This document discusses voice therapy for the management of benign voice disorders. It summarizes a study of 30 patients with various benign voice disorders who underwent voice therapy with or without surgery. The patients received voice therapy including vocal hygiene education, behavioral voice therapy exercises, and laryngeal massage. Pre-therapy and post-therapy comparisons found improvements in auditory-perceptual ratings, quality of life measures, and laryngeal images. Voice therapy was found to be an effective non-surgical treatment for many benign voice disorders and helped prevent recurrence when used after surgery. Common voice therapy techniques discussed include resonant voice, chewing exercises, and accent method.
This document discusses voice therapy for the management of benign voice disorders. It summarizes a study of 30 patients who underwent voice therapy with or without surgical procedures for conditions like vocal nodules, polyps, muscle tension dysphonia, sulcus vocalis, and others. Pre-therapy and post-therapy comparisons found improvements in voice quality ratings, patient quality of life measures, and laryngeal images. Voice therapy techniques discussed include vocal hygiene, exercises, massage, and various approaches. The study found voice therapy to be an effective non-surgical treatment for many benign voice disorders and helps prevent recurrence when used with surgery.
This document discusses various techniques and approaches used in voice therapy, including relaxation, respiration training, elimination of vocal abuses, and vocal function exercises. It emphasizes that successful therapy requires a holistic approach combining behavioral, cognitive, and counseling techniques tailored to the individual client. Progress is measured through pre- and post-therapy voice recordings, instrumentation, and tracking improvement across specific criteria.
Voice therapy to treat voice disorders, basics , different techniques, methods advantages and disadvantages, where and what method to choose? otorhinolaryngology ent
Angelo Consiglio, MD, has distinguished himself as a privately practicing ear, nose, and throat physician. Dr. Angelo Consiglio draws on formal training in numerous aspects of otolaryngology care, including care of the voice and vocal folds.
HOW TO BROACH A MUSCLE TENSION DYSPHONIA CASE
Sachender Pal Singh (PGT), Aakanksha Rathor (PGT), Smrity Rupa Borah Dutta
ABSTRACT
Muscle Tension Dysphonia (MTD) is a condition where excessive muscular tension or
muscle misuse is associated with phonation. It has multifactorial etiologies. It can be a
primary or secondary Muscle Tension Dysphonia. While it can affect anyone, sufferers
usually belong to a particular group. It has very serious impact on sufferer's personal, social
& professional life. We are presenting here, our 1 year prospective study done in the
department of Otorhinolaryngology, Silchar Medical College & Hospital from June 2012 to
July 2013. Voice therapy was given to every patient whether primary or secondary muscle
tension dysphonia & Pre therapy-versus-post therapy comparisons were made of selfratings
of Voice Handicap Index, Auditory-Perceptual Ratings, as well as, Visual -
Perceptual Evaluations of laryngeal images. Outcome of voice therapy results in such
patients were found to be very good. As the disease is multifactorial so treatment approach
should be broad based involving multidisciplinary team
The document outlines the objectives and process for conducting a voice evaluation. The primary objective is to determine if the client has a voice disorder and evaluate symptoms. Additional objectives include patient education and establishing credibility. The evaluation should gather information on referral source, reason for referral, history of the problem, medical history, social history, and oral mechanism exam. Formal assessments include describing vocal qualities, respiratory status, and instrumental measures. The evaluator should rely on auditory perceptions over instrumentation and not make treatment recommendations without an ENT evaluation.
The document discusses evaluation of voice disorders. It begins by outlining the functions of the larynx, including protection of the tracheobronchial tree, respiration, phonation, increasing intrathoracic pressure, swallowing, and coughing. It then explains why voice is important as it conveys subtle messages about a person. The document proceeds to describe how phonation occurs, including the vibratory cycle of the vocal folds and the cover/body theory. It concludes by outlining various components of a comprehensive voice evaluation, including patient scales, perceptual evaluation using auditory, visual and tactile assessments, and objective measures of elements like pitch, loudness and quality.
Vocal cord nodules are symmetric, mid-vocal fold lesions that occur due to physical stresses on the vocal folds from heavy voice use. They cause hoarseness by impairing vocal fold closure and vibration during voicing. Nodules appear in pairs and resemble mounds of tissue protruding from the vocal folds. While voice rest and steroids can reduce swelling, voice therapy is the primary treatment to develop healthier voice use techniques. Surgery may be considered in severe, longstanding cases not improving with therapy. Nodules require ongoing management rather than a one-time "fix" and do not necessarily end a singing career if properly treated.
This document discusses voice therapy for the management of benign voice disorders. It summarizes a study of 30 patients who underwent voice therapy with or without surgical procedures for conditions like vocal nodules, polyps, muscle tension dysphonia, sulcus vocalis, and others. Pre-therapy and post-therapy comparisons found improvements in voice quality ratings, patient quality of life measures, and laryngeal images. Voice therapy techniques discussed include vocal hygiene, exercises, massage, and various approaches. The study found voice therapy to be an effective non-surgical treatment for many benign voice disorders and helps prevent recurrence when used with surgery.
This document discusses various techniques and approaches used in voice therapy, including relaxation, respiration training, elimination of vocal abuses, and vocal function exercises. It emphasizes that successful therapy requires a holistic approach combining behavioral, cognitive, and counseling techniques tailored to the individual client. Progress is measured through pre- and post-therapy voice recordings, instrumentation, and tracking improvement across specific criteria.
Voice therapy to treat voice disorders, basics , different techniques, methods advantages and disadvantages, where and what method to choose? otorhinolaryngology ent
Angelo Consiglio, MD, has distinguished himself as a privately practicing ear, nose, and throat physician. Dr. Angelo Consiglio draws on formal training in numerous aspects of otolaryngology care, including care of the voice and vocal folds.
