Cochlear Implant Rehabilitation Speech Therapy (Auditory Verbal Therapy)


A specialized type of therapy designed for children to teach the use of hearing aid or a cochlear implant for understanding speech and learning to talk is developed, known as auditory-verbal therapy. The rehabilitation strategies are different in children and adults. A young child with a hearing implant and her family require a comprehensive habilitation program to help her utilize the auditory signal and to naturally integrate the various components of communication including listening, speech, language, reading and thinking. The child is taught to develop hearing as an active sense so that listening becomes automatic and the child seeks out sounds in life. Hearing and active listening is an integral part of communication, recreation, socialization, education and work. As soon as the infant has been fitted with hearing technology, therapy should begin. Rehabilitation for children post cochlear implantation is an accepted part of the implant process. Adults can also benefit from aural and hearing rehabilitation in learning and practicing strategies and skills that can help them bring the process of communication under their control.

Auditory Therapy, also called auditory training, utilizes structured activities that should be carried over into real life to optimize the use of the new signal. Speech therapy is usually addressed as a component of an auditory therapy program. The auditory centers would provide rehabilitation sessions with the help of auditory-verbal therapist which can improve the ability to communicate verbally using the individual's own skills.

Surgery for correction of voice Hoarseness


Voice hoarseness for a few hours usually resolves on its own. However, chronic hoarseness that lasts for weeks or months needs to be checked out. Irritation or injury to the vocal cords can be the cause of. Hoarseness. Laryngitis is an inflammation of the larynx. It causes hoarse voice or the complete loss of the voice because of irritation to the vocal folds.

The initial hoarse voice treatment can be done by simply resting the voice or may be modified with the help of speech and language pathologists. Avoiding smoking and exposure to second hand smoke will decrease the risk of laryngeal cancer. The hoarseness treatment depends on the underlying cause. Acute laryngitis caused by an upper respiratory tract infection get resolve on its own as the infection clears the body. Conservative treatment with cough suppressants and humidified air can be helpful. Drinking fluids is also helpful. Diet modification and medications can help with gastro esophageal reflux. It is important to learn proper techniques of breathing, speaking, and singing. Avoid irritants such as dust. Diagnose for yeast infection; particularly in immune-compromised patients or use corticosteroid inhalers for asthma.

Vocal Cord Surgery: Sometimes surgery on the vocal cords will expedite recovery and is often entertained after conservative measures are failed. Excision of vocal cord nodules or masses may fail unless initial reasons for vocal abuse are not treated.

Vocal Chord Nodules Removal


Treatment of vocal cord nodules includes medical, behavioral and surgical interventions. Medical problems may be treated to abbreviate their impact on the vocal cords. This includes treatment for gastro-esophageal reflux disease, allergies, and thyroid problems. Medical intervention to stop smoking or to control stress can also be used.

Voice rehabilitation involves vocal training, speech therapy, and vocal rest. Many people receive behavioral intervention, or voice therapy from speech therapist who explains the patient about the need of good vocal hygiene, reducing/stopping vocal abusive behaviors and provides direct voice treatment to alter pitch, loudness, or breath support for good voicing. Stress reduction techniques and relaxation exercises are often taught as well.

Surgical intervention involves removing the nodule or polyp from the vocal cord. This approach only occurs when the nodules or polyps are very large or have existed for a long time. In rare cases, vocal cord surgery may be required. It is a relatively safe and minor surgery. But it has a disadvantage of affecting the ability to sustain notes, as well as alter the vocal range.

Surgery is rarely done for children. Occasionally, microlaryngoscopic surgery is considered in the management of nodules. The recurrence cannot be prevented by the surgery and the nodules will reform in response to factors that surgery cannot alter. Microlaryngoscopic surgery may be used to remove the tangle of accumulated hardened tissue.

Sometimes, voice therapy alone may fail to improve the voice if the nodules are well-formed as a result of long-standing and repeated phonatory damage. A trail of voice therapy prior to surgery is the best recommended choice.
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