Hoarseness. Common referral Hoarseness reflects any abnormality of normal phonation
|
|
- Anabel Spencer
- 5 years ago
- Views:
Transcription
1 Hoarseness Kevin Katzenmeyer, MD Faculty Advisor: Byron J Bailey, MD The University of Texas Medical Branch Department of Otolaryngology Grand Rounds Presentation October 24, 2001
2 Hoarseness Common referral Hoarseness reflects any abnormality of normal phonation
3 Cartilaginous skeleton
4 Cricoarytenoid Joint True synovial joint
5 Intrinsic Musculature Abductors Adductors Tensors
6 Intrinsic Musculature
7 Innervation
8 Abduction
9 Adduction
10 Tension
11 Vocal Fold Anatomy
12 Laryngeal function Sphincteric function Respiration Phonation Other Stabilizes the thorax by preventing exhalation during lifting Compresses abdominal cavity during coughing or straining
13 Phonation Physical act of sound production by means of passive vocal fold interaction with the exhaled airstream Pitch Quality Volume
14 Sound Production Contraction of expiratory muscles Rise in subglottic air pressure Escape through glottis Closure Bernoulli effect elasticity
15 Phonation Glottal puff Release of air as upper margins of TVC separate Phase delay Delay of closure between upper and lower margins of TVC Mucosal wave Horizontal and vertical components
16 Mucosal wave/phase delay
17 Body-Cover Theory Changes to mucosal wave Stiffness tension
18 Mucosal wave Velocity increases Increased airflow Increased subglottic pressure
19 Fundamental Frequency Pitch (measure in Hertz) Changes in vibration frequency Mass Stiffness viscosity
20 Workup Any patient with hoarseness of two weeks duration or longer must undergo visualization of the vocal cords
21 Workup History Physical Examination Ancillary tests
22 History URI Laryngitis Overuse with edema and inflammation Paralyses Granulomas from coughing
23 History Trauma Arytenoid dislocation Nerve paralysis Laryngeal fractures Mucosal lacerations
24 History Intubation Arytenoid dislocations Nerve injury granulomas
25 History Pulmonary conditions power source COPD Asthma
26 History Gastrointestinal LPR Autoimmune RA Endocrine Hypothyroidism
27 Neurologic disorders
28 Surgical History Skullbase procedures Carotid endarterectomies Thyroidectomies Aortic aneurysm repairs
29 Medications
30 Social History Tobacco Alcohol?Inflammation?Drying of secretions?malignancy
31 Occupational History Voice abuse
32 Associated Symptoms
33 Physical Examination Head & neck examination Laryngeal examination Physiologic position Image quality Magnification Cost Required equipment Time/skill necessary
34 Laryngeal examination Indirect mirror Flexible laryngoscopy Rigid laryngoscopy
35 Indirect mirror examination Advantages Quick Inexpensive Little equipment Disadvantages Gag Anatomic features nonphysiologic
36 Flexible laryngoscopy Advantages Well tolerated Complete examination Video documentation Disadvantages More time Expensive
37 Rigid laryngoscopy Advantages Best images Magnification Video documentation Disadvantages Expensive Nonphysiologic Gag Anatomic features
38 Videostroboscopy Light quasi-synchronized with vocal fold vibrations Bell microphone Electroglottography Video recording Detailed review Comparison after treatment
39 Videostroboscopy Synchronous = motionless Asynchronous = slow motion
40 Videostroboscopy Vocal fold closure pattern Vocal fold vibratory pattern Mucosal wave of each vocal fold Symmetry
41 Videostroboscopy
42 Radiographic studies MRI CT
43 Laryngeal EMG Myopathy normal frequency of firing but decreased amplitude Neuropathy decreased frequency but occasional normal amplitudes Polyphasic reinnervation potentials indicate some loss of function but reinnervation has begun
44 Laryngeal EMG
45 Differential Congenital Inflammatory Neoplastic Traumatic Neurologic Endocrine Iatrogenic Local factors
46
47
48
49 Vocal Cysts
50
51 Vocal Nodules Usually bilateral Voice rest and speech therapy for 6 months Surgical removal
52
53 Vocal cord granulomas LPR Intubation Treat medically
54
55
56
57 Vocal Cord Paralysis Lesion at nuclear level cadaveric Lesion above nodose ganglion abducted Lesion below nodose ganglion - paramedian
58 Vocal Cord Paralysis Superior laryngeal nerve subtle voice changes with decreased pitch range, tilting of the larynx with a rotation of the glottis
