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The Voice Problem Website

Terms P-T P Q R S T

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P
Pachyderma
Thickening of the tissues in between the vocal folds at the back of the larynx
Papilloma
Wart-like growth caused by the human papilloma virus (HPV)
Paralysis
Complete loss of nerve input to a muscle, resulting in complete loss of muscle function
Paresis
Partial paralysis; partial loss of nerve input to a muscle, resulting in muscle weakness
Partial Laryngectomy
Surgery to remove part of the larynx while attempting to keep voice production
Pathologist
Physician that examines tissues and cells (e.g., from biopsies), often using a microscope, to determine complete diagnosis
Pathology Analysis
Examination of tissues and cells to determine full diagnosis, often done using a microscope
Pedunculated
Wart-like tumor with a slim stalk
Pepsin
Stomach enzyme
Peristalsis
Esophageal muscle contractions that move food through
pH Levels
Acid levels
Pharyngo-esophageal Tract
Throat (pharynx) + food pipe (esophagus)
Phonation
Making sound to speak
Phonomicrosurgery
Highly specialized surgery to improve voice (phonosurgery) using microsurgical techniques and highly magnified views (microsurgery) to provide microscopic detail
Phonosurgery
Surgery to improve or maintain voice
Phonotrauma
Trauma to the larynx caused by (sometimes abusive) vocal usage
Photosensitizing Dye
A dye used in photodynamic therapy that, when activated by a specific frequency light, results in chemical alteration converting it to a form that can kill targeted cells
Physiatrist
A physician specializing in the prevention, diagnosis, and treatment of conditions using elements such as light, heat, water, electricity, etc.
Physiology
The science and study of the function of living beings
Pitch
The frequency within sound production (high or low)
Polypoid Corditis
Another term for Reinke's edema
Positron Emission Tomography
Test that can help assess function by measuring electric charges; more technically, tomography in which a cross-sectional image of some part of the body is obtained by measuring distribution of gamma radiation when positrons and electrons collide
Post-Cricoid Space
The space behind the cricoid cartlage
Post-Nasal Drip
Feeling of a drip in the back of the throat
Posterior Laryngitis
Inflammation of the back of the voice box
Pre-Epiglottic Space
The space in front of the epiglottis
Primary Tumor
The first tumor in development; the original site of a spreading cancer
Prosody
The variation in stress, pitch, and rhythm of speech
Proton Pump Inhibitors
Stomach acid reducers
Psychogenic Dysphonia
An impairment of voice caused by mental factors
Q
There are currently no entries for this letter.
R
Radiofrequency Ablation
A type of radio wave surgery
Radiographic Imaging
Tests that allow films (pictures) of the inside of the body (e.g., X-ray, CT scan, MRI, etc.)
Recurrent Laryngeal Nerve (RLN)
Branch of vagus nerve to voice box muscles that open and close vocal folds
Recurrent Respiratory Papillomatosis (RRP)
Wart-like growths in the airway passages caused by the human papilloma virus; these growths usually form on the vocal folds, causing a voice disorder
Reflux
Backflow of stomach fluids which contain acid and enzymes
Refluxers/Upright Refluxers/Daytime Refluxers
Patients with reflux laryngitis in whom the backflow of stomach fluids occurs in the upright (sitting/standing) position; often not associated with heartburn
Reflux Laryngitis
Voice disorder caused by backflow of stomach fluids to the throat and voice box area; a type of supraesophageal GERD
Reflux Precautions
Lifestyle changes that a patient follows to minimize backflow of stomach fluids (reflux) such as (but not limited to) sleeping with the head elevated, refraining from lying down after a meal, refraining from foods that increase acidity in stomach fluids, or refraining from foods associated with relaxation of the esophageal sphincter
Reinke's Edema
"Swelling in Reinke's space"; voice disorder from accumulation of gelatinous substance in Reinke's space
Reinke's Space (Superficial Lamina Propria)
Vocal fold layer right underneath its surface lining; really not an empty space—a layer in the vocal fold comprised of cells, special fibers and substances (extracellular matrix); has key role in vocal fold vibration
