13.2 Lateral Temporal Bone Resection Fig. 13.1 Temporal bone resection for malignancy encompasses three related procedures of progressively increasing depth: sleeve resection of the external auditory canal (solid line), lateral temporal bone…
The petrous apex is the medial portion of the petrous ridge situated between the inner ear and the clivus. In its base lies foramen lacerum traversed by the internal carotid…
Pulsatile tinnitus may have many sources. Most commonly it occurs in conductive hearing loss, especially middle ear effusion, due to reduced external hearing and augmented vascular pulsations conducted through the…
Fig. 1.1 Adolph Kussmaul The new medical field was at first denominated as voice and speech pathology (Stimm- und Sprachheilkunde). The closest approximation, however, to the present term ‘phoniatrics’ was…
Voice complaints Timbre change Pitch Loudness Hoarseness Episodes of voice loss Onset and nature of problems Sudden/prolonged Acute/chronic Duration of symptoms Presence of fatigue voice Changes of voice quality during…
Fig. 16.1 Family tree of an autosomal recessive hearing disorder 16.1.3 Clinical Examination During the examination neonates and smaller children will usually sit on the lap of the caregiver. Older…
Hyperfunctional dysphonia Hypofunctional dysphonia Pathological mechanism Irregularities of vocal fold vibration due to increased glottal resistance Glottal closure insufficiency due to decreased glottal resistance Subjective complaints Vocal discomfort and…
Fig. 18.1 Family with a sense of well-being. The child is wearing hearing aids. Photo with kind permission of the parents ©privat The model includes the following features: An emphasis…
Voice therapy (a motor learning approach) 8.3.2 Indirect methods 8.3.3 Direct techniques 8.3.2.1 Counselling 8.3.2.2 Voice rest • Absolute voice rest • Modified voice rest 8.3.2.3 Vocal hygiene • Elimination of mechanical trauma • Laryngopharyngeal reflux management • Avoidance of…
Level of language development Ability Percentile 50 (milestones) (references) Percentile 90 (cornerstones) (references) Suggested question for parents and caregivers Vocalization Reduplicating babbling 6 months (Gerken 1994; Largo et al. 1986;…
