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11 Cards in this Set
- Front
- Back
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Organic Voice Disorders
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- not related to how voice is used
- TX is surgical or medical |
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Papilloma
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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 |
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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 |
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Vasular Disorder- Hemmorhage
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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 |
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Varix- Vascular Disorder-
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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 |
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Vascular Disorder-Ecstasia , Capillary Ecstasia
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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) |
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Ankylosis (arthritis) of CA (cricoartyenoid) Joint
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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 |
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Thermal Trauma
"chemical tracheobronchitis" |
Location: subglottal
Symptoms: - edema - airway obstruction - stridor Etiology: - smokers - 2nd hand smoke - environmental pollutants |
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Granulomas
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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 |
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Contact Ulcer
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-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 |
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Carcinoma
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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 |
