Voice Disorders
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A comprehensive and engaging textbook, Voice Disorders, Fifth Edition offers students and practicing clinicians a contemporary, evidence-based understanding of the anatomical, physiological, and neurological foundations of voice production and the wide spectrum of voice disorders. This textbook covers essential topics such as respiratory and laryngeal anatomy, vocal pathology, evaluation techniques, therapy approaches, phonosurgery techniques, and management of special populations including singers and individuals with head and neck cancer.
With new chapters on laryngeal reflexes and the immune system’s impact on voice, as well as expanded coverage of gender-affirming voice care and the effects of pharmacology, this edition reflects the latest clinical research and practice. This forward-looking text introduces significant updates and expansions that reflect the most current advancements in the field, ensuring students and clinicians have access to cutting-edge information on the evaluation and treatment of voice and upper airway disorders.
Designed for graduate students in speech-language pathology and for clinicians seeking advanced training, this book bridges science and practice with clarity and depth. Richly illustrated with full-color anatomical drawings and clinical images, and supported by a robust companion website featuring digital laryngoscopic videos, surgical footage, case examples, and an interactive workbook, Voice Disorders equips readers to evaluate and manage voice disorders across the lifespan.
Whether used in the classroom, clinic, or private practice, this authoritative text is an essential resource for anyone committed to excellence in voice care. Sapienza and Hoffman’s Voice Disorders, Fifth Edition continues its enduring legacy as the leading textbook for courses in voice disorders and an invaluable clinical reference. New to the Fifth Edition A new section exploring emerging technologies in voice evaluation, including cutting-edge developments such as artificial intelligence, machine learning, and voice biomarker research, offering insights into the future of voice diagnostics and personalized care.
Updated protocols for voice evaluation featuring the most recent advancements in perceptual voice assessment, acoustic measurement tools, and information on the updated CAPE-Vr (Consensus Auditory-Perceptual Evaluation of Voice – revised). Revised terminology and definitions that now reflect current consensus and clinical relevance, notably including updated terms such as inducible laryngeal obstruction (ILO), exercise-induced laryngeal obstruction (EILO), and cough hypersensitivity syndrome, ensuring clarity and alignment with evolving diagnostic frameworks.
A new dedicated chapter examining upper airway disorders associated with laryngeal reflexes. An expanded discussion on the management of head and neck cancers, providing a more comprehensive overview of interdisciplinary strategies and clinical considerations with updated illustrations An updated review of drug interactions, providing a comprehensive overview of pharmacologic considerations relevant to voice and airway disorders.
This section highlights potential interactions that may influence treatment outcomes and vocal function, serving as a critical reference for informed clinical decision-making. More than 100 new and updated references to support clinical decision-making and research integration. New chapter-specific testing questions to aid in student comprehension and retention. These comprehensive enhancements position the Fifth Edition as an essential and up-to-date resource for clinicians, educators, and students, setting a new standard for excellence in the field.
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- Plural Publishing, Inc.
- 9781635505344
- 9781635507881
- ePub
- 5
- Christine Sapienza, Bari Hoffman
- English
- 12/2025
- 100
- 100
- 50
Kaflar
- Cover Page
- Title Page
- Copyright
- Foreword by Thomas Murry, PhD
- Preface
- Acknowledgments
- About the Authors
- Contributors
- Dedication
- 1. Respiratory Anatomy and Physiology
- The Lungs
- The Trachea
- The Bronchi
- The Thorax
- The Ribs
- The Diaphragm
- The Abdominal Wall
- Sternum
- Clavicle
- Driving Forces of the Respiratory System
- How Does the Human Body Generate These Respiratory Forces?
- Passive and Active Forces of the Respiratory System
- The Respiratory System and Voice Production
- Relaxation Pressure Curve
- Using the Right Terminology
- Biofeedback Techniques
- Summary
- References
- 2. Laryngeal Anatomy and Physiology
- Laryngeal Anatomy
- Laryngeal Structure: Pieces and Parts
- Laryngeal Muscles
- What Are the Vocal Folds Made of, Exactly?