HOW TO BROACH A MUSCLE TENSION DYSPHONIA CASE
Sachender Pal Singh (PGT), Aakanksha Rathor (PGT), Smrity Rupa Borah Dutta
ABSTRACT
Muscle Tension Dysphonia (MTD) is a condition where excessive muscular tension or
muscle misuse is associated with phonation. It has multifactorial etiologies. It can be a
primary or secondary Muscle Tension Dysphonia. While it can affect anyone, sufferers
usually belong to a particular group. It has very serious impact on sufferer's personal, social
& professional life. We are presenting here, our 1 year prospective study done in the
department of Otorhinolaryngology, Silchar Medical College & Hospital from June 2012 to
July 2013. Voice therapy was given to every patient whether primary or secondary muscle
tension dysphonia & Pre therapy-versus-post therapy comparisons were made of selfratings
of Voice Handicap Index, Auditory-Perceptual Ratings, as well as, Visual -
Perceptual Evaluations of laryngeal images. Outcome of voice therapy results in such
patients were found to be very good. As the disease is multifactorial so treatment approach
should be broad based involving multidisciplinary team
The document outlines the objectives and process for conducting a voice evaluation. The primary objective is to determine if the client has a voice disorder and evaluate symptoms. Additional objectives include patient education and establishing credibility. The evaluation should gather information on referral source, reason for referral, history of the problem, medical history, social history, and oral mechanism exam. Formal assessments include describing vocal qualities, respiratory status, and instrumental measures. The evaluator should rely on auditory perceptions over instrumentation and not make treatment recommendations without an ENT evaluation.
The document discusses evaluation of voice disorders. It begins by outlining the functions of the larynx, including protection of the tracheobronchial tree, respiration, phonation, increasing intrathoracic pressure, swallowing, and coughing. It then explains why voice is important as it conveys subtle messages about a person. The document proceeds to describe how phonation occurs, including the vibratory cycle of the vocal folds and the cover/body theory. It concludes by outlining various components of a comprehensive voice evaluation, including patient scales, perceptual evaluation using auditory, visual and tactile assessments, and objective measures of elements like pitch, loudness and quality.
Vocal cord nodules are symmetric, mid-vocal fold lesions that occur due to physical stresses on the vocal folds from heavy voice use. They cause hoarseness by impairing vocal fold closure and vibration during voicing. Nodules appear in pairs and resemble mounds of tissue protruding from the vocal folds. While voice rest and steroids can reduce swelling, voice therapy is the primary treatment to develop healthier voice use techniques. Surgery may be considered in severe, longstanding cases not improving with therapy. Nodules require ongoing management rather than a one-time "fix" and do not necessarily end a singing career if properly treated.
The document discusses snoring, its causes, treatments, and self-care approaches. Snoring occurs when throat tissues vibrate from air flow during breathing while sleeping and can be caused by factors like mouth anatomy, alcohol, and sleep apnea. Treatments may include lifestyle changes, oral appliances, surgery, or CPAP machines. Yoga practices like breathing exercises, inversions, and meditation can help address muscle tension and relaxation to reduce snoring.
This document discusses the relationship between restricted breathing mechanics, airway, and posture. It outlines assessments that should be performed to evaluate the temporomandibular joint (TMJ), cervical spine, breathing, and posture. These include tests of joint range of motion, muscle strength, hypermobility, and breathing efficiency. Restricted breathing is found in many patients and is linked to forward head posture. Correcting breathing mechanics and posture can help resolve TMJ and neck pain by restoring proper joint alignment in the upper body.
defness is also known as the loss of hearing of the ear and this is a chronic condition which need proper treatment as if cannot be detected early it can cause serious problem of hearing loss so knowledge of this condition can be useful for making differential diagnosis and proper treatment of the patient for the nursing students bsc and gnm and also can be used for their learning understanding and for their exam too
Unit 5 Neurogenic Voice Disorders Power Pointsahughes
This document discusses neurogenic voice disorders. It reviews the anatomy and physiology of the nervous system related to voice production. Damage to lower motor neurons can cause flaccidity of the vocal folds, while upper motor neuron lesions can cause spasticity. Various cranial nerves like the vagus, accessory, and hypoglossal nerves also affect voice. Lesions of the recurrent laryngeal nerve or superior laryngeal nerve impact vocal fold function. Different types of dysarthrias are then outlined, including their causes, symptoms, and treatment approaches.
This topic is meant for the study purpose for the final year undergraduate Physiotherapy students, who are studying under The Tamilnadu Dr.MGR Medical University (Govt University).
Early detection of hearing loss is important because undetected hearing loss can impair intellectual development, cause poor speech and language development, and lead to serious communication handicaps. The most common causes of hearing loss in children are hereditary factors (49%) and non-hereditary infections, drugs, prematurity, and hypoxia acquired before or after birth (51%). Screening tests for children include auditory brainstem response testing, tympanometry, and pure tone audiometry. Rinne's test and Weber's test using tuning forks can also help evaluate hearing ability.
Audiologists are hearing and balance healthcare professionals who complete evaluations for hearing and vestibular disorders, make diagnoses, and provide treatment options including hearing aids and therapy. Audiologists are required to have an Au.D. doctorate degree and undergo clinical training. They perform tests such as otoscopy, tympanometry, audiometry and vestibular assessments to evaluate hearing and balance function. Audiologists help determine appropriate hearing devices or assistive technologies and provide management for hearing and vestibular disorders.
