Studied by 20 peopleNodules are...
bilateral calluses
What is the classic sign of vocal nodules?
string of mucous between the nodules (in one spot)
What is the vocal quality of someone with vocal nodules?
hoarse, rough vocal quality, sometimes diplophonia
What does the tissue around vocal nodules look like?
pinkish-white color, often the same as VF
Where do vocal nodules typically occur?
2/3 point medially - where we phonate the most
Surgical treatment for nodules
vocal hygiene speech therapy surgery:
laser removal (cutting with a laser)
cauterization (peeling off callous with forceps)
What are classic signs of reflux on the vocal folds?
inflammation/swelling, scar tissue, pink
What does laryngopharyngeal reflux look like?
stomach acid, inflamed, swollen, pink color
Varix
bigger (& more prominent) tortuous veins on true VF; "vocal bleed"
What is the treatment for varix and exstacia?
laser pulses
Exstacia
smaller venious lines on VF
What is the classic sign for contact ulcers and granuloma?
cup and saucer
Polyps are...
painful, unilateral and fluid-filled blisters
What is the vocal quality like for someone with vocal polyps?
harsh/hoarse, raspy
What is the treatment for vocal polyps?
refer to ENT for removal
What are the classic signs of spasmodic dysphonia?
shaky, breathy voice -disordered phonation -vocal breaks - spasms -dry
What are the two types of spasmodic dysphonia?
Adductor: spasms make VF come together (close) Abductor: VF open spasmodically
Flaring nostrils are a nonspeech sign/symptom of distress for what type of diagnosis?
spasmodic dysphonia
What are signs of monotone pitch?
deep, hyponasal, awareness of impairment, speech phrasing (respiration breaks) is abnormal
What is the social perception for people with monotone pitch?
they're doing it for attention
What are some other things we want to screen for if someone has a monotone voice?
check their mental/psychological state (monotone is associated with depression/speech is attached to mental state)
Vocal fry is caused by...
respiratory insufficiency
What is the vocal quality of someone with vocal fry?
low/quiet voice raspy, particularly at the end of words/sentences (ex: Kim K) hoarseness over time
Puberphonia
inappropriate pitch for a person's age, gender, and culture
What should you pay attention to with someone with puberphonia?
unconscious movement of their chin during pitch
How might someone with puberphonia compensate for difficulty with higher pitch?
elevate the jaw to sustain pitch
Keratosis is _______ of _______ on the VFs
build-up; keratin
What does the tissue look like for someone with keratosis?
white and plaque-like
Laryngitis is inflammation/irritation of the larynx due to _______
overuse/misuse
What are classic signs of laryngitis besides inflammation/irritation?
-vocal strain -sore throat, dry cough -subglottilc laryngitis in children
What is the vocal quality like for someone with laryngitis?
hoarseness, aphonia/dysphonia, trouble breathing
What is the acute treatment for laryngitis?
fluids, resting voice, inhaling steam, long hot shower
Papillomas are ______ in nature
viral (e.g., HPV, kissing, sexual contact/genital warts) -can grow anywhere
What are classic signs of papilloma?
clusters of bumps & growths (men: usually on head and neck) -asymmetrical* -soft tissue
What is the vocal quality like for someone with a papilloma?
raspiness, breathiness (respiratory insufficiency)
What is the treatment for papilloma?
laser removal often repeated every 1-3 years
Note
Flashcard