CASE STUDIES CONTENTS PART REINKE' S EDEMA, 3 VOCAL CORD DYSFUNCTION, 7. fiabit COUGH, 15 MUSCLE TENSION DYSPHONIA, 18 PUBERPHONIA, 33

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1 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, 11 CASE STUDY 2-3: Irritable Larynx Syndrome, 13 fiabit COUGH, 15 CASE STUDY 3-1: Habit Cough, 16 MUSCLE TENSION DYSPHONIA, 18 CASE STUDY 4-1: Muscle Tension Dysphonia, 20 CASE STUDY 4-2: Muscle Tension Dysphonia Secondary to Laryngopharyngeal Reflux (LPR), 24 CASE STUDY 4-3: Muscle Tension Dysphonia of Psychological Origin, 27 CASE STUDY 4-4: Muscle Tension Dysphonia of Psychological Origin, 30 PUBERPHONIA, 33 CASE STUDY 5-1: Puberphonia Voice Disorder, 34 VOCAL NODULES AND CYSTS, 36 CASE STUDY 6-1: Vocal Nodules-Adult, 37 CASE STUDY 6-2: Vocal Nodules-Child, 39 CASE STUDY 6-3: Vocal Fold Cyst Misdiagnosed as Vocal Nodules, 42 SPASMODIC DYSPHONIA, 45 CASE STUDY 7-1: Adductor Spasmodic Dysphonia with Tremor, 46 CASE STUDY 7-2: Adductor Spasmodic Dysphonia, 49 CASE STUDY 7-3: Mixed Abductor / Adductor Spasmodic Dysphonia, 52 VOCAL FOLD PARALYSIS, 55 CASE STUDY 8-1: Unilateral Recurrent Laryngeal Nerve Paralysis Following Thyroplasty, 57 CASE STUDY 8-2: Vocal Cord Paralysis Accompanying CVA, 61 CASE STUDY 8-3: Unilateral Recurrent Laryngeal Nerve Paralysis, 64

2 TRANSGENDER VOICE: MALE TO FEMALE, 67 CASE STUDY 9-1: Gender Identity Disorder: (Male to Female) Voice, 68 POSTLARYNGECTOMY VOICE, 71 CASE STUDY 10-1: Esophageal Voice, 73 CASE STUDY 10-2: Tracheoesophageal Voice, 76 RESONANCE DISORDERS: ORAL-NASAL BALANCE, 79 CASE STUDY 11-1: Hyponasal Resonance, 81 CASE STUDY 11-2: Hypernasal Resonance, 83 PART 11 EVALUATION CLIENT INTERVIEW, 85 : EVALUATION lasks, 86 : ASHA 2004 PREFERRED PRACTICE PATTERNS FOR THE PROFESSION OF SPEECH-LANGUAGE PATHOLOGY, 89 BASIC VOICE EVALUATION EQUIPMENT AND MATERIALS, 92 lask MODIFICATIONS AND PROPS FOR CHILDREN, 93 ANTERIOR VIEW OF THE LARYNGEAL CARTILAGES, 94 ENDOSCOPIC ViEW OF A NORMAL LARYNX, 94 SAMPLE OTOLARYNGOLOGY REPORT, 95 AnUL T CASE HISTORY, 96 CHILD CASE HISTORY, 98 VOICE EVALUATION FORM, 100 STROBOSCOPY EVALUATION RATING FORM (SERF), 106 UNIVERSITY OF WISCONSIN VIDEOSTROBOSCOPIC RATINGS, 108 CURRENT VOICE RESEARCH - ASHA DIVISION 3- CAPE-V; 109 VOICE RATING SCALE, 1 10 RAINBOW PASSAGE, I TOWNE- HEUER PASSAGE, 1 12 MUSIC NOTES TO CORRESPONDING FREQUENCIES, 113

3 A COMPILATION OF VOICE NORMS FOR PHONATION DURATION, S/Z RATIO, SPEECH RATE, LOUDNESS, PITCH, 114 LARYNGEAL AREAS MOST SENSITIVE TO MUSCLE TENSION, 116 NECK AND EXTRINSIC LARYNGEAL MUSCLES SENSITIVE TO TENSION, 117 VOICE HANDICAP INDEX (VHI), 118 REFLUX SYMPTOM INDEX (RSI), 120 THE STRUCTURES AND VALVES OF THE SPEECH MECHANISM, 121 VAGUS NERVE DIAGRAM, 122 VOCAL CORD PARALYSIS- LESION LOCATION AND EFFECTS, 123 SPEECH AND VOICE lasks FOR ASSESSING SPASMODIC DYSPHONIA, 124 SAMPLE OTOLARYNGOLOGY REPORT FOR SPASMODIC DYSPHONIA, 125 SPEECH AND VOICE lasks FOR ASSESSING RESONANCE, 126 MALE-TO- FEMALE TRANSGENDER COMMUNICATION ASSESSMENT FORM, 127 SAMPLE PULMONOLOGY REPORT FOR VOCAL CORD DYSFUNCTION, 128 VOCAL CORD DYSFUNCTION PATIENT INTERVIEW, 129 SAMPLE PULMONOLOGY REPORT FOR HABIT COUGH, 133 HABIT COUGH PATIENT INTERVIEW, 134 SIGNS AND SYMPTOMS OF DEPRESSION, 137 TYPES AND SYMPTOMS OF ANXIETY DISORDERS, 138 PART 111 TREATMENT ASHA 2004 PREFERRED PRACTICE PATTERNS FOR THE PROFESSION OF SPEECH - LANGUAGE PATHOLOGY, 141 GUIDELINES FOR VOICE THERAPY, 144