This document discusses hearing loss, including definitions, types, causes, examination, diagnosis, and management. It defines different levels of hearing loss based on decibel thresholds. The main types are conductive, sensorineural, and mixed hearing loss. Sensorineural hearing loss is usually permanent and caused by inner ear or nerve damage. Causes include genetic syndromes, infections, trauma, tumors, ototoxic drugs, aging, and noise exposure. Evaluation involves history, physical exam including Weber and Rinne tests, and audiometry. Imaging and labs may be needed depending on history. Management depends on type, but may include hearing aids, cochlear implants, rehabilitation through lip reading and sign language. Rehabilitation of children focuses
This document discusses various oral habits in children and adults including thumb sucking, pacifier use, tongue thrusting, mouth breathing, bruxism, lip biting, nail biting, and self-injurious habits. It defines each habit, discusses prevalence, etiology, clinical features, and treatment considerations. Common oral habits in children like thumb sucking can cause dental issues like an overbite if not addressed properly. Psychological factors may also play a role in developing habits. Both behavioral modification and dental treatments may be needed to correct abnormal oral habits and their impacts on dental development.
The document discusses guidelines and best practices for treating children with dental procedures under general anesthesia, including indications such as extreme uncooperativeness, requirements for hospitalization versus outpatient settings, pre-operative assessments, operating room protocols, recommended dental treatments, post-operative care, and the importance of preventative therapies and behavior management for successful outcomes. Proper patient selection, qualified dental staff, and outpatient surgery centers can help achieve the best results when using general anesthesia to deliver necessary dental care to children.
This document provides an overview of hoarseness (dysphonia) including its definition, causes, anatomy, physiology, and examination. Hoarseness is a non-specific symptom that can result from various underlying conditions affecting the larynx. A thorough history and physical exam, including laryngoscopy, are important to determine the diagnosis. Common benign vocal fold lesions that may cause hoarseness include polyps, nodules, cysts, and granulomas. Precise diagnosis of the underlying pathology is needed as hoarseness can be a manifestation of local or systemic disease.
This document provides information on rehabilitation of deafness, including definitions, classifications, causes, assessment, and treatment of hearing loss. It discusses the WHO definition of hearing impairment and deafness. Clinical classifications are based on decibel levels, while educational and sociological classifications depend on ability to benefit from education or employment. Causes of hearing loss include congenital, acquired, conductive, sensorineural, and mixed. Assessment involves history, examination, audiometric tests like pure tone audiometry and speech audiometry. Treatment methods include hearing aids, speech therapy, education, and surgery for conductive losses.
The document discusses human ear tests of hearing. It describes three main types of hearing loss - conductive, sensorineural, and mixed - and explains what each type is caused by. It also outlines several common tuning fork tests used to evaluate hearing, including Rinne's test, Weber test, and Schwabach test. Finally, it provides an overview of pure tone audiometry testing procedures and how to interpret audiogram results.
This document provides an overview of assessing deafness. It discusses taking a thorough history including details on onset and progression of hearing loss. It also describes examining the external ear, ear canal, tympanic membrane, and performing neurological tests. Relevant investigations include audiological tests like pure tone audiometry, tympanometry and BERA. Radiological tests like X-ray and HRCT are also discussed. The document concludes with describing how to make a diagnosis based on the history, examinations and test results.
The document discusses patient education, motivation, and oral hygiene instruction. It covers domains of learning, theories of motivation like the health belief model, and the process of behavioral change which involves factual education, practical demonstration, motivation, and reinforcement. Key aspects of patient education are discussed like the learning ladder, principles of learning, and changing a patient's attitude towards dental health. Methods of oral hygiene instruction like disclosing agents, toothbrushes, and interdental aids are also summarized.
Norman paradigm shift—orofacial myofunctional therapy the new comprehensiv...associazione ipertesto
The document proposes a paradigm shift in how speech language pathologists examine the oral motor system. Currently, SLPs conduct examinations that are considered comprehensive but do not fully evaluate risks for obstructed airways and other oral myofunctional disorders. The authors argue for developing a new, more comprehensive examination tool that considers additional structures and functions. This would allow SLPs to more properly diagnose and treat issues impacting speech, swallowing, and beyond. Example areas to examine more extensively include tongue position, frenulums, tonsils, facial profile, and tooth correlations. The goal is for this expanded examination to become the standard practiced and taught in the US.
Effects of Bruxism on Dental Hard Tissues and Restorations PP.PresentationDUYGU CARKCI
Bruxism is defined as repetitive jaw muscle activity characterized by clenching or grinding of the teeth. It can occur during sleep or while awake, and can be influenced by both central and peripheral factors like stress, sleep disorders, genetics. Bruxism is classified based on when it occurs, etiology, motor activity type, and presence. Symptoms include tooth wear, muscle fatigue, headaches. Diagnosis involves questionnaires, clinical exams assessing tooth wear and muscle tenderness, and polysomnography which is the gold standard. Effects of bruxism include increased wear of teeth and restorations, marks on soft tissues like the tongue and cheeks.
Hearing loss can be conductive, sensorineural, or mixed. Conductive hearing loss occurs when sound is not conducted efficiently through the outer ear, ear canal, or middle ear. Sensorineural hearing loss is damage to the inner ear or auditory nerve. Known causes of hearing loss include heredity, noise exposure, traumatic injury, infection, certain medications, aging, and unknown causes. Hearing is tested using tuning fork tests, pure tone audiometry, speech audiometry, and tympanometry.
The document discusses disability rehabilitation and provides definitions of key terms from the World Health Organization. It describes the roles of an interdisciplinary rehabilitation team which includes various medical professionals. The team provides comprehensive client assessments and works together with a family-centered approach to set goals and facilitate positive outcomes for clients. Physiotherapy and occupational therapy services are outlined, along with techniques for oromotor rehabilitation to address common issues like drooling.
