Surgical Care of Voice Disorders (Disorders of Human Communication)

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Write a review Rate this item: Preview this item Preview this item. Surgical care of voice disorders Author: Wien ; New York: Disorders of human communication , 8. English View all editions and formats Summary:. Find a copy online Links to this item Table of contents.

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Surgical procedures for voice restoration

Privacy Policy Terms and Conditions. Remember me on this computer. Cancel Forgot your password? In the Lions Voice Clinic, the endoscope is attached to a video camera. This allows the image to be projected onto a video monitor during the exam, and videorecorded for replay. We can make single still pictures from the examination for you, or dub the entire recording onto a DVD, or copy it to your flashdrive.

Regardless of who performs your endoscopic examination a speech-language pathologist or a laryngologist , we always review your examination together, along with you. Determining the cause of the problem and the treatment plan is a team event. The nature of the disorder determines what kind of treatment is recommended. Treatment using medicines is one of the components of treatment for voice disorders.

In some cases the laryngologist will prescribe a medication to make the larynx more healthy. We may also suggest over-the-counter medications for certain vocal conditions. There are few drugs specifically used to treat voice disorders. More commonly, the medications fall into several classes that have a secondary effect on the voice: Decongestants, antihistamines, or steroid nasal sprays may be prescribed if the individual is bothered by congestion or sinus drainage that may irritate the tissues in the larynx, or thicken secretions, making it hard for the vocal folds to vibrate.

Reflux is a common disorder that can cause acid from the stomach to reflux up the esophagus the food pipe and then spill over onto the larynx see About the Voice. The acid is irritating to the larynx and may cause swelling or inflammation of the vocal folds. Medications such as Zantac or Prilosec may be prescribed to treat this condition, in order to improve the health of the larynx see Related Disorders. Medications to reduce inflammation of the vocal folds.

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On some occasions, vocal fold swelling warrants a prescription of oral steroids to reduce the inflammation. These are not used on a long-term basis. This is available over the counter. Certain voice disorders are best treated with surgical intervention.

1. Introduction

Some lesions growths need to be surgically removed. In the case of vocal fold paralysis, there are several surgical options that provide a better voice. Goding and Misono are known internationally for their skills as surgeons. At the Lions Voice Clinic, surgery is almost always accompanied by at least one session of functional voice therapy, to teach the individual about postoperative voice care, and to teach vocal techniques to optimize the surgical result.

Surgical treatments for each voice disorder are described on the Voice Disorders page. At the Lions Voice Clinic, functional therapy is done with Dr. After the voice evaluation, we discuss your treatment plan with you, and therapy sessions are scheduled. The plan for therapy varies from patient to patient, but in general, the first three to four sessions are an hour long, and a week or two weeks apart.

Sessions become gradually more spaced apart as you learn more advanced techniques and need more time to practice them and incorporate them into day to day speech. In therapy for voice disorders, a typical process in the first few sessions would include: An additional feature of the endoscopic exam is called stroboscopy. In this case, the light carried through the fiberoptic cables is a strobe light, which shines intermittently on the vibrating vocal folds. The vocal folds vibrate anywhere from 80 to times per second; the faster the vibration, the higher the pitch of the voice see Vocal Fold Vibration and Pitch in our page About the Voice.

These vibrations are so fast, they can only be seen as a blur. But when the strobe light shines intermittently on the vibrating vocal folds, they look as if they're vibrating in slow motion. This allows an evaluation of the nature of the vibration, which is crucial to understanding many abnormalities of the vocal sound. In the Lions Voice Clinic, we use stroboscopy to assess voice disorders. Medical Treatment Treatment using medicines is one of the components of treatment for voice disorders.

Medications to treat sinus drainage Decongestants, antihistamines, or steroid nasal sprays may be prescribed if the individual is bothered by congestion or sinus drainage that may irritate the tissues in the larynx, or thicken secretions, making it hard for the vocal folds to vibrate.

Medications to treat acid reflux Reflux is a common disorder that can cause acid from the stomach to reflux up the esophagus the food pipe and then spill over onto the larynx see About the Voice. Medications to reduce inflammation of the vocal folds On some occasions, vocal fold swelling warrants a prescription of oral steroids to reduce the inflammation. Over-the-counter medications Conservative remedies are important at the Lions Voice Clinic. Maintaining good hydration of the mucosal tissues is extremely important to vocal health.