Dysphonia: Difference between revisions

Jump to navigation Jump to search
← Older editNewer edit →
VisualWikitext
No edit summary
No edit summary
Line 1: Line 1:
{{SignSymptom infobox |
{{Infobox_Disease |
   Name        = Dysphonia |
   Name        = Dysphonia |
   ICD10      = {{ICD10|R|49||r|47}} |
   ICD10      = {{ICD10|R|49||r|47}} |
Line 7: Line 7:
{{CMG}}
{{CMG}}


{{SK}} hoarseness
 


==Overview==
==Overview==
'''Dysphonia''' is the medical term for hoarseness or other [[phonation]] disorders. It is considered much less severe than [[aphonia]].
'''Dysphonia''' is the medical term for hoarseness or other [[phonation]] disorders. It is considered much less severe than [[aphonia]]. Hoarseness can be a change in pitch, a rough sound of the voice, or an increased effort in speaking.
* '''Acute''' hoarseness has a sudden onset and lasts fewer than 2 weeks
* '''Chronic''' hoarseness lasts longer than 2 weeks


==Classification==
==Classificaiton of Dysphonia==
* Organic dysphonia
* Organic dysphonia
* Functional dysphonia
* Functional dysphonia
* [[Spasmodic dysphonia]]
*[[Spasmodic dysphonia]]
 
== Differential Diagnosis ==
 
In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>


==Causes==
=== Acute ===
* [[List of voice disorders|Voice disorders]]
* Acute viral [[laryngitis]]
** [[Laryngitis]]
* [[Aortic aneurysm]]
** [[Chorditis]]
* [[Aortic dissection]]
** Vocal cord nodules
* [[Anaphylaxis]]
** [[Vocal fold cyst]]
* Bacterial [[tracheitis]] / [[laryngitis]]
** [[Reinke's Edema]] (Smoking)
* [[Cerebrovascular accident]] ([[CVA]])
** [[Laryngeal papillomatosis]]
* [[Chorditis]]
* [[Gastroesophageal reflux disease]]
* [[Croup]]
* [[Cancer of the larynx|Laryngeal Cancer]]
* Deep space face and neck infection
* [[Myasthenia gravis]]
* [[Epiglottitis]]
* Foreign body
* [[Head injury]]
* [[Laryngitis]]
* [[Laryngotracheobronchitis]]
* Overstress of vocal cords (speaking, shouting, singing, crying)
* [[Sinusitis]]
* [[Smoke irritation]]
* Surgery
* [[Trauma]]
* [[Upper Respiratory Infection]]
 
=== Chronic ===
* Aging
* [[Allergic Rhinitis]]
* [[Amyloidosis]]
* [[Amyotrophic Lateral Sclerosis]]
* [[Aortic aneurysm]]
* [[Bronchial carcinoma]]
* Bronchogenic tumor
* [[Chondromas]]
* Chronic cough, severe cold
* Chronic inhalation of chemical irritant agents (professional activity)
* Chronic [[sinusitis]]
* [[Drugs]]
* [[Edema]] of vocal cords
* [[Esophageal tumor]]
* Excessively dry and warm room coupled with low water intake
* Foreign body
* [[Gastroesophageal Reflux Disease]] ([[GERD]])
* [[Glomus jugulare tumor]]
* [[Guillain-Barre Syndrome]]
* Habitual aphonia
* [[Hemangioma]]
* [[Hemorrhage]] into [[vocal folds]]
* [[Hypothyroidism]]
* [[Hypothyroidism]]
* [[Hyperthyroidism]]
* [[Juvenile dermatomyositis]]
* [[Sinusitis]]
* [[Laryngeal papillomatosis]]
* Laryngocelesventricular prolapse
* [[Laryngeal carcinoma]]
* [[Left atrial enlargement]]
* [[Lipoma]]
* [[Lung cancer]]
* [[Lung cancer]]
* [[Juvenile dermatomyositis]]
* [[Menopause]]
* [[Multiple Sclerosis]]
* [[Muscular Dystrophy]]
* [[Myasthenia Gravis]]
* Neural [[tumor]]
* [[Neurofibroma]]
* [[Papillomas]]
* [[Parkinson's Disease]]
* Postsurgical
* Psychogenic [[aphonia]]
* [[Puberty]]
* [[Reinke's Edema]]
* Retention cysts
* [[Rheumatoid Arthritis]]
* [[Sarcoidosis]]
* Spastic dysphonia
* [[Squamous Cell Carcinoma]]
* [[Systemic Lupus Erythematosus]]
* [[Thyroid tumor]]
* Ventricular dysphonias
* [[Virilization]]
* [[Vocal cord]] [[nodules]]
* [[Vocal fold cyst]]
* [[Vocal cord paralysis]]
* [[Vocal cord]] polyps
* [[Wegener's Granulotomosis]]
 
== Diagnosis ==
 
== History and Symptoms ==
 
The following should be characterized as part of a full history:
* Onset
* Duration
* Prior history
* Exposure
* Medications
* Voice use
* Associated symptoms
* Medical history
* Surgical history
* Trauma
 
== Physical Examination ==
* Focus on neck, head, lung, thyroid and cardiac exams
* Evaluate voice quality
 
== Laboratory Findings ==
* Thyroid function tests to rule out [[hypothyroidism]]
 
