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Your health: Voice disorders in adults and children



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A voice disorder is an impairment in the way the vocal cords and speech mechanism work to produce ‘voice’ (e.g. ‘aahhh’).

What is voice disorder?

A voice disorder is an impairment in the way the vocal cords and speech mechanism work to produce ‘voice’ (e.g. ‘aahhh’).

A voice disorder causes the voice to alter in a number of ways:

  1. Voice quality
    • Hoarse
    • Husky
    • Raspy sounding voice

  2. Nasality
    • Hypernasal voice – where air comes out of the nose (sounding like a snort)
    • Hyponasal voice – the person sounds like they have a blocked nose even though they do not have a cold

  3. Pitch
    • May be too high or too low for age
    • Difficulties altering pitch

What causes a voice disorder?

  • Vocal nodules or calluses. These form on the vocal cords as a result of misusing the voice. Speech Pathologists commonly see professional voice users such as singers, actors and aerobics instructors or people who use their voice excessively for their work (e.g. teachers). They may also see children who scream excessively.
  • Progressive, neurological disorders
  • Working in a poor environment (dust, fumes, etc)
  • Poor vocal hygiene (lack of water, excessive throat clearing or coughing)

What are the consequences of voice disorder?

  • Temporary or permanent damage to the vocal cords
  • Reduced ability to carry out work or leisure activities
  • Reduced confidence and self-esteem

How can a Speech Pathologist help?

  • Speech Pathologists provide education to parents and children about how their voice works and about how to care for the voice.
  • Speech Pathologists also provide treatment to assist children to use their voice in the best possible way.

When should you see a Speech Pathologist?

  • If you have noticed your or your child’s voice quality change over a period of time
  • Painful, effortful voice
  • Reduced ability to participate in normal speaking situations

Contact details for Hornsby Ku-ring-gai Health Service Speech Pathology are on this website.

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Last updated 11 May 2005

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