Hoarseness and Throat Cancers

CAUSES OF VOICE HOLDERS

1. Acute laryngitis:

It develops suddenly. It occurs due to microbial inflammation of the vocal cord. It is treated with antibiotics, vapors and edema-solving drugs.

2.Chronic laryngitis:

It is the condition of hoarseness that lasts longer than 3-4 weeks.

It usually occurs as a result of chemical or physical irritation on the vocal cords.

Chemical irritation occurs when the reflux of the stomach contents comes up to the mouth and the acid secretion reaches the vocal cords.

Treatment includes correction of reflux.

Physical cord irritation is the misuse of the voice. In other words, talking loudly a lot, shouting is like crying loudly…

The treatment includes reducing speech, never shouting, and speaking with a light tone of voice.

3. Causes of dysphonia:

Insufficient development of the vocal cords. It’s like a mutational falsetto.. The vocal cords are taut, but they don’t come together. Its treatment is sound therapy.

3. Larynx Tumors:

Vocal Cord and Throat Tumors, Cancers..

It is especially seen in people who smoke. It used to be known only as a male disease.

However, with the increase in smoking among women in recent years, it has started to be seen in women as well. However, the disease is seen in over 90% of men.

A middle-aged man who smokes should definitely have his vocal cord endoscopic examination done by an ENT doctor. Alcohol consumption increases the likelihood of the disease.

If you go to the doctor at the beginning of hoarseness, early diagnosis is made.

If the disease is caught in the first stage, it can be treated with non-surgical laser or radiotherapy methods.

In more advanced stages, surgery may be required. In the operations performed, breath and voice functions are tried to be preserved without removing all of the larynx tissue.

However, in end-stage cancers, an operation called total laryngectomy is performed by removing the entire larynx tissue.

VOICE WIRE NODULES

It is a disease seen in singers, teachers, housewives, professional groups that use their voices loudly and a lot, and children who talk loudly.

Nodules are in the form of masses, which are thinner than small pimples, on the vocal cord mucosa, in the vocal cords, which we call the vocal cords.

Nodules are formed as a result of the vocal cords hitting each other for a long time, the tissue deteriorating and swelling and swelling with the accumulation of inflammatory cells.

Allergy and gastroesophageal reflux have an important role in the formation of the disease. In addition, nasal discharge disrupts the smooth structure of the vocal cords and prepares the ground for the disease.

Treatment: If there is allergy and reflux, it should be treated.

If there is nasal discharge, it is eliminated. In the treatment of nodules, it is recommended to reduce the use of voice, not to speak loudly and not to shout.

Voice therapy can be performed in cases that do not resolve despite these measures.

Surgery is performed on nodules that do not heal with sound therapy and are too large for therapy.

In the surgery, the nodule is removed by microscopic microsurgery technique.

VOICE THERAPY

Voice therapy is performed in patients with persistent hoarseness and congenital vocal cord anomaly with micro nodules in the vocal cords.

Generally, the problem is that the larynx is up. In this case, which we call hyperfunctional voice, the larynx is tried to be taken down.

For this, the noble stance is taken and a deep breath is taken with diaphragmatic breathing and a sound is made.

In the water blowing vox technique, 5 different exercises can be performed in the same position or 2-3 steps can be applied depending on the condition of the disease.

There are 6 step exercises in the doctor vox technique:

1.sostenuto

2.Glissando

3. Portement

4.Legato

5.Portato

6. Statato

Each exercise step is planned in a different formulation for different diseases.

For example, in unilateral vocal cord paralysis, a formulation such as 5 times staccato + 1 time sostenuto can be applied.

In mutational falsetto disease, it can be applied as 1 glissando + one sostenudo.

Practices are usually done in the first 3-4 sessions with a trainer 2 times a week, then at home for 2-3 minutes per hour.

Therapy lasts at least 2 months. 1st and 3rd month control therapies are performed. Reading and singing to the mask at home are useful practices.

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