Podcast
Questions and Answers
Which acoustic voice parameter is likely to be elevated in a patient with chronic laryngitis?
Which acoustic voice parameter is likely to be elevated in a patient with chronic laryngitis?
- Reduced phonation time
- Enhanced harmonics-to-noise ratio
- Decreased shimmer
- Increased jitter (correct)
What types of factors do smoking and alcohol use represent in chronic laryngitis cases?
What types of factors do smoking and alcohol use represent in chronic laryngitis cases?
- Only perpetuating factors
- Predisposing and perpetuating factors (correct)
- Only precipitating factors
- Only contributing factors
Which specialist is most appropriate for managing chronic laryngitis?
Which specialist is most appropriate for managing chronic laryngitis?
- Gastroenterologist
- Otolaryngologist (correct)
- Endocrinologist
- Cardiologist
In a patient with chronic laryngitis, which of the following symptoms is commonly reported?
In a patient with chronic laryngitis, which of the following symptoms is commonly reported?
What impact does chronic laryngitis most likely have on vocal fold vibration?
What impact does chronic laryngitis most likely have on vocal fold vibration?
What is the most likely cause of John's chronic laryngitis?
What is the most likely cause of John's chronic laryngitis?
Which lifestyle factor is least likely to contribute to chronic laryngitis?
Which lifestyle factor is least likely to contribute to chronic laryngitis?
Which voice therapy technique is least suitable for John's vocal issues?
Which voice therapy technique is least suitable for John's vocal issues?
What treatment approach might be necessary for a patient with chronic laryngitis?
What treatment approach might be necessary for a patient with chronic laryngitis?
How might smoking impact John's voice health?
How might smoking impact John's voice health?
What is a common acoustic feature associated with a voice affected by chronic laryngitis?
What is a common acoustic feature associated with a voice affected by chronic laryngitis?
Why is vocal hygiene education important for John?
Why is vocal hygiene education important for John?
Which of the following symptoms indicates chronic laryngitis?
Which of the following symptoms indicates chronic laryngitis?
What is a likely reason for John's vocal difficulties increasing by the end of the day?
What is a likely reason for John's vocal difficulties increasing by the end of the day?
What effect can resonant voice therapy have on John's condition?
What effect can resonant voice therapy have on John's condition?
What lifestyle change could benefit John's vocal health the most?
What lifestyle change could benefit John's vocal health the most?
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Study Notes
John's Case Study
- John, a 55-year-old construction worker, experiences hoarseness and vocal fatigue for 6 months.
- His voice worsens at the end of the day and he struggles to project over work noise.
- John has a history of smoking and alcohol use.
- Laryngeal visualization reveals reddened and swollen vocal folds leading to a diagnosis of chronic laryngitis.
Cause of Laryngitis
- Smoking and alcohol use are the most likely causes of John's laryngitis.
- These substances irritate the vocal folds.
Voice Therapy Techniques
- Lee Silverman Voice Treatment (LSVT) can improve vocal loudness and reduce fatigue.
- Vocal hygiene education helps identify and modify behaviors contributing to laryngitis.
- Resonant voice therapy reduces tension in the larynx and improves vocal quality.
Acoustic Voice Parameters
- Chronic laryngitis elevates jitter and shimmer.
- Jitter measures cycle-to-cycle variation in vocal fold vibration.
- Shimmer measures amplitude variation in vocal fold vibration.
Factors Contributing to Laryngitis
- Predisposing factors: John's smoking and alcohol use likely made him susceptible to laryngitis.
- Perpetuating factors: These factors continue to worsen his condition.
Specialists Involved
- An otolaryngologist (ENT) examines the larynx and vocal folds and manages the laryngitis.
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