=== X-Ray ===
* [[Chest X-ray]]
* Lateral neck X-ray
 
=== MRI and CT ===
* [[CT scan]] of sinuses
* [[CT scan]] of head and neck
 
=== Other Diagnostic Studies ===
* Upper gastrointestinal (GI) [[endoscopy]]
* Direct or fiber optic nasolaryngoscopy
* [[Biopsy]]
 
== Treatment ==
* '''Airway, breathing''' and '''circulation'''
* Voice rest
* Diet modification ([[GERD]])
* Stop smoking
* Wear protective clothing or masks (if hoarseness is due to exposure)
* Treat underlying etiologies
* Voice therapy
 
== Pharmacotherapy ==
 
=== Acute Pharmacotherapies ===
* [[Antibiotic]]s
* [[Oral steroids]]
* [[H2 blocker]]
* [[Proton pump inhibitors]]
* [[Intranasal steroids]]
* [[Antihistamines]]
 
== Surgery and Device Based Therapy ==
* Surgical intervention for abscesses, masses
* Cricothyrotomy or tracheostomy (to establish airway)


==See also==
==See also==
* [[Dysphasia]]
* [[Dysphasia]]
== References ==
{{reflist|2}}
{{Speech and voice symptoms and signs}}


[[de:Dysphonie]]
[[de:Dysphonie]]
[[he:צרידות]]
[[he:צרידות]]
[[yi:הייזעריג]]
[[pl:Chrypka]]
[[pl:Chrypka]]
[[yi:הייזעריג]]


{{WH}}
[[Category:Otolaryngology]]
{{WS}}
[[Category:Signs and symptoms]]
[[Category:Needs patient information]]


[[Category:Signs and symptoms]]
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}

Revision as of 15:54, 19 August 2012

Dysphonia
ICD-10 R49
ICD-9 784.49

WikiDoc Resources for Dysphonia

Articles

Most recent articles on Dysphonia

Most cited articles on Dysphonia

Review articles on Dysphonia

Articles on Dysphonia in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Dysphonia

Images of Dysphonia

Photos of Dysphonia

Podcasts & MP3s on Dysphonia

Videos on Dysphonia

Evidence Based Medicine

Cochrane Collaboration on Dysphonia

Bandolier on Dysphonia

TRIP on Dysphonia

Clinical Trials

Ongoing Trials on Dysphonia at Clinical Trials.gov

Trial results on Dysphonia

Clinical Trials on Dysphonia at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Dysphonia

NICE Guidance on Dysphonia

NHS PRODIGY Guidance

FDA on Dysphonia

CDC on Dysphonia

Books

Books on Dysphonia

News

Dysphonia in the news

Be alerted to news on Dysphonia

News trends on Dysphonia

Commentary

Blogs on Dysphonia

Definitions

Definitions of Dysphonia

Patient Resources / Community

Patient resources on Dysphonia

Discussion groups on Dysphonia

Patient Handouts on Dysphonia

Directions to Hospitals Treating Dysphonia

Risk calculators and risk factors for Dysphonia

Healthcare Provider Resources

Symptoms of Dysphonia

Causes & Risk Factors for Dysphonia

Diagnostic studies for Dysphonia

Treatment of Dysphonia

Continuing Medical Education (CME)

CME Programs on Dysphonia

International

Dysphonia en Espanol

Dysphonia en Francais

Business

Dysphonia in the Marketplace

Patents on Dysphonia

Experimental / Informatics

List of terms related to Dysphonia

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Overview

Dysphonia is the medical term for hoarseness or other phonation disorders. It is considered much less severe than aphonia. Hoarseness can be a change in pitch, a rough sound of the voice, or an increased effort in speaking.

  • Acute hoarseness has a sudden onset and lasts fewer than 2 weeks
  • Chronic hoarseness lasts longer than 2 weeks

Classificaiton of Dysphonia

Differential Diagnosis

In alphabetical order. [1] [2]

Acute

Chronic

Diagnosis

History and Symptoms

The following should be characterized as part of a full history:

  • Onset
  • Duration
  • Prior history
  • Exposure
  • Medications
  • Voice use
  • Associated symptoms
  • Medical history
  • Surgical history
  • Trauma

Physical Examination

  • Focus on neck, head, lung, thyroid and cardiac exams
  • Evaluate voice quality

Laboratory Findings

X-Ray

MRI and CT

Other Diagnostic Studies

  • Upper gastrointestinal (GI) endoscopy
  • Direct or fiber optic nasolaryngoscopy
  • Biopsy

Treatment

  • Airway, breathing and circulation
  • Voice rest
  • Diet modification (GERD)
  • Stop smoking
  • Wear protective clothing or masks (if hoarseness is due to exposure)
  • Treat underlying etiologies
  • Voice therapy

Pharmacotherapy

Acute Pharmacotherapies

Surgery and Device Based Therapy

  • Surgical intervention for abscesses, masses
  • Cricothyrotomy or tracheostomy (to establish airway)

See also


References

  1. ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

Template:Speech and voice symptoms and signs

de:Dysphonie he:צרידות yi:הייזעריג


Template:WikiDoc Sources

Retrieved from "https://www.wikidoc.org/index.php?title=Dysphonia&oldid=685233"