_（声带损伤）课件.pptVIP

Treatments Cause/etiology Disease of the true VFs(paralysis, polyps, cancer) Location Ventricular folds more often is produced by the true VFs vibrating in an abnormal fashion due to the false fords riding the true ones Typical symptoms Lower pitch Little pitch variability Hoarse Breathy Diagnosis Coronal X-ray of the sites of vibration Nasoendoscopy Endoscopic stroboscopy Treatments Cause/etiology Irregular VF vibration(such as VF paralysis, scaring, laryngitis… ) Typical symptoms Double voice Diagnosis Auditory perceptual analyses Acoutice analyses Treatments Smoking Alcohol Caffeine (coffee, coke, mountain dew, chocolate 等等) Dairy products (milk, cheese 等等) Screaming Throat clearing Excessive exercise while talking Talking in a noisy environment (Lombard effect) Gastroesophageal reflux (GERD) Occupational stress Personal stress Hydration 1. Drink lots of water (until urine is clear) 2. Particularly when traveling on a plane (esp singers) 3. Use lemon wedge 4. Operate humidifier 5. Inhale moisture thru mouth from a hot towel 6. Inhalator (small device producing hot moisture) Tongue-tip-up breathing (no mouth breathing) Protect neck head (25% of body heat) Maintain overall health Use voice amplifier Variety of forms Observations made in waiting room and office Protocol of evaluation Information to gain description of problem onset and progression of problem variability and consistency of problem symptoms and sensations voice use changes in their voice and affects on life goals Examination of the voice Lab testing（实验室检查） Physiological studies（生理学检查） Critical listening（听感） Diagnosis testing probes（诊断性测试） Noninstrumental objective measurement（非设备客观检查） Indirect Laryngoscopy 间接喉镜 Flexible fiberoptic laryngoscopy 纤维喉镜 Stroboscopy 动态喉镜 Acoustic Studies 声学检查 Fundamental frequencies 基频 Phonational range 发声范围 Vocal intensity 声音强度 Perturbation 微扰 Spectrogram 频谱图 Electroglottography 电声门图 Sub