Part I Core Knowledge |
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1 Anatomy and Physiology of the Voice |
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3 | (12) |
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3 | (6) |
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9 | (5) |
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14 | (1) |
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15 | (26) |
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16 | (8) |
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16 | (1) |
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2.1.2 What Is Your Voice Problem? |
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17 | (2) |
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2.1.3 Do You Have Any Pressing Voice Commitments? |
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19 | (1) |
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2.1.4 Tell Me About Your Vocal Career, Long-Term Goals, and the Importance of Your Voice Quality and Upcoming Commitments |
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20 | (1) |
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2.1.5 How Much Voice Training Have You Had? |
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20 | (1) |
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2.1.6 Under What Kinds of Conditions Do You Use Your Voice? |
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21 | (1) |
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2.1.7 How Much Do You Practice and Exercise Your Voice? How, When, and Where Do You Use Your Voice? |
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22 | (1) |
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2.1.8 Are You Aware of Misusing or Abusing Your Voice During Singing? |
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23 | (1) |
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2.1.9 Are You Aware of Misusing or Abusing Your Voice During Speaking? |
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23 | (1) |
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2.2 Do You Have Pain When You Talk or Sing? |
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24 | (13) |
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2.2.1 What Kind of Physical Condition Are You In? |
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25 | (1) |
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2.2.2 How Is Your Hearing? |
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25 | (1) |
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2.2.3 Have You Noted Voice or Bodily Weakness, Tremor, Fatigue, or Loss of Control? |
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26 | (1) |
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2.2.4 Do You Have Allergy or Cold Symptoms? |
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26 | (1) |
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2.2.5 Do You Have Breathing Problems, Especially After Exercise? |
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26 | (1) |
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2.2.6 Have You Been Exposed to Environmental Irritants? |
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26 | (1) |
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2.2.7 Do You Smoke, Live with a Smoker, or Work Around Smoke? |
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27 | (4) |
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2.2.8 Do Any Foods Seem to Affect Your Voice? |
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31 | (1) |
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2.2.9 Do You Have Morning Hoarseness, Bad Breath, Excessive Phlegm, a Lump in Your Throat, or Heartburn? |
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32 | (1) |
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2.2.10 Do You Have Trouble with Your Bowels or Belly? |
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32 | (1) |
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2.2.11 Are You Under Particular Stress or in Therapy? |
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33 | (1) |
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2.2.12 Do You Have Problems Controlling Your Weight? Are You Excessively Tired? Are You Cold When Other People Are Warm? |
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33 | (1) |
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2.2.13 Do You Have Menstrual Irregularity, Cyclical Voice Changes Associated with Menses, Recent Menopause, or Other Hormonal Changes or Problems? |
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34 | (1) |
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2.2.14 Do You Have Jaw Joint or Other Dental Problems? |
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34 | (1) |
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2.2.15 Do You or Your Blood Relatives Have Hearing Loss? |
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34 | (1) |
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2.2.16 Have you Suffered Whiplash or Other Bodily Injury? |
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35 | (1) |
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2.2.17 Did You Undergo Any Surgery Prior to the Onset of Your Voice Problems? |
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35 | (1) |
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2.2.18 What Medications and Other Substances Do You Use? |
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36 | (1) |
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37 | (4) |
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41 | (18) |
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3.1 Complete Ear, Nose, and Throat Examination |
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42 | (1) |
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3.2 Laryngeal Examination |
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43 | (3) |
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46 | (7) |
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3.3.1 Strobovideolaryngoscopy |
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46 | (2) |
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3.3.2 Other Techniques to Examine Vocal Fold Vibration |
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48 | (1) |
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3.3.3 Measures of Phonatory Ability |
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48 | (1) |
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3.3.4 Aerodynamic Measures |
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49 | (2) |
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51 | (1) |
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3.3.6 Laryngeal Electromyography |
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52 | (1) |
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3.3.7 Psychoacoustic Evaluation |
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52 | (1) |
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53 | (1) |
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3.5 Voice Impairment and Disability |
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53 | (1) |
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3.6 Evaluation of the Singing Voice |
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53 | (3) |
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3.7 Additional Examinations |
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56 | (1) |
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57 | (2) |
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4 Professional Voice Users: An Overview of Medical Disorders and Treatments |
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59 | (42) |
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60 | (1) |
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4.2 Infection and Inflammation |