This document provides an overview of oral hygiene and preventive care. It discusses establishing a preventive program through assessing patients, developing intervention plans, implementing clinical services, and evaluating progress. Key aspects include patient counseling, compliance, and motivational interviewing. It also outlines the learning process, individual patient planning, and basic steps for oral hygiene like tooth brushing, flossing, and regular dental checkups.
This document summarizes a study on treating muscle tension dysphonia. The study examined 11 patients with muscle tension dysphonia over one year. Both primary and secondary muscle tension dysphonia cases were included. All patients received voice therapy. Outcomes were measured before and after therapy using auditory-perceptual ratings, quality of life measures, and visual-perceptual laryngeal evaluations. Results found voice therapy to be very effective for improving muscle tension dysphonia based on improved scores on all outcome measures after therapy. The document concludes voice therapy should be the primary treatment for both primary and secondary muscle tension dysphonia cases.
The role of hyperbaric oxygen therapy in Sudden Sensorineural Hearing Loss: A...Apollo Hospitals
This study retrospectively reviewed 50 patients with sudden sensorineural hearing loss (SSNHL) who received hyperbaric oxygen therapy (HBOT) in addition to conventional treatment. The study found that HBOT significantly improved hearing outcomes in patients with SSNHL. Patients who received HBOT within 14 days of onset of SSNHL saw the greatest hearing gain. Those with more severe initial hearing loss (>70 dB) also experienced greater improvement with HBOT. Younger patients (<50 years old) generally had better hearing outcomes than older patients.
The document discusses snoring, its causes, treatments, and self-care approaches. Snoring occurs when throat tissues vibrate from air flow during breathing while sleeping and can be caused by factors like mouth anatomy, alcohol, and sleep apnea. Treatments may include lifestyle changes, oral appliances, surgery, or CPAP machines. Yoga practices like breathing exercises, inversions, and meditation can help address muscle tension and relaxation to reduce snoring.
This document discusses the relationship between restricted breathing mechanics, airway, and posture. It outlines assessments that should be performed to evaluate the temporomandibular joint (TMJ), cervical spine, breathing, and posture. These include tests of joint range of motion, muscle strength, hypermobility, and breathing efficiency. Restricted breathing is found in many patients and is linked to forward head posture. Correcting breathing mechanics and posture can help resolve TMJ and neck pain by restoring proper joint alignment in the upper body.
defness is also known as the loss of hearing of the ear and this is a chronic condition which need proper treatment as if cannot be detected early it can cause serious problem of hearing loss so knowledge of this condition can be useful for making differential diagnosis and proper treatment of the patient for the nursing students bsc and gnm and also can be used for their learning understanding and for their exam too
Unit 5 Neurogenic Voice Disorders Power Pointsahughes
This document discusses neurogenic voice disorders. It reviews the anatomy and physiology of the nervous system related to voice production. Damage to lower motor neurons can cause flaccidity of the vocal folds, while upper motor neuron lesions can cause spasticity. Various cranial nerves like the vagus, accessory, and hypoglossal nerves also affect voice. Lesions of the recurrent laryngeal nerve or superior laryngeal nerve impact vocal fold function. Different types of dysarthrias are then outlined, including their causes, symptoms, and treatment approaches.
This topic is meant for the study purpose for the final year undergraduate Physiotherapy students, who are studying under The Tamilnadu Dr.MGR Medical University (Govt University).
Early detection of hearing loss is important because undetected hearing loss can impair intellectual development, cause poor speech and language development, and lead to serious communication handicaps. The most common causes of hearing loss in children are hereditary factors (49%) and non-hereditary infections, drugs, prematurity, and hypoxia acquired before or after birth (51%). Screening tests for children include auditory brainstem response testing, tympanometry, and pure tone audiometry. Rinne's test and Weber's test using tuning forks can also help evaluate hearing ability.
Audiologists are hearing and balance healthcare professionals who complete evaluations for hearing and vestibular disorders, make diagnoses, and provide treatment options including hearing aids and therapy. Audiologists are required to have an Au.D. doctorate degree and undergo clinical training. They perform tests such as otoscopy, tympanometry, audiometry and vestibular assessments to evaluate hearing and balance function. Audiologists help determine appropriate hearing devices or assistive technologies and provide management for hearing and vestibular disorders.
This document discusses hearing loss, including definitions, types, causes, examination, diagnosis, and management. It defines different levels of hearing loss based on decibel thresholds. The main types are conductive, sensorineural, and mixed hearing loss. Sensorineural hearing loss is usually permanent and caused by inner ear or nerve damage. Causes include genetic syndromes, infections, trauma, tumors, ototoxic drugs, aging, and noise exposure. Evaluation involves history, physical exam including Weber and Rinne tests, and audiometry. Imaging and labs may be needed depending on history. Management depends on type, but may include hearing aids, cochlear implants, rehabilitation through lip reading and sign language. Rehabilitation of children focuses
This document discusses various oral habits in children and adults including thumb sucking, pacifier use, tongue thrusting, mouth breathing, bruxism, lip biting, nail biting, and self-injurious habits. It defines each habit, discusses prevalence, etiology, clinical features, and treatment considerations. Common oral habits in children like thumb sucking can cause dental issues like an overbite if not addressed properly. Psychological factors may also play a role in developing habits. Both behavioral modification and dental treatments may be needed to correct abnormal oral habits and their impacts on dental development.
The document discusses guidelines and best practices for treating children with dental procedures under general anesthesia, including indications such as extreme uncooperativeness, requirements for hospitalization versus outpatient settings, pre-operative assessments, operating room protocols, recommended dental treatments, post-operative care, and the importance of preventative therapies and behavior management for successful outcomes. Proper patient selection, qualified dental staff, and outpatient surgery centers can help achieve the best results when using general anesthesia to deliver necessary dental care to children.