59 Vocal Cord Paralysis Children Neurologic Traumatic Idiopathic Adults Iatrogenic Traumatic Neoplastic Idiopathic neurologic
60 Vocal Cord Paralysis
61
Sunshine Act Disclosure
A Laryngologist s Approach to Voice Presentation at the Nebraska Speech- Language-Hearing Association Fall Convention Thursday, September 27, 2018 15:45-16:45 Christopher M. Bingcang, MD Assistant Professor
More informationVocal Cord Paresis:Background and Case Reports The Greater Baltimore Medical Center, The Johns Hopkins Voice Center at GBMC Stroboscopy Grand Rounds
Presented by: David F Smith, MD, PhD March 2, 2012 Vocal Cord Paresis:Background and Case Reports The Greater Baltimore Medical Center, The Johns Hopkins Voice Center at GBMC Stroboscopy Grand Rounds 1
More informationSuperior Laryngeal Nerve Injury: Diagnosis and Management. Presented by: Nyall London October 10, 2014
Superior Laryngeal Nerve Injury: Diagnosis and Management Presented by: Nyall London October 10, 2014 1 Case Presentation 49 year old male s/p right side approach anterior cervical discectomy and fusion
More informationCase Presentation JC: 65 y/o retired plumber CC: Hoarseness HPI: Admitted to a local hospital on May 30 for severe pneumonia. Intubated in ICU for 10
GBMC Stroboscopy Rounds October 12, 2007 Case Presentation JC: 65 y/o retired plumber CC: Hoarseness HPI: Admitted to a local hospital on May 30 for severe pneumonia. Intubated in ICU for 10 days, total
More informationStroboscopy: an evolving tool for voice analysis in vocal cord pathologies
International Journal of Otorhinolaryngology and Head and Neck Surgery Rajput SD et al. Int J Otorhinolaryngol Head Neck Surg. 2017 Oct;3(4):927-931 http://www.ijorl.com pissn 2454-5929 eissn 2454-5937
More informationContents. Part A Clinical Evaluation of Laryngeal Disorders. 3 Videostroboscopy and Dynamic Voice Evaluation with Flexible Laryngoscopy...
Contents Part A Clinical Evaluation of Laryngeal Disorders 1 Anatomy and Physiology of the Larynx....... 3 1.1 Anatomy.................................. 3 1.1.1 Laryngeal Cartilages........................
More informationEvaluation of the Hoarse Patient
Evaluation of the Hoarse Patient Herve J. LeBoeuf, MD The University of Texas Medical Branch Department of Otolaryngology Grand Rounds Presentation May 17, 2000 Anatomy- Vagus N. ambiguus: Motor - skeletal
More informationHoarseness April 2005
TITLE: Hoarseness SOURCE: Grand Rounds Presentation, UTMB, Dept. of Otolaryngology DATE: April 13, 2005 RESIDENT PHYSICIAN: Garrett A. Hauptman, MD FACULTY ADVISOR: Francis B. Quinn, Jr., MD, FACS SERIES
More informationVoice Disorders in Medically Complex Children
Voice Disorders in Medically Complex Children Roger C. Nuss, MD, FACS Geralyn Harvey Woodnorth, M.A., CCC-SLP Department of Otolaryngology and Communication Enhancement Children s Hospital Boston Harvard
More informationThe Immobile Vocal Fold: Paralysis vs. Fixation
The Immobile Vocal Fold: Paralysis vs. Fixation DISCLOSURE Ted Mau, MD PhD Director UT Southwestern Voice Center I have nothing to disclose www.utsouthwestern.org/voice DALLAS, TEXAS OUTLINE Terminology
More informationNormal Voice. Evaluation of a Patient with Hoarseness. No disclosures. Hoarseness. Assessment. Assessment
Evaluation of a Patient with Hoarseness No disclosures Mari Hagiwara, MD NYU Langone Medical Center ASHNR 2017 Hoarseness Symptom: any deviation from normal voice quality as perceived by self or others;
More informationVocal Cord Medialization Medialization Laryngoplasty
Vocal Cord Medialization Medialization Laryngoplasty Carolyn Waddington RN MSN FNP CORLN The Methodist Hospital Houston, TX SOHN, Boston, 2010 Objectives Describe the history of the first treatments for
More informationBILATERAL ABDUCTOR VOCAL CORD PALSY. Dr NITYA G Final year PG KIMS
BILATERAL ABDUCTOR VOCAL CORD PALSY Dr NITYA G Final year PG KIMS INTRODUCTION Vocal cord paralysis is a sign of a disease It results from dysfunction of Recurrent laryngeal nerves on both sides Paralysis
More informationChapter 1. Respiratory Anatomy and Physiology. 1. Describe the difference between anatomy and physiology in the space below:
Contents Preface vii 1 Respiratory Anatomy and Physiology 1 2 Laryngeal Anatomy and Physiology 11 3 Vocal Health 27 4 Evaluation 33 5 Vocal Pathology 51 6 Neurologically Based Voice Disorders 67 7 Vocal
More informationCitation 音声科学研究 = Studia phonologica (1972),
TitleImbalance of the Vocal Cords as a F Author(s) Isshiki, Nobuhiko Citation 音声科学研究 = Studia phonologica (1972), Issue Date 1972 URL http://hdl.handle.net/2433/52599 Right Type Departmental Bulletin Paper
More informationLaryngotracheal/Pulmonary Problems and the Mechanically Ventilated Patient: Pediatric Lung Transplantation
Laryngotracheal/Pulmonary Problems and the Mechanically Ventilated Patient: Pediatric Lung Transplantation G. Kurland, MD Children s Hospital of Pittsburgh Geoffrey.kurland@chp.edu 11/2014 Objectives Discuss
More informationLaryngeal Biomechanics: An Overview of Mucosal Wave Mechanics
Journal of Voice Vol. 7, No. 2, pp. 123-128 1993 Raven Press, Lt~l., New York Laryngeal Biomechanics: An Overview of Mucosal Wave Mechanics Gerald S. Berke and Bruce R. Gerratt Head and Neck Surgery, University
More informationIndex. pseudocyst, stroboscopy indications and usefulness, true cyst, 185, 287 [26] vallecular, 56, 57f Czermak, Johann Nepomuk, 5, 5f
Index Note: Page numbers followed by f and t indicate figures and tables; italicized page numbers indicate video clip descriptions and corresponding clip number, e.g. 284 [11]. A Abductor spasmodic dysphonia,
More informationCOMD #6305 The Phonatory system Chapters 4, 5
COMD #6305 The Phonatory system Chapters 4, 5 Laryngeal function Theory of phonation Jitter, shimmer Vocal registers Normal vs. abnormal voice qualities Measurements of voice quality Clinical applications
More informationSpeech Generation and Perception
Speech Generation and Perception 1 Speech Generation and Perception : The study of the anatomy of the organs of speech is required as a background for articulatory and acoustic phonetics. An understanding
More informationLarynx - cartilaginous structure holding the vocal folds which protrude into airstream
1! Larynx - cartilaginous structure holding the vocal folds which protrude into airstream 2! Flow increase - like thumb over garden hose Pressure drop - narrower space forces pressure drop due to speed
More informationPlease refer back to the slides as these are extra notes only. Slide 2 -The Larynx is a Box of cartilage.
[ANATOMY #3] 1 بسم رلاهللا Please refer back to the slides as these are extra notes only. Slide 2 -The Larynx is a Box of cartilage. -The lower border of c6 is the lower border of cricoid cartilage. -The
More informationLength-Tension Relationship of the Feline Thyroarytenoid Muscle
Length-Tension Relationship of the Feline Thyroarytenoid Muscle *Michael M. Johns, Melanie Urbanchek, Douglas B. Chepeha, William M. Kuzon, Jr. and Norman D. Hogikyan *Atlanta, Georgia, Ann Arbor, Michigan
More informationBiomechanics of Voice
Biomechanics of Voice Stephen F. Austin, M.M., Ph.D. Chair, Division of Vocal Studies College of Music University of North Texas Goals: To offer medical professionals a review of the function of the vocal
More informationCorrelations between Videostroboscopy and Constant Light Examination with Intraoperative Findings and Histopathology Our Experience
International Journal of Otolaryngology and Head & Neck Surgery, 2016, 5, 215-227 http://www.scirp.org/journal/ijohns ISSN Online: 2168-5460 ISSN Print: 2168-5452 Correlations between Videostroboscopy
More informationThe Larynx. Prof. Dr.Mohammed Hisham Al-Muhtaseb
The Larynx Prof. Dr.Mohammed Hisham Al-Muhtaseb The Larynx Extends from the middle of C3 vertebra till the level of the lower border of C6 Continue as Trachea Above it opens into the laryngo-pharynx Suspended
More informationCarcinoma of the larynx L 4. Carcinoma of the larynx is the most common head & neck cancer, this has a high cure rate which may reach 90%.
L 4 Carcinoma of the larynx Carcinoma of the larynx is the most common head & neck cancer, this has a high cure rate which may reach 90%. Incidence: It is more common in males than females in ratio 5:1.
More informationBenign Lesions of the Vocal Folds
Benign Lesions of the Vocal Folds Noah Meltzer, M.D. Zandy Hillel, M.D. December 14, 2007 Learning Objectives 1) Review the presentation, pathophysiology, and stroboscopic exams of benign vocal fold lesions.
