With Voice Disorders, Third Edition, authors Christine Sapienza, PhD and Bari Hoffman Ruddy, PhD have created a comprehensive package for learning. The textbook has been extensively updated with clinical information and the book now comes with a robust online companion website including the full study workbook, videos, audio files, and case studies.
The textbook and website offer an ideal balance of voice science with voice treatments, examining traditional interventions as well as recent advances in cellular therapies, muscle strength training, and treatments for special populations such as singers and actors and those with complex medical conditions. The Third Edition expands the approaches to voice therapy and better defines clinical decision making with information about humanistic communication strategies, adherence, and the variables that influence patient outcomes. The authors have categorized therapy approaches in terms of type, such as symptomatic, combined modality, and hygienic. For each approach, they describe specific treatment methods, case examples, and expected outcomes.
NEW TO THIS EDITION:
Two new chapters on the topics of the Immune System and the Laryngeal Reflexes
Reorganized for a greater flow of information and reader response to content, with revisions to every chapter.
Current research and demographic statistics updated for voice uses with updated references, weblinks, and glossary.
A thoroughly updated chapter on Voice Therapy techniques, expanded to include description of therapy approaches and instructions to use with the patient, and more detail on humanistic communication, cultural diversity, and adherence.
Additional patient case examples throughout the Vocal Pathology and Voice Therapy chapters.
The Performers chapter is enhanced with detailed cases and strategies to promote singers health, along with sample exercises to try when treating injured singing voices.
Updated information regarding head and neck cancer statistics, clinical pathways and treatment outcomes, with comprehensive case studies included.
Author(s): Christine M. Sapienza; Bari Hoffman Ruddy
Edition: 3
Publisher: Plural Publishing
Year: 2018
Language: English
City: San Diego, CA
Foreword
Preface
Acknowledgments
Contributors
Companion Website
1 Respiratory Anatomy and Physiology
The Lungs
The Trachea
The Bronchi
The Thorax
The Ribs
The Diaphragm
The Abdominal Wall
Sternum
Clavicle
Driving Forces of the Respiratory System
How Does the Human Body Generate These Respiratory Forces?
Passive and Active Forces of the Respiratory System
The Respiratory System and Voice Production
Relaxation Pressure Curve
Using the Right Terminology
Biofeedback Techniques
Summary
References
2 Laryngeal Anatomy and Physiology
Laryngeal Anatomy
Laryngeal Structure: Pieces and Parts
Laryngeal Muscles
What Are the Vocal Folds Made of, Exactly?
Laryngeal Ligaments and Membranes
Extrinsic Membranes
Intrinsic Membranes
Ligaments
Aryepiglottic Folds
Cavities
Arterial Supply of the Larynx
Laryngeal Nerve Supply
Laryngeal Development (Infancy to Adulthood)
Adult Male and Female
Differences in Laryngeal Anatomy
Age Effects on Laryngeal Anatomy
Phonation
Mechanisms for Changing Pitch
What Is a Vocal Register?
Mechanism for Changing Loudness
Summary
References
3 Vocal Health
Phonotrauma
Basic Issues Related to Vocal Health
Recovery Process
Contributors to Poor Vocal Health
Summary
References
4 Evaluation
The Specialty of Otolaryngology
Case History
The Physical Examination
Laryngoscopic Techniques
Instrumental Assessment
Imaging
Digital Laryngostroboscopy
Videokymography
Aerodynamics
Classic Methods for Collection of Aerodynamic Signals
Laryngeal Aerodynamic Variations
Laryngeal Aerodynamics as a Function of Aging
Laryngeal Aerodynamic Differences as a Function of Sex
Laryngeal Aerodynamic Changes as a Function of Speech Task
Using Aerodynamics for Examination of Voice Disorders
Acoustic Analysis of Voice
Intensity
Voice Range Profile
Short-Term Perturbation
Relative Noise Level
Spectral Measures
Fast Fourier Transform (FFT)
Vowel Spectrum
Long-Term Average Spectrum
Cepstral Peak
Electroglottography
Electromyography
Auditory-Based Measures of Voice Quality
Perceptual Rating Scales
Voice Handicap Scales and Quality of Life Scales
Voice Handicap Index
Voice-Related Quality of Life Scale
Hygiene and Safety of Equipment
Summary
References
Appendix 4–1. Case History Form — Voice
Appendix 4–2. Videostroboscopy Rating Form
Appendix 4–3. Position Statement: Evidence-Based Practice in Communication Disorders
Appendix 4–4. Relevant Paper: The Roles of Otolaryngologists and Speech-Language Pathologists in the Performance and Interpretation of Strobovideolaryngoscopy
Appendix 4–5. Voice Handicap Index
Appendix 4–6. Voice-Related Quality of Life Measure
5 Vocal Pathology
Etiology of Voice Disorders
Vocal Lesions
Pathology Classifications
Incidence of Voice Disorders
Structural Pathologies of the Vocal Folds
Vascular Lesions
Functional Voice Disorders
Idiopathic
Autoimmune
Summary
References
6 Neurologically Based Voice Disorders
Neurologic Voice Disorders
Other Neurologic Cases
Summary
References
7 Vocal Rehabilitation
Addressing Patient Diversity in Vocal Rehabilitation
Clinical Competence
The Road to Therapy
Communication Strategies
Adherence
Voice Therapy
The Evolving Process of Voice Therapy
Goals of Voice Therapy
Definition of Treatment Efficacy
Voice Therapy Approaches: What Are They?
