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voice disorders
organic and functional voice disorders
35
Health Care
Graduate
10/18/2008

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Term
functional voice disorder
Definition
functional caused by a faulty use of a normal vocal mechanism
Term
organic voice disorder
Definition
functional-realted to a physical abnormality at one of the various sites of the vocal tracts
Term
falsetto
Definition
functional-using anterior portion of VF-puberphonia (stay in falsetto after puberty in men-downward pitch breaks)
Term
functional aphonia
Definition
functional-means no voice, can speak with a whisper, emotional stress is the cause, not tension-make sure they are not malingering, they should be able to cough and get their voice back failry quickly
Term
functional dysphonia
Definition
functional-problematic voice, anything thats not organic unless aphonic, come of partial shut down of larynx, report fullness in their throat
Term
muscle tensioin dysphonia
Definition
muscle tension in larynx, can be length or width tenion or a mixture-sphincter
Term
diplophonia
Definition
functional-2 voices, false vf's closing together to create a second voice
Term
thickening vocal cords
Definition
functional-inflammatory condition of the larynx-edema
Term
polypoid degeneration
Definition
functional-swelling of entire vocal structure and replaces good tissue with bad tissue and can lead to cancer, fluid is thicker-more like jelly
Term
reinke's edema
Definition
functional-swelling in space between the surface of epithelium and the muscle itself, fluid from swelling is watery-mainly caused by smoking, bilateral
Term
polyps
Definition
functional-unilateral, middle of the vf, soft fluid filled sack which is why its unilateral because it doesnt bother the other side-will see hemorrhagic stress with it-fluid and blood
Term
polyps
Definition
functional-unilateral, middle of the vf, soft fluid filled sack which is why its unilateral because it doesnt bother the other side-will see hemorrhagic stress with it-fluid and blood
Term
vocal nodules
Definition
functional-most common benign lesion on the vf, comes from abuse-hard fibrotic knots
Term
traumatic laryngitis
Definition
functional-swelling of vf due to vocalization
Term
ventricular phonation
Definition
functional-false vf phonating
Term
ventricular phonation
Definition
functional-false vf phonating
Term
phonation breaks
Definition
functional-sign of prolonged hyperfunction, after long period of phonation, voice will just stop
Term
pitch breaks
Definition
functional-puberty, breaks up and down-mostly up
Term
sulcus vocalis
Definition
organic-sulcus in the vf, dont know the etiology, irritantfrom reflux sometimes (pseudosulcus)
Term
contact ulcers
Definition
organic-ulceration bump on the aryteniods in the middle, eventually has granuloma-three causes: slamming aryteniods together during phonation, LPR, and from intubation
Term
cancer
Definition
organic-occur above, below, or on glottis, white patches, 2 kinds: leukoplakia and polypoid degeneration #1 cause is from smoking
Term
leukoplakia
Definition
organic-white patches on VF, see hyperfunction because everything starts to shut down when it's present
Term
congenital abnormalities:
Definition
seen in children -laryngo malasia, subglottal stenosis, and tracheoesphageal atresia
Term
laryngo malasia
Definition
organic-failure of cartilages to stiffen up as they develp, they make collapse, listen for stridor, by 18 months it should take care of itself
Term
sublottal stenosis
Definition
organic-space narrows under the glottis,
Term
tracheosphageal atresia
Definition
organic-deterioration of wall between the trachea and esophagus, can get fistulas, aspiration,and pneumonia
Term
endocine changes
Definition
organic-hypothyroidism-poor secretion of thyroxin this will cause you vf size to increase and you get a lower pitch-not uncommon
Term
granuloma
Definition
protection over lesion, like a callus
Term
hemangioma
Definition
like a contact ulcer with granuloma around aryteniods but its a flood filled sac
Term
hyerkeratosis
Definition
organic-pink lesions rather than white
Term
infectious laryngitis
Definition
organic-what most ppl have when they lose their voice-occurs after a cold, sore through, or fever-can be bacterial or viral-you want bacterial if you can choose...haha
Term
laryngectomy
Definition
removal of the larynx, partial, hemi, total, supraglottic and subglottic-we mostly see total
Term
papilloma
Definition
organic-viral origin infects the larynx, they are wart like growths, typically seen in children
Term
reflux
Definition
organic-causes 4-10% of chronic non specific laryngeal diseases
Term
webbing
Definition
organic
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