Criado por alicecartwright9
mais de 8 anos atrás
|
||
Questão | Responda |
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 |
Quer criar seus próprios Flashcards gratuitos com GoConqr? Saiba mais.