This document provides an overview of hoarseness (dysphonia) including its definition, causes, anatomy, physiology, and examination. Hoarseness is a non-specific symptom that can result from various underlying conditions affecting the larynx. A thorough history and physical exam, including laryngoscopy, are important to determine the diagnosis. Common benign vocal fold lesions that may cause hoarseness include polyps, nodules, cysts, and granulomas. Precise diagnosis of the underlying pathology is needed as hoarseness can be a manifestation of local or systemic disease.
This document provides information on rehabilitation of deafness, including definitions, classifications, causes, assessment, and treatment of hearing loss. It discusses the WHO definition of hearing impairment and deafness. Clinical classifications are based on decibel levels, while educational and sociological classifications depend on ability to benefit from education or employment. Causes of hearing loss include congenital, acquired, conductive, sensorineural, and mixed. Assessment involves history, examination, audiometric tests like pure tone audiometry and speech audiometry. Treatment methods include hearing aids, speech therapy, education, and surgery for conductive losses.
The document discusses human ear tests of hearing. It describes three main types of hearing loss - conductive, sensorineural, and mixed - and explains what each type is caused by. It also outlines several common tuning fork tests used to evaluate hearing, including Rinne's test, Weber test, and Schwabach test. Finally, it provides an overview of pure tone audiometry testing procedures and how to interpret audiogram results.
This document provides an overview of assessing deafness. It discusses taking a thorough history including details on onset and progression of hearing loss. It also describes examining the external ear, ear canal, tympanic membrane, and performing neurological tests. Relevant investigations include audiological tests like pure tone audiometry, tympanometry and BERA. Radiological tests like X-ray and HRCT are also discussed. The document concludes with describing how to make a diagnosis based on the history, examinations and test results.
The document discusses patient education, motivation, and oral hygiene instruction. It covers domains of learning, theories of motivation like the health belief model, and the process of behavioral change which involves factual education, practical demonstration, motivation, and reinforcement. Key aspects of patient education are discussed like the learning ladder, principles of learning, and changing a patient's attitude towards dental health. Methods of oral hygiene instruction like disclosing agents, toothbrushes, and interdental aids are also summarized.
Norman paradigm shift—orofacial myofunctional therapy the new comprehensiv...associazione ipertesto
The document proposes a paradigm shift in how speech language pathologists examine the oral motor system. Currently, SLPs conduct examinations that are considered comprehensive but do not fully evaluate risks for obstructed airways and other oral myofunctional disorders. The authors argue for developing a new, more comprehensive examination tool that considers additional structures and functions. This would allow SLPs to more properly diagnose and treat issues impacting speech, swallowing, and beyond. Example areas to examine more extensively include tongue position, frenulums, tonsils, facial profile, and tooth correlations. The goal is for this expanded examination to become the standard practiced and taught in the US.
Effects of Bruxism on Dental Hard Tissues and Restorations PP.PresentationDUYGU CARKCI
Bruxism is defined as repetitive jaw muscle activity characterized by clenching or grinding of the teeth. It can occur during sleep or while awake, and can be influenced by both central and peripheral factors like stress, sleep disorders, genetics. Bruxism is classified based on when it occurs, etiology, motor activity type, and presence. Symptoms include tooth wear, muscle fatigue, headaches. Diagnosis involves questionnaires, clinical exams assessing tooth wear and muscle tenderness, and polysomnography which is the gold standard. Effects of bruxism include increased wear of teeth and restorations, marks on soft tissues like the tongue and cheeks.
Hearing loss can be conductive, sensorineural, or mixed. Conductive hearing loss occurs when sound is not conducted efficiently through the outer ear, ear canal, or middle ear. Sensorineural hearing loss is damage to the inner ear or auditory nerve. Known causes of hearing loss include heredity, noise exposure, traumatic injury, infection, certain medications, aging, and unknown causes. Hearing is tested using tuning fork tests, pure tone audiometry, speech audiometry, and tympanometry.
The document discusses disability rehabilitation and provides definitions of key terms from the World Health Organization. It describes the roles of an interdisciplinary rehabilitation team which includes various medical professionals. The team provides comprehensive client assessments and works together with a family-centered approach to set goals and facilitate positive outcomes for clients. Physiotherapy and occupational therapy services are outlined, along with techniques for oromotor rehabilitation to address common issues like drooling.
This document provides an overview of oral hygiene and preventive care. It discusses establishing a preventive program through assessing patients, developing intervention plans, implementing clinical services, and evaluating progress. Key aspects include patient counseling, compliance, and motivational interviewing. It also outlines the learning process, individual patient planning, and basic steps for oral hygiene like tooth brushing, flossing, and regular dental checkups.
This document summarizes a study on treating muscle tension dysphonia. The study examined 11 patients with muscle tension dysphonia over one year. Both primary and secondary muscle tension dysphonia cases were included. All patients received voice therapy. Outcomes were measured before and after therapy using auditory-perceptual ratings, quality of life measures, and visual-perceptual laryngeal evaluations. Results found voice therapy to be very effective for improving muscle tension dysphonia based on improved scores on all outcome measures after therapy. The document concludes voice therapy should be the primary treatment for both primary and secondary muscle tension dysphonia cases.
The role of hyperbaric oxygen therapy in Sudden Sensorineural Hearing Loss: A...Apollo Hospitals
This study retrospectively reviewed 50 patients with sudden sensorineural hearing loss (SSNHL) who received hyperbaric oxygen therapy (HBOT) in addition to conventional treatment. The study found that HBOT significantly improved hearing outcomes in patients with SSNHL. Patients who received HBOT within 14 days of onset of SSNHL saw the greatest hearing gain. Those with more severe initial hearing loss (>70 dB) also experienced greater improvement with HBOT. Younger patients (<50 years old) generally had better hearing outcomes than older patients.
