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Subject: E.N.T.

Topic: VOICE & SPEECH


DISORDERS

FACULTY NAME: Prof. Dr. S. R. Das


DEPARTMENT NAME: E.N.T.
INSTITUTE NAME: IMS & SUM
Hospital
SIKSHA O ANUSANDHAN
VOICE & SPEECH
DISORDERS
HOARSENESS OF VOICE

• ETIOLOGY :
1. CONGENITAL : - Laryngeal web
- Laryngeal cyst / tumors
- Laryngocele
- Laryngeal paralysis
Laryngocele
2. ACQUIRED :
- Inflammatory conditions:
- Acute : Acute laryngitis
Acute laryngotracheobronchitis
Laryngeal oedema
Laryngeal Diphtheria
- Chronic : - Chronic nonspecific laryngitis
- Chronic specific laryngitis
- Laryngeal tumors:
- Benign - Papilloma, Chondroma, Fibroma,
Haemangioma, Vocal cord polyp &
cyst, Vocal nodule, Laryngocele
- Malignant : - Carcinoma, Sarcoma
VOCAL NODULE
VOCAL POLYP
- Laryngeal Trauma: - External - Strangulation
- Accidents
- Internal - Surgery, Intubation,
Corrosives & fumes
- Laryngeal Paralysis :
- Recurrent laryngeal nerve paralysis
- Superior laryngeal nerve paralysis
- Combined paralysis
- Miscellaneous : - Dysphonia plica ventricularis
- Foreign bodies

• INVESTIGATIONS :
- IDL, DL, Flexible Laryngoscopy, Biopsy
- X-Ray & CT scan of neck & chest
• TREATMENT: (According to causative diseases)
- Medical / Surgical treatment
DYSPHONIA PLICA VENTRICULARIS
( VENTRICULAR DYSPHONIA )
• PATHOLOGY : - Voice produced by false cords
due to dysfunction of true
cords
• ETIOLOGY : - Vocal cord paralysis
- Excised vocal cords (cordectomy)
- Vocal cord tumors
- Functional ( psychogenic )
• SYMPTOM : - Hoarseness of voice

• INVESTIGATIONS : - IDL, DL,


Flexible laryngoscopy

• TREATMENT : - Speech therapy


- Psychotherapy
PUBERPHONIA
(Mutational Falsetto)
- Puberty dysphonia due to overtensed vocal
cords
- Seen in boys at puberty
- Clinical features:
- Persistence of childhood high pitched voice
- Gutzmann’s pressure test
- Treatment: - Speech therapy
- Thyroplasty (Type-3)

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