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- Title
Update: Behavioral Management of Unilateral Vocal Fold Paralysis and Paresis.
- Authors
Schneider, Sarah L.
- Abstract
Purpose: Vocal fold motion impairment (VFMI) can be the result of iatrogenic or traumatic injury or may be idiopathic in nature. It can result in glottic incompetence leading to changes in vocal quality and ease. Associated voice complaints may include breathiness, roughness, diplophonia, reduced vocal intensity, feeling out of breath with talking, and vocal fatigue with voice use. A comprehensive interprofessional voice evaluation includes auditory-perceptual voice evaluation, laryngeal examination including videostroboscopy, acoustic and aerodynamic voice measures. These components provide valuable insight into laryngeal structure and function and individual voice use patterns and, in conjunction with stimulability testing, help identify candidacy for voice therapy and choice of therapeutic techniques. Conclusion: A comprehensive, interprofessional evaluation of patients with VFMI is necessary to assess the role of voice therapy and develop a treatment plan. Although there is no efficacy data to support specific voice therapy techniques for treating VFMI, considerations for various techniques are provided.
- Subjects
PARALYSIS treatment; AUDITORY perception; ENDOSCOPY; EXERCISE therapy; HEALTH care teams; INTERPROFESSIONAL relations; LARYNX; HEALTH outcome assessment; PARALYSIS; SELF-evaluation; SOUND; VOCAL cords; VOCAL cord diseases; HUMAN voice; VOICE disorder treatment; SYMPTOMS
- Publication
Perspectives of the ASHA Special Interest Groups, 2019, Vol 4, Issue 3, p474
- ISSN
2381-473X
- Publication type
Article
- DOI
10.1044/2019_PERS-SIG3-2018-0018