- Laryngeal Ligaments and Membranes
- Extrinsic Membranes
- Intrinsic Membranes
- Ligaments
- Aryepiglottic Folds
- Cavities
- Arterial Supply of the Larynx
- Laryngeal Nerve Supply
- The Recurrent Laryngeal Nerve
- Laryngeal Development (Infancy to Adulthood)
- Adult Male and Female Differences in Laryngeal Anatomy
- Age Effects on Laryngeal Anatomy
- Phonation
- Mechanisms for Changing Pitch
- What Is a Vocal Register?
- Mechanism for Changing Loudness
- Summary
- References
- 3. Vocal Health
- Phonotrauma: Terminology, Implications, and Clinical Relevance
- Basic Issues Related to Vocal Health
- Recovery Process
- Contributors to Poor Vocal Health
- Summary
- References
- 4. Evaluation
- The Specialty of Otolaryngology
- Case History
- The Physical Examination
- Laryngoscopic Techniques
- Instrumental Assessment
- Imaging
- Digital Laryngostroboscopy
- Videokymography
- Aerodynamics
- Classic Methods for Collection of Aerodynamic Signals
- Laryngeal Aerodynamic Variations
- Laryngeal Aerodynamics as a Function of Aging
- Laryngeal Aerodynamic Differences as a Function of Sex
- Laryngeal Aerodynamic Changes as a Function of Speech Task
- Using Aerodynamics for Examination of Voice Disorders
- Acoustic Analysis of Voice
- Intensity
- Voice Range Profile
- Short-Term Perturbation
- Relative Noise Level
- Spectral Measures
- Fast Fourier Transform (FFT)
- Vowel Spectrum
- Long-Term Average Spectrum
- Cepstral Peak
- Electroglottography
- Electromyography
- Auditory-Based Measures of Voice Quality
- Indices Obtained by Combining Measurements
- Perceptual Rating Scales
- Voice Handicap Scales and Quality-of-Life Scales
- Voice Handicap Index
- Voice-Related Quality-of-Life Scale
- Hygiene and Safety of Equipment
- Summary
- References
- Appendix 4-1. Case History Form-Voice
- Appendix 4-2. Videostroboscopy Rating Form
- Appendix 4-3. Voice Handicap Index
- Appendix 4-4. Voice-Related Quality of Life Measure
- Appendix 4-5. Recommended Protocols
- 5. Vocal Pathology
- Etiology of Voice Disorders
- Vocal Lesions
- Pathology Classifications
- Incidence of Voice Disorders
- Structural Pathologies of the Vocal Folds
- Vascular Lesions
- Functional Voice Disorders
- Upper Airway Disorders
- Autoimmune
- Summary
- References
- 6. Neurologically Based Voice Disorders
- Neurologic Voice Disorders
- Other Neurologic Cases
- Summary
- References
- 7. Vocal Rehabilitation
- Addressing Patient Differences in Vocal Rehabilitation
- Clinical Competence
- The Road to Therapy
- Communication Strategies
- Adherence
- Voice Therapy
- The Evolving Process of Voice Therapy
- Goals of Voice Therapy
- Definition of Treatment Efficacy
- Voice Therapy Approaches: What Are They?
