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• Cover
• Title Page
• Copyright
• Contents
• Foreword
• Preface
• Acknowledgments
• Contributors
• Dedication
• 1. Respiratory Anatomy and Physiology
• The Lungs
• The Trachea
• The Bronchi
• The Thorax
• The Ribs
• The Diaphragm
• The Abdominal Wall
• Sternum
• Clavicle
• Driving Forces of the Respiratory System
• How Does the Human Body Generate These Respiratory Forces?
• Passive and Active Forces of the Respiratory System
• The Respiratory System and Voice Production
• Relaxation Pressure Curve
• Using the Right Terminology
• Biofeedback Techniques
• Summary
• References
• 2. Laryngeal Anatomy and Physiology
• Laryngeal Anatomy
• Laryngeal Structure: Pieces and Parts
• Laryngeal Muscles
• What Are the Vocal Folds Made of, Exactly?
• Laryngeal Ligaments and Membranes
• Extrinsic Membranes
• Intrinsic Membranes
• Ligaments
• Aryepiglottic Folds
• Cavities
• Arterial Supply of the Larynx
• Laryngeal Nerve Supply
• Laryngeal Development (Infancy to Adulthood)
• Adult Male and Female Differences in Laryngeal Anatomy
• Age Effects on Laryngeal Anatomy
• Phonation
• Mechanisms for Changing Pitch
• What Is a Vocal Register?
• Mechanism for Changing Loudness
• Summary
• References
• 3. Vocal Health
• Phonotrauma
• Basic Issues Related to Vocal Health
• Recovery Process
• Contributors to Poor Vocal Health
• Summary
• References
• 4. Evaluation
• The Specialty of Otolaryngology
• Case History
• The Physical Examination
• Laryngoscopic Techniques
• Instrumental Assessment
• Imaging
• Digital Laryngostroboscopy
• Videokymography
• Aerodynamics
• Classic Methods for Collection of Aerodynamic Signals
• Laryngeal Aerodynamic Variations
• Laryngeal Aerodynamics as a Function of Aging
• Laryngeal Aerodynamic Differences as a Function of Sex
• Laryngeal Aerodynamic Changes as a Function of Speech Task
• Using Aerodynamics for Examination of Voice Disorders
• Acoustic Analysis of Voice
• Intensity
• Voice Range Profile
• Short-Term Perturbation
• Relative Noise Level
• Spectral Measures
• Fast Fourier Transform (FFT)
• Vowel Spectrum
• Long-Term Average Spectrum
• Cepstral Peak
• Electroglottography
• Electromyography
• Auditory-Based Measures of Voice Quality
• Indices Obtained by Combining Measurements
• Perceptual Rating Scales
• Voice Handicap Scales and Quality-of-Life Scales
• Voice Handicap Index
• Voice-Related Quality-of-Life Scale
• Hygiene and Safety of Equipment
• Summary
• References
• Appendix 4–1. Case History Form—Voice
• Appendix
• Appendix 4–3. Position Statement: Evidence-Based Practice in Communication Disorders
• Appendix 4–4. Relevant Paper: The Roles of Otolaryngologists and Speech-Language Pathologists in the Performance and Interpretation of Strobovideolaryngoscopy
• Appendix 4–5. Voice Handicap Index
• Appendix 4–6. Voice-Related Quality of Life Measure
• Appendix 4–7. Recommended Protocols
• 5. Vocal Pathology
• Etiology of Voice Disorders
• Vocal Lesions
• Pathology Classifications
• Incidence of Voice Disorders
• Structural Pathologies of the Vocal Folds
• Vascular Lesions
• Functional Voice Disorders
• Idiopathic
• Autoimmune
• Summary
• References
• 6. Neurologically Based Voice Disorders
• Neurologic Voice Disorders
• Other Neurologic Cases
• Summary
• References
• 7. Vocal Rehabilitation
• Addressing Patient Diversity in Vocal Rehabilitation
• Clinical Competence
• The Road to Therapy
• Communication Strategies
• Adherence
• Voice Therapy
• The Evolving Process of Voice Therapy
• Goals of Voice Therapy
• Definition of Treatment Efficacy
• Voice Therapy Approaches: What Are They?
