12.2 Throat Disorders, Vocal Polyp, CA Larynx

Question 1

Two separate process to produce speech

Answer 1

Phonation (sound by larynx)
Articulation (sound modify by lips, teeth, tongue and palate)

Question 2

Vocal polyps

Answer 2

Benign growth appear alone in one vocal cord

Cause edema, prevent normal apposition of vocal cord during phonation

Question 3

Cause of vocal polyps

Answer 3

Vocal abuse
Long term exposure to irritants
GERD
Hypothyroidism

Question 4

Pathophysiology of vocal polyps

Answer 4

Prolong vocal abuse,
vocal cord swollen
Increase in size
Polyps

Question 5

Clinical manifestations of vocal polyps

Answer 5

Hoarseness
Breathless
Rough voice
Voice break
Decrease pitch range

Question 6

Diagnosis of vocal polyps by

Answer 6

Flexible fiber optic laryngoscopy
- make a sound to see if vocal cords have normal apposition

Question 7

Treatment of vocal polyps

Answer 7

1 Voice therapy by ST
2 Change lifestyle
- stop smoking,
- avoid chili irritating diet
- avoid night meals, GERD
- encourage fluid intake
- Voice rest and stress reduction, use microphones
3 medical (steroid reduce edema and inflammation
4 surgical, laser