Provoxweb
  • Provoxweb
  • Voice--Speech Rehab
    • Speech Therapy >
      • Introduction
      • Preoperative counseling
      • Outline of voice therapy
      • Important basic principles in voice rehabilitation in prosthetic speech
      • Some points of attention for the 'finishing touch'
      • General aspects of patient instruction
      • Problem solving
      • Conclusion
  • Pulmonary Rehab
    • Introduction
    • Heat and Moisture Exchangers (HME's) >
      • Treatment aspects
      • Prevention aspects
    • Provox HME >
      • Compliance aspects
      • Improvements in compliance
      • Improvements in voicing
      • Early post-operative pulmonary hygiene
      • Breathing resistance
      • Newest Provox HMEs
    • Treatment with inhalation medication
    • Conclusions
    • References

Hypertonicity/spasm of the neoglottis

In case of hypertonicity of the neoglottis (characterized by a strained, strangled voice sound) the patient might not be able to lower the backpressure since more pressure is needed to produce voice. Evaluation of the neoglottis by means of videofluoroscopy is necessary to diagnose hypertonicity or spasm. Hypertonicity can be solved by means of Botox injections or secondary myotomy.

© The Netherlands Cancer Institute - 2003-18; ISBN 90-75575-05-X