Benign Vocal Fold Disorders Overview

Questions and Answers

What are the two most common risks for vocal fold mucosal vibratory injury?

Poor breathing technique

Low vocal fold temperature

High intrinsic tendency to use the voice (correct)

High extrinsic opportunity to use the voice (correct)

Visible vocal fold lesions always cause an audible change in the speaking voice.

False

What is capillary ectasia?

An incidental finding that may not necessarily require treatment.

Which condition is associated with increased day-to-day variability of singing-voice capabilities?

Contact ulcers Signup and view all the answers

Recurrent respiratory papillomatosis is caused by the ______.

human papillomavirus Signup and view all the answers

What are vocal nodules often caused by?

Vibratory injury from excessive voice use. Signup and view all the answers

What is the optimal management for recurrent respiratory papillomatosis?

Serial laser laryngoscopic treatment Signup and view all the answers

Speech therapy alone is always sufficient for vocal fold injury rehabilitation.

False Signup and view all the answers

Which of the following is NOT a benign vocal fold mucosal disorder?

Singing-voice symptoms Signup and view all the answers

What should be done when vocal fold injury is clearly due to overuse, misuse, or abuse?

Speech pathology evaluation and treatment. Signup and view all the answers

Study Notes

Benign Vocal Fold Mucosal Disorders

Vocal fold mucosal disorders frequently arise from excessive voice use, misuse, or abuse.
Main risk factors for vocal fold vibratory injury include high intrinsic tendency for voice use (talkativeness, extroversion) and high extrinsic necessity (occupation, family, social demands).
Visible vocal fold lesions may not always cause significant audible voice changes but can lead to phonatory mismatches detectable during singing.
Capillary ectasia may occur as an incidental finding; treatment is required if it leads to decreased vocal endurance, bruising, or hemorrhagic polyps.
Symptoms of mucosal injury in singing include loss of ability to sing softly at high pitches and increased variability in vocal capabilities.
Contact ulcers and granulomas typically reflect healing responses to vocal fold injuries, often linked to aggressive throat clearing or coughing; acid reflux may also play a role.
Small vocal fold lesions may not be detected without high magnification; vocalization testing can help in identifying subtle injuries.
Initial speech pathology evaluation and treatment are generally recommended for vocal fold injuries relating to overuse.
Treatment for vocal fold disorders is primarily supportive and may take months for spontaneous recovery.
Surgical removal is often preferred for saccular cysts, especially due to the risk of recurrence after marsupialization.
Recurrent respiratory papillomatosis results from human papillomavirus and is managed through laser laryngoscopy and adjuvant medications.
Successful vocal fold microsurgery requires detailed knowledge of vocal fold microarchitecture and careful planning.

Description

This quiz covers benign vocal fold mucosal disorders and discusses the risks associated with vocal fold injury. It emphasizes the importance of vibratory physiology and the technical skills required for surgical precision. Ideal for students or professionals in otolaryngology and speech pathology.