Nomenclature of voice disorders and vocal pathology.

An improved nomenclature framework is crucial to improve communication regarding voice problems and to advance the field of voice disorders. The subjective nature of the voice evaluation process does not lend itself readily to uniformity and most voice-disordered patients demonstrate multiple pathologic processes. In this article, the authors offer a broad-based nomenclature paradigm for the classification of voice disorders and vocal pathology. Four major categories of voice disorders are identified based on pathophysiology and auditory-perceptual and visual-perceptual observations. As the understanding of vocal fold biomechanics and pathophysiology evolves, it is expected that this nomenclature system will also increase in specificity.

[1]  H. Biller,et al.  Human Vocalis Contains Distinct Superior and Inferior Subcompartments: Possible Candidates for the Two Masses of Vocal Fold Vibration , 1998, The Annals of otology, rhinology, and laryngology.

[2]  E. Luschei,et al.  A Preliminary Study of the Prognostic Role of Electromyography in Laryngeal Paralysis , 1994, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[3]  E. Hammond,et al.  Benign Pathologic Responses of the Larynx , 1995 .

[4]  P. Woo.  Laryngeal electromyography is a cost-effective clinically useful tool in the evaluation of vocal fold function. , 1998, Archives of otolaryngology--head & neck surgery.

[5]  S. Zeitels,et al.  Reinke's Edema: Phonatory Mechanisms and Management Strategies , 1997, The Annals of otology, rhinology, and laryngology.

[6]  J. Koufman,et al.  Classification and Approach to Patients with Functional Voice Disorders , 1982, The Annals of otology, rhinology, and laryngology.

[7]  H. Biller,et al.  The innervation of the human larynx. , 1993, Archives of otolaryngology--head & neck surgery.

[8]  P. Nikkels,et al.  Benign Lesions of the Vocal Folds: Histopathology and Phonotrauma , 1995, The Annals of otology, rhinology, and laryngology.

[9]  F. Stucker,et al.  Major Patterns of Laryngeal Electromyography and Their Clinical Application , 1997, The Laryngoscope.

[10]  G. Postma,et al.  Microvascular Lesions of the True Vocal Fold , 1998, The Annals of otology, rhinology, and laryngology.

[11]  R. Ossoff,et al.  Immunohistochemical Characterization of Benign Laryngeal Lesions , 1996, The Annals of otology, rhinology, and laryngology.

[12]  T. Murry,et al.  Combined-modality treatment of adductor spasmodic dysphonia with botulinum toxin and voice therapy. , 1995, Journal of voice : official journal of the Voice Foundation.

[13]  B. Benjamin,et al.  Vocal Granuloma, Including Sclerosis of the Arytenoid Cartilage: Radiographic Findings , 1993, The Annals of otology, rhinology, and laryngology.

[14]  M. Morrison,et al.  Muscle misuse voice disorders: description and classification. , 1993, Acta oto-laryngologica.

[15]  T. Murry,et al.  Acoustic, Aerodynamic, and Videostroboscopic Features of Bilateral Vocal Fold Lesions , 2000, The Annals of otology, rhinology, and laryngology.

[16]  Robert E. Hillman,et al.  Ectasias and Varices of the Vocal Fold: Clearing the Striking Zone , 1999, The Annals of otology, rhinology, and laryngology.