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ENT Conditions
Ear, Nose and Throat Conditions for Speech Therapists
24
Anatomy
Post-Graduate
01/12/2008

Additional Anatomy Flashcards

 


 

Cards

Term
Nasal Obstruction
Definition
Hyponasal speech and reduced vocal resonance, Mouth breathing, dehydration and laryngitis
Term
Chronic Laryngitis
Definition
  • may lead to structural changes, and may then lead to secondary muscle tension disorders eg. Compensatory hyperfunction of false cords
  • oedema of vc/polyp formation
  • thickened, rough surface layer
  • dilated vessels/vascular polyps
  • vocal cord nodules or cysts
Term
Surface Change of Vocal Cords
Definition

Surface thickening and irregularity affect clarity of voice

Prevents normal mucosal wave on phonation – poor stability and pitch control

Impairs vc closure, therefore there’s air escape, subsequent breathiness

Term
Vocal Cord Nodules
Definition
 
  • breathy, rough, hoarse voice due to failure to close glottis on phonation
  • caused by heard attach, cough/throat clearing, shouting, constant high volume and lack of vocal rest
Term
Arytenoid Granulomas
Definition

 

  • Lump of fleshy, soft reparing tissue, a sign of chronic infection and constant rehealing
  • Causes: intubation, acid reflux (cough, throat clearing), vocal abuse
  • Surgery ineffective
Term
Unilateral Vocal Cord Palsy
Definition
hoarse, weak, breathy voice, short phonation time with air escape, weak bovine cough, difficulty projecting voice
Term
Primary Muscle Tension Disorders
Definition
incomplete glottal closure with air escape, secondary false cord hyperfunction, laryngeal compression, abnormal mucosal wave, may be general tension
Term
Presbylaryngis
Definition
breathier, less volume, higher pitch, muscle weakness, vocal cord wasting/atrophy, often associated with change in singing voice, wavering/vibrato effect
Term
Neuro-muscular disorders
Definition
paresis or paralysis of vocal cords, abnormal movements (tremor, spasm, parodoxical, irregular), breathing may be uncoordinated with articulation
Term
Stroke/Cerebro-vascular accident
Definition
Aphasia/dysphasia, dysarthria, dysphonia (weak/paralysed vocal cords)
Term
Motor Neurone Disease
Definition
Possible bulbar palsy, dysarthria, slurring, weak voice, breathiness, aspiration, dysphagia, cough
Term
Multiple Sclerosis
Definition
voice may be weak with poor breath support, poor posture, muscle spasms, stress and anxiety due to illness
Term
Myasthenia Gravis
Definition
muscles fatigue rapidly, weakness of bulbar muscles affects chewing, swallowing and articulation. Speech fades progressively
Term
Hearing loss
Definition
In children: speech delay, poor vocab, mispronunciations and substitutions
In adults: poor self-perception of voice with poor modulation, poor volume control, vocal monotony
Term
Cleft lip and palate
Definition
Nasal escape, possible loss of palatal sounds, reflux of milk/food inflames eustachian tube, can have secondary glue ear and hearing loss
Term
Chronic Sinusitis
Definition
Can cause nasal mucosal swelling, leading to hyponasal voice, mouth breathing and dehydration, secondary sore throat may lead to coughing/throat clearing and so secondary vocal cord trauma
Term
Tonsillar Enlargement
Definition
Hot-potato voice
Term
Dental malocclusion
Definition
mouthbreathing and oral dryness, dysarthria and/or mispronunciation
Term
Bilateral Vocal Cord Palsy
Definition
stridor, airway main concern, not voice, voice may be normal is vocal cords are closely approximated
Term
Supraglottic cancer
Definition
presents late, will not make you hoarse. Painless or referred pain, globus sensation occurs late
Term
Subglottic cancer
Definition
Rare, may present with stridor
Term
Vocal Cord Nodules
Definition

[image]

Term
Vocal Cord Polyp
Definition
[image]
Term

Vocal cord Oedema

(this is Reinke's Oedema)

Definition
[image]
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