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25 Cards in this Set
- Front
- Back
signs of SLN damage
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gurgly voice; absent cough reflex however able to cough or clear throat upon request; can't reach high pitches
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signs of RLN damage
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can't cough/ clear throat; dysphagia; can't reach low pitches; can't abduct which affects breating
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nodules
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occur over time; d/t vocal abuse/misuse; hour glass formation; too much open phase
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nodules effect on voice
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Breathiness; decreased volume; decreased pitch; monotoned
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granulomas
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cause by trauma like endotracheal tube; breakdown of mucosal layer
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granuloma effect on voice
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Granuloma causes posterior hourglass gap-asymmetrical; breathiness; decreased volume; deceases pitch and pitch range-monotoned; diplophonia with unilateral or bilateral and asymmetrical granuloma
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polyps
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acute violent time of abuse
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Pedunculated polyp
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floppy stalk with rounded head; caused by allergyns or irritants
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Sessile polyp
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broad-based with rounded prominence; caused by overuse, abuse, misuse
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Hemorrhagic polyp
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When feeder blood vessel bursts
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polyps effect on voice
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Same as for nodules and;
one vf will have different mass to the other, causing diplophonia; if pedunculated polyp flaps vibrates-“triplophonia”; if compensates excessively with MTP II & FVF vibrate, then “quadrophonia” |
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unilateral adductor paralysis
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Breathing- No problems
Swallowing-Dysphagia. Phonation- Breathy Asymmetrical tension-dipophonia |
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bilateral adductor paralysis
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Breathing- No problem
Swallowing- Severe dysphagia, NPO, G-tube Phonation- Aphonia |
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unilateral abductor paralysis
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breathing- Difficulty with strenuous activity. Quiet breating is OK; Stridor
swallowing- No problem phonation- No problem |
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bilateral abductor paralysis
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breathing- Life-threatening, tracheotomy
swallowing- No problem phonation- No problem (as long as air is in the lungs) |
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Adductor Spasmodic Dysphonia (ADSD)
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most common; stuck in closed position; triggered by voiced sounds, loud speech, low pitch / glottal fry
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Abductor Spasmodic Dysphonia (ABSD)
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less common; stuck in open position; triggered by voiceless sounds, soft, whispered speech, falsetto
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Mixed Spasmodic Dysphonia
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least common
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Severe Muscle Tension Dysphonia
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a functional voice disorder; curable with voice therapy; may sound similar to SD; no tremors
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Sicca
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dryness; drying of laryngeal mucosa and vocal folds
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Presbylaryngeus
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atrophy of intrinsic laryngeal muscles; spindle-shaped bowing with central gap; causes a hypofunctional voice disorder- maladaptive
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Papillomatosis
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common benign tumor that starts in epithelium; usually from papovavirus
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Papillomatosis effects on voice
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increase mass & stiffness of vf’s; cause irregular closure of vf’s; may obstruct airway; stridor, decreased pitch, breathiness, reduced volume
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laryngeal web
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Tissue growing from one vf to the other, usually from one raw wound to another
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laryngeal web effect on voice
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If thick, may increase mass of vf’s & lower pitch; increased tension while tethering vf’s- increase in pitch; if obstructs airway- stridor
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