《嗓音障礙》特殊兒童教育課件Voice10

1、Management and therapy for special problemstopics Particular populationsRespiratory-Based problemsLaryngeal cancerThe aging voiceDeaf and hard of hearingPediatricProfessional voice usersTransgenderAirway obstructionsAsthmaEmphysemaFaulty breath controlPVFMTracheostomyMedical interventionLaryngectomy

2、Counseling and communication optionsDeaf and hard of hearing1、common ideaVoice is not affected in a sensorineural hearing lossUntil the loss exceeds 50 dB in frequencies under 2000 Hz2、voice characteristicsVoice charateristcs in deaf or profoundly hard of hearing peopleElevated F0Varied pitch and lo

3、udness changesDownward formant shiftsResonance variationsSpeech characteristics of those peopleSlower rate of speech by prolonging vowelsVariations in the prosody or melody of speech3、management and therapyVoice training for the severely hearing-impaired people should not begin Until efforts are mad

4、e to provide needed amplification.3、management and therapyHearing lossElevated F0Normal anatomy and physiology of the larynx and VFExcessive pitch variabilityExcessive loudness variabilitycauseSymptoms FeaturesTreatment Awareness of voiceSoft wareCue arrowsFingersVisual feedbacktactile feedback3、man

5、agement and therapyHearing lossAlterations in nasal resonanceExcessive posterior posturing of the tongueTongue protrusionExcessive pharyngeal resonance causeSymptomsFeaturesTreatment Airway obstrurctions1、common causes2 common causesStructural and lesion mass airflow interferenceAbnormal laryngeal m

6、ovement interference2 types of airway obstructionsAirflow interference Vocal fold paralysis2、Airflow interference 2 common causesInfectiousEpiglottis and supraglottal structures Result of bacterial infectionSubglottal obstruction Croup a viral diseaseNoninfectious space occupying lesionsCarcinomaLar

7、ge cysts2、Airflow interference treamentsInfectiousAntibiotic therapyCorticosteroids etc.Noninfectious space occupying lesionsRadiations therapySurgical reduction or removal of the lesions3、abnormal laryngeal movement interferenceMostly is larngeal paralysis2 common typesUnilateral Contributes to som

8、e compromise of the open airwayBilateral Bilateral abductor paralysisA life-threatening obstacle of the open airwayFaulty breath control1、common causes3 common causesOrganic diseaseFunctional misuseBoth of them2、treatmentsTreatments Respiration training!Paradoxical vocal fold movement1、definitionNon

9、organic disorder of the upper airwayBoth true and false VFsExhibiting paradoxical function of closure onInspirationExpiration Combination of themSymptoms of respiratory distress do not respond to treatment for asthma1、definitionAn excellent description and photograph of larynx during a PVFM inspirat

10、ionThe membranous portion of the folds adducted With a posterior triangular glottal chink2、causes3 common causesPsychogenicIn conversion reactionVisceral (本能的)Related to irritation from LPRUpper airway sensitivityNeurologicalA form of laryngeal dystonia3、treatmentsAware of abnormal and normal VF positioning during inspiration an