More informationCASE STUDIES CONTENTS PART REINKE' S EDEMA, 3 VOCAL CORD DYSFUNCTION, 7. fiabit COUGH, 15 MUSCLE TENSION DYSPHONIA, 18 PUBERPHONIA, 33
CONTENTS PART I CASE STUDIES REINKE' S EDEMA, 3 CASE STUDY 1-1: Postoperative Reinke's Edema, 4 VOCAL CORD DYSFUNCTION, 7 CASE STUDY 2-1: Vocal Cord Dysfunction, 8 CASE STUDY 2-2: Vocal Cord Dysfunction,
More informationAfter reviewing this module, the student will have the ability to: - Create a broad differential diagnosis for the hoarse patient
LEARNING OBJECTIVES After reviewing this module, the student will have the ability to: - Create a broad differential diagnosis for the hoarse patient - Describe the most common causes and the most concerning
More informationVOCAL CORD PALSY. Department of ENT, Head and Neck Surgery DR OSEGHALE DR AKPALABA
VOCAL CORD PALSY Department of ENT, Head and Neck Surgery DR OSEGHALE DR AKPALABA Case Presentation M /70 years Pensioner Christain Bini Resides in Benin Had total thyroidectomy. Follicular Ca of thyroid
More informationGeneral Concepts - Why
Surgery for Benign Laryngeal Disease: When and How General Concepts - When Surgery should never be the initial treatment option Only when there is persistent troublesome dysphonia after completing work
More informationTri-State Medical Center. Patient: Amy Curtis Sex: Female CA: 34 years old PROCEDURE NOTE
SimuCase 2014 Tri-State Medical Center Patient: Amy Curtis Sex: Female CA: 34 years old PROCEDURE NOTE Chief Complaint: I have pain across the back of my head and in the left side of my neck to my shoulder.
More informationInternational Journal of Scientific & Engineering Research, Volume 5, Issue 9, September ISSN
International Journal of Scientific & Engineering Research, Volume 5, Issue 9, September-2014 1196 Pneumomediastinum and subcutaneous emphysema secondary to blunt laryngeal traumafavourable outcome with
More informationSpeech and Language Therapy. Kerrie McCarthy Senior Speech and Language Therapist
Speech and Language Therapy Kerrie McCarthy Senior Speech and Language Therapist Contents 1. Voice disorders 2. Swallow disorders 3. Videofluroscopy 4. Adult Acquired Communication Disorders 5. How to
More informationThe Art of Choral Techniques
Source: Phillips, TKTS, p. 145/157. Main Sources for Images: Phillips, Kenneth. Teaching Kids to Sing (TKTS), 2nd ed. U.S.: Schirmer CENGAGE Learning, 2014. Doscher, Barbara. The Functional Unity of the
More informationLarynx. Rudimentary. Behind the posterior surface : -stylopharyngeus - salpingopharyngeus -platopharyngeus
Larynx The larynx is an organ that provides a protective sphincter at the inlet of the air passages and is responsible for voice production. It extends from C3-C6: *Posterior: the pharynx *Lateral: the
More informationsafety margin, To leave a functioning i larynx i.e. respiration, phonation & swallowing.
The aim of the horizontal supra-glottic laryngectomy is: To remove the tumour with good safety margin, To leave a functioning i larynx i.e. respiration, phonation & swallowing. Disadvantages of classical
More informationAnatomy of the Airway
Anatomy of the Airway Nagelhout, 5 th edition, Chapter 26 Morgan & Mikhail, 5 th edition, Chapter 23 Mary Karlet, CRNA, PhD Airway Anatomy The airway consists of the nose, pharynx, larynx, trachea, and
More information**** DISCLAIMER ****
Grand Rounds Archives **** DISCLAIMER **** The information contained within the Grand Rounds Archive is intended for use by doctors and other health care professionals. These documents were prepared by
More informationEvaluating the Effect of Endoscopic Sinus Surgery on Laryngeal Mucosa Stroboscopic Features
Original Article Evaluating the Effect of Endoscopic Sinus Surgery on Laryngeal Mucosa Stroboscopic Features Ebrahim Karimi 1, Akbar Bayat 1, Mohammad Reza Ghahari 1, Sara Rahavi-Ezabadi 1, * Mehrdad Jafari
More informationInternational Journal of Medical Science and Education pissn eissn
Original research article International Journal of Medical Science and Education pissn- 2348 4438 eissn-2349-3208 INCIDENCE AND ETIO-PATHOGENESIS OF VOCAL CORD PARALYSIS IN A TERTIARY CARE HOSPITAL Natwar
More informationLisa T. Fry, PhD Marshall University. Joseph C. Stemple, PhD University of Kentucky
Lisa T. Fry, PhD Marshall University Joseph C. Stemple, PhD University of Kentucky Muscular Components of Voice Disorders Resonance Requires balance among the 3 Phonation Disruption in 1 may perturb the
More informationSpecialist Referral Service Willows Information Sheets. Laryngeal paralysis
Specialist Referral Service Willows Information Sheets Laryngeal paralysis Laryngeal paralysis tends to affect middle aged and older animals, especially large breed dogs such as Labrador Retrievers, Golden
More informationAutologous Fat Augmentation of the Vocal Folds
Tokai J Exp Clin Med., Vol. 39, No. 3, pp. 146-150, 2014 Autologous Fat Augmentation of the Vocal Folds Shinya OKADA *1, Etsuyo TAMURA *2 and Masahiro IIDA *3 *1 Department of Otorhinolaryngology, Tokai
More informationWhat do VFE s consist of?
