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CAUSES:

  • Aging of the vocal folds and

viral infections can cause weakness

  • Parkinson disease

SYMPTOMS:

  • breathiness
  • hoarseness
  • strained voice

DESCRIPTION:

Occurs when vocal folds become atrophied or weak and a gap forms between folds

Prevents normal closing, abnormal vibration

VOCAL FOLD BOWING

AFFECTING COMMUNICATION:

  • Breathy voice quality
  • Hoarseness
  • Effortful phonation

B. Invasive

Injection laryngoplasty

Injection of:

- fat

- collagen

- Teflon (permanant)

- Hyaluronic acid

- Other gel material

TREATMENT

- Bilateral medialization laryngoplasty

"A procedure that provides support to a vocal fold that lacks the bulk and mobility it once had."

- May be referred to as a Thyroplasty

- Implants are inserted into the v.f. to improve closure

> (Gore-tex or Silastic)

> pre-fashioned implants

A. Noninvasive

- voice therapy to exercise and strengthen the vocal folds

- Usually the first form of treatment

Diagnosis:

1. Review of medical history

2. Head and neck exam

3. Microlaryngoscopy or laryngeal endoscopy to look at the vocal folds

REFERENCES

www.emoryhealthcare.org

http://voicedoctor.net/surgery/medialization

http://www.utmb.edu/otoref/grnds/Vocal-cord-040428/Vocal-cord-slides-040418.pdf

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