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Dysphonia may have organic, neurological, or behavioral causes. Voice disorders due to unilateral vocal fold paralysis may be treated with behavioral voice therapy aimed at improving voice quality. Additional voice problems include a hoarse vocal quality, difficulty sustaining phonation for longer periods, reduced loudness of voice, lack of variations in loudness, and pitch breaks. For these patients, voice is not as urgent concern as breathing and swallowing. If the folds are paralyzed in widely separated positions, the individual cannot swallow food safely because the airway passage cannot be closed. Similarly, when only one fold is paralyzed and the paralyzed fold is not too far away from the normal fold, voice is possible. Vocal fold paralysis can cause aphonia which are the inability to produce voice and speech. A pattern of vocal behaviors that speakers exhibit also can cause laryngeal pathology, resulting in voice disorders. A variety of physical conditions, including hearing loss, nervous system diseases, trauma to the larynx, infectious and other diseases of the larynx, and endocrine changes, can cause voice disorders. This kind of oral resonance is associated with baby talk, when an adults talks in that manner, it is most easily noticeable. In most cases, immediate mechanical feedback from instruments or verbal feedback from the clinician regarding the presence or absence of nasality will help achieve the desired resonance. Organic growths and obstructions that create hyponasality require medical and surgical treatment. This kind of oral resonance is associated with baby talk, it is most easily noticeable when an adults talks in that manner. Because deafness makes it difficult for an individual to monitor his or her own speech and voice production, nasal resonance is typically missing or misplaced. Biofeedback also can be effective in the treatment of hypernaslity. The nasal passage may be fully or partially blocked by nasal polyps, tumors, and other kinds of growth in the nasal cavity. The client can more easily reduce nasal resonance with such immediate visual feedback. A lack of nasal resonance or insufficient nasal resonance on nasal sounds is called hyponasality. Temporary hyponaslity, often associated with such conditions as cold and allergy, do not need voice therapy. In unilateral vocal fold paralysis, the folds may not fully approximate and the resulting voice is breathy because of air leakage during phonation. This procedure uses electronic instruments that instantaneously display the amount of oral and nasal resonance as the client talks. If the folds are paralyzed such that they are too close to each other, breathing may be difficult. When both the folds are paralyzed, the immediate concern is breathing and swallowing. When those paralyzed folds are close to each other, they may produce voice. In most cases, treatment requires a combination of medical, surgical, and voice therapy techniques. Very few voice disorders are strictly functional. In other words, a form of dysphonia may be physical or functional. People who are deaf exhibit hyponasality for the same reason they exhibit hypernasality. Hyponasality of individuals who are deaf can be treated within a total program of speech and voice therapy. Some cultural factiors or personal history may account for a few remaining functional voice disorders. More serious forms of hyponaslity are due to structural obstructions or deafness.
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1 Dysphonia may have organic, neurological, or behavioral causes. 2 Voice disorders due to unilateral vocal fold paralysis may be treated with behavioral voice therapy aimed at improving voice quality. 3 Additional voice problems include a hoarse vocal quality, difficulty sustaining phonation for longer periods, reduced loudness of voice, lack of variations in loudness, and pitch breaks. 4 For these patients, voice is not as urgent concern as breathing and swallowing. 5 If the folds are paralyzed in widely separated positions, the individual cannot swallow food safely because the airway passage cannot be closed. 6 Similarly, when only one fold is paralyzed and the paralyzed fold is not too far away from the normal fold, voice is possible. 7 Vocal fold paralysis can cause aphonia which are the inability to produce voice and speech. 8 A pattern of vocal behaviors that speakers exhibit also can cause laryngeal pathology, resulting in voice disorders. 9 A variety of physical conditions, including hearing loss, nervous system diseases, trauma to the larynx, infectious and other diseases of the larynx, and endocrine changes, can cause voice disorders. 10 This kind of oral resonance is associated with baby talk, when an adults talks in that manner, it is most easily noticeable. 11 In most cases, immediate mechanical feedback from instruments or verbal feedback from the clinician regarding the presence or absence of nasality will help achieve the desired resonance. 12 Organic growths and obstructions that create hyponasality require medical and surgical treatment. 13 This kind of oral resonance is associated with baby talk, it is most easily noticeable when an adults talks in that manner. 14 Because deafness makes it difficult for an individual to monitor his or her own speech and voice production, nasal resonance is typically missing or misplaced. 15 Biofeedback also can be effective in the treatment of hypernaslity. 16 The nasal passage may be fully or partially blocked by nasal polyps, tumors, and other kinds of growth in the nasal cavity. 17 The client can more easily reduce nasal resonance with such immediate visual feedback. 18 A lack of nasal resonance or insufficient nasal resonance on nasal sounds is called hyponasality. 19 Temporary hyponaslity, often associated with such conditions as cold and allergy, do not need voice therapy. 20 In unilateral vocal fold paralysis, the folds may not fully approximate and the resulting voice is breathy because of air leakage during phonation. 21 This procedure uses electronic instruments that instantaneously display the amount of oral and nasal resonance as the client talks. 22 If the folds are paralyzed such that they are too close to each other, breathing may be difficult. 23 When both the folds are paralyzed, the immediate concern is breathing and swallowing. 24 When those paralyzed folds are close to each other, they may produce voice. 25 In most cases, treatment requires a combination of medical, surgical, and voice therapy techniques. 26 Very few voice disorders are strictly functional. 27 In other words, a form of dysphonia may be physical or functional. 28 People who are deaf exhibit hyponasality for the same reason they exhibit hypernasality. 29 Hyponasality of individuals who are deaf can be treated within a total program of speech and voice therapy. 30 Some cultural factiors or personal history may account for a few remaining functional voice disorders. 31 More serious forms of hyponaslity are due to structural obstructions or deafness.