effort. Physicians, in their post-operative recommendations, vary considerably after any Micro laryngeal or laser removal procedure that involves the vocal folds. Most of the sources recommend strict vocal rest for a week, without any talking or whispering. For the same time being, the patient is to also refrain from coughing and or throat clearing, nevertheless, if the cough is unavoidable, then the cough must be a breathy cough or throat…
ability of the true vocal folds without the involvement of any supraglottal activity. The patient had difficulty with this task and phonated on the exhalation rather than the inhalation. Laryngeal Massage (10:56) This speech task involved the clinician performing a laryngeal neck massage as they elicited phrases from the patient such as, “Who did it?” and sustained /m/. The patient noted feeling a difference in the quality of production after the laryngeal massage. Tongue Protrusion (11:30)…
of us have a pair of vocal folds that separate when we do this. This process is called abduction. We use a small intrinsic muscle in our larynx that pulls the vocal folds apart allowing and allows air to move into our lungs. This causes the glottis to open from the back to the front, and the vocal folds wave from the back to the front. The posterior cricoarytenoid muscle is responsible for this abduction process. Originating from a widespread area on either side of the cricoid lamina,…
way that the vocal folds vibrate. The theory consists of an interaction of muscle forces (myo), elastic recoil forces (elastic), and aerodynamic forces. I will now describe the myoelastic-aerodynamic theory using the following diagram. Diagram A starts on the exhalation phase and the vocal folds are in phonatory position. The vocal folds are contracted by the Interarytenoids and the Lateral cricoid arytenoids. These muscles (IA and LCA) put the vocal folds in the phonotory position to initiate…
A hypophonic voice is characterized as weak and breathy. Hypophonic voice due to unilateral vocal fold paralysis is a common voice disorders in adults. Another cause that leads to hypophonic voice is vocal fold atrophy due to certain neurologic diseases or aging. However, considering its prevalence among adults, treatments are limited. Treatment typically consists of voice therapy combined with behavioral approaches or surgery. Behavioral treatment includes exercises, such as vocal Function…
These performers have to perform eight shows a week, typically one each night of the week Tuesday-Friday, two shows on Saturday and Sunday. The only day of week these performers get off are Monday’s. Throughout the week, each and every night these performers are stretching their vocal ability usually to their limit so that they can entertain the thousands of audience members that have come to see the show every night, because you never know who could be in the audience. Somebody famous? A…
physically wrong with the vocal mechanism. Assessment, referrals and treatment will be included in the case study for Ms. Chang. Assessment: I would begin the assessment by learning more case history information…
Client’s Name: Amanda Client’s Age: 49 Disorder: Dysphonia and Vocal Fold Nodules Observation #1 Amanda is a police officer, and her responsibilities include frequent speaking engagement in which she must speak a lot of ambient noise. In addition, she has smoked a pack of cigarettes a day for 25 years. Amanda was referred to a speech pathologist for evaluation of her voice. An examination revealed an abnormal change in the voice, or dysphonia, most likely bilateral true vocal nodule on the…
In order for proper safe and healthy singing techniques one most understand how the velum, pharynx, tongue, jaw, lips and how they work together. A singer must also understand how all of these muscles make up the structure that contributes to production of sustained singing voice. The soft palate is responsible for closing off the nasal passages when one swallows, and also for closing off the airway. When someone sneezes, it protects the nasal passage by directing a portion of the substance to…
REASON CHIEF COMPLAINT: Vocal cords. BLANKLINE Patient has history of having had a squamous cell carcinoma of the posterior third of his tongue treated on the right side, treated with radiation and chemotherapy. He has had hoarseness since that time. He has also had a swallowing problem and a PEG tube in place. His swallowing has gradually gotten better with swallowing therapy by the speech therapist. He is seen to evaluate his vocal cords. PHYSICAL EXAMINATION When talking, he is very…