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Such abnormal growth on the folds as nodules and polyps also are associated with hoarseness. When the tongue is carried in the front portion of the mouth throughout an utterance, the resulting resonance is described as thin, and the person gives a subjective impression of being immature. The shape and size of a cavity are the most important factors in determining its resonance qualities. Because the tongue is the biggest structure in the oral cavity, its movements continuously change the shape and size of the oral cavity. In combination with other subtle oral resonance factors, the tongue positions and jaw movements have the most noticeable effect on oral resonance and its distortions. Problems of oral resonance are difficult to measure because they are typically related to the rapidly variable position of the tongue during phonation and the extent of the jaw movement. Voice disorders of resonance constitute an absence of a desired resonance, inadequate resonance, or inappropriate resonance. Resonance is the modification of sound by structures through which that sound passes. Generally, voice therapy is effective when procedures designed to reduce breathiness and harshness are combined. Depending on the pathology, the vocal folds may approximate less optimally or too tightly. However, such changes are troublesome to professional singers. Laryngitis is a common cause of hoarseness. When they do not fully approximate, the voice sounds breathy. It is a vocal behavior that has been reinforced in the past. These qualities are immense clinical significance because they often are deviant in vocal pathologies and voice disorders. Generally speaking, what you eat is more important than when you eat. Breathy voice results when the vocal folds are slightly open during phonation. In other words, the baby cries because such crying has resulted in attention from the caregivers. However, communicative problems resulting from neural damage are different from functional speech sound disorders seen in most children. Causes of harsh voice include neurological diseases that affect the neural control of vocal folds. The client can be trained to better approximate the vocal folds to reduce breathy voice. Voice therapy can reduce the size of nodules or eliminate them completely. Therefore, normal voice quality will then return. Then, normal voice will return. The emphasis in treatment may be on the dominant symptom which are breathiness or harshness. The resonating structures that lie below and above the larynx modify the laryngeal tone. Treatment for hoarseness depends on the kinds of pathology that are present in an individual. Such behavioral patterns as habitually tensed voice also may have a hoarse quality to it. Neurological diseases and abnormal growth on vocal folds change the way they vibrate, causing hoarseness. Therefore, the cavity size and shape changes the tongue movements induce have the most immediate effects on oral resonance.
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