The Use of Vocal Function Exercises as a Treatment Modality in VF Paralysis UCSF VOICE CONFERENCE October 16-18, 2008 Wendy DeLeo LeBorgne, Ph.D. CCC-SLP Voice Pathologist & Singing Voice Specialist wleborgne@dhns.net
More informationWheeze. Dr Jo Harrison
Wheeze Dr Jo Harrison 9.9.14 Wheeze - Physiology a continuous musical sound that lasts longer than 250 msec. can be high-pitched or low-pitched, consist of single or multiple notes, and occur during inspiration
More informationDr Sabah Mohammed Hassan. Consultant Phoniatrician
Consultant Phoniatrician King Abul Aziz University Hospital King Saud University Non-organic (Functional)Voice Disorders Introduction Etiological Classification Of Voice Disorders: 1-Organic. 2- Non-Organic
More informationQuarterly Progress and Status Report. Evaluation of teflon injection therapy for paralytic dysphonia
Dept. for Speech, Music and Hearing Quarterly Progress and Status Report Evaluation of teflon injection therapy for paralytic dysphonia Fritzell, B. and Hallen, O. and Sundberg, J. journal: STL-QPSR volume:
More informationGeneral OR Rotations GOALS & OBJECTIVES
General OR Rotations GOALS & OBJECTIVES Goals At the end of the CA 1 year General OR rotations, the resident should competently manage uncomplicated ambulatory, orthopedic, maxillo-facial, ENT, gynecologic,
More informationWhy Can t I breathe? Asthma vs. Vocal Cord Dysfunction (VCD) Lindsey Frohn, M.S., CCC-SLP Madonna Rehabilitation Hospital (Lincoln, NE)
Why Can t I breathe? Asthma vs. Vocal Cord Dysfunction (VCD) Lindsey Frohn, M.S., CCC-SLP Madonna Rehabilitation Hospital (Lincoln, NE) Objectives Examine Vocal Cord Dysfunction Examine Exercise Induced
More informationA New Stroboscopy Rating Form
Journal of Voice Vol. 13, No. 3, pp. 403413 1999 Singular Publishing Group, Inc. A New Stroboscopy Rating Form Bruce J. Poburka Department of Communication Disorders Minnesota State University, Mankato,
More informationHoarseness. Evidence-based Key points for Approach
Hoarseness Evidence-based Key points for Approach Sasan Dabiri, Assistant Professor Department of otorhinolaryngology Head & Neck Surgery Amir A lam hospital Tehran University of Medial Sciences Definition:
More informationHOARSENESS. Prevention and types of treatment
HOARSENESS Prevention and types of treatment What is hoarseness? What are the causes of hoarseness? How is hoarseness evaluated? When do I need to seek specialized medical evaluation? What are the treatments
More informationStructure and Nerve Supply of The Larynx
Kingdom of Bahrain Arabian Gulf University College of Medicine and Medical sciences Structure and Nerve Supply of The Larynx This presentation was originally prepared by: Dr. Kumar Notes were added by:
More informationAnalysis of Laryngoscopic Features in Patients With Unilateral Vocal Fold Paresis
The Laryngoscope VC 2015 The American Laryngological, Rhinological and Otological Society, Inc. Analysis of Laryngoscopic Features in Patients With Unilateral Vocal Fold Paresis Peak Woo, MD; Arjun K.
