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J Korean Soc Laryngol Phoniatr Logop > Volume 25(2); 2014 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2014;25(2): 86-89.
기능성 음성 장애 치료의 고려사항
김한수
이화여자대학교 의학전문대학원 이비인후과학교실
Controversies in Management of Functional Dysphonia
Han Su Kim
Department of Otorhinolaryngology-Head & Neck Surgery, School of Medicine, Ewha Womans University
ABSTRACT
Functional dysphonia (FD) is a voice disorder in the absence of structural or neurologic laryngeal pathology. FD is not a single disease but a disease entity. Therefore several voice disorders, which have completely different pathogenesis, are included in this category. The first step of treatment of FD is differentiating patient's voice symptoms from other organic voice disorders and other functional voice problems. Several different treatment modalities are included in the managements of FD. Voice therapy is in charge of the main role in treatment of FD. Medical treatment is also necessary when patient has general problems which would affect voice production. Vocal folds mucosal lesions can cause FD even the lesion is minor. In this case proper surgical intervention helps to improve the symptom of FD. Psychiatric consultation should be considered when the patient has psychological problems.
KEY WORDS: Functional dysphonia;Voice therapy;Management;Psychogenic dysphonia;
중심 단어: 기능성 음성장애;치료;음성검사;심인성 발성장애;
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