- (声が)かれた。しゃがれ声の、(医)嗄声の。耳障りな。(川・あらし・雷など)ざわついた
- 関
- (n.)hoarseness 嗄声
WordNet
- in a hoarse or husky voice; "`Excuse me, he said hoarsely" (同)huskily
PrepTutorEJDIC
- (声の)しわがれた;(人・動物が)しわがれ声の
- 〈声〉‘を'しわがれさせる / 〈声が〉しわがれる
- =hoary
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2013/03/24 22:06:12」(JST)
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Dysphonia
ICD-10 |
R49 |
ICD-9 |
784.42 |
MeSH |
D055154 |
Dysphonia is the medical term for disorders of the voice: an impairment in the ability to produce voice sounds using the vocal organs (it is distinct from dysarthria which signifies dysfunction in the muscles needed to produce speech). Thus, dysphonia is a phonation disorder. The dysphonic voice can be hoarse or excessively breathy, harsh, or rough, but some kind of phonation is still possible (contrasted with the more severe aphonia where phonation is impossible).
Dysphonia has either organic or functional causes due to impairment of any one of the vocal organs. However, typically it is caused by some kind of interruption of the ability of the vocal folds to vibrate normally during exhalation. Thus, it is most often observed in the production of vowel sounds. For example, during typical normal phonation, the vocal folds come together to vibrate in a simple open/closed cycle modulating the airflow from the lungs. Weakness (paresis) of one side of the larynx can prevent simple cyclic vibration and lead to irregular movement in one or both sides of the glottis. This irregular motion is heard as roughness. This is quite common in vocal fold paresis.[1]
Contents
- 1 Common types of dysphonia
- 2 Associated conditions (incomplete list)
- 3 Clinical measurement
- 4 See also
- 5 References
- 6 External links
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Common types of dysphonia
- Organic dysphonia
- Laryngitis (Acute: viral / bacterial) - (Chronic: smoking / GERD / LPR (Laryngopharyngeal Reflux) ).
- Neoplasm (Premalignant: dysplasia) - (Malignant: Squamous cell carcinoma).
- Trauma (Iatrogenic: surgery / intubation) - (Accidental: blunt / penetrating / thermal).
- Endocrine (Hypothyroidism / hypogonadism).
- Haematological (Amyloidosis).
- Iatrogenic (inhaled corticosteroids)
- Functional dysphonia
- Psychogenic
- Vocal misuse
- Idiopathic
Associated conditions (incomplete list)
- Voice disorders
- Laryngitis
- Chorditis
- Vocal cord nodules
- Vocal fold cyst
- Reinke's Edema (Mostly caused by smoking)
- Laryngeal papillomatosis
- Gastroesophageal reflux disease: When there is a clinical suspicion for GERD as the cause of the dysphonia, an Esophageal pH Monitoring is required to confirm the diagnosis and establish the relationship between GERD and dysphonia.
- Laryngeal cancer
- Myasthenia gravis
- Hypothyroidism
- Hyperthyroidism
- Sinusitis
- Lung cancer
- Juvenile dermatomyositis
- Parkinson's disease
- Botulinum toxin
Clinical measurement
Dysphonia is measured using a variety of examination tools that allow the clinician to see the pattern of vibration of the vocal folds, principally laryngeal videostroboscopy. Acoustic examination is also common, obtained by recording the sounds made during sustained phonation or whilst speaking. Another tool is electroglottography.
Subjective measurement of the severity of dysphonia is carried out by trained clinical staff. The GRBAS (Grade, Roughness, Breathiness, Asthenia, Strain) scale or the Oates Perceptual Profile are widely used for this purpose. Objective measurement of the severity of dysphonia typically requires signal processing algorithms applied to acoustic or electroglottographic recordings. These include algorithms such as jitter, shimmer and noise-to-harmonics ratios, but these have been shown to have some critical limitations, particularly for severe dysphonia. Recent advances in signal processing theory have led to more robust algorithms.[2]
See also
- National Center for Voice and Speech
- Human Voice
- Vocology
- Otorhinolaryngology#Laryngology
References
- ^ Little, M.A. et al. (2009). Objective dysphonia quantification in vocal fold paralysis: comparing nonlinear with classical measures. Journal of Voice (in press).
- ^ Little, M.A. et al. (2007). Exploiting nonlinear recurrence and fractal scaling properties for voice disorder detection. Biomed Eng Online, 6:23.
External links
- Vocal Dysphonia and Vocal Disorder Online Support Network
- VoiceInfo.org
- Pediatric ENT
- WrongDiagnosis
- Objective measurement of dysphonia for clinical purposes.
