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organic voice disorders 1. - Definition -Two common types - Therapy for laryngetomy. topics. Definition. Definition Related to structural deviations of the vocal tract Or to diseases of specific structures of the vocal tract Examples Cleft palate (structural deviation)
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-Definition -Two common types -Therapy for laryngetomy topics
Definition • Related to structural deviations of the vocal tract • Or to diseases of specific structures of the vocal tract • Examples • Cleft palate (structural deviation) • Viral papilloma of larynx (vocal tract disease) Organice voice
Treatment • Medical • Dental • Surgical • Voice therapy by SLP • Improve the physiologic function of a damaged larynx • Develop the best voice possilbe Organice voice
Cause/etiology • Smoking • Use of smokeless tobacco • Chronic infections • Herpes • Repeated trauma to irritated site • Leukoplakia (黏膜白斑病) 1、cancer
Location • Lip and intraoral - articulation • Palatal and velar - articulation,vocal resonance and swallow • Laryngeal - voice • Types of laryngeal cancer • Supraglottal • Glottal • Subglottal 1、cancer
Treatment for laryngeal cancers • Combination of radiation therapy and surgery – small to moderate lesions • Hemilaryngectomy, supraglottal laryngectomy or total laryngectomy - extensive cancers 1、cancer
1. Canser Laryngeal cancer
1. Canser Tongue cancer
1. Canser Lip cancer
Cause/etiology • Unknown,vocal abuse and laryngopharyngeal reflux(acquired) 2、sulcusvocalis
Location • Medial edge of the VF • All segement of the edge of the VF • Bilaterally symmetrical • Superficial layer of the mucosa or the vocal ligament and muscle • Types • Physiological - normal voice • Congenital - abnormal mucosal wave • Acquired - abnormal mucosal wave 2、sulcusvocalis
Acoustic changes 2、sulcusvocalis
Treatment • Surgery • Incision • Injection (collagen, fat,etc) • Mucosal slicing • Followed by voice therapy • Reducing hyperfunction • Pitch shifts • Loudness changes • etc 2、sulcusvocalis
Function of larynx • Prevent aspiration • Three valve • The true folds • The ventricular folds • The aryepiglottic folds • Total laryngectomy alters respiration, swallowing and speech. 1、common ideas