• Specific Treatments for Other Populations
• Special Considerations for Gender-Affirming Voice and Communication Therapy
• Voice Therapy for School-Age Children With Voice Disorders
• Technology and Gaming in Voice Therapy
• Biofeedback Techniques
• Alternative Voice Management
• Defining a Voice Outcome
• Criteria for Termination of Therapy
• Telehealth Options
• Definition of Treatment Effectiveness
• Summary
• References
• Appendix 7–1. Voice Stimuli
• 8. Management: Phonosurgery
• Surgical Treatment of Dysphonia
• Awake Procedures
• General Considerations in the Surgical Approach to the Larynx
• Microlaryngoscopy With Nodule Removal
• Microflap Dissection
• Laser Laryngoscopy
• Laryngeal Microdebrider Dissection
• Injection Augmentation
• Laryngeal Framework Surgery
• Selected Clinical Cases
• Suggested References for Reading
• Appendix 8–1. Postoperative Instructions for Surgery of Vocal Fold Lesions
• 9. Team Management of Head and Neck Cancer
• Introduction
• Head and Neck Cancer Statistics
• Head and Neck Cancer Sites
• Head and Neck Cancer Types
• Head and Neck Squamous Cell Cancers
• General Cancer Staging
• Primary Tumor Staging
• Cancer Spread
• Surgical Options for Treating Head and Neck Cancer
• Organ Preservation Through Radiation and Chemotherapy
• Combined Management Approaches
• Multidisciplinary Clinical and Research Team
• Surgical Options for Laryngeal Cancer
• The Role of the Speech-Language Pathologist Prior to Laryngectomy
• The Role of the Speech-Language Pathologist Following Laryngectomy
• Types of Partial Laryngectomy Procedures
• Postoperative Strategies
• Communication Following Total Laryngectomy
• Developing a System to Track Outcomes With the HNC Population
• Future Directions
• Conclusions
• Useful Websites
• References
• Appendix 9–1. Case Example: Management of SCCA In Situ in a Professional Performer: An Interdisciplinary Approach
• Appendix 9–2. Case Example: Management of Recurrent Laryngeal Cancer Spanning 10 Years
• Appendix 9–3. Voicing Practice Exercises: Handout for the Laryngectomized Patient
• 10. Vocal Performance
• What Constitutes Singing Voice Intervention?
• The Singing Voice
• The Voice Care Team
• Performer Classifications and Vocal Registers
• Etiology of Dysphonia in Vocal Performers
• Compensatory and Cover Techniques Used by Vocal Performers
• Singers and Support
• Clinical Assessment of Vocal Performers
• The Medical, Social, and Singing History
• Speaking Voice Assessment
• Vocal Load
• Vocal Pacing and Budgeting
• Singing Voice Assessment
• Training and Techniques Specific to Performance Voice
• Case Examples
• Singing Health
• Professional Associations
• Case Studies
• Summary
• References
• Appendix 10–1. Singer’s History Form
• Appendix 10–2. Singing Voice Handicap Index (S-VHI)
• Appendix 10–3. Evaluation of the Ability to Sing Easily (EASE)
• Appendix 10–4. Glossary of Singing Terms
• 11. Drug Types and Effects on Voice
• Drug Interactions
• Patient-Specific Factors
• Drug Administration
• Drug Classes
• Psychoactive Medications
• Drug Compliance
• Herbal Supplements and Alternative Medicines
• Special Populations
• Summary
• Recommended Readings
• References
• Appendix 11–1. Chapter 11 Glossary
• 12. Immune System Response to Diseases and Its Impact on Laryngeal Function
• Introduction
• Innate Immunity and Wound Healing
• Adaptive Immunity
• Fibroblasts’ Immune Functions
• Immunologic Barriers to Treatment
• Biomaterials
• Cell-Based Therapies
• Conclusions
• References
• 13. Laryngeal Reflexes
• Sensory Receptors
• Free Nerve-Ending Receptors
• Encapsulated Nerve Endings
• Pathway of Sensory Information
• Laryngeal Reflexes
• Upregulation of Sensory Afferents
• Down Regulation of Sensory Afferents
• References
• Glossary
• Index
• Back Cover