Laryngeal Kontaktulzera

Laryngeal Kontaktulzera are unilateral or bilateral mucosal erosions over the vocal process of the arytenoid cartilage (cartilage arytenoidea).

Especially singer frequently experience that Kehlkopfkontaktulzera are a result of vocal overuse, z. As if they have their larynx repeatedly mistreated by an abrupt onset of vocal phonation. Kontaktulzera can also occur if the mucosa over the vocal processes was injured in an endotracheal intubation. A gastroesophageal reflux can also cause or aggravate Kontaktulzera. A longer lasting ulceration leads to unspecific granulomas.

Laryngeal Kontaktulzera are unilateral or bilateral mucosal erosions over the vocal process of the arytenoid cartilage (cartilage arytenoidea). Especially singer frequently experience that Kehlkopfkontaktulzera are a result of vocal overuse, z. As if they have their larynx repeatedly mistreated by an abrupt onset of vocal phonation. Kontaktulzera can also occur if the mucosa over the vocal processes was injured in an endotracheal intubation. A gastroesophageal reflux can also cause or aggravate Kontaktulzera. A longer lasting ulceration leads to unspecific granulomas. The professional voice people who use their voice as a speaker or singer professional, often suffering from voice disorders, which manifest as hoarseness or smokiness, lowered tone of voice, vocal fatigue, non-productive cough, persistent cough and / or sore throat. These symptoms often have benign causes such as vocal nodules, vocal fold edema, polyps or granulomas. Such disorders are usually based on a functional overload of the vocal cords (strong tightening of laryngeal muscles while speaking) and possibly also on a gastroesophageal reflux. Treatment in most cases includes the following measures: voice evaluation by a speech therapist or experienced doctor using a computer-based program, if available, to assess pitch / pitch and intensity and vocal acoustic parameters to determine behavioral therapy (removal of Larynxmuskelanspannung while speaking) and visual- acoustic Biofeedbach using a computer program vocal training to eliminate abusive behaviors such as excessively loud or long speeches (persistent talk for> 1 h), vocal tension (excessive muscular effort during phonation) and habitual throat clearing If required antireflux therapy adequate humidification of the mucosa to to promote the wave motion in the larynx nutritional and behavioral change (before vocal performances avoiding alcohol, caffeine un d tobacco smoke in the environment, and other inhaled irritants) They manifest themselves by symptoms of the contact ulcer of the larynx as varying degrees of hoarseness and mild pain in speaking and swallowing. The diagnosis of contact ulcers of the larynx is carried out by laryngoscopy. It is important to exclude by biopsy, a carcinoma of the larynx or TB. The treatment of contact ulcers of the larynx consists of a vocal conservation (? 6 weeks). To prevent relapses, patients must learn to accept that their voices are limits so that they align their (voting) activities after recovery. An antibiotic treatment to suppress the bacterial flora is also advisable. The risk of recurrence can be reduced sustainably through consistent treatment of gastroesophageal reflux disease.

Health Life Media Team

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