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60 | (9) |
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4.2.1 Upper Respiratory Tract Infection Without Laryngitis |
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60 | (1) |
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4.2.2 Laryngitis With Serious Vocal Fold Injury |
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61 | (1) |
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4.2.3 Laryngitis Without Serious Damage |
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61 | (4) |
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65 | (1) |
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4.2.5 Lower Respiratory Tract Infection |
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65 | (1) |
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65 | (1) |
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66 | (1) |
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66 | (3) |
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4.2.9 Autoimmune Deficiency Syndrome (AIDS) |
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69 | (1) |
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69 | (6) |
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69 | (1) |
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70 | (1) |
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4.3.3 Respiratory Dysfunction |
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70 | (1) |
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70 | (1) |
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4.3.5 Laryngopharyngeal Reflux |
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71 | (1) |
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4.3.6 Endocrine Dysfunction |
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72 | (2) |
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4.3.7 Neurologic Disorders |
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74 | (1) |
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4.3.8 Vocal Fold Hypomobility |
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74 | (1) |
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75 | (5) |
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75 | (2) |
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77 | (1) |
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78 | (1) |
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4.4.4 Other Diseases That May Affect the Voice |
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78 | (2) |
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4.5 Structural Abnormalities of the Larynx |
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80 | (6) |
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80 | (1) |
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81 | (1) |
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81 | (1) |
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82 | (1) |
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82 | (1) |
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83 | (1) |
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83 | (1) |
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83 | (1) |
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84 | (1) |
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84 | (1) |
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4.5.11 Laryngoceles and Pharyngoceles |
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84 | (2) |
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86 | (1) |
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4.6 Medical Management for Voice Dysfunction |
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86 | (4) |
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4.6.1 Speech-Language Pathologist |
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87 | (1) |
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4.6.2 Singing Voice Specialist |
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88 | (1) |
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4.6.3 Acting-Voice Trainer |
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89 | (1) |
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89 | (1) |
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90 | (2) |
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92 | (1) |
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92 | (1) |
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93 | (8) |
Part II In-Office Surgery |
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5 In-Office Voice Surgery: Basic Principles, Patient Selection, Safety, and Tolerance |
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101 | (22) |
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101 | (1) |
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5.2 Patient Selection and Consent |
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102 | (1) |
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103 | (1) |
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5.4 Timing of Voice Surgery |
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104 | (1) |
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5.5 Indirect Laryngoscopy |
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105 | (3) |
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5.6 Safety of In-Office Procedures |
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108 | (3) |
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5.6.1 Anesthesia Considerations |
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109 | (1) |
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5.6.2 Performance of Procedure |
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109 | (1) |
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110 | (1) |
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110 | (1) |
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111 | (2) |
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5.8 Injection of Substances Other Than Botulinum Toxin |
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113 | (1) |
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113 | (1) |
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5.10 In-Office Laser Surgery |
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114 | (1) |
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5.11 In-Office Laryngeal Electromyography |
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114 | (1) |
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5.12 In-Office Tracheoesophageal Puncture (TEP) |
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115 | (1) |
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5.13 Patient Tolerance in Unsedated Office-Based Laryngeal Surgery |
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116 | (1) |
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117 | (1) |
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118 | (5) |
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6 Topical Anesthesia in Office-Based Laryngeal Surgery |
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123 | (16) |
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123 | (1) |
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6.2 Topical Anesthesia to the Upper Airway; Anatomic Sites and Methods of Application |
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124 | (8) |
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6.2.1 Topical Anesthesia to the Nasal Cavity |
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124 | (1) |
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6.2.2 Topical Anesthesia to the Pharynx |
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125 | (1) |
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6.2.3 Local Anesthesia to the Larynx |
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126 | (6) |
