voice

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Author:
Anonymous
ID:
19022
Filename:
voice
Updated:
2010-05-12 13:14:53
Tags:
surgeries
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Description:
surgeries and medical tx
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  1. used for removal of begning and cancerous lesions.
    done w/ use of operating microscope'
    may employ forceps, scissors, CO2 laser?
    Endolaryngeal microsurgery
  2. endolaryngeal microsurgery

    Goal:?
    remove lesion by only taking as much VF tissue as necessary and preserving as much of the mucosa as possible.
  3. Two methods of VF medialization: ?
    • 1. Intrafold injection
    • 2. medialization surgery
  4. Two methods of VF medialization: for pts with?
    • unilateral paralysis
    • Bowing
    • Glottic incompetency
  5. Two methods of VF medialization:
    medialization surgeries are?
    • 1. augmentation
    • 2. medial shift of thyroid cart
    • 3. rotation of arytenoid cart
  6. Neuromuscular surgery for ? is ?
    • VF paralysis
    • reinnercation of RLN
  7. Anterior Web?
    web is sectioned or removed with a CO2 laser

    A keel or silicone plate is then inserted to prevent the VFs from post-surgical union
  8. Essential Tremor
    Medication?
    • propranolol (beta blocker)
    • Primidone (anticonvulsant)
  9. Essential Tremor
    Amp of tremor can be ___ but not the __?
    ____ exs ?
    Dec?
    Try?
    ___ support?
    • dec
    • frequency
    • Crescendo (soft to loud)
    • negative compensatory strategies
    • diff pitch and loudness
    • breath
  10. TX for VF Papilloma:
    Surgery?
    Medications?
    1. ___ for aggressive VFP
    2. ___ alters growth pattern of VFP
    3. ____ antiviral injected into the papillomas
    4.____ chemo, blocks growth of papillomas
    pulse dye laser

    • 1. Interferons
    • 2. Indole 3 carbinol
    • 3. Cidofovir
    • 4. Methatrexate
  11. Spasmodic Dysphonia?
    ___?
    ____?
    voice tx to (3)?
    • botox injections
    • RLN resection
    • 1. eliminate neg comp strat
    • 2. improve breath support
    • 3. dec muscle tension in jaw, face, neck, shoulders
  12. Paradoxical VF movement
    ____ breathing?
    focus on?
    use ?
    relaxed ____ during stridor?
    may also need ?
    __?
    • diaphramatic
    • exhalation
    • "sniffing" as exaggerated inhalation
    • throat breathing
    • generalized relaxtion, digital manipulation
    • In-depth self-awareness of breathing process
  13. PVFM- Martin, Blager, Gay, et. al

    Inhalation ?
    Relaxed?
    Prolonged?
    Diaphragmatic breathing w/ emphasis on?
    • through nose w/ lips closed
    • tongue posture
    • audible exhalation through pursed lips or production of /s/
    • exhalation
  14. Parkinson's Disease
    _____ TX?
    1. sustained loud /a/
    2. pitch glides up and down
    3. use of loud voice for functional phrases, sentences, etc.
    4. take use of loud voice out of clinic into public settings

    Research shows incr ___, ____, and improved___?
    Lee Silverman

    • incr glottic closure, louder voice
    • vocal quality, improved articulation & swallowing
  15. Myasthenia Gravis- TX with _____?

    Other progressive neuological diseases- tx techniques are dependent on ?

    For many prognosis is poor and an ___ is necessary?
    medication- Pyrigdostigmine (anti-cholinesterase) delays destruction of acetylcholine at NMJ

    characteristics of disease- strain/strangled, weak, breathy, etc.

    AAC device
  16. TBI, Hyperkinetic Dysarthria, CP
    1. Address ___- inc ___ & in both ___ and ____?
    2. Teach ___ to dec___?
    3. Utilize ___
    4. Use ___ tx
    • breathing
    • support
    • inspiratory and expiratory volume
    • easy onsets
    • excessive muscle activity
    • aspiration , ie. air flow prior to voicing
    • Lee Silverman Voice

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