Epidemiology of Orofacial Pain in Population of Jammu City in India: An Origi...DrHeena tiwari
This study evaluated the etiology of orofacial pain among 400 patients visiting private clinics in Jammu, India. The results showed that dental caries leading to pulpitis was the most common cause of orofacial pain, affecting 96 patients. Periodontal disease and tooth sensitivity were also significant causes. Orofacial pain was more prevalent in females aged 26-35 years. The pain most commonly worsened during sleep and evenings and lasted less than 1 hour for many subjects. This study concluded that dental caries is the primary etiology of orofacial pain in this population and treatment should be tailored based on the identified cause.
VOICE THERAPY
Voice therapy may be defined as an effort to return the voice to a level of adequacy that can be realistically achieved and that will satisfy the patient’s occupational, emotional, and social needs Aronson (1990)
The decision to start voice therapy and the timing and the design of the voice therapy program depend on both the type and severity of a patient’s voice disorder. Voice therapy may be recommended before and/ or after surgical treatment, depending on the patient’s needs.
Purposes of voice therapy
• To improve vocal communication.
• Normalize vocal function; i.e., to restore function so that the vocal profile falls within the accepted normal range.
• If it is a degenerative disorder, voice therapy may be initiated to maintain the current level of function as long as possible and reduce ineffective compensatory behaviors.
• In case of medical intervention approach, preoperative voice therapy may be undertaken to eliminate vocal abuses and to provide model for optimizing the postoperative voice.
Guidelines for voice therapy:
• Without an understanding of the nature of the problem, the patient’s approach to therapy often will be highly skeptical. Therefore a thorough understanding of the normal voice physiology and the patient’s deviance from it can be critical to the patient’s response to the therapy.
• Throughout therapy, encourage the patient to verbalize perceptions of how the voice sounds and feels. This provides information to the clinician and also sensitizes the patient to the voice and increases the self awareness.
• The use of auditory and visual feedback can be extremely helpful to the client. They can be provided by the judicious use of the equipments. The patient is taught to identify certain desirable and undesirable laryngeal behaviors and has the benefit of the image to assist in shaping laryngeal activity.
• Therapy should move gradually from one step to the other. The patient should be provided adequate timing to practice the technique and master it.
• Clinician should always model the task for the patient.
• Recording therapy session in whole or in part is important. Doing so provides a record of the patient’s voice and of therapy session. Memory of the voice is very fleeting and both the clinician and the patient may readily forget what the voice sounded at certain point of time.
• Patients should be carefully instructed in what to practice, for how long, and how often. Have the patient demonstrate the exercise or therapy to be practical before leaving the therapy session.
• The prognostic statement made at the initiation of a program of vocal rehabilitation must be viewed as an educated guess about the outcome of the therapy.
Vocal fold polyps are one of the most common benign laryngeal lesions. They are generally caused by phonotrauma but can also be associated with smoking, gastroesophageal reflux, or respiratory activities. Histologically, polyps show swelling in the lamina propria and an increase in blood vessels. While some studies find no difference between polyp and nodule histology, others demonstrate morphological changes in polyp tissue. Surgery is often used to treat polyps but recent research shows speech therapy can also be effective as primary treatment, with total or partial regression of lesions in some cases. The literature review found discrepancies but also notable progress in otolaryngologic techniques and effectiveness of speech therapy as initial treatment
PROSPECTIVE STUDY OF VOICE THERAPY EFFECTIVENESS IN PATIENTS WITH DYSPHONIA: ...Linda Veidere
LOR pulciņa dalībnieces Alises Adovičas ZPD "PROSPECTIVE STUDY OF VOICE THERAPY EFFECTIVENESS IN PATIENTS WITH DYSPHONIA: CASE SERIES". Prezentēts RSU ISC 2016. Darba vadītāji Dr.Dins Sumerags, Māra Lokenbaha. Iegūta 3.vieta RSU ISC 2016 case report sadaļā.
Research in speech, language, and hearing focuses on understanding normal and impaired human communication as well as developing new assessment and treatment techniques. This research informs clinical practice and aims to improve quality of life for those with communication disorders. Key areas of research include the effects of traumatic brain injury on language, developing reading skills in youth, speech processing in elderly patients, the relationship between language and hearing loss, and treatments for speech-related diseases. Research is conducted in universities, hospitals, and dedicated institutes around the world.
Effects of Mobile Phones on Auditory acuity. Dr. Balaji P.A, Dr. Kailash N.pdfDrBalaji8
This document summarizes a study that evaluated the effects of mobile phone use on auditory acuity. The study compared hearing thresholds between 300 mobile phone users and 100 non-users based on pure tone audiometry. Results found statistically significant increases in hearing thresholds among mobile users at certain frequencies. Specifically, thresholds were higher for mobile users at 1kHz, 4kHz, 6kHz and 8kHz frequencies compared to non-users. Dominant ears (those used for calls more often) also had higher thresholds than non-dominant ears at some frequencies among mobile users. However, the duration and amount of mobile use did not correlate with hearing thresholds. The study concludes mobile use may mildly impair hearing but further research is
Effects of Mobile Phones on Auditory acuity. Dr. Balaji P.A, Dr. Kailash N.pdfDrBalaji8
RJMS 2011;1(1):25-30.
Abstract
Background and Objectives: There is an exponential
increase in the usage of mobile phones throughout the
world. Mobile phone handsets are usually held near
the ear during conversations and these phones emit
radiations (electromagnetic fields). These radiations
have a propensity to cause biological health hazards.
