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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;…

Structural dysphonia Regulatory dysphonia  Hormonal dysphonia  Neurogenic (central, peripheral) dysphonia  Malregulative dysphonia Structural-regulatory dysphonia The terms ‘structural’ and ‘regulatory’ allude only to aetiology, and all symptomatic connotations such as ‘hyper-’,…

  (Automated) transitory-evoked otoacoustic emissions testing Automated auditory brainstem response testing Advantages Simple testing technique (relatively minimal training needed to perform OAE testing) Superior evaluation of the auditory system (vs…

Fig. 13.1 Algorithm for phoniatric management of identification, diagnostics, treatment/rehabilitation, therapy supervision and outcome control of DDSL (modified from Neumann et al. 2016) 13.2.2.1 First Identification Parents usually consult a…