Resistance
In this context, loss of drug effect
Resonance
The personal quality of one's voice which results from the action of the vocal tract (throat [pharynx], oral cavity, nasal cavities) on the basic sound produced by the vocal folds. This is what differentiates people's voices
Respiration
The act of breathing
Respiratory Papillomatosis
A viral infection of the vocal folds that can be a precursor to atypia or cancer (see also Recurrent Respiratory Papillomatosis)
Rigid Laryngoscopy
An examination of the voice box in which a rigid telescope is used; this examination provides the clearest magnified detail of the voice box, but the patient is unable to speak or sing during the exam
S
Scarring
A thickening, or fibrosis, that occurs as part of healing of injured tissues
Selective Laryngeal Abbuctor Denervation-Reinnervation
Operation in which nerves to two non-working muscles that close (adduct) the vocal folds are cut (denervated) and replaced (renervated) with nerves from muscles that are normal
Sensory Nerves
Nerves that carry signals of sensation to the larynx and other parts of the body (see also motor nerves)
Sessile
The wart-like tumor with no stalk
Smoker's Laryngitis
Another term for Reinke's edema; often associated with a history of smoking
Spasmodic Dysphonia
Voice disorders caused by muscle spasm
Speech Disorder
Malfunction of the tongue and/or lip muscles resulting in garbled words or parts or words
Stridor
Noisy breathing, usually caused by obstruction or narrowing of the airway; stridor is a sign of difficulty passing air – any breathing difficulty needs immediate medical attention
"Stripping"
A "radical" surgical procedure that removes ("strips") the top layers of the vocal folds resulting in severe vocal fold scarring and abnormal voice; due to the resultant damage, this procedure is currently rarely used
Stroboscopy
An examination in which a strobe light is combined with rigid or flexible laryngoscopy to produce a slow motion-like view of vocal fold vibration and vocal fold closure
Stroke
A condition in the brain caused by too little or too much blood supply, resulting in poor function of the parts of the body controlled by the affected areas of the brain
Squamous Cell Carcinoma
Cancer composed of a certain type of cell called squamous cells, usually found in lining cells
Subglottic Larynx
Below the glottis
Subglottic Stenosis
A narrowing below the vocal folds
Subglottic Tumor
A tumor in the larynx below the glottis
Subglottis
Below the glottis (area of the vocal folds)
Superficial Lamina Propria
Top layer of the laminae propria that plays a key role in vocal fold vibration; loosely structured; located just underneath the cell lining (epithelium) covering the vocal fold
Superior Laryngeal Nerve (SLN)
Branch of vagus nerve to cricothyroid muscle involved in control of pitch
Supraglottic Larynx
Above the glottis
Supraglottic Tumor
A tumor in the larynx above the glottis
Supraglottis
Above the glottis (area of the vocal folds)
Surgical Excision/Surgical Resection
Removal through a surgical procedure
Symptoms
Common complaints of a condition
T
Thyroarytenoid (TA) Muscle
Muscle within the vocal fold
Thyroid Cartilage
A shield-like cartilage that forms the front of the voice box; also the cartilage that forms the "Adam's Apple"
Thyroid Gland
A major hormone regulator of the body, located in the neck area
Timbre
Hoarseness, harsh voice, abnormal voice quality due to abnormal vocal fold vibration
TNM Staging
T, tumor type; N, lymph nodes involved; M, metastasis or spread to other body parts
Topical Anesthesia
Substance applied to the surface to decrease sensation, such as sensation to pain
Trachea
The windpipe; connects lungs to larynx
Tracheostomy
A breathing tube placed directly into the windpipe, below the area of the voice box
Tracheotomy
Incision of the trachea, done to place a tracheostomy
Transcutaneous Approach
Entering through the skin; can refer to drug administered by absorption through the skin or a procedure directly approached through the skin
Transoral Laryngoscopy
Viewing of the larynx through the mouth using a specialized instrument called a laryngoscope

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