《嗓音障碍》特殊儿童教育教学PPT课件.ppt

Advanced Assessment Signal, Harmonic Noise Vocal Function Estimates Its all for today! Management and therapy for special problems topics Particular populations Respiratory-Based problems Laryngeal cancer The aging voice Deaf and hard of hearing Pediatric Professional voice users Transgender Airway obstructions Asthma Emphysema Faulty breath control PVFM Tracheostomy Medical intervention Laryngectomy Counseling and communication options Deaf and hard of hearing 1、common idea Voice is not affected in a sensorineural hearing loss Until the loss exceeds 50 dB in frequencies under 2000 Hz 2、voice characteristics Voice charateristcs in deaf or profoundly hard of hearing people Elevated F0 Varied pitch and loudness changes Downward formant shifts Resonance variations Speech characteristics of those people Slower rate of speech by prolonging vowels Variations in the prosody or melody of speech 3、management and therapy Voice training for the severely hearing-impaired people should not begin Until efforts are made to provide needed amplification. 3、management and therapy Awareness of voice Soft ware Cue arrows Fingers Visual feedback tactile feedback 3、management and therapy Airway obstrurctions 1、common causes 2 common causes Structural and lesion mass airflow interference Abnormal laryngeal movement interference 2 types of airway obstructions Airflow interference Vocal fold paralysis 2 common causes Infectious Epiglottis and supraglottal structures Result of bacterial infection Subglottal obstruction Croup – a viral disease Noninfectious – space occupying lesions Carcinoma Large cysts treaments Infectious Antibiotic therapy Corticosteroids etc. Noninfectious – space occupying lesions Radiations therapy Surgical reduction or removal of the lesions Mostly is larngeal paralysis 2 common types Unilateral Contributes to some compromise of the open airway Bilateral Bilateral abductor paralysis A life-threatening