[Vocal physiopathology].
Cordectomies usually result in alteration of the glottic sphincter which in turn effects the activity of the entire larynx bringing about different types of dysphonia according to the resulting scarring pattern in the glottic floor and to the functional recompensation made by the cordectomized patients themselves. Today, study of those anatomic dynamics which determine voice typology in cordectomized patients is possible thanks to various means: synthesis of data obtained from psycho-perspective analyses of the vocal product, video-fiber-laryngoscopic observation of the vocal tract and spectrographic study. The above-mentioned examinations show how the type of dysphonia in these patients is determined by the various combinations of different scarring patterns, which also depend on the entity of surgical exeresis, and the position taken on by various laryngeal district during phonation? The authors present paradigmatic clinical cases in order to demonstrate the different phonatory capabilities achieved by patients who had undergone either cordectomy or cordectomy extended to the ventricle and false vocal cords.
Iengo
M
M
Cattedra di Foniatria, Facoltà di Medicina e Chirurgia, Università di Reggio Calabria.
Castagna
G
G
D006801:Humans; D007825:Laryngectomy / Q000534:rehabilitation; D007828:Laryngoscopy; D007830:Larynx / Q000503:physiopathology; D011184:Postoperative Period; D013018:Sound Spectrography; D014827:Vocal Cords / Q000601:surgery; D014833:Voice Quality / Q000502:physiology*
Fisiopatologia vocale.