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WHAT ARE VOICE DISORDERS AND WHAT CAUSES
THEM?
There are many types of voice disorders and many
causes. A voice disorder is usually noted by a
change in the voice quality such as chronic
hoarseness, roughness, breathiness, or pain in
the throat. If an individual has chronic
hoarseness or vocal change for more than 2
weeks, he/she should contact their health care
professional, a physician or a speech language
pathologist.
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WHAT IS A LARYNGECTOMY?
Laryngectomy is the removal of the larynx (the
voice box) from the neck, due to laryngeal
cancer or trauma to the larynx from another
source. Prior to surgery, the larynx connects
the mouth and nose with the lungs and houses the
vocal folds used for speech. During a complete
laryngectomy, the larynx is removed and the
airway is re-directed from the lungs to a hole
in the neck called a stoma. Following the
surgery, the person must use a new way to
breathe and a new source of sound.
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WHAT IS A SWALLOWING DISORDER?
You may hear your healthcare worker or speech
language pathologist refer to your swallowing
disorder as dysphagia (dis-FAY-juh). Dysphagia
is the technical term for impaired ability to
move food from the mouth to the stomach. During
a normal swallow, food is put into the mouth,
chewed thoroughly, then pushed to the back of
the mouth by the tongue. The food then leaves
the mouth and enters the pharynx (common pathway
for food and air), where the brain triggers an
involuntary swallow reflex (pharyngeal swallow).
A series of muscle contractions push the food
through the pharynx and close off the airway
(trachea) so no food enters it. This part of the
swallow lasts less than a second, so timing is
very important. The food then enters the
esophagus (food tube) and muscle contractions
push the food down into the stomach. Breakdown
anywhere along this pathway can result in
swallowing difficulty.
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WHAT IS APHASIA AND WHAT CAUSES IT?
Aphasia is an acquired language disorder that is
caused by damage to the language centers of the
brain. Various types of aphasia exist and the
damage can be caused by numerous factors. Injury
to the language centers of the brain is most
commonly caused by stroke, but can also be
caused by blows to the head, gunshot/knife
wounds, brain tumor, and other sources of
traumatic brain injury. Most people, especially
those who are right-hand dominant
(right-handed), will acquire aphasia if they
receive brain injury to the left side of the
brain. However, for some people, the right side
of the brain houses the language centers;
therefore, right side damage may also result in
aphasia. Individuals who have acquired aphasia
may have been able to read, write, speak, and
listen very effectively before injury to their
brain, and are now limited in their ability to
do so.
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WHAT ARE MOTOR SPEECH DISORDERS?
Motor speech disorders are usually caused by
stroke or trauma to the brain that results in
impaired ability to produce speech because of
damage to the areas that control muscles used
for speech. There are 2 major types of motor
speech disorders: dysarthria and apraxia.
Dysarthria is impaired muscle control resulting
in impaired speech production (muscle weakness
or paralysis). Many types of dysarthria exist.
Apraxia is impaired ability to smoothly
coordinate the muscle movements for speech
(muscle coordination impairment).
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