Treatment: phonation

Question 1

What are the approaches to phonation treatment?

Answer 1

• Medical
• prosthetic management
• Behavioral management

Question 2

What are some procedures for medical treatment?

Answer 2

• laryngeal surgery
• Fat collagen and Teflon injections
• Toxin injection

Question 3

Some details about laryngeal surgery

Answer 3

-implants for paralyzd vocal fold for
aproximations
- arytenoid adduction surgery (repositioning)
- RLN resection (prevents hyperadduction in
adductor SD

Question 4

Details about Fat collagen and Teflon injections

Answer 4

• wait till one year after disorder has occured
• *Fat and collagen injections will be reabsorbed (temporary)
• *Teflon cannot be removed!!!!!

Question 5

Toxin Injection details

Answer 5

Botox into thyroarytenoid muscle for SD
Blocks the release of ACH into the muscle
**Lasts for 3-4 months
Warning!!! Mild dysphasia!!!

Question 6

Prosthetic Management

Answer 6

Vocal intensity controller - gives feedback about too much or to little loudness with visual feeback meter. (VU meter)
Amplification system

Question 7

Behavior management

Answer 7

Effort closure strategies such as valsavic and glottal attacks

• *helps to streghten folds
• • LSVT