quiz image

Types and Causes of Voice Disorders Quiz

InspiringHummingbird avatar
InspiringHummingbird
·
·
Download

Start Quiz

Study Flashcards

30 Questions

Establish exact reason for patient ______

referral

Develop knowledge of the voice ______

disorder

Seek etiologic factors associated with the ______

history

Determine physical condition of oral ______

mechanism

Describe voice quality using descriptive ______

terms

Test present pitch ______

range

Voice disorders that occur due to misuse/abuse/overuse of voice are known as Functional voice ______

disorders

Dysphonia due to psychiatric illness or non-specific cause falls under the category of Atypical /psychogenic voice ______

disorders

Neurogenic voice disorders occur due to neurological damage/disorders such as Recurrent laryngeal nerve/superior laryngeal nerve, Brain stem stroke, Parkinson’s disease, TBI, and Myasthenia ______

gravis

Voice disorders due to local irritation/systemic effects may be caused by Gastroesophegeal reflux (GERD), Drugs (e.g., corticosteroids, antihistamines), Irritative inhaled substance (cigarette, environmental), and ______

intubation

Voice disorders resulted from neoplastic diseases are caused by the growth of tumor (either benign/malignant) on the larynx and vocal folds. For example, Papilloma (benign) and Amyloid (malignant) are types of vocal fold ______

signs

The assessment of voice disorders includes case history, auditory-perceptual evaluation, and instrumental ______

examination

The Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) form is an example of an __________ analysis tool

auditory

In instrumental voice assessment, one of the measures used is laryngeal __________

videostroboscopy

The rigid endoscope used for laryngeal viewing provides a close view of the larynx due to its __________ lens

stable

One of the disadvantages of using a rigid endoscope is the difficulty in recording with a hyperactive __________ reflex

gag

The CAPE-V form helps in perceptual evaluation of __________ disorders

voice

Rhythm and rate are important aspects evaluated in the __________ analysis of voice disorders

auditory

Flexible endoscopy helps view the ______ during connected speech tasks

larynx

Laryngeal Videostroboscopy demonstrates the gross movements of the ______ structures

laryngeal

The instrumental components of Stroboscopy include rigid or ______ endoscope

flexible

The normal vocal folds consist of the trachea, arytenoid, vocal process, and true ______

vocal fold

Stroboscopy examination is conducted under stroboscopic/xenon light to assess vibratory features like glottic closure and amplitude of ______

vibration

Assessment of voice disorders involves examining the normal vocal fold and voice during ______ examination

stroboscopy

Mucosal wave may be affected by pathology, scarring, pitch, loudness, hyperfunction, hypofunction, anxiety, subglottic driving force. Non-vibrating portion may have scarring or ______

lesion

Phase closure: closed and open phase timing should be equal. Phase symmetry: mirror ______

image

Example of Mass lesions or abnormalities of the vocal fold cover: 1. 4. 2. 5. 3. 6. By Dr.Vrushali Angadi, PhD, CCC-SLP. Vocal fold ______: Video Glottic closure examples. 1. Larger than normal posterior gap. 3. Spindle shaped. 2. Hourglass closure. 4. Irregular ______

closure

Glottic closure examples continued: Incomplete closure. Anterior ______

gap

Antero-posterior compression: ______

hyperfunction

Aerodynamic measurement of voice production concerns measurements of air pressures and air flows that are meaningful in clinical diagnosis and treatment. These measures may help interpret valving activity of the larynx, vocal fold structure, vocal fold configuration, vocal fold movement. By Vrushali Angadi, PhD, SLP-CCC. AERODYNAMICS (Baken & Orlikoff, 2000): The vocal tract is an aerodynamic sound generator and resonator ______

system

Study Notes

Patient Referral and History

  • Establish exact reason for patient referral
  • Establish patient understanding of the referral
  • Develop knowledge of the voice disorder
  • Establish credibility of the examiner

History of the Problem

  • Establish the chronology of the problem
  • Seek etiologic factors associated with the history
  • Determine patient motivation

Medical History

  • Seek medically-related etiologic factors
  • Establish awareness of patient’s personality

Social History

  • Identify work, home, and recreational environments
  • Discover emotional, social, and family difficulties
  • Seek more etiologic factors

Oral-Peripheral Examination

  • Determine physical condition of the oral mechanism
  • Observe whole body tension
  • Observe laryngeal area tension
  • Check for swallowing difficulties
  • Check for laryngeal sensations

Perceptual Evaluation

  • Describe voice quality using descriptive terms
  • Examine inappropriate use of voice components
  • Respiration: describe breathing pattern, s/z ratio, and maximum phonation time
  • Phonation: observe hard glottal attacks, glottal fry, breathiness, and diplophonia
  • Resonance: observe hypernasal, hyponasal, assimilative nasality, and cul de sac nasality
  • Pitch: test present pitch range, describe conversational inflection, and make subjective judgment of appropriateness
  • Loudness: examine loudness and appropriateness

Types of Voice Disorders

  • Functional voice disorders: occur due to misuse/abuse/overuse of voice, leading to vocal fold damage
  • Atypical/psychogenic voice disorders: dysphonia due to psychiatric illness or non-specific cause
  • Neurogenic voice disorders: dysphonia due to neurological damage/disorders
  • Voice disorders due to local irritation/systemic effects: dysphonia due to gastroesophageal reflux, drugs, or irritative inhaled substances
  • Voice disorders due to neoplastic diseases: dysphonia due to growth of tumor (either benign or malignant) on larynx and vocal folds

Assessment of Voice Disorders

  • Case history: comprehensive case history is essential
  • Auditory-perceptual evaluation: assess voice quality, rhythm, rate, and loudness
  • Instrumental examination: use laryngeal videostroboscopy, high-speed digital imaging, aerodynamic assessment, acoustic recording, and analysis, electroglottography, and electromyography

Laryngeal Videostroboscopy

  • Uses two different endoscopes: rigid endoscope (70-degree, oral placement) and flexible endoscope (nasal placement)
  • Demonstrates gross movements of laryngeal structures and provides immediate image of presence or absence of pathology
  • Instrumental components: rigid or flexible endoscope, video camera, light source, digital recorder, monitor, printer, and computer interface

Normal Vocal Folds

  • Structure: trachea, arytenoid, vocal process, true vocal fold, epiglottis, and false vocal fold
  • Normal vocal fold and voice during stroboscopy examination

Assessment of Stroboscopy Parameters

  • Glottic closure: observe during vibration of the vocal folds
  • Amplitude of vibration: lateral excursion of the vocal folds
  • Mucosal wave: may be affected by pathology, scarring, pitch, loudness, hyperfunction, hypofunction, anxiety, and subglottic driving force
  • Non-vibrating portion: scarring or lesion
  • Phase closure: closed and open phase timing should be equal
  • Phase symmetry: mirror image

Test your knowledge on different types and causes of voice disorders including functional, atypical/psychogenic, neurogenic, and neoplastic disorders. Learn about vocal fold damage, cysts, nodules, polyps, Reinke's edema, and more.

Make Your Own Quizzes and Flashcards

Convert your notes into interactive study material.

Get started for free

More Quizzes Like This

Voice Disorders and Airway Management Quiz
5 questions
Human Voice Disorders Chapter 1 Quiz
26 questions
Voice Disorders and Production
11 questions
Use Quizgecko on...
Browser
Browser