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Voice Disorder - Essay Example

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The awareness and acceptance of voice disorder as a disease has seen remarkable recognition in the present time, compared to any other period of medical history. This results in timely and more comprehensive evaluation and treatment. The research and information has encouraged good aetiological investigations which would lead to the origin and the cause of the disorder more effectively…
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Voice Disorder
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Download file to see previous pages Even there has been connection established between psychological factor. "Our alliance with psychology and psychiatry continues to grow as well because of mutual recognition of the effects of life stress, interpersonal conflict and psychoneurosis on voice. What in fact, does one need to know and how deeply should one delve is closer to finding the answers because of the clarification of our responsibilities to our selves, to our patient and to the medicine." (Aronson,A.E.,1990,p.preface.9 or ix ). It would be important for clinician to consider evaluation of the voice disorder by taking into consideration evaluation based on three fields in medical science otolaryngology, neurology and psychiatry.
As a voice therapist my first step would be to evaluate the three patients with proper diagnosis and accurate case history. I would focus on the causes underlying the symptoms observed medically and also to take into account the psychosocial factors, which would help determine the extent and the nature of the voice disorder. I would be specific about my evaluation from the point of view whether it is physiologic, acoustic and perceptual(Aronson,1990). I would have the patients fill out a detailed case history questionnaire which would have specific information regarding date of birth, sex, professional and marital status, detailed descriptin of the problem and the causes, information related to voice disorder, previous history of voice disorders, events associated with the onset and description of vocal use, lifestyle information, medical and surgical history( Boone & McFarlane,1988; Dworkin & Meleca, 1997).
I would make a perceptual analysis of the voice using evaluation and assessment techniques, where the voice is recorded with high quality acoustic recorder in order to make accurate acoustic measurement(Lee,2007). There are different components to evaluate a recorded voice such as: monologue, reading of standard passage, counting, study of voiceless expiration time matching the typical phonation time, study of the pitch, measure of the loudness, cough. I would make a critical observation of the peripheral mechanism by observing the posture and respiratory patterns of the patient while engaged in talking, singing or silence, with special attention to the signs of symptoms around the neck area which reveal the functioning of the larynx and respiratory systems. Then I would move to the third step in the evaluation physiological analysis which would confirm and verify the perceptual and observational finding. This is done by laryngeal endoscopy. The last but not the least is the acoustic analysis, which would involve phonatogram, visipitch and pneumotachograph. The symptoms of the disorder can be the result of impaired vocal fold adduction, cricothyroid muscle, psychological muscle misuse and organic aetiologies. . I will also investigate into the reasons for abnormal voice, if it is from mass lesion of the vocal folds or it is the result of the diseases from the central and peripheral nervous system (Lee, 2007, Rammage & Morrison, 1994).
Psychogenic aspect of the voice disorder is very significant in the right diagnosis. "Voice as an indicator of personality, of transient emotional states, and as sign of chronic stress and psychopathology". ...Download file to see next pagesRead More
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