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At least 19 recordsLinked to original sources
PubMed1990

Management of voice disorders.

Voice disorders are commonly seen in general medical practice. In some cases voice disorders represent the presenting symptom for serious underlying disease. It is important for clinicians from internal medicine, pediatrics, and family practice to be able to identify those factors in the history or observed vocal symptoms which suggest need for referral for comprehensive voice evaluation as well as to understand the distinct but complementary roles of the specific disciplines (otolaryngology and speech-language pathology) involved in diagnosis and treatment of patients with voice disorders.

Humans↗
PubMed1991

Pediatric voice disorders.

Voice disorders are common among children, estimated to range from 6% to 23% in school-aged children. The various causes of voice disorders are presented in this article in addition to a discussion of normal laryngeal voice and development. Also presented are the causes of abnormal voice and brief discussion of a framework for multidisciplinary assessment and treatment of pediatric voice disorder.

Child↗
PubMed1991

Functional voice disorders.

Functional voice disorders (FVDs) are common. The diagnostic criteria for six types of FVD and the results of treatment in a large series of patients are reported. Voice therapy was effective in 69% of the patients. Failure of voice therapy usually correlated with continued tobacco use, noncompliance with therapy, or premature termination of therapy.

Adult↗
PubMed1992

Differential diagnosis and treatment of psychogenic voice disorder.

Forty consecutive patients with psychogenic voice disorder were studied prospectively to shed light on some problems of differential diagnosis met by the otolaryngologist. The females (n = 35) were on average younger than males (n = 5) (mean age 34.5 vs 51.8 years, respectively). Although an upper respiratory tract infection preceding the voice disorder was reported by no more than 25% of the patients, as many as 40% had been treated with antibiotics on one or more occasions. Other treatment and voice rest had been prescribed to a further 20% of the patients. The frequency rate of reported asthma/allergy-like symptoms (37.5) exceeded the incidence of asthma/allergy in the normal Swedish adult population. Minor laryngeal abnormalities found in 10 patients could be rejected as causative since they were inconsistent with the voice disturbance. In most of the patients (n = 27), vocal function returned to normal or improved after voice therapy combined with counselling. Vocal abnormalities remained unchanged in three patients. The patients who required multiple therapy sessions (n = 10) were older (mean age 48.8 years) and seemed to have more profound personal problems than the average. The findings suggest that psychogenic voice disorder may often be misdiagnosed as acute laryngitis or asthma/allergy. Restricted use of antibiotics and other drugs is to be recommended in the treatment of benign voice disorders.

Adult↗
PubMed1979

Judging personality and appearance from voice disorders.

This study examined the effect of voice disorders on judgments of personality and appearance. One-hundred-and-five college students evaluated the personality and appearance characteristics of 12 speakers, four with normal voice quality, four with harsh-breathy voice quality, and four with hypernasal voice quality. A semantic differential procedure was employed to obtain ratings on 12 bipolar adjectives. Results indicate a significant difference between the normal and disordered voices. Voice disorders elicit more negative responses on judgments of personality and appearance of the speaker. These findings indicate that voice disorders warrant correction.

Adolescent↗
PubMed1991

Adolescents' perceptions of normal and voice-disordered children.

The purpose of this investigation was to compare adolescents' perceptions of the nonspeech characteristics of voice-disordered and normal speakers. Recordings of six three-word phrases produced by 16 speakers, eight voice-disordered and eight normal-speaking children, were presented to 19 adolescent students for judgments of nonspeech characteristics on a semantic differential scale containing 22 bipolar adjective pairs. Results of their ratings indicated that for 15 of the 22 pairs (68.2%) the normal speakers were judged more positively than the voice-disordered speakers. Moreover, for 9 of the 22 pairs (40.9%) the differences in listeners' ratings between the two speaker groups were statistically significant. Implications of these findings concerning developmental trends in the perception of voice disorders and their potential impact on mainstreaming in schools are discussed.

Adolescent↗
PubMed1991

[Definition of psychogenic voice disorders].

The clinical designation of the psychogenic voice disorder is discussed. "Psychogenic" is aetiologically by no means an apposite, or adjective, to organic diseases, for the occurrence of factors that can be defined as psychopathological (either primary or secondary) is always practically and clinically important--especially if these factors are of general psychosocial relevance, or of a latent depressive and neurotic nature. Hence, biographical anamnesis can be obligatory, supplying information that is essential for a therapeutic approach.

