Case Challenge: Diagnosing and Managing Dysphonia

Gordon H. Sun, MD, MS

Disclosures

June 19, 2018

Vocal Hygiene

According to the AAO-HNSF dysphonia guideline update, clinicians should recommend behavioral and environmental modifications to patients to prevent or reduce the risk of developing dysphonia. Preventive measures include:

  • Increasing water intake (drinking six to eight 8-oz glasses of water daily)

  • Using amplification devices in large, noisy spaces to reduce vocal strain

  • Resting the voice for brief periods to prevent fatigue and overuse

  • Using an indoor air humidifier in dry environments[1]

Lifestyle modifications and strategies to improve voice health include:

  • Smoking cessation and avoiding secondhand smoke, both of which can irritate the upper aerodigestive tract

  • Avoiding overuse or excessive strain of the voice (eg, shouting, yelling, whispering)

  • Avoiding excessive throat clearing or coughing

  • Avoiding consumption of alcoholic and caffeinated beverages, which can cause throat dryness and thickening of mucus

  • Avoiding medications that can dry out mucous membranes[1] (The list of "drying" medications is extensive, but includes many common classes of drugs such as antihistamines, decongestants, and diuretics[5,6])

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as:

processing....