This has raised the question of whether the usage of
mobile phones has any detrimental effects on the
hearing of the user. The aim of this study was to
evaluate the auditory acuity in normal subjects using
mobile phones and subjects not using.
Methods: A total 400 subjects were selected
considering inclusion and exclusion criteria. Among
these 300 were mobile users and 100 non-users. These
two groups were subjected to pure tone audiometric
assessment. The resulting data was statistically
analyzed.
Results: There was an increase in the hearing
thresholds with p-value <0.05 at frequencies of lkhz
(BC), 4khz (AC and BC), 6khz(AC) and 8khz(AC) in
the mobile phone users compared to that in non-users.
The thresholds in the dominant ear were increased
with p-value <0.05 at frequencies lkhz(AC and BC),
2khz(AC and BC), 4khz(AC and BC), 6khz(AC) that
compared in non-dominant ear. The different duration
of exposures (in months) and the average time
(min/day) exposures did not have any significant
effect on the hearing thresholds.
Conclusion: There is a mild increase in the hearing
thresholds in mobile users, but the probable cause of
hearing impairment cannot be proved by this study
and the possible pathophysiology is also not
understood and it needs to be investigated further...
Key words: Mobile phones, electromagnetic fields
(EMF), Pure tone audiometry, Air conduction (AC),
Bone conduction (BC).
Effects of Mobile Phones on Auditory acuity. Dr. Balaji P.A, Dr. Kailash N.pdfDrBalaji8
Abstract
Background and Objectives: There is an exponential
increase in the usage of mobile phones throughout the
world. Mobile phone handsets are usually held near
the ear during conversations and these phones emit
radiations (electromagnetic fields). These radiations
have a propensity to cause biological health hazards.
This has raised the question of whether the usage of
mobile phones has any detrimental effects on the
hearing of the user. The aim of this study was to
evaluate the auditory acuity in normal subjects using
mobile phones and subjects not using.
Methods: A total 400 subjects were selected
considering inclusion and exclusion criteria. Among
these 300 were mobile users and 100 non-users. These
two groups were subjected to pure tone audiometric
assessment. The resulting data was statistically
analyzed.
Results: There was an increase in the hearing
thresholds with p-value <0.05 at frequencies of lkhz
(BC), 4khz (AC and BC), 6khz(AC) and 8khz(AC) in
the mobile phone users compared to that in non-users.
The thresholds in the dominant ear were increased
with p-value <0.05 at frequencies lkhz(AC and BC),
2khz(AC and BC), 4khz(AC and BC), 6khz(AC) that
compared in non-dominant ear. The different duration
of exposures (in months) and the average time
(min/day) exposures did not have any significant
effect on the hearing thresholds.
Conclusion: There is a mild increase in the hearing
thresholds in mobile users, but the probable cause of
hearing impairment cannot be proved by this study
and the possible pathophysiology is also not
understood and it needs to be investigated further...
Key words: Mobile phones, electromagnetic fields
(EMF), Pure tone audiometry, Air conduction (AC),
Bone conduction (BC).
IOSRPHR(www.iosrphr.org) IOSR Journal of Pharmacyiosrphr_editor
This study investigated whether patients undergoing surgery with regional anesthesia who listened to music required less sedation than those who did not listen to music. 60 patients were randomly assigned to either listen to music of their choice (group M) or not listen to music (group C) during surgery. The dose of midazolam needed to achieve a sedation score of 3 or less was significantly lower in group M. Group M also had better sedation scores at 90 and 120 minutes after surgery began. While pain, discomfort and satisfaction scores did not differ, group C recalled more intraoperative conversations and sounds. The study concludes that music reduces the need for sedation and improves intraoperative recall during regional anesthesia.
IOSRPHR(www.iosrphr.org) IOSR Journal of Pharmacyiosrphr_editor
This study investigated whether patients undergoing surgery with regional anesthesia who listened to music required less sedation than those who did not listen to music. 60 patients were randomly assigned to either listen to music of their choice (group M) or not listen to music (group C) during surgery. The dose of midazolam needed to achieve a sedation score of 3 or less was significantly lower in group M. Group M also had better sedation scores at 90 and 120 minutes after surgery began. While pain, discomfort and satisfaction scores did not differ, group C recalled more intraoperative conversations and sounds. The study concludes that music reduces the need for sedation and improves intraoperative recall during regional anesthesia.
Hearing loss among elderly patients in an ear clinic in nigeriaAlexander Decker
This study investigated hearing loss patterns among elderly patients seen at an ear clinic in Nigeria. Of the 586 patients who underwent audiometry over 3 years, 88 (15%) were elderly (age 65+). The mean age was 72.4 years and most were males. Over 80% had hearing loss, and 82% of those had disabling hearing loss. While sensorineural hearing loss was most common, mixed and conductive hearing losses were also present. Moderately severe hearing loss was the most prevalent. The majority had a sloping audiometric pattern typical of presbycusis, but other patterns occurred as well. Disabling hearing loss is very common in the elderly and often goes unaddressed, risking social
The document discusses universal newborn hearing screening. It begins by outlining the concept, including the importance of early detection of hearing loss to prevent developmental delays. The history section describes how screening has evolved from observational methods to use of otoacoustic emissions and automated auditory brainstem response tests. Current screening protocols recommend screening all infants by 1 month of age and enrolling in early intervention by 3 months. However, the document notes several hurdles to implementation including loss to follow up, lack of professionals, and lack of standards. It provides examples of screening programs in India within the context of its large population and resources.
