5 groups of phonosurgery
(JAIL)
- removal of pathological tissue
- surgical correction of vf shop, position, or tension
3) Alteration or restoration of laryngeal neuromuscular function
4) Surgical reconstruction for partial loss or deformity of larynx
5) Surgical reconstruction for total larynx loss - laryngectomy
What are intrafold injection, Thyroplasty and arytenoid rotation used to remediate ?
Hypofunction
For Unilateral Paralysis, Bowing, Glottic incompetency
What is the goal of endolaryngeal microsurgery?
Remove cancerous lesion by only take as much VF tissue as necessary and preserving as much of the mucosa as possible
Know pharmacological treatments (drugs) for tremor
Propranolol (beta blocker) , Primidone (anticonvulsant)
Know pharmacological treatments (drugs) for papilloma
THE REST
Know pharmacological treatments (drugs) for SD
botox
Role of voice tx in treatment of SD
- eliminate negative compensatory strategies
- improve breath support
- decr muscle tension in jaw, face, neck, shoulders
Know tx approaches for tremor
- Crescendo exercises (soft to loud)
- Dec negative compensatory strategies
- Try different pitch and loudness
- Staccato speech / easy onset
- Breath support
Voice treatment for Parkinson’s disease
Lee Silverman Voice Therapy
Lee Silverman Voice Therapy
(parkinsons)
a. Sustained loud /a/ b. Pitch glides up and down c. Use of loud voice for functional phrases, sentences, paragraphs, conversation d. Take use of loud voice out of clinic into public settings
LSVT improves what other aspects besides voice
articulation & swallowing
Treatment approaches for voice problems related to TBI, Hyperkinetic Spastic Dysarthria, CP
- Address breathing – increase support &
incr. both inspiratory and expiratory volume- Teach easy onsets and linking to decr excessive muscle activity
- Utilize aspiration, i.e. air flow prior to voicing
- Use Lee Silverman Voice Therapy – evidence for TBI and CP
