Strained Voice

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Strained Voice (Vocal Cords)

We rely on our voices to inform, persuade, and interact with other people. For this, a disorder of phonation may prove very limiting, interfering with the ability to communicate with normal daily activities. “Dysphonia " is the medical term used for Strained Voice to indicate a generic voice alteration, qualitative or quantitative, temporary or permanent, structural or functional origin of one or more organs involved in the spoken speech. This alteration can be understood primarily as a difficulty to control pitch, timbre structure, volume or voice quality. Dysphonia may be associated with pain or discomfort while speaking.

The causes of vocal problems may include upper respiratory infections,
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This voice disorder may indicate a neurological injury or a problem muscle and may be associated with a variety of other conditions.


The first diagnostic approach provides an accurate anamnestic investigation, to detect the details of the speech disorder and the patient's medical history, such as:
• duration and severity of the current problem
• current and associated symptoms
• relevant medical scoria (including drugs, respiratory allergies , presence or absence of diseases of the gastro-enteric tube , infections and previous surgeries)
• Lifestyle habits or professional risk for the respiratory system (contact with inhaled irritants, tobacco and alcohol).
For a correct diagnosis of the disorder, the doctor will proceed with the inspection of the throat for suspicious areas: the patient is asked to open his mouth, sticking his tongue out, and to pronounce a long vowel sound simultaneously. This procedure displays part of the pharyngeal wall and the tonsillar region.
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allergy, infection, reflux, inhaled irritants or traumatic models). Several drugs are available for the treatment of voice disorders. Depending on the cause of the dysphonia, the doctor may indicate drugs to treat the inflammation, bacterial or viral infection, gastroesophageal reflux etc.

Surgical: may provide for procedures micro laryngoscopy with removal of lesions on the vocal cords (not cancerous, precancerous and cancerous) or endoscopic resection.
Speech therapy: logaoedic rehabilitation can help improve the use of voice and avoid the abuse of this (vocal training). The speech therapist plays an important role in the evaluation and treatment of patients with voice disorders, due, for example, edema of Reinke, nodules on the vocal cords and vocal abuse. The therapy will probably require several weeks or months before improvements are evident, then the patient must be very motivated to adhere to the comprehensive treatment plan.

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