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HOARSENESS OF VOICE
Presenter: NOSIKU SIAAISI
OBJECTIVES
Definition
Causes and risk factors
Investigations
Treatment
DEFINITON
• “HARSENESS” is a term used to describe any changes in the voice
quality. Hoarseness may manifest as a voice that sounds breathy,
strained, rough, tremorous, strangled or weak. Hoarseness is often a
symptom of problem in the vocal cords of the larynx.
NORMAL VOICE
PRODUCTION
Voice production depends on three things:
the lungs, vocal cords(larynx), and the
anatomy to modify the sound.
The lungs expel air through the voice box
causing the vocal cords to vibrate, the vocal
cords are normally in an open position but
come together to a closed position to
produce sound. As air passes through the
closed vocal cords they vibrate, this vibration
of the vocal cords produces sound which is
then propelled through the throat and
mouth.
ANATOMY
ETIOLOGY
• Hoarseness of voice may be caused by:
Infections (bacterial, viral, or fungi)
trauma
Gastroesophageal reflex(GERD)
Laryngeal carcinoma
Disorders of the vocal cords
DISORDERS OF THE VOCAL CORDS
RISK FACTORS
 Voice abuse
 Smoking
 Alcohol abuse
 Aging
 stroke
INVESTIGATIONS
1. History taking
2. Examination of the neck, chest, and neurological system
3. Direct or indirect laryngoscopy
4. Lab investigations
• histology
• Full blood count
1. Radiological investigations
• X-ray
• CT scan
• MRI
Examination of the larynx
TREATMENT
• Management options for hoarseness vary depending on the underlying
cause, treatment of hoarseness of voice generally consists of:
Voice rest
Voice therapy
Pharmacotherapy
Chemotherapy if the cause is a cancer
Surgery
• Vocal cord stripping
• Partial laryngectomy/total laryngectomy
Life style modification
DIFFERENTIALS FOR HOARSENESS OF VOICE
• Acute laryngitis
• Chronic laryngitis
• Benign vocal cord lesions
• Laryngeal cancer
• Spasmodic dysphonia
THANK YOU

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HOARSENESS OF VOICE [Recovered].pptx

  • 2. OBJECTIVES Definition Causes and risk factors Investigations Treatment
  • 3. DEFINITON • “HARSENESS” is a term used to describe any changes in the voice quality. Hoarseness may manifest as a voice that sounds breathy, strained, rough, tremorous, strangled or weak. Hoarseness is often a symptom of problem in the vocal cords of the larynx.
  • 4. NORMAL VOICE PRODUCTION Voice production depends on three things: the lungs, vocal cords(larynx), and the anatomy to modify the sound. The lungs expel air through the voice box causing the vocal cords to vibrate, the vocal cords are normally in an open position but come together to a closed position to produce sound. As air passes through the closed vocal cords they vibrate, this vibration of the vocal cords produces sound which is then propelled through the throat and mouth.
  • 6. ETIOLOGY • Hoarseness of voice may be caused by: Infections (bacterial, viral, or fungi) trauma Gastroesophageal reflex(GERD) Laryngeal carcinoma Disorders of the vocal cords
  • 7. DISORDERS OF THE VOCAL CORDS
  • 8. RISK FACTORS  Voice abuse  Smoking  Alcohol abuse  Aging  stroke
  • 9. INVESTIGATIONS 1. History taking 2. Examination of the neck, chest, and neurological system 3. Direct or indirect laryngoscopy 4. Lab investigations • histology • Full blood count 1. Radiological investigations • X-ray • CT scan • MRI
  • 11. TREATMENT • Management options for hoarseness vary depending on the underlying cause, treatment of hoarseness of voice generally consists of: Voice rest Voice therapy Pharmacotherapy Chemotherapy if the cause is a cancer Surgery • Vocal cord stripping • Partial laryngectomy/total laryngectomy Life style modification
  • 12. DIFFERENTIALS FOR HOARSENESS OF VOICE • Acute laryngitis • Chronic laryngitis • Benign vocal cord lesions • Laryngeal cancer • Spasmodic dysphonia