This document summarizes a presentation on a study that evaluated job satisfaction and quality of life in adult users of bone conduction hearing devices pre- and post-implantation over a 1-year period. 43 patients completed questionnaires measuring health-related quality of life and hearing disability both before and 12 months after receiving a bone conduction hearing implant. The results showed statistically significant improvements in quality of life scores, hearing and speech abilities, and job satisfaction post-implantation. The study provides evidence that bone conduction hearing devices can positively impact both health-related quality of life and work life for adults with hearing loss.
This study evaluated 58 patients with objective tinnitus caused by middle ear myoclonus (MEM). The patients tended to be young, with onset mostly under age 50. Stressful events and noise exposure were common triggers. Examinations found subtle tympanic membrane motions and test perturbations. Most patients experienced partial or full remission of tinnitus with medical therapy involving anticonvulsants and muscle relaxants. Surgery to section the middle ear tendons provided good outcomes for intractable cases. The study characterized clinical features and treatment responses to help diagnose and manage this rare form of tinnitus.
Recent advances have expanded cochlear implant candidacy criteria in several ways:
(1) Younger pediatric patients down to 12 months can now receive implants, as early implantation leads to better language outcomes. (2) Adults who gain limited benefit from hearing aids and have speech recognition scores below 50% are candidates. (3) Patients with residual low-frequency hearing may be candidates for hybrid cochlear implants and hearing aids. New technologies continue to broaden candidacy and improve outcomes for patients.
national prog on prevention and control of deafnessdrkulrajat
The document outlines the National Programme for Prevention and Control of Deafness (NPPCD) in India. It discusses the causes and burden of hearing impairment in India, including that hearing loss is the second most common cause of disability. It describes how NPPCD was established in 2006 and piloted in 25 districts across 10 states and 1 union territory, and has since expanded to cover 203 districts nationwide. The program aims to control ear infections, promote early detection and management of hearing loss, and create public awareness of hearing disorders and risk factors.
Evaluation of Radiotherapy Effect on Auditory System in Patients with Head and Neck Tumors by Seyedeh Mahtab Ashja Arvan in Experiments in Rhinology & Otolaryngology
Radiotherapy in patients with head and neck tumors may result in damage of different organs such as eyes and ears. However, there is no consensus regarding the level of damage, especially its effect on hearing threshold. This study has been designed to determine the effect of radiotherapy on auditory system of patients with head and neck tumors.
https://crimsonpublishers.com/ero/fulltext/ERO.000509.php
Similar to Voice Therapy: Management Of Benign Voice Disorders (20)
This case report describes the use of a silicone implant for augmentation rhinoplasty in a 17.5-year-old male patient with a saddle nose deformity caused by a previous nasal infection. A silicone implant was placed through an incision in the columella to reconstruct the nasal dorsum. The postoperative result showed good correction of the nasal deformity with no complications. The report discusses the advantages of silicone implants for augmentation rhinoplasty, including affordability, low risk of extrusion or infection when placed properly, and the ability to provide mild to moderate height increases with good cosmetic outcomes.
This document presents a case report of a 55-year-old man with a sinonasal paraganglioma. He presented with episodes of epistaxis and a nasal mass. Imaging showed a mass involving the frontal sinus and ethmoids bilaterally. He underwent surgical excision of the mass along with cranialization of the frontal sinus using a fascia lata graft. Histopathology confirmed paraganglioma. The patient was followed for 1 year without signs of recurrence. Paragangliomas are rare tumors that can present in the sinonasal tract. Complete surgical excision is usually curative for benign cases.
Unusual Presentation of Tuberculosis in Head and Neck RegionAakanksha Rathor
The document reports on 3 cases of unusual presentations of tuberculosis in the head and neck region, including intraparotid lymphadenitis, branchial cyst tuberculosis, and jugular chain lymphadenitis. The cases were diagnosed through various clinical examinations, imaging studies, and histopathological analysis. All 3 cases were successfully treated with antitubercular medication alone or in combination with surgery, and showed no signs of recurrence or non-compliance to treatment.
This document summarizes a study on the analysis and management of tripod fractures. The study evaluated 101 patients with faciomaxillary injuries admitted to a hospital in Assam, India over one year. Road traffic accidents were found to be the most common cause of injury, affecting mostly males aged 23-27. Nasal bone fractures were the most prevalent faciomaxillary fracture, while zygomatic fractures accounted for 23% of cases. Zygomatic fractures were classified and patients were managed either conservatively or through open/closed reduction based on the fracture severity. Outcomes were evaluated through follow-up examinations and imaging to assess for complications and restoration of facial features.
GIANT ANTERIOR NECK LIPOMA WITH MEDIASTINAL EXTENSIONAakanksha Rathor
This document describes a case report of a rare giant anterior neck lipoma with mediastinal extension in a 48-year-old female patient. The large lipoma mass measured 16x14.8x13 cm and extended from the neck into the anterior mediastinum. Imaging including ultrasound, CT scan, and biopsy confirmed the diagnosis of a benign lipoma. The entire lipoma weighing 1200 grams was surgically removed from the neck and mediastinum without complications. The patient recovered well and had no recurrence after 1 year of follow up.
Fibrous dysplasia is a benign bone condition caused by a mutation in the GNAS1 gene that results in abnormal bone growth. It can involve single bones (monostotic) or multiple bones (polyostotic). The document reports a case study of a 22-year-old female with monostotic fibrous dysplasia affecting her left maxillary bone. Imaging and biopsy confirmed the diagnosis. She underwent surgery to remove the abnormal bone and reconstruct the orbital floor. Histopathology of the removed bone found features consistent with fibrous dysplasia. Post-surgery, her facial asymmetry and nasal obstruction were corrected.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...rightmanforbloodline
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.