- Marshall
- NetDoctor
- Singing Voice
- National Center for Voice and Speech's official website
- The Department of Speech Pathology and Audiology at the University of Iowa's official website
- The Voice Academy's official website
UpToDate Contents
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English Journal
- Dysphonia and vocal fold telangiectasia in hereditary hemorrhagic telangiectasia.
- Chang J1, Yung KC2.
- The Annals of otology, rhinology, and laryngology.Ann Otol Rhinol Laryngol.2014 Nov;123(11):769-70. doi: 10.1177/0003489414538400. Epub 2014 Jun 9.
- OBJECTIVE: This case report is the first documentation of dysphonia and vocal fold telangiectasia as a complication of hereditary hemorrhagic telangiectasia (HHT).METHODS: Case report of a 40-year-old man with HHT presenting with 2 years of worsening hoarseness.RESULTS: Hoarseness corresponded with
- PMID 24913291
- [55-year-old man with progressive dyspnoea and hoarseness after operatively corrected coarctation of the aorta].
- Michels G1, Luebke T2, Lethaus-Weigl S3, Pfister R1.
- Deutsche medizinische Wochenschrift (1946).Dtsch Med Wochenschr.2014 Nov;139(45):2299-300. doi: 10.1055/s-0034-1387376. Epub 2014 Oct 28.
- PMID 25350244
- A novel combination of the Arndt endobronchial blocker and the laryngeal mask airway ProSeal™ provides one-lung ventilation for thoracic surgery.
- Li Q1, Li P1, Xu J1, Gu H1, Ma Q2, Pang L2, Liang W1.
- Experimental and therapeutic medicine.Exp Ther Med.2014 Nov;8(5):1628-1632. Epub 2014 Sep 15.
- In this study, the feasibility and performance of the combination of the Arndt endobronchial blocker and the laryngeal mask airway (LMA) ProSeal™ in airway establishment, ventilation, oxygenation and lung isolation was evaluated. Fifty-five patients undergoing general anesthesia for elective thora
- PMID 25289071
Japanese Journal
- 体育大学における嗄声 : その問題点と改善に向けて
- 早水 佳子,黒野 祐一
- 耳鼻咽喉科臨床 104(8), 575-580, 2011-08-01
- … Hyalinosis cuits et mucosae is a rare autosomal recessive disorder characterized by a hoarse voice and skin and mucosal changes. … Her chief complaint was a hoarse voice since birth. …
- NAID 10029260387
- EA2010-35 擬似音声信号を用いた評価による音源構造抽出法の最適化について
- 和田 芳佳,板垣 英恵,森勢 将雅 [他],西村 竜一,入野 俊夫,河原 英紀
- 電子情報通信学会技術研究報告. EA, 応用音響 110(71), 77-82, 2010-06-03
- 「痩れ声」や「だみ声」のように,感情音声や歌唱音声において強い印象を与える音声の分析・合成の研究を進めている.それらの音声を駆動する信号は,基本周波数のみでは十分に表すことのできない複雑な構造を有している.本資料では,この駆動信号の構造を分析する方法として提案しているXSX(eXcitation Structure eXtractor)法に含まれる設計パラメタの最適化と,評価方法を検討した結果につ …
- NAID 110007890740
Related Links
- hoarseとは。意味や和訳。[形]1 〈声が〉しわがれた,かすれた,ハスキーな;〈人・動物が〉しわがれ声のhave a hoarse voice声がしわがれているshout oneself hoarse叫びすぎて声がかれる.2 耳ざわりな音を出す[立てる ...
- hoarseの意味は?goo辞書は無料で使える日本最大級の辞書サービスです。国語辞典、英和辞典、和英辞典、類語辞典、中国語辞典、百科事典などを提供しています。
Related Pictures
![Work hoarse](https://1mg.info/0/4/z/1974.jpg)
![HOARSE](https://1mg.info/0/4/z/1975.jpg)
![become hoarse?, The sound become hoarse](https://1mg.info/0/4/z/1976.jpg)
![Website design by Adam Wilson](https://1mg.info/0/4/z/1977.jpg)
![Work hoarse](https://1mg.info/0/4/z/1978.jpg)
★リンクテーブル★
[★]
- hoarse ← 「horse 馬」と発音が同じようだ
- 英
- hoarseness
- ラ
- voix rauca
- 同
- させい、しわがれ声
- 関
- グルバス尺度 GRBAS尺度
参考