[PDF] HANDOUT-ABLE: Rationale for an Ear-Nose-Throat Consult





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HANDOUT-ABLE: Rationale for an Ear-Nose-Throat Consult

Instrumental testing that may be indicated at the ENT office could involve different procedures Typically flexible naso-endoscopy is conducted For this procedure a fiber optic cable that is flexible has a camera and it is inserted to the back of the throat through the nose with the patient sitting up and awake





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Searches related to fsjesk ent filetype:pdf

8/2/2017 5 Epistaxis MANAGEMENT: 1 Have the child sit up and lean forward 2 Pinch the nose firmly just below the nasal bones • 5 minutes for children

Nicespeechlady.com resources are intended for speech-language pathology professionals only - in order to augment treatment as indicated, or for general

information-purposes for friends of the SLP profession. SLPs should access these resources and provide content up to the level of their experience, and liability of use

outside what would be indicated falls onto the responsibility of the SLP. See “Terms and Conditions." Please return back to Nicespeechlady.com for additional copies and more materials for treatment home programs, resources and assessment tools.

HANDOUT-ABLE: Rationale for an Ear-Nose-Throat Consult/Clearance Prior to Formal Voice Treatment

Formal voice treatment that is conducted by a

speech pathologist can result in a significant impact for patients

that require this treatment. Vocal exercises that are repetitive, intensive and variable can strengthen patients

who have difficulty with adequate vocal volume, vocal quality issues, articulation/intelligibility due to voice issues, pitch issues and other possible needs for voice treatment.

Best practice requires that speech pathologists only proceed with formal voice treatments once an ENT or

similar clinician has performed instrumental testing to rule-out any structural abnormalities that could worsen

if formal voice treatment is conducted with the presence of certain conditions. Such conditions could

include; vocal nodules, vocal selling, tumors, vocal polyps and other conditions. Speech pathologists that have in place the training, equipment and supervision may perform this testing before the treating speech

pathologist can initiate formal voice treatment.

There are several formal programs on the market that speech pathologists have available (Lee Silverman Voice

Treatment, Speak Out, Voice Aerobics, or there are informal programs). Regardless of the program that is decided upon and available, an Ear

-Nose-Throat or similar consult is indicated prior to starting such a program for the safety of the patient.

Instrumental testing that may be indicated at the ENT office could involve different procedures. Typically,

flexible naso-endoscopy is conducted. For this procedure, a fiber optic cable that is flexible has a camera, and

it is inserted to the back of the throat through the nose with the patient sitting up and awake.

This way, the vocal folds can be observed in various contexts — at rest/breathing, vocalizing, coughing, etc.

The video of the testing can be stored digitally for comparing to future results. This is the current typical

instrumental procedure that is utilized. There are possible types of testing, utilized less frequently --such as: direct laryngoscopy (conducted under general anesthesia),

stroboscopy (the full phonation cycle is matched with strobe lights to be able to see the pattern and structures for vocalizations),

rigid endoscopy (access through the mouth with an endoscope); and, mirror laryngoscopy (an endoscope is not utilized for pictures, but a mirror is angled against the patient"s soft palate so to view the vocal folds).

Nicespeechlady.com resources are intended for speech-language pathology professionals only - in order to augment treatment as indicated, or for general

information-purposes for friends of the SLP profession. SLPs should access these resources and provide content up to the level of their experience, and liability of use

outside what would be indicated falls onto the responsibility of the SLP. See “Terms and Conditions." Please return back to Nicespeechlady.com for additional copies

and more materials for treatment home programs, resources and assessment tools.quotesdbs_dbs14.pdfusesText_20
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