4 A GUIDE FOR FORMULATING GOALS FOR VOICE AND LARYNGEAL TREATMENT, 145 A SAMPLE HJERARCHY FOR MASK Focus THERAPY TECHNIQUE, 147 METHODS FOR EVALUATING CLIENTS' PERFORMANCE, 150 VOICE THERAPY PROGRESS NOTE, 151 ESSENTIAL COMPONENTS FOR A WELL-BALANCED VOICE, 153 LARYNGEAL PALPATION ANDMASSAGE, 154 TREATMENT FOR VOCAL CORD DYSFUNCTION, 155 rtimatment FOR HABIT COUGH, 156 COUGH MANAGEMENT CHART, 157 VOICE CARE llps, 158 LARYNGOPHARYNGEAL REFLUX INFORMATION, 159 SOURCES OF CAFFEINE, 160 COUNSELING llps FOR THE SLP, 161 PART IV EARNING OPPO OVERVIEW, 163 RESPlRATION LAB, 165 VOICE ANALYSIS LAB, 167 RESONANCE LAB, 169 THE ORAL CAVITY AND NASOPHARYNX, 170 ALARYNGEAL SPEECH LAB, 171 BEFORE AND AFTER LARYNGECTOMY, 172 PART V "UNSOLVED" CAS STUDIES UNSOLVED CASE STUDY: Guided Learning Exomple: Muscle Tension Dysphonio, 175 UNSOLVED CASE STUDIES: PEDIATRIC, 179

5 UNSOLVED CASE STUDY 1: Recurrent Respiratory Papillomatosis, 179 UNSOLVED CASE STUDY 2: Vocal Nodules, 182 UNSOLVED CASE STUDY 3: Status Following Pharyngeal Flap Repair for Cleft Palote, 185 UNSOLVED CASE STUDY 4: Muscle Tension Aphonia Etiology 187 of Psychological UNSOLVED CASE STUDY 5: Juvenile Resonance Disorder, 189 UNSOLVED CASE STUDIES: ADUL'T, 192 UNSOLVED CASE STUDY 6: Muscle Tension Dysphonia, 192 UNSOLVED CASE STUDY 7: Vocal Polyp, 195 UNSOLVED CASE STUDY 8: Vocal Fold Paralysis, 198 UNSOLVED CASE STUDY 9: Vocal Nodules PostSurgery, 201 UNSOLVED CASE STUDY 10: Parkinson Disease, 204 REFERENCES, 209 AnDITIONAL READINGS, 212 ASHA eode OF ETHICS, 214 GLOSSARY, 217 LIST OF ILLUSTRATIONS FIGURE 2-1: Anterior View of the Laryngeal Cartilages, 94 FIGURE 2-2: Endoscopic View of a Normal Larynx, 94 FIGURE 2-3: Music Notes to Corresponding Frequencies, 113 FIGURE 2-4: Laryngeal Areas Most Sensitive to Muscle Tension, 1 16 FIGURE 2-5: Neck and Extrinsic Laryngeal Muscles Sensitive to Tension, 117 FIGURE 2-6: The Structures and Valves of the Speech Mechanism, 121 FIGURE 2-7: Vagus Nerve Diagram, 122 FIGURE 3-1: Essential Components for a Well-Balanced Voice, 153 FIGURE 3-2: Laryngeal Palpation and Massage, 154 FIGURE 4-1: The Oral Cavity and Nasopharynx, 170 FIGURE 4-2: Before and After Laryngectomy 172

6 ANSWERS TO LABS AND UNSOLVED CASE STUDIES (See CD for Answers) CO-ROM CONTENTS EVALUATION MATERIALS Adult Case History Child Case History Voice Evaluation Stroboscopy Evaluation Rating Form (SERF) University of Wisconsin Videostroboscopic Ratings I Current Voice Research -ASHA Division 3 -CAPE-V Voice Rating Scale Rainbow Passage Towne-Heuer Passage Voice Handicap Index Reflux Symptom Index Speech and Voice Tasks for Assessing Spasmodic Dysphonia Speech and Voice Tasks for Assessing Resonance Male-to-Female Transgender Communication Assessment Form Vocal Cord Dysfunction Patient Interview I Habit Cough Patient Interview THERAPY MATERIALS Voice Therapy Progress Note Treatment for Vocal Cord Dysfunction Treatment for Habit Cough I Cough Management Chart I Voice Care Tips Laryngopharyngeal Reflux Information Sources of Caffeine LEARNING QpPORTUNITIES (WITH ANSWERS) Respiration Lab Voice Analysis Lab Resonation Lab Alaryngeal Speech Lab

7 UNSOLVED CASE STUDIES (WITH ANSWERS) Unsolved Pediatric Case Studies Unsolved Adult Case Studies Unsolved Case Study Scoring Rubric