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11 Cards in this Set

  • Front
  • Back
Organic Voice Disorders
- not related to how voice is used
- TX is surgical or medical
Papilloma
Location: may be in glottal, subglattal, or supraglottal areas
-epithelium
-obstructs airway

Appearance: whitish cluster of tissue
-reduced mucosal wave
-increase VF mass

TX: resistant

Etiology- virus passed from mother to child

Symptoms: hoarseness
Keratosis
(aka- leukoplakia, hyperkeratosis
Pre-Cancerous

2 Types:
1) Leukoplakia- flat, white plaque like lesions
2) Papillary- warty lesions

Location: first on epithelium, may move to superficial layer of lamina propria
-may be unilateral of bilateral and asymmetric

Etiology:
-smoking, env. pollutants, GERD

Symptoms:
- rough glottal edge
- hoarseness
Vasular Disorder- Hemmorhage
Hemorrhage

Location: unilateral
-reddish in color
- prominant vein

Etiology:
-trauma
-anticoagulant (aspirins)
-steroid use

Symptoms:
-aphonia, hoarseness, loss of pitch range, vocal fatigue
-pain from hemmorhage
Varix- Vascular Disorder-
Varix- prominant blood vessel distended

Location: superior surface/ edge of VFs

Etiology-
- associated with polyp (see vessel going into polyp)
- trauma/abuse

Appearance: you can see veins
Vascular Disorder-Ecstasia , Capillary Ecstasia
Ecstasia- dilation of small blood vessel, diffuse and light vessels

Appearance: looks like spider webs

Etiology:over use of aspirin, vocal over-doers

Population: woman (estrogen?)

Causes: predisposes to mucosal swelling, hemmorhage

TX:
- medical( hydration, no aspirin)
- voice tx
- surgical (CO2 laser spot coagulation)
Ankylosis (arthritis) of CA (cricoartyenoid) Joint
Symptoms:
- hoarseness/breathy
-fixation of CA joint, swelling (arthritis)
-similar to VF paralysis, but its painful

Laryngoscopy:
- lack of arytenoid movement
- imcomplete glottal closure
- bilateral vs. unilateral signs
- edema
Thermal Trauma
"chemical tracheobronchitis"
Location: subglottal

Symptoms:
- edema
- airway obstruction
- stridor

Etiology:
- smokers
- 2nd hand smoke
- environmental pollutants
Granulomas
Etiology:
- from intubation because of skill of person inserting, duration, and size of tube

- Frequency of occurance are small, becuse tubes are now softer

Location:
-on vocal process, posterior larynx (upper fold in pics)
-bilateral
-various size/shape

Symptoms:
-can be life threatening if inhibits airway
-ulcer results

TX:
-high reaccurance rate so not usually surgically removed
- diet/lifestyle changes
Contact Ulcer
-Contact Ulcers turn into granulomas

Location: medial surface of vocal process

Etiology:
-stomach secretions or secretions from nose (reflux)
- throat clearing

Symptoms:
-fatigue
-slight hoarseness
-throat pains
Carcinoma
Incidence:
2-5% of all malignancies

symptoms:
- lump, tenderness in neck
- Persistant hoarseness, dysphagia, dyspnea
-Biopsy required for Dx

Etiology:
- 50-70% cases smoking, synergistic with alcohol
- environmental irriation
-metabolic disturbance

TX: radiation, surgical removal