Unilateral Vocal Fold Paralysis ( Uvfp )

Watching my friends’ face quiver in disgust after recounting my experience of a videofluoroscopicy and my excitement from viewing the barium travel through the oropharyngeal and pharyngeal phases of swallowing, I realized I wanted to study the extraordinary field of Communication Sciences and Disorders. During my undergraduate career at East Carolina University, my anatomy and physiology class further fostered my enthusiasm for the field when discovering how intricate and complex it is for the human body to perform a simple task such as breathing and swallowing. I was able to utilize my thirst for knowledge of the human anatomy working in Dr. Perry’s Speech Imaging and Visualization Laboratory and enhance my writing skills by reviewing peer reviewed journal articles. Ultimately working and observing lab assistants create 3D anatomical models of the laryngeal mechanism, velopharyngeal mechanism, swallowing mechanism, skull and cranium,

The cleft needs to be repaired (through surgical interventions like palatoplasty) because it’s extremely important for feeding and swallowing, as well as speech. Similar to sleep, without sufficient nutrition, an individual will not be able to fully develop. A lack of sufficient nutrition will affect an individual’s cognitive ability, as well as their physical health. This is why surgical intervention is such a critical component of the process and one of the steps that is completed earlier on in the process. In addition to cleft palates, velopharyngeal insufficiency is a common symptom for about forty percent of individuals with TCS, and is often related to a cleft palate. Velopharyngeal insufficiency can be related to issues with breathing and feeding. It is also related to articulation problems and hypernasality. The articulation issues are likely due to the lack of ability to build pressure and without pressure consonants are altered (Goorhuis-Brouwer & Priester, 2008,

In the novel Before We Were Free written by Julia Alvarez, she made one of her main themes the loss of voice to really express the freedom taken away from even the voice of children and family. This was happening in the Dominican Republic under the control of a cruel dictator named Rafael Trujillo who will be referenced as “El Jefe” and “Mr. Smith” throughout the book. Loss of voice is shown straight from the beginning of the book. The family is intruded by the secret police also know as the SIMS. “Policia secreta,” she explains. “They go around investigating everyone and then disappearing them.” (14)This quote kinda shows the little information people know about the SIMS. Anita was trying to figure out why they are digging through their house with no respect

Hello, I am Lisa Proctor and this is After CRPS (WEBCAST). Today I thought I could talk to you about "Complex Regional Pain Syndrome and what I have learned it is." ............. Complex Regional Pain Syndrome aka "The Suicide Disease" is a neurodegenerative disorder characterized by the following criteria... Pain which is out of proportion to the injury; autonomic dysregulation; neuropathic edema; movement disorder, as well as atrophy and dystrophy of the muscular tissue........................ It is most often caused by a fracture, soft-tissue injury or surgical procedure. CRPS was previously known within the medical community as reflex sympathetic dystrophy CRPS type 1 and Causalgia CRPS type 2...... Interestingly enough, the differences

Often times medication is prescribed to help limit involuntary movements. The ability to speak and swallow is also more affected at this stage. Regular activities are also more difficult to do.

12/16/15 Progress Report indicated that the patient wakes up with headaches. She mentioned headache in the frontal vertex or temporal occipital areas. She also feels imbalance. She denies bruxism and has no significant neck symptoms. She reported having some minor neck tightness. She was being treated with acupuncture 2 X per week and craniosacral therapy 2 X per week. She noted that she was able to read better in the past two weeks. She had difficulty scanning a written page in the past. She also mentioned that her insomnia has slightly improved since initiating these 2 therapies. Physical exam showed no palpable spasms in her cervical region over her muscles of mastication. Cervical range of motion: backward flexion 70 degrees and forward flexion 60 degrees. She was able to turn 60 degrees to each side. She is able to tilt 40 degrees to other side. Comments: Based on the absence of objective findings, she has reached a medical end result with no need for any further treatment. No additional treatment or diagnostic testing is

Since this disorder is not inherited, someone may not know they have the disease until they experience facial paralysis. Bell’s Palsy affects both men and women equally and targets people between the ages of 15-60. “About 1 in 60 people have a Bell’s Palsy at some stage in their life.” The inflammation of the facial nerve could have been caused by viral infections such as by the herpes simplex, or cold sore, virus or by the varicella-zoster, or chickenpox, virus. Scientists believe that children who have had these viruses and recovered physically, may not have gotten completely rid of the virus internally. While the virus is still floating around within the body, it usually remains inactive although, sometimes it becomes re-activated. The re-activated virus is the known to target the facial nerve causing it to become inflamed and result in the unilateral facial paralysis, Bell’s Palsy.

