6 - ENT - Upper airway - Voice - Causes of voice change - Inflammatory + Muscle Tension Imbalance (MTI) Flashcards Preview

CP2 > 6 - ENT - Upper airway - Voice - Causes of voice change - Inflammatory + Muscle Tension Imbalance (MTI) > Flashcards

Flashcards in 6 - ENT - Upper airway - Voice - Causes of voice change - Inflammatory + Muscle Tension Imbalance (MTI) Deck (11):
1

Inflammatory laryngitis - infectious - causes

viral - part of URTI, recurrent respi papillomatosis due to HPV
bacterial (rare)
fungal - candida 2nd to steriod inhalers, immsuppression

2

Inflammatory laryngitis - infectious - S+S - acute viral

hoarse/croaky voice, aphonia
pain on voice use, coughing
erythematous/sloughy vocal folds, other URTI Sx

3

Inflammatory laryngitis - infectious - S+S - fungal and RRP

fungal - same as viral laryngitis, but w/o URTI Sx
RRP - severe dysphonia, airway problems may occur in children, multiple, raised erythematous lesions

4

Inflammatory laryngitis - infectious - management

VIRAL - self limiting - rest, analgesia, hydration, steam inhalation, cough suppressants
RRP - surgical excision

5

Inflammatory laryngitis - non-infectious - causes and mgmt

extra-oesophageal reflux, allergies

mgmt - vocal hygiene and dietary/lifestyle advice
-->> PPI +/- alginates, H2 antagonists

6

Inflammatory laryngitis - non-infectious - Sx and Signs

Sx - huskiness, worsens with use, loss of high range
- throat clearing, cough, excessive mucus in throat, choking episodes
- GLOBUS sensation
- heartburn only in 40% (hence silent reflux)

Si - general erythema and oedema

7

Muscle tension imbalance - due to?

maybe - imbalanced contraction or excessive tension

8

Muscle tension imbalance - primary causes

stress, anxiety, depression
conversion disoders
neck/back problems, poor vocal hygiene/voice abuse, lifestyle/dietary

9

Muscle tension imbalance - seconday causes

excessive tension required to overcome deficiency elsewhere

-poor resp function
-structural defect of vocal folds
-nasal blockage affecting resonance

10

Muscle tension imbalance - S+S

sx - variable huskiness or aphonia, worsens with use, pitch changes, discomfort

si - excessive constriction of vocal folds, which themselves usually appear normal

11

Muscle tension imbalance - management

vocal hygiene and lifestyle advice
vocal therapy
address possible causes

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