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organic VD
organic voice disorders
Question | Answer |
---|---|
soft larynx,cause of stridor.75% of all congenital abnormalities. outgrow by 18 mos. 5% need surgery ( glotoplasty) vs. tracheostomy. | Laryngomalacia |
congential/acquired. narrowing of subglottic space.intubation->scarring/stenosis. lack air. | Subglottal Stenosis |
TEF ( 85% w/ distal e.pouch)-> gastric distention,aspiration, reduced diaphramatic excursionsurgery needed | Tracheoesophageal Fistulas |
Firm. medial of vocal process.vocal fatiuge, pain. 75% roughness.65% throat clearing. 1)slam arytenoid. 2)LPR 3) intubation. theratpy to decrease vocal abuse. | Contact Ulcers( granulomas) |
soft due to blockage of ductal system. unilateral.must be surgically removed. | Cysts |
increased pitch | hypofunction of pituitary gland |
decrease in pitch aka addisons disease | hypofunction of adrenal gland |
decrease pitch, increased mass,hoarse | hypothyroidism |
breathy,jumpy,soft | hyperthyroidism |
blood vessel tumor.soft, blood filled, posterior glottis,usually w/ hyperfunction.surgerical removal. | hemangioma |
thickening of skin. pink oral leisions either malignant or benign.reactive leisons to irritation, usually under tongue, v.f. anterior commisure and posteriorly on arytenoid prominences | hyperkeratosis |
usually viral, can be bacterial, usually due to URI, absolute rest , sometimes med doesnt work.no whispering, increase hydration | infectious laryngitis |
total removal of larynx. treatment via TEP, esophageal Speech (PE) electrolarynx.transplant | laryngectomy |
white patches, additive leisions.into subepithelial space. benign but may turn cancerous. caused from irriation esp. heavy smoking, LPR, and papillovirus.minor alteration in voice | Leukoplakia |
wartlike.in dark cavern/moist airway of child,under 6 yrs of age. 4.3/100,000. short breath. 20% persist. medical surgery.doesnt cure | papilloma |
265 Hz when young,growth 8 yrs in girls, 11-12 in boys, 17 . | pubertal changes |
gastroesophogeal reflux or laryngopharyngeal reflux. 4-10% chronic morning hoarseness, bad breath,sour., cough, head lower - worse. glottal red, ulcer, granuloma. | Reflux |
congential/acquired. maybe vocal abuse or LPR. furrowed medial edge. cause is unknown. strained, little pitch change, dificulty being loud, aphonia,tension.surgery to create vertical incisions/injection | sulcus vocalis |
high pitch,rough,stridor,shortbreath.3/4 web will cross glottis,temp trach after surgery,acquired bilateral,trauma,surgery can cause webbing | webbing( syncheia) |