More informationEvaluation and Management of Pediatric Stridor
Evaluation and Management of Pediatric Stridor Pamela Nicklaus, MD FACS Associate Professor Fellowship Director Pediatric Otolaryngology Children s Mercy Hospital and Clinics 2013 Children's 2013 Mercy
More informationThe Respiratory System
The Respiratory System If you have not done so already, please print and bring to class the Laboratory Practical II Preparation Guide. We will begin using this shortly in preparation of your second laboratory
More informationSLHS 1301 The Physics and Biology of Spoken Language. Practice Exam 2. b) 2 32
SLHS 1301 The Physics and Biology of Spoken Language Practice Exam 2 Chapter 9 1. In analog-to-digital conversion, quantization of the signal means that a) small differences in signal amplitude over time
More informationA Ten-Year Kuala Lumpur Review on Laser Posterior Cordectomy for Bilateral Vocal Fold Immobility
Original Original Article Submitted: 3 Aug 2015 Accepted: 6 Mar 2016 Online: 30 June 2016 A Ten-Year Kuala Lumpur Review on Laser Posterior Cordectomy for Bilateral Vocal Fold Immobility Azman Mawaddah
More informationCadaveric position of unilateral vocal cord: a case of cricoid fracture with ipsilateral arytenoid dislocation
Cadaveric position of unilateral vocal cord: a case of cricoid fracture with ipsilateral Nirmalkumar Gopalakrishnan 1*, Kalaichezhian Mariappan 1, Venkatraman Indiran 1, Prabakaran Maduraimuthu 1, Chandrasekhar
More informationA Ten-Year Kuala Lumpur Review on Laser Posterior Cordectomy for Bilateral Vocal Fold Immobility
Original Article Submitted: 3 Aug 2015 Accepted: 6 Mar 2016 A Ten-Year Kuala Lumpur Review on Laser Posterior Cordectomy for Bilateral Vocal Fold Immobility Azman MAWADDAH 1, Mat Baki MARINA 1, Sawali
More informationRespiratory System. Clinical notes. Published on Second Faculty of Medicine, Charles University ( https://www.lf2.cuni.cz)
Published on Second Faculty of Medicine, Charles University ( https://www.lf2.cuni.cz) Respiratory System The test of the respiratory system follows the general rules for written tests (see Continuous
More informationPOST-OPERATIVE LARYNGEAL COMPLICATIONS AFTER ENDOCRINE SURGERY
POST-OPERATIVE LARYNGEAL COMPLICATIONS AFTER ENDOCRINE SURGERY Amy L. Rutt, D.O. Mayo Clinic Jacksonville, FL AOCOO-HNS Foundation 2015 MFMER slide-1 Etiology 1985-1995 (n=280) 1995-2005 (n=363) Overall
More informationTelephone Based Automatic Voice Pathology Assessment.
Telephone Based Automatic Voice Pathology Assessment. Rosalyn Moran 1, R. B. Reilly 1, P.D. Lacy 2 1 Department of Electronic and Electrical Engineering, University College Dublin, Ireland 2 Royal Victoria
More informationRespiratory Compromise and Swallowing
Speech Pathology and Respiratory Care April 11, 2013 By Angela Parcaro-Tucker, MA, CCC-SLP, LSVT How can Speech Therapy help? 1 Respiratory Compromise and Swallowing Swallowing is a complex sequence of
More informationBotulinum Therapy in the Laryngopharynx October 2004
TITLE: Botulinum Therapy in the Laryngopharynx SOURCE: Grand Rounds Presentation, UTMB, Dept. of Otolaryngology DATE: October 27, 2004 RESIDENT PHYSICIAN: Sam J. Cunningham, MD, PhD FACULTY ADVISOR: David
More informationLaryngeal electromyography findings of vocal fold immobility in patients after radiotherapy for nasopharyngeal carcinoma
ORIGINAL ARTICLE Laryngeal electromyography findings of vocal fold immobility in patients after radiotherapy for nasopharyngeal carcinoma Yi-Ling Hsieh, MD, 1 Ming-Hong Chang, MD, 2 Chen-Chi Wang, MD 1,3,4*
More informationVCD and Asthma: SLP Perspective. Jeff Searl, Ph.D., CCC-SLP Department of Communicative Sciences & Disorders Michigan State University
VCD and Asthma: SLP Perspective Jeff Searl, Ph.D., CCC-SLP Department of Communicative Sciences & Disorders Michigan State University The Name Issue 1983 Vocal Cord Dysfunction (VCD) coined by Christopher
More informationBENIGN VOCAL CHORD LESIONS
+ BENIGN VOCAL CHORD LESIONS + Introduction n Normal voice requires laryngeal function to be coordinated, efficient, and physiologically stable n Benign lesions of the vocal folds can cause imbalances
More informationAcoustic Analysis Before and After Voice Therapy for Laryngeal Pathology.
