The larynx (larynx) are the vocal cords and it serves as the entrance to the tracheobronchial tree. Larynxstörungen include benign laryngeal tumors contact ulcers laryngitis laryngoceles malignant laryngeal tumors Dysphonia spastic vocal cord paralysis vocal cord polyps, nodules and granulomas Among the other diseases that affect the larynx, including acute Laryngotracheobronchitis (croup), epiglottitis and laryngomalacia (see Table Some causes of stridor). For the removal of a foreign body through the Heimlich maneuver, refer to cleaning and opening of the upper airway. Most laryngeal diseases lead to dysphonia, d. H. a voice or Phonationsstörung (The professional voice). In a longer (z. B.> 3 weeks) sustained change in his voice, the vocal folds should be presented in order to assess their mobility. Although the voice changes with age, breathy (breathy) and trembling (aperiodic) is acute or flashy vocal changes may not be accepted as due to old age without a thorough investigation easy. If surgery is planned at the vocal cords, you should examine the voice beforehand and record on tape. The larynx is composed of investigation inspection and palpation of the neck from the outside as well as the representation of the epiglottis, vocal cords bag folds and the actuating or arytenoids, the recess piriform and the subglottic region below the vocal folds. To view the Larynxstrukturen from within, out-patients either indirectly with a mirror (Larynxstörungen) or directly with a flexible laryngoscope and fiber optics can be studied under local anesthesia. A rigid laryngoscopy under general anesthesia the patient provides the most thorough examination of the vocal cords, including visualization of subpages evaluation of passive mobility when paralysis or fixing immobilized biopsy Larynxstörungen When relaxed, the vocal chords generally form a V-shaped opening which the air allowed to freely flow through the trachea. The vocal cords open during inspiration and join in swallowing or speaking. If a mirror is held to the back of the mouth of a patient can often considered the vocal cords and are checked for disorders such Kontaktulzera, polyps, nodules, paralysis and cancer. Paralysis, a (unilateral) or both vocal cords (bilateral – not shown) concern. 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 as well as other inhaled irritants)


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