Fichas
Lecture 3
Fichas del conjunto (14)
- 1Difference between children & adultVF smaller, softer cartilages and lax supporting ligaments.
normal adult larynx - at teen
larynx more anterior and higher
minor change in oedema -> big changes in airflow resistance - 2differential diagnosiscongenital and genetic
foreign body ingestion
acute inflammatory conditions
benign lesions.
co-occur with speech and language disorders - 3Laryngeal papillomatosismost common laryngeal growth
wart-like growths
viral - aggressive and diffuse.
surgical removal, antiviral agents, CO2 laser.
Therapy: assist with communication strategies to compensate for hoarseness - 4Laryngeal webextends across glottis, obstructs airway
tracheostomy to divide web.
Therapy: residual voice function usually adequate - optimise loudness, pitch, quality - 5Laryngomalaciamost common congenital laryngeal disorder
immature cartilaginous development
supraglottic structures collapse during inspiration
inspiratory stridor - 6subglottic stenosis, subglottic haemangiomarequire surgery
type of procedure my affect vocal function - 7VF paralysissecond most common congenital disorder
associated with spina bifida
vagus nerve - 8Disorders associated with vocal abuse & misusemost common VD
vocal nodules - 50% of kids with VD
voice therapy - main approach - 9Psychogenic VDhysterical conversion dsyphonia
puberphonia
incomplete and delayed maturation - 10Hearing impairmentdifficulty controlling pitch, loudness, nasality, tone
abnormal breathingk increased laryngeal tension, excess effort
acquired laryngeal pathologies, vocal nodules, polyps, oedema
VT - visual feedback - 11prematurityprolonged ventilation and intubation
tissue oedema -> ulceration
corrective surgery - VF damage, potential RLN palsy, arytenoid dislocation - 12Trachiostomised childfacilitation oral communication
development expressive speech dependent on ability to vocalise
temporary occlusion of tube
AAC devices - 13Disorders of nasal resonance (Hypernasality)palate issues, adenoidectomy, tonsillectomy
Tx - mild (therapy to increase oral to nasal resonance, increase palate strength)
Tx - severe (pharyngoplasty) - 14Disorders of nasal resonance (hyponasality)structural changes - anterior and posterior nasal flow obstruction
adenoidal hypertrophy, septal deviation, sternosis bone/cartilage
Tx - medical or surgery
Información
- Descripción
- Voice Disorders in Children
- Creado por
- alicecartwright9
- Visitas
- 18
- Etiquetas
- Valoración