Acoustic Analysis Before and After Voice Therapy for Laryngeal Pathology. Chhetri SS, Gautam R ABSTRACT Background Department of ENT-HNS Kathmandu Medical College and Teaching Hospital Sinamangal, Kathmandu,
More informationAirflow in unilateral vocal cord paralysis before
Airflow in unilateral vocal cord paralysis before and after Teflon injection Y. CORMIER', H. KASHIMA, W. SUMMER, AND H. MENKES Thorax, 1978, 33, 57-61 From the Respiratory Division of the Department of
More informationCricothyroid Muscle Dysfunction Impairs Vocal Fold Vibration in Unilateral Vocal Fold Paralysis
The Laryngoscope VC 2013 The American Laryngological, Rhinological and Otological Society, Inc. Cricothyroid Muscle Dysfunction Impairs Vocal Fold Vibration in Unilateral Vocal Fold Paralysis Yu-Cheng
More informationRespiratory Anesthetic Emergencies in Oral and Maxillofacial Surgery. By: Lillian Han
Respiratory Anesthetic Emergencies in Oral and Maxillofacial Surgery By: Lillian Han Background: Respiratory anesthetic emergencies are the most common complications during the administration of anesthesia
More informationJournal of Medical Science & Technology
Page130 Journal of Medical Science & Technology Original Article Open Access Benign Lesions of the Vocal Cords in different ages: prospective Study of 60 Cases Dr. Suliman Saudi 1 1. Senior Specialist
More informationVocal Systems * Marcos Gridi-Papp. 1 The Human Larynx
OpenStax-CNX module: m66861 1 Vocal Systems * Marcos Gridi-Papp This work is produced by OpenStax-CNX and licensed under the Creative Commons Attribution License 4.0 Abstract The human larynx is protects
More informationChapter Effects of Smoke on the Respiratory System Part 1 pages
Chapter 18.1 Effects of Smoke on the Respiratory System Part 1 pages 412-416 ETS (Environmental Tobacco Smoke) Environmental Tobacco Smoke = ETS The smoke exhaled by active smokers. This smoke affects
More informationMSA. Sleep disorders MULTIPLE SYSTEM ATROPHY AND NOCTURNAL STRIDOR 1/26/2015. Alex Iranzo Neurology Service Hospital Clinic de Barcelona Spain
MULTIPLE SYSTEM ATROPHY AND NOCTURNAL STRIDOR Alex Iranzo Neurology Service Hospital Clinic de Barcelona Spain MSA Neurodegenerative disease Parkinsonism, cerebellar, dysautonomia Mean survival is less
More informationCHAPTER 22 RESPIRATORY
pulmonary ventilation move air external respiration exchange gases transportation of gases internal respiration exchange gases CHAPTER 22 RESPIRATORY in / out lungs air - blood blood - cells cell respiration
More information5/5/2013. The Respiratory System. Chapter 16 Notes. The Respiratory System. Nasal Cavity. Sinuses
The Respiratory System Chapter 16 Notes The Respiratory System Objectives List the general functions of the respiratory system. Identify the organs of the respiratory system. Describe the functions of
More informationPediatric video laryngo-stroboscopy
International Journal of Pediatric Otorhinolaryngology (2005) 69, 215 219 www.elsevier.com/locate/ijporl Pediatric video laryngo-stroboscopy Christopher J. Hartnick a, *, Steven M. Zeitels b a Department
More informationatrophy with autonomic failure
Journal of Nelurology, Neurosurgery, and Psychiatry, 1981, 44, 49-53 Laryngeal electromyography in multiple system atrophy with autonomic G M GUINDI, R BANNISTER, W P R GIBSON, AND J K PAYNE From the National
More informationSulcus vocalis: evidence for autosomal dominant inheritance
Sulcus vocalis: evidence for autosomal dominant inheritance R.H.G. Martins 1, T.M. Gonçalves 1, D.S. Neves 1, T.A. Fracalossi 1, E.L.M. Tavares 1 and D. Moretti-Ferreira 2 1 Departamento de Otorrinolaringologia,
More informationSun City Texas Computer Club. October 12, 2017
Sun City Texas Computer Club October 12, 2017 Enhance Weak Speech To Better Communicate with Hearing Loss Dr. Natasha Dewald, AuD Hears To You Natasha@HearsToYouTx.com Dr. Natasha Dewald Education Undergraduate
More informationRandall J. Amis *, Deepak Gupta *, Jayme R. Dowdall **, Abstract. Introduction
Ultrasound assessment of Vocal Fold Paresis: A Correlation Case Series with Flexible Fiberoptic Laryngoscopy and Adding the Third Dimension (3-D) to Vocal Fold Mobility Assessment Randall J. Amis *, Deepak
More informationAnita Gheller-Rigoni, DO, FACAAI Allergist-Immunologist. Exercise-Induced Vocal Cord Dysfunction
