5251982
Description
Flashcards by alicecartwright9, updated more than 1 year ago
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Created by alicecartwright9
about 8 years ago
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| Question | Answer |
| Difference between children & adult | VF 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 |
| differential diagnosis | congenital and genetic foreign body ingestion acute inflammatory conditions benign lesions. co-occur with speech and language disorders |
| Laryngeal papillomatosis | most 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 |
| Laryngeal web | extends across glottis, obstructs airway tracheostomy to divide web. Therapy: residual voice function usually adequate - optimise loudness, pitch, quality |
| Laryngomalacia | most common congenital laryngeal disorder immature cartilaginous development supraglottic structures collapse during inspiration inspiratory stridor |
| subglottic stenosis, subglottic haemangioma | require surgery type of procedure my affect vocal function |
| VF paralysis | second most common congenital disorder associated with spina bifida vagus nerve |
| Disorders associated with vocal abuse & misuse | most common VD vocal nodules - 50% of kids with VD voice therapy - main approach |
| Psychogenic VD | hysterical conversion dsyphonia puberphonia incomplete and delayed maturation |
| Hearing impairment | difficulty controlling pitch, loudness, nasality, tone abnormal breathingk increased laryngeal tension, excess effort acquired laryngeal pathologies, vocal nodules, polyps, oedema VT - visual feedback |
| prematurity | prolonged ventilation and intubation tissue oedema -> ulceration corrective surgery - VF damage, potential RLN palsy, arytenoid dislocation |
| Trachiostomised child | facilitation oral communication development expressive speech dependent on ability to vocalise temporary occlusion of tube AAC devices |
| Disorders of nasal resonance (Hypernasality) | palate issues, adenoidectomy, tonsillectomy Tx - mild (therapy to increase oral to nasal resonance, increase palate strength) Tx - severe (pharyngoplasty) |
| Disorders of nasal resonance (hyponasality) | structural changes - anterior and posterior nasal flow obstruction adenoidal hypertrophy, septal deviation, sternosis bone/cartilage Tx - medical or surgery |
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