Affective Symptoms↗
PubMed1991

Voice disorders.

Explore the source record for details and available documents.

Humans↗
PubMed1978

[Voice disorders following the use of hormonal contraceptives].

Voice disorders due to hormonal contraceptives in twenty-six patients are reported. All patients are working in occupations with a strong use for their voices especially of the singing voice. The disorders are primarily caused by norsteroid containing preparations (Non-Ovlon). Therefore these preparations should not be applied for patients in voice professions. With regard to good prophylactic measures and an early diagnosis a regular joint gynaecological and phoniatric examination is recommended.

Contraceptives, Oral↗
PubMed1991

Approach to the patient with a voice disorder.

The author's approach to patients with voice disorders emphasizes the value of a multidisciplinary voice team, including an otolaryngologist, a speech pathologist, and a neurologist.

Humans↗
PubMed1991

Psychogenic voice disorders: literature review and case report.

This paper explores some of the similarities and differences between hysteria and hypochondriasis and suggests that voice disorders are a prototype of disorders which reflect the intricate interplay of emotional, cognitive and physiological functions. Speech production requires the involvement of various systems of the body, including the central nervous system, respiratory and vocal systems. Voice disorders can take many different forms and can be caused by a variety of factors. A review of the relevant literature is presented along with a clinical case record of a woman with hysterical dysarthria.

Dysarthria↗
PubMed1992

[Use of standard protocols in the evaluation of voice disorders].

The purpose of this paper is to present a protocol for the use of standard forms in the evaluation of laryngeal structure and function in patients with voice disorders. The forms are designed to cover all the essential parameters needed to reach an accurate descriptive diagnosis which allows us to have an appropriate therapy plan according to the individual's detailed observations. It also gives us a consistent standardized evaluation form to measure changes after therapy whether behavioral, medical or surgical, and to compare different observations across patients. Reporting observations in this consistent manner will make characteristic patterns of different vocal behaviors readily obvious to the researcher or the clinician and reduce the possibility of missing any important details. The protocols are: indirect laryngoscopy, video-stroboscopic-evaluation form, functional voice and auditory perceptual voice evaluation.

Adult↗
PubMed1992

Efficacy of videostroboscopy in the diagnosis of voice disorders.

While videostrobolaryngoscopy is not a new technique, its acceptance as a routine part of the voice evaluation has not been as forthcoming. Many are in agreement that the rigid fiberoptic telescopes in combination with standard VHS equipment provide a clear, magnified image that can be recorded and used for pretreatment and post-treatment comparisons, documentation, teaching, and research. Yet, some skepticism persists with regard to the ability of videolaryngoscopy and/or videostrobolaryngoscopy in changing the diagnosis and treatment outcome of patients with voice disorders as compared to indirect laryngoscopy. Two hundred ninety-two dysphonic patients were identified who underwent indirect as well as videolaryngoscopy with and without stroboscopic examination. Videostrobolaryngoscopy was found to alter the diagnosis and treatment outcome in 14% of the patients. It is most useful in patients with a diagnosis of functional dysphonia and vocal fold paralysis by indirect laryngoscopy. The increased illumination and magnification afforded by rigid fiberoptic telescopes during videolaryngoscopy, combined with the detailed assessment of glottic closure, mucosal wave, and amplitude characteristics provided by stroboscopic examination, allowed detection of subtle vocal fold pathology, otherwise missed by indirect laryngoscopy.

Adolescent↗
PubMed1992

The pharmacological treatment of voice disorders.

The increasing diversity of purpose-built, synthetic and biogenetically engineered pharmaceuticals has led to a revival of interest in the pharmacological possibilities for the treatment of voice disorders. Where dysphonias arise as a part of a pathophysiological process, the pharmacological treatment of either the pathology or its associated symptoms may improve dysphonic voicing patterns. The treatment of symptoms such as cough and vocal fatigue are discussed together with treatment of allergic and other causes of inflammation or stiffening of the vocal tract. The pharmacological logical treatment of dysphonia due to defective neuromuscular control in dyskinetic and dystonic conditions is also discussed. Dysphonic voicing patterns are commonly multifactorial, and the author wishes to highlight problems encountered when attempting to adjust the performance of the vocal tract: imprecise targeting of the pathophysiological problems either by the physician or by the drug employed, and the systemic and attendant side-effects of drugs which may be thought to be appropriate.

Age Factors↗