Abstract
Purpose of review: This review considers recent and significant information pertinent to voice therapy for vocal nodules. Recent findings: Available evidence suggests that voice therapy directed to excessive, hyperfunctional and maladaptive vocal practices can be effective in improving voice quality and reducing size/extent of pathology. However, there is also a growing literature suggesting that behavioral approaches may not be sufficient to permanently heal tissue changes in some patients, regardless of compliance with treatment aims, due to lasting structural damage in the vocal fold cover. This evidence underscores the need for early identification and education in individuals at risk for nodules. Summary: The relationship between vocal nodules and excessive, phonotraumatic voice use is well established. Voice therapy typically consists of education regarding vocal fold mechanics and etiological factors, as well as modification of specific vocal practices that either cause, exacerbate or result from inappropriate voice production. Therapy can be effective in improving voice quality and tissue health but does not necessarily result in complete resolution of pathology. It should always be considered as a part of the treatment regimen for patients with vocal nodules.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 453-457 |
| Number of pages | 5 |
| Journal | Current Opinion in Otolaryngology and Head and Neck Surgery |
| Volume | 17 |
| Issue number | 6 |
| DOIs | |
| State | Published - Dec 2009 |
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Keywords
- Adults
- Strategies and effectiveness
- Vocal nodules
- Voice therapy
ASJC Scopus subject areas
- Otorhinolaryngology
- Surgery
Cite this
Voice therapy and vocal nodules in adults. / Leonard, Rebecca J.
In: Current Opinion in Otolaryngology and Head and Neck Surgery, Vol. 17, No. 6, 12.2009, p. 453-457.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Voice therapy and vocal nodules in adults
AU - Leonard, Rebecca J
PY - 2009/12
Y1 - 2009/12
N2 - Purpose of review: This review considers recent and significant information pertinent to voice therapy for vocal nodules. Recent findings: Available evidence suggests that voice therapy directed to excessive, hyperfunctional and maladaptive vocal practices can be effective in improving voice quality and reducing size/extent of pathology. However, there is also a growing literature suggesting that behavioral approaches may not be sufficient to permanently heal tissue changes in some patients, regardless of compliance with treatment aims, due to lasting structural damage in the vocal fold cover. This evidence underscores the need for early identification and education in individuals at risk for nodules. Summary: The relationship between vocal nodules and excessive, phonotraumatic voice use is well established. Voice therapy typically consists of education regarding vocal fold mechanics and etiological factors, as well as modification of specific vocal practices that either cause, exacerbate or result from inappropriate voice production. Therapy can be effective in improving voice quality and tissue health but does not necessarily result in complete resolution of pathology. It should always be considered as a part of the treatment regimen for patients with vocal nodules.
AB - Purpose of review: This review considers recent and significant information pertinent to voice therapy for vocal nodules. Recent findings: Available evidence suggests that voice therapy directed to excessive, hyperfunctional and maladaptive vocal practices can be effective in improving voice quality and reducing size/extent of pathology. However, there is also a growing literature suggesting that behavioral approaches may not be sufficient to permanently heal tissue changes in some patients, regardless of compliance with treatment aims, due to lasting structural damage in the vocal fold cover. This evidence underscores the need for early identification and education in individuals at risk for nodules. Summary: The relationship between vocal nodules and excessive, phonotraumatic voice use is well established. Voice therapy typically consists of education regarding vocal fold mechanics and etiological factors, as well as modification of specific vocal practices that either cause, exacerbate or result from inappropriate voice production. Therapy can be effective in improving voice quality and tissue health but does not necessarily result in complete resolution of pathology. It should always be considered as a part of the treatment regimen for patients with vocal nodules.
KW - Adults
KW - Strategies and effectiveness
KW - Vocal nodules
KW - Voice therapy
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U2 - 10.1097/MOO.0b013e3283317fd2
DO - 10.1097/MOO.0b013e3283317fd2
M3 - Article
C2 - 19741535
AN - SCOPUS:74949109908
VL - 17
SP - 453
EP - 457
JO - Current Opinion in Otolaryngology and Head and Neck Surgery
JF - Current Opinion in Otolaryngology and Head and Neck Surgery
SN - 1068-9508
IS - 6
ER -