- Specific Treatments for Other Populations
- Special Considerations for Gender-Affirming Voice and Communication Therapy
- Voice Therapy for School-Age Children With Voice Disorders
- Technology and Gaming in Voice Therapy
- Biofeedback Techniques
- Alternative Voice Management
- Defining a Voice Outcome
- Criteria for Termination of Therapy
- Telehealth Options
- Definition of Treatment Effectiveness
- Summary
- References
- Appendix 7-1. Voice Stimuli
- 8. Management: Phonosurgery
- Surgical Treatment of Dysphonia
- Awake Procedures
- General Considerations in the Surgical Approach to the Larynx
- Microlaryngoscopy With Nodule Removal
- Microflap Dissection
- Laser Laryngoscopy
- Laryngeal Microdebrider Dissection
- Injection Augmentation
- Laryngeal Framework Surgery
- Selected Clinical Cases
- For Further Reading: Innovations and Evidence in Phonosurgery
- Suggested References for Reading
- Appendix 8-1. Postoperative Instructions for Surgery of Vocal Fold Lesions
- 9. Team Management of Head and Neck Cancer
- Introduction
- Head and Neck Cancer Statistics
- Head and Neck Cancer Sites
- Head and Neck Cancer Types
- Head and Neck Squamous Cell Cancers
- General Cancer Staging
- Primary Tumor Staging by Site
- Larynx-Subdivided into Three Sites: Supraglottis, Glottis, and Subglottis
- Cancer Spread
- Surgical Options for Treating Head and Neck Cancer
- Organ Preservation Through Radiation and Chemotherapy
- Combined Management Approaches
- Multidisciplinary Clinical and Research Team
- Surgical Options for Laryngeal Cancer
- The Role of the Speech-Language Pathologist Prior to Laryngectomy
- The Role of the Speech-Language Pathologist Following Laryngectomy
- Types of Partial Laryngectomy Procedures
- Postoperative Strategies
- Communication Following Total Laryngectomy
- Developing a System to Track Outcomes With the HNC Population
- Future Directions
- Conclusions
- Useful Websites
- References
- Appendix 9-1. Case Example: Management of SCCA In Situ in a Professional Performer: An Interdisciplinary Approach
- Appendix 9-2. Case Example: Management of Recurrent Laryngeal Cancer Spanning 10 Years
- Appendix 9-3. Voicing Practice Exercises: Handout for the Laryngectomized Patient
- 10. Vocal Performance
- What Constitutes Singing Voice Intervention?
- The Singing Voice
- The Voice Care Team
- Performer Classifications and Vocal Registers
- Etiology of Dysphonia in Vocal Performers
- Compensatory and Cover Techniques Used by Vocal Performers
- Singers and Support
- Clinical Assessment of Vocal Performers
- The Medical, Social, and Singing History
- Speaking Voice Assessment
- Vocal Load
- Vocal Pacing and Budgeting
- Singing Voice Assessment
- Training and Techniques Specific to Performance Voice
- Case Examples
- Singing Health
- Professional Associations
- Case Studies
- Summary
- References
- Appendix 10-1. Singer's History Form
- Appendix 10-2. Singing Voice Handicap Index (S-VHI)
- Appendix 10-3. Evaluation of the Ability to Sing Easily (EASE)
- Appendix 10-4. Glossary of Singing Terms
- 11. Drug Types and Effects on Voice
- Drug Interactions
- Patient-Specific Factors
- Drug Administration
- Drug Classes
- Psychoactive Medications
- Drug Compliance
- Herbal Supplements and Alternative Medicines
- Special Populations
- Summary
- Recommended Readings
- References
- Appendix 11-1. Chapter 11 Glossary
- 12. Immune System Response to Diseases and Its Impact on Laryngeal Function
- Introduction
- Innate Immunity and Wound Healing
- Adaptive Immunity
- Fibroblasts' Immune Functions
- Immunologic Barriers to Treatment
- Biomaterials
- Cell-Based Therapies
- Conclusions
- References
- 13. Laryngeal Reflexes in Upper Airway Disorders: Foundations for Clinical Practice
- Sensory Receptors
- Free Nerve-Ending Receptors
- Encapsulated Nerve Endings
- Pathway of Sensory Information
- Laryngeal Reflexes
- Upregulation of Sensory Afferents
- Down Regulation of Sensory Afferents
- Summary
- References
- Glossary
- Index
- Back Cover