Podcast
Questions and Answers
Establish exact reason for patient ______
Establish exact reason for patient ______
referral
Develop knowledge of the voice ______
Develop knowledge of the voice ______
disorder
Seek etiologic factors associated with the ______
Seek etiologic factors associated with the ______
history
Determine physical condition of oral ______
Determine physical condition of oral ______
Signup and view all the answers
Describe voice quality using descriptive ______
Describe voice quality using descriptive ______
Signup and view all the answers
Test present pitch ______
Test present pitch ______
Signup and view all the answers
Voice disorders that occur due to misuse/abuse/overuse of voice are known as Functional voice ______
Voice disorders that occur due to misuse/abuse/overuse of voice are known as Functional voice ______
Signup and view all the answers
Dysphonia due to psychiatric illness or non-specific cause falls under the category of Atypical /psychogenic voice ______
Dysphonia due to psychiatric illness or non-specific cause falls under the category of Atypical /psychogenic voice ______
Signup and view all the answers
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 ______
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 ______
Signup and view all the answers
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 ______
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 ______
Signup and view all the answers
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 ______
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 ______
Signup and view all the answers
The assessment of voice disorders includes case history, auditory-perceptual evaluation, and instrumental ______
The assessment of voice disorders includes case history, auditory-perceptual evaluation, and instrumental ______
Signup and view all the answers
The Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) form is an example of an __________ analysis tool
The Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) form is an example of an __________ analysis tool
Signup and view all the answers
In instrumental voice assessment, one of the measures used is laryngeal __________
In instrumental voice assessment, one of the measures used is laryngeal __________
Signup and view all the answers
The rigid endoscope used for laryngeal viewing provides a close view of the larynx due to its __________ lens
The rigid endoscope used for laryngeal viewing provides a close view of the larynx due to its __________ lens
Signup and view all the answers
One of the disadvantages of using a rigid endoscope is the difficulty in recording with a hyperactive __________ reflex
One of the disadvantages of using a rigid endoscope is the difficulty in recording with a hyperactive __________ reflex
Signup and view all the answers
The CAPE-V form helps in perceptual evaluation of __________ disorders
The CAPE-V form helps in perceptual evaluation of __________ disorders
Signup and view all the answers
Rhythm and rate are important aspects evaluated in the __________ analysis of voice disorders
Rhythm and rate are important aspects evaluated in the __________ analysis of voice disorders
Signup and view all the answers
Flexible endoscopy helps view the ______ during connected speech tasks
Flexible endoscopy helps view the ______ during connected speech tasks
Signup and view all the answers
Laryngeal Videostroboscopy demonstrates the gross movements of the ______ structures
Laryngeal Videostroboscopy demonstrates the gross movements of the ______ structures
Signup and view all the answers
The instrumental components of Stroboscopy include rigid or ______ endoscope
The instrumental components of Stroboscopy include rigid or ______ endoscope
Signup and view all the answers
The normal vocal folds consist of the trachea, arytenoid, vocal process, and true ______
The normal vocal folds consist of the trachea, arytenoid, vocal process, and true ______
Signup and view all the answers
Stroboscopy examination is conducted under stroboscopic/xenon light to assess vibratory features like glottic closure and amplitude of ______
Stroboscopy examination is conducted under stroboscopic/xenon light to assess vibratory features like glottic closure and amplitude of ______
Signup and view all the answers
Assessment of voice disorders involves examining the normal vocal fold and voice during ______ examination
Assessment of voice disorders involves examining the normal vocal fold and voice during ______ examination
Signup and view all the answers
Mucosal wave may be affected by pathology, scarring, pitch, loudness, hyperfunction, hypofunction, anxiety, subglottic driving force. Non-vibrating portion may have scarring or ______
Mucosal wave may be affected by pathology, scarring, pitch, loudness, hyperfunction, hypofunction, anxiety, subglottic driving force. Non-vibrating portion may have scarring or ______
Signup and view all the answers
Phase closure: closed and open phase timing should be equal. Phase symmetry: mirror ______
Phase closure: closed and open phase timing should be equal. Phase symmetry: mirror ______
Signup and view all the answers
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 ______
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 ______
Signup and view all the answers
Glottic closure examples continued: Incomplete closure. Anterior ______
Glottic closure examples continued: Incomplete closure. Anterior ______
Signup and view all the answers
Antero-posterior compression: ______
Antero-posterior compression: ______
Signup and view all the answers
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 ______
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 ______
Signup and view all the answers
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
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
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.