The most obvious clinical sign of SMA is generalized, symmetric weakness that affects proximal more than distal muscles and upper more than lower extremities. Upper cranial nerves are spared in SMA, but bulbar muscle weakness can cause a variety of symptoms such as a weak cry, secretion pooling, aspiration, difficulty with feeding and dysphagia. The diffuse weakness affects many systems including respiratory

Ms. Noid will have a constrained phonational frequency range of approximately 1-2 octaves, reflecting a physiological limitation and impaired vocal mechanism, due to a unilateral vocal fold paralysis. She will be unable to transition between low to high frequency ranges, and exhibit a vocal quality characterized as breathy and hoarse.

Cervical dystonia affects the neck and shoulder area. Symptoms include head twisting which could be painful to the individual. Dystonia could also affect one’s eyes and cause them to become functionally blind due to fast blinking or spasms that cause one’s eyes to shut, called blepharospasms. Oromandibular dystonia involves the jaw muscles and may be painful. This manifests in the inability to close one’s mouth and often cause difficulty with speaking and eating. This type of dystonia is common in accordance with cervical dystonia or belpharospasms. Spasmodic dystonia which is also called laryngeal dystonia, affects the vocal cords may cause a tight or quiet tone of voice. Other types of dystonia are task specific, occurring when the muscle movements occur during a particular action. The most common type is known as writer’s dystonia or writer’s cramp that causes the person’s hands, wrist, and fingers to ache and tightly grasp the writing utensil. This may also involve muscle contractions in the arm. Other task specific dystonias occur in other actions with repetitive actions such as musician’s dystonia or dystonia in professional craftsmen, etc. (Mayo Clinic; Phukan et al., 2011). Dystonic symptoms may increase as time progresses. They may also increase in their severity depending on the individual’s fatigue, stress and anxiety levels (Mayo

PT’s s/z ratio and intensity range are 2 standard deviations away from normal function in children’s voice. A s/z ratio of >1.2 in children is suggestive of glottal valving inefficacy which are associated with nodules, polyps, or other laryngeal masses (Gellena, 2007). Reduced intensity range also indicates a vocal cord mass as this is a common symptom. This is due to reduced flexibility of the vocal cords (Boone, McFarlane, Von Berg, and Zraick, 2014).

Tissue fatigue is caused by destruction of the cells composing the vocal folds. It is frequently described as a raw/sore feeling in a more specific area in the throat (eg. behind the Adam’s

Hypokalemic periodic paralysis is a medical emergency leading to muscle paralysis. Among the hypokalemic periodic paralysis,familial hypokalemic periodic paralysis (FPP)is the most common cause in Western countries,and Thyrotoxic periodic paralysis (TPP), characterized by the triad of acute hypokalemia without total body potassium deficit, muscle paralysis, and thyrotoxicosis, is the most common cause in Asia. Although cases with TPP are mostly uniformly males of Asian descent, cases have been reported in persons of Polynesian, African, Hispanic, Greek, and American Indian descent.

While a droop to the side of a person’s face is commonly associated with strokes, the same facial appearance can be seen in someone with Bell’s Palsy. It is said that Bell’s Palsy is responsible for 60-75% of persons with acute one sided facial paralysis (Cabrera & Schub, 2004). This phenomenon of one sided facial paralysis was first discovered by Sir Charles Bell, who happened to be a surgeon from Scotland (National Institute of Neurological Disorders and Stroke, 2003). Since he made the connection of the facial nerve and the temporary paralysis that it causes, it was only right that they name the condition after him. Early on he was able to differentiate between this nerve condition and a stroke which is a vascular condition in a

A functional laryngeal disorder is one that does not have a known physical cause. Functional laryngeal disorders are recognized as the misuse of the laryngeal apparatus or the larynx being used in an abusive manner. One type of a functional laryngeal disorder is a vocal fold polyp. A vocal fold polyp is a singular occurrence on one vocal cord or both. A polyp is a growth which resembles a blister like bump. In addition, a hemorrhage is a blood vessel that ruptures which causes a collection of blood within the layers of the vocal cord, this can be seen as a bruise on the vocal cord. Adele has suffered from a vocal fold polyp with hemorrhage.