used for removal of begning and cancerous lesions.done w/ use of operating microscope'may employ forceps, scissors, CO2 laser?
Endolaryngeal microsurgery
endolaryngeal microsurgeryGoal:?
remove lesion by only taking as much VF tissue as necessary and preserving as much of the mucosa as possible.
Two methods of VF medialization: ?
1. Intrafold injection2. medialization surgery
Two methods of VF medialization: for pts with?
unilateral paralysisBowingGlottic incompetency
Two methods of VF medialization: medialization surgeries are?
1. augmentation2. medial shift of thyroid cart3. rotation of arytenoid cart
Neuromuscular surgery for ? is ?
VF paralysisreinnercation of RLN
Anterior Web?
web is sectioned or removed with a CO2 laserA keel or silicone plate is then inserted to prevent the VFs from post-surgical union
Essential TremorMedication?
propranolol (beta blocker)Primidone (anticonvulsant)
Essential TremorAmp of tremor can be ___ but not the __?____ exs ?Dec?Try?___ support?
dec frequencyCrescendo (soft to loud)negative compensatory strategiesdiff pitch and loudnessbreath
TX for VF Papilloma:Surgery?Medications? 1. ___ for aggressive VFP2. ___ alters growth pattern of VFP3. ____ antiviral injected into the papillomas4.____ chemo, blocks growth of papillomas
pulse dye laser1. Interferons2. Indole 3 carbinol3. Cidofovir4. Methatrexate
Spasmodic Dysphonia?___?____?voice tx to (3)?
botox injectionsRLN resection1. eliminate neg comp strat2. improve breath support3. dec muscle tension in jaw, face, neck, shoulders
Paradoxical VF movement____ breathing?focus on?use ?relaxed ____ during stridor?may also need ?__?
diaphramatic exhalation"sniffing" as exaggerated inhalationthroat breathinggeneralized relaxtion, digital manipulationIn-depth self-awareness of breathing process
PVFM- Martin, Blager, Gay, et. alInhalation ?Relaxed?Prolonged?Diaphragmatic breathing w/ emphasis on?
through nose w/ lips closedtongue postureaudible exhalation through pursed lips or production of /s/exhalation
Parkinson's Disease_____ TX?1. sustained loud /a/2. pitch glides up and down3. use of loud voice for functional phrases, sentences, etc.4. take use of loud voice out of clinic into public settingsResearch shows incr ___, ____, and improved___?
Lee Silvermanincr glottic closure, louder voicevocal quality, improved articulation & swallowing
Myasthenia Gravis- TX with _____?Other progressive neuological diseases- tx techniques are dependent on ?For many prognosis is poor and an ___ is necessary?
medication- Pyrigdostigmine (anti-cholinesterase) delays destruction of acetylcholine at NMJcharacteristics of disease- strain/strangled, weak, breathy, etc.AAC device
TBI, Hyperkinetic Dysarthria, CP1. Address ___- inc ___ & in both ___ and ____?2. Teach ___ to dec___?3. Utilize ___4. Use ___ tx
breathing supportinspiratory and expiratory volumeeasy onsetsexcessive muscle activityaspiration , ie. air flow prior to voicingLee Silverman Voice