Chapter 3: Approaches to Intervention Flashcards
(28 cards)
The Physician’s Role
- develop professional relationships
- order tests and consult to ascertain associated or underlying etiologic factors
- differential diagnosis
True vocal fold nodules
- postpubertal females and prepubertal males
- benign, bilateral
Cysts
- fluid-filled lesions that result from trauma
- usually unilateral
- surgery
Polyps
- unilateral
- surgery
- middle aged people
- cigarette smoking, vocal abuse, trauma, vocal fold hemmorage (exact cause unknown)
Vascular lesions
- in the larynx involve dilation of blood vessel (reddening network of blood cells
- meds, rest, caution, possibly hormones)
Papillomas
- multiple wartlike growths caused by virus
- can be life-threatening
- laser removal
- often reoccur
Cancer of the larynx
-surgical removal of malignancy
Movement Disorders of the Larynx
Adductor Spasmodic Dysphonia (AD-SD):strained
Abductor Spasmodic Dysphonia (AB-SD): breathy
Paralysis of the vocal folds
Unilateral recurrent laryngeal nerve (RLN) paralysis
Unilateral superior laryngeal nerve (SLN) paralysis
Movement disorders
Vocal fold weakness (paresis)
Reinke’s Edema
- middle aged patients
- atypical low pitch level
- rough, hoarse vocal quality
- heavy smoking, phonotrauma, reflux, env irritants
Contact Ulcers and Granulomas
- hyperadduction with vocal process
- forceful phonation
Trauma
Arytenoid dislocation from trauma Laryngeal injury (ETI- intubation)
Laryngeal Webs
- congenital or acquired
- surgical removal
Sulcus Vocalis
- congenital or acquired
- vocal scar
Benign Lesions
nodules
cysts
polyps
reactive lesions
Resonant Voice Therapy
LMRVT physiological approach motor skill learning -hygiene -deactivation (stretch, warm up) -activation (practice w/ resonant voice) -self therapy planning -recovery training (self-monitor, adjust to lapses) -support hierarchy
Vocal Function Exercises
- warm up
- stretching
- contraction
- adductory power exercises
Laryngeal massage
digital manipulation
-for hyperfunction compensatory strategies
Manual Circumlaryngeal Techniques
- focal palpitation
- manual laryngeal reposturing techniques
- circumlaryngeal massage
Stretch and Flow Phonation
physiological technique
- biomechanics of phonaton “Focus on the flow”
- thematics of language
Adjunct Techniques
from other fields
- Alexander
- Feldenkrais
Estill Voice Model
series of practical, hierarchal techniques for professional voice users
Lifestyle adjustments and behavioral changes
- Hydration therapy (increase water intake, use humifier, medications)
- dietary and lifestyle modifications (raise head of bed, decrease spicy, fatty, caffeinated foods and alcohol, lose weight, avoid eating before lying down)
Accent Method of Voice Therapy
counseling
vocal procedures