Anita Gheller-Rigoni, DO, FACAAI Allergist-Immunologist Exercise-Induced Vocal Cord Dysfunction Objectives 1. Understand the concept of vocal cord dysfunction 2. Recognize the difference between exercised
More informationStefan C Muzin, MD PM&R Attending Physician, Beth Israel Deaconess Medical Center, Harvard Medical School Onsite Physiatrist, GE Aviation, Lynn, MA
Stefan C Muzin, MD PM&R Attending Physician, Beth Israel Deaconess Medical Center, Harvard Medical School Onsite Physiatrist, GE Aviation, Lynn, MA Consultant, OEHN (Occupational and Environmental Network)
More informationOctober Paediatric Respiratory Workbook APCP RESPIRATORY COMMITTEE
October 2017 Paediatric Respiratory Workbook APCP RESPIRATORY COMMITTEE This workbook is designed to introduce to you the difference between paediatric and adult anatomy and physiology. It will also give
More informationOriginal Article. Clinical Archives of Communication Disorders / Vol. 2, No. 1:15-22 / April 2017 INTRODUCTION
Original Article http://e-cacd.org/ eissn: 2287-903X Clinical Archives of Communication Disorders / Vol. 2, No. 1:15-22 / April 2017 https://doi.org/10.21849/cacd.2017.00024 Open Access Aerodynamic Parameters
More informationUsing CT to Localize Side and Level of Vocal Cord Paralysis
Shy-Chyi Chin 1 Simon Edelstein 2 Cheng-Yu Chen 1 Peter M. Som 2 Received May 16, 2002; accepted after revision ugust 29, 2002. 1 Department of Radiology, Tri-Service General Hospital, National Defense
More informationDisclosures. Primary Methods for Treating UVP. Key Factors Influencing Treatment Planning. Guiding principle with Treatment Planning 2/4/2018
Zen and art of vocal mechanics: Key Factors That Influence Unilateral Vocal Fold Paralysis (UVP) Treatment Decisions Julie Barkmeier Kraemer, Ph.D. Professor, Division of Otolaryngology Clinic Director,
More informationABSTRACT REPEATABILITY OF AERODYNAMIC MEASUREMENTS OF VOICE. by Courtney Rollins Garrison
ABSTRACT REPEATABILITY OF AERODYNAMIC MEASUREMENTS OF VOICE by Courtney Rollins Garrison The purpose of this study was to compare baseline aerodynamic measurements of voice to measurements repeated after
More informationChorus Study Guide Unit 1: Know Thy Voice
Chorus Study Guide Unit 1: Know Thy Voice INSTRUCTOR: Mrs. DJ Ross Djuana.Ross@charlottelearningacademy.org Please study notes below in preparation for the unit test. www.nidcd.nih.gov Structures involved
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Afferent nerves, interactions of, in cough, 20 21 Airway, eosinophilic inflammation of, 124 narrowing of, in asthma, 126 protection of, terms
More informationCitation 音声科学研究 = Studia phonologica (1972),
Title Glottal Parameters and Some with Laryngeal Pathology. Acousti Author(s) Koike, Yasuo; Takahashi, Hiroaki Citation 音声科学研究 = Studia phonologica (197), Issue Date 197 URL http://hdl.handle.net/433/56
More informationRespiratory System. Student Learning Objectives:
Respiratory System Student Learning Objectives: Identify the primary structures of the respiratory system. Identify the major air volumes associated with ventilation. Structures to be studied: Respiratory
More informationPatient Name: Date of Birth:
Patient Name: Date of Birth: Marital Status: Single Married Divorced Widowed Height: Referring Doctor: Weight: Primary Care Dr.: Preferred Pharmacy:(name/address) ALLERGIES: Do you have any drug allergies?
More informationNURSE-UP RESPIRATORY SYSTEM
NURSE-UP RESPIRATORY SYSTEM FUNCTIONS OF THE RESPIRATORY SYSTEM Pulmonary Ventilation - Breathing Gas exchanger External Respiration between lungs and bloodstream Internal Respiration between bloodstream
More informationSubject Index. Bacterial infection, see Suppurative lung disease, Tuberculosis
Subject Index Abscess, virtual 107 Adenoidal hypertrophy, features 123 Airway bleeding, technique 49, 50 Airway stenosis, see Stenosis, airway Anaesthesia biopsy 47 complications 27, 28 flexible 23 26
More informationVocal Fold Motion Impairment. Surgical options 10/17/2008. Voice Changes after Treatment for Bilateral Vocal Fold Motion Impairment
Voice Changes after Treatment for Bilateral Vocal Fold Motion Impairment Betty S. Tsai, MD Mark S. Courey, MD Sarah L. Schneider, MS, CCC-SLP Soha Al-Jurf, MS, CCC-SLP UCSF Department of Otolaryngology
More information