Abstract

This study investigates the physiological mechanism responsible for reappearance of phonation in an aphonic subject with traumatic laryngeal damage. The battery of procedures involved spectrography, laryngographic analysis, fiberoptic laryngoscopy, tomography, lateral xerography and cinefluorography. Results show that the subject's abnormal laryngeal anatomy facilitated a novel adductory mechanism for vocal fold vibration involving a type of sphincteric constriction between the arytenoid cartilages and the epiglottis. The value of a battery of diagnostic measures is highlighted.

Highlights

  • This study investigates the physiological mechanism responsible for reappearance ofphonation in an aphonic subject with traumatic laryngeal damage

  • Two cases of laryngeal trauma are discussed, and it is concluded that voice therapy is possible, even under highly adverse circumstances and following long periods of post-traumatic aphonia

  • This was consistent with superior displacement of the left vocal fold evident during indirect laryngoscopy and fiberoptic examination

Read more

Summary

DESCRIPTION OF FINDINGS

Oedematous vocal cords; Some movement detected; Ventricular cord closure; No web Referred for further voice therapy. The vocal history is as follows: In January 1979 M. Between March and October of that year he received voice therapy resulting in low-pitched, severely hoarse phonation. He reported a gradual improvement in voice quality over the three years. After the medical examination and laser therapy in November 1982 he was referred for further voice therapy. At this stage it was suggested that nerve re-generation may have occurred to explain movement observed in the vocal cords (See Table 1)

PROCEDURE
FIBEROPTIC EXAMINATION
LARYNGOGRAPHY
FRONTAL TOMOGRAPHY AND LATERAL XEROGRAPHY
CINEFLUOROGRAPHY
RESULTS
EVALUATION
Laryngographic analysis The parameters analysed were as follows
Lateral xerography
Epiglottis
Hyoid Bone
Vocal folds
Dimensions of the laryngeal airway
Cinefluorography
DISCUSSION
Full Text
Paper version not known

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call

Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.