Specific Treatments for Other Populations
Therapy Approaches for Gender Reassignment Voice Changes
Voice Therapy for School-Age Children with Voice Disorders
Technology and Gaming in Voice Therapy
Biofeedback Techniques
Defining a Voice Outcome
Criteria for Termination of Therapy
Telehealth Options
Definition of Treatment Effectiveness
Summary
References
Appendix 7–1. Voice Stimuli
8 Management: Phonosurgery
Surgical Treatment of Dysphonia
Office-Based Procedures
General Considerations in the Surgical Approach to the Larynx
Microlaryngoscopy with Nodule Removal
Microflap Dissection
Laser Laryngoscopy
Laryngeal Microdebrider Dissection
Injection Augmentation
Laryngeal Framework Surgery
Selected Clinical Cases
Suggested References for Reading
Appendix 8–1. Postoperative Vocal Fold Microlaryngoscopy Surgery Instruction
9 Team Management of Head and Neck Cancer
Introduction
Head and Neck Cancer Statistics
Head and Neck Cancer Sites
Head and Neck Cancer Types
Head and Neck Squamous Cell Cancers
General Cancer Staging
Primary Tumor Staging
Cancer Spread
Surgical Treatment Options for Treating Head and Neck Cancer
Organ Preservation Through Radiation and/or Chemotherapy
Combined Management Approaches
Multidisciplinary Clinical and Research Team
Surgical Options for Laryngeal Cancer
The Role of the Speech-Language Pathologist Prior to Laryngectomy
The Role of the Speech-Language Pathologist Following Laryngectomy
Types of Partial Laryngectomy Procedures
Postoperative Strategies
Communication Following Total Laryngectomy
Developing a System to Track Outcomes With the Head and Neck Cancer Population
Future Directions
Conclusions
Useful Websites
References
Appendix 9–1. Case Example: Management of SCCA In Situ in a Professional Performer: An Interdisciplinary Approach
Appendix 9–2. Case Example: Management of Recurrent Laryngeal Cancer Spanning Over 10 Years
Appendix 9–3. Voicing Practice Exercises: Handout for the Laryngectomized Patient
10 Vocal Performance
The Singing Voice
The Voice Care Team
Performer Classifications
Etiology of Dysphonia in Vocal Performers
Compensatory/Cover Techniques Used by Vocal Performers
Singers and “Support”
Clinical Assessment of Vocal Performers
The Medical, Social, and Singing History
Speaking Voice Assessment
Vocal Load
Singing Voice Assessment
Training and Techniques Specific to Performance Voice
Case Examples
Singing Health
Professional Associations
Case Studies
Summary
References
Appendix 10–1. Singer’s History Form
Appendix 10–2. Singing Voice Handicap Index (S-VHI)
Appendix 10–3. Evaluation of the Ability to Sing Easily (EASE)
Appendix 10–4. Glossary of Singing Terms
11 Drug Types and Effects on Voice
Drug Interactions
Patient-Specific Factors
Drug Administration
Drug Classes
Psychoactive Medications
Drug Compliance
Herbal Supplements/Alternative Medicines
Special Populations
Summary
Recommended Readings
References
Appendix 11–1. Chapter 11 Glossary
12 Immune System Response to Diseases and Its Impact on Laryngeal Function
Introduction
Innate Immunity and Wound Healing
Adaptive Immunity
Fibroblasts’ Immune Functions
Immunologic Barriers to Treatment
Biomaterials
Cell Based Therapies
Conclusions
References
13 Laryngeal Reflexes
Sensory Receptors
Free Nerve Ending Receptors
Encapsulated Nerve Endings
Pathway of Sensory Information
Laryngeal Reflexes
Upregulation of Sensory Afferents
Down Regulation of Sensory Afferents
References
Glossary
Index
