Tx required, not treated with voice therapy.
VF adduct with too much force
Voice breaks with vowel production
Strained/choked speech
Most obvious during reading passages filled with voiced phonemes
- contrast sentences all voiced and those loaded with voiceless sounds
What are Signs of Adductor Spasmodic Dysphonia?
A ______ (higher/lower) harmonics to noise ratio (HNR) means there is more noise in the voice.
What is LOWER?
More noise in voice=greater chance of pathology or more severe
What are SOVT exercises?
Semi-occluded vocal tract technique.
Included in Vocal Function Exercises (VFT), Resonant Voice Therapy (RVT) or prescribed independently.
Inflammation of VF lasting more than three weeks. Often caused by infectious agent.
What is chronic laryngitis?
Vocal folds move in the wrong direction or a direction they shouldn't, e.g. vocal folds close during inspiration, which affects breathing
What is paradoxical vocal fold motion?
These sentences can be used for perceptual evaluation of the voice
What is CAPE-V or GRABAS?
Proper hydration, eliminate toxins, control reflux through diet modification, reduce loudness, duration of voice use, phonotraumatic behaviors.
What is a vocal hygiene checklist?