Artificial Larynx/ Electrolarynx
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An electrolarynx, or electronic larynx, is a battery operated machine that
produces sound for the patient.
There are many different makes and types, but they are usually about the
size of a small electric razor.
Patient holds the machine against their neck, or fit a small tube into the
corner of their mouth. When they press the button on the machine, it makes
sound. The patient moves their articulators to form words.
This method of speech after laryngectomy may be best if the patient is not
, able to have a voice prosthesis (TEP) for medical reasons or they did not
have a voice prosthesis put in at the time of your laryngectomy but are
waiting to have one put in later
Frequency of practice VFE
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All four exercises, 2x each, 2x/day for at least 6 weeks
Once patient reaches goals, intensity of practice can be tapered
2x/each, 1x/day
1x/each, 1x/day
Exercise #4 only - 2x/each, 1x/day
Exercise #4 only - 1x/each, 1x/day
Exercise #4 only - 1x/each, 3x/week
Exercise #4 only - 1x/each, 1x/week
Low-tech intensity/loudness measurement
Give this one a try later!
Buy a sound-level meter (less than 20 dollars)
-Smartphone apps
-Sound meter
Perceptual Rating Scales
Give this one a try later!
, Clinicians use of a standardized scale can be paired with other tests of
vocal function in order to arrive at the most comprehensive impression of
the voice disorder (DeBodt et al., 1997)
Scales used to rate patient perception of voice:
VHI (Voice Handicap Index) p.129
VRQOL (Voice Related Quality of Life) index p. 132
Scales where clinician rates quality include:
CAPE-V (Consensus on Auditory Perceptual Evaluation of Voice)
GRBAS scale (Grade, Roughness, Breathiness, Aesthenia [how smooth],
Strain)
computed tomography (CT)
Give this one a try later!
A scanning method in which a camera scans the body structures as x-ray is
beamed at them; a computer calculates the varied radiation absorption in
different parts of a structure
Step 2: Target phonotraumatic behaviors for reduction
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By discussing with the client, the family, or both, identify the client's
behaviors that need to be reduced.
Make a list of behaviors and the conditions under which they are exhibited.
Identify time periods during which the behaviors have high probability of
occurrence.
Write a behavioral contract the client and his or her family members sign.
A behavioral contract describes the target behaviors, the method of
reduction, and a commitment from the client and the family to measure the
behaviors accurately; and to take steps necessary to reduce phonotrauma.
, vocal fold paralysis
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Causes: neurological damage of some kind, brain, nerves, etc.
Description: can be unilateral (90% of vocal fold paralysis) or bilateral
Perceptual signs and symptoms: variable symptoms from aphonia to
normal voice, in bilateral abductor paralysis, the airway is compromised
Management: Medialization or vocal fold augmentation, voice therapy
(pushing, vocal function exercises, resonant voice)
Oral Rigid Laryngoscopy
Give this one a try later!
Uses a rigid endoscope (an endoscope is an instrument that is passed into
the body)
Gives a very clear picture of laryngeal structures due to better
magnification than a simple mirror
Helpful for easily identifiable structural evaluations (I.e. mass at the base of
the tongue)
s/z ratio
Give this one a try later!
Give this one a try later!
An electrolarynx, or electronic larynx, is a battery operated machine that
produces sound for the patient.
There are many different makes and types, but they are usually about the
size of a small electric razor.
Patient holds the machine against their neck, or fit a small tube into the
corner of their mouth. When they press the button on the machine, it makes
sound. The patient moves their articulators to form words.
This method of speech after laryngectomy may be best if the patient is not
, able to have a voice prosthesis (TEP) for medical reasons or they did not
have a voice prosthesis put in at the time of your laryngectomy but are
waiting to have one put in later
Frequency of practice VFE
Give this one a try later!
All four exercises, 2x each, 2x/day for at least 6 weeks
Once patient reaches goals, intensity of practice can be tapered
2x/each, 1x/day
1x/each, 1x/day
Exercise #4 only - 2x/each, 1x/day
Exercise #4 only - 1x/each, 1x/day
Exercise #4 only - 1x/each, 3x/week
Exercise #4 only - 1x/each, 1x/week
Low-tech intensity/loudness measurement
Give this one a try later!
Buy a sound-level meter (less than 20 dollars)
-Smartphone apps
-Sound meter
Perceptual Rating Scales
Give this one a try later!
, Clinicians use of a standardized scale can be paired with other tests of
vocal function in order to arrive at the most comprehensive impression of
the voice disorder (DeBodt et al., 1997)
Scales used to rate patient perception of voice:
VHI (Voice Handicap Index) p.129
VRQOL (Voice Related Quality of Life) index p. 132
Scales where clinician rates quality include:
CAPE-V (Consensus on Auditory Perceptual Evaluation of Voice)
GRBAS scale (Grade, Roughness, Breathiness, Aesthenia [how smooth],
Strain)
computed tomography (CT)
Give this one a try later!
A scanning method in which a camera scans the body structures as x-ray is
beamed at them; a computer calculates the varied radiation absorption in
different parts of a structure
Step 2: Target phonotraumatic behaviors for reduction
Give this one a try later!
By discussing with the client, the family, or both, identify the client's
behaviors that need to be reduced.
Make a list of behaviors and the conditions under which they are exhibited.
Identify time periods during which the behaviors have high probability of
occurrence.
Write a behavioral contract the client and his or her family members sign.
A behavioral contract describes the target behaviors, the method of
reduction, and a commitment from the client and the family to measure the
behaviors accurately; and to take steps necessary to reduce phonotrauma.
, vocal fold paralysis
Give this one a try later!
Causes: neurological damage of some kind, brain, nerves, etc.
Description: can be unilateral (90% of vocal fold paralysis) or bilateral
Perceptual signs and symptoms: variable symptoms from aphonia to
normal voice, in bilateral abductor paralysis, the airway is compromised
Management: Medialization or vocal fold augmentation, voice therapy
(pushing, vocal function exercises, resonant voice)
Oral Rigid Laryngoscopy
Give this one a try later!
Uses a rigid endoscope (an endoscope is an instrument that is passed into
the body)
Gives a very clear picture of laryngeal structures due to better
magnification than a simple mirror
Helpful for easily identifiable structural evaluations (I.e. mass at the base of
the tongue)
s/z ratio
Give this one a try later!