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6.3 Effect of Topical Anesthesia on the Pharynx and Larynx |
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132 | (1) |
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6.4 Systemic Toxicity of Topical Anesthesia to the Upper Airway |
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133 | (2) |
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135 | (4) |
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7 Surgical Techniques and Operative Approaches in Office-Based Laryngeal Surgery |
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139 | (22) |
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139 | (1) |
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7.2 Surgical Technique and Approaches |
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140 | (17) |
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7.2.1 The Peroral or Transoral Approach |
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140 | (4) |
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7.2.2 The Transcervical Approach |
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144 | (10) |
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7.2.3 The Transnasal Approach Using a Flexible Nasopharyngoscope with a Working Channel |
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154 | (3) |
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157 | (4) |
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8 Office-Based Injection Laryngoplasty |
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161 | (24) |
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161 | (1) |
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8.2 When to Perform Injection Laryngoplasty? |
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162 | (2) |
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8.3 Voice Outcome Following Injection Laryngoplasty |
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164 | (4) |
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8.4 Factors Affecting the Outcome of Office-Based Injection Laryngoplasty |
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168 | (4) |
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8.4.1 Effect of Age on the Outcome of Office-Based Injection Laryngoplasty |
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168 | (1) |
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8.4.2 Effect of Gender on the Outcome of Office-Based Injection Laryngoplasty |
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169 | (1) |
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8.4.3 Other Patient-Related Factors in Injection Laryngoplasty |
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170 | (1) |
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8.4.4 Technical Factors: Site of Injection, Amount to Be Injected, and Injection Force Mechanics |
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171 | (1) |
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8.5 Complications of Injection Laryngoplasty |
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172 | (6) |
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8.5.1 Complications of Injection Laryngoplasty Using Collagen |
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173 | (1) |
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8.5.2 Complications of Injection Laryngoplasty Using Fat |
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174 | (1) |
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8.5.3 Complications Following Injection Laryngoplasty Using Calcium Hydroxylapatite |
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175 | (1) |
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8.5.4 Complications of Hyaluronic Acid as a Filling Material in Injection Laryngoplasty |
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176 | (2) |
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8.6 New Injection Materials: Prospective and Safety |
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178 | (1) |
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179 | (6) |
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9 Office-Based Laryngeal Botulinum Toxin Injection |
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185 | (28) |
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185 | (1) |
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9.2 Office-Based Botulinum Toxin Injection in Patients with Spasmodic Dysphonia |
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186 | (5) |
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9.3 Office-Based Botulinum Toxin Injection in Patients with Essential Voice Tremor |
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191 | (2) |
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9.4 Laryngeal Botulinum Toxin Injection in Patients with Vocal Process Granuloma |
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193 | (4) |
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9.5 Laryngeal Botulinum Toxin Injection in Patients with Vocal Fold Dysfunction |
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197 | (2) |
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9.6 Rare Application of Office-Based Botulinum Toxin Injection |
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199 | (2) |
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9.6.1 Office-Based BT Injection in Patients with Muscle Tension Dysphonia |
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199 | (1) |
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9.6.2 Office-Based Botulinum Toxin Injection in Patients with Phonetic Tics |
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200 | (1) |
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9.6.3 Office-Based Botulinum Toxin Injection in Patients with Parkinson's Disease |
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200 | (1) |
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9.7 Technique of Office-Based Botulinum Toxin Injection |
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201 | (3) |
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204 | (9) |
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10 Office-Based Laryngeal Laser Therapy |
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213 | (14) |
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213 | (3) |
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10.2 Review of the Clinical Application of Laser Therapy in an Office Setting |
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216 | (6) |
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10.2.1 Office-Based Laser Therapy in Patients with Laryngeal RRP |
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216 | (1) |
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10.2.2 Office-Based Laser Therapy in Patients with Benign Vocal Fold Lesions |
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217 | (2) |
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10.2.3 Office-Based Laser Therapy in Patients with Dysplasia/Carcinoma In Situ |
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219 | (1) |
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10.2.4 Rare Application of Office-Based Laser Therapy |
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220 | (1) |
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10.2.5 Office-Based Application of Blue Laser in Laryngeal Surgery |
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220 | (2) |
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10.3 Limitations and Complications of Office-Based Laryngeal Laser Surgery |
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222 | (1) |
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10.3.1 Limitations of Office-Based Laryngeal Laser Surgery |
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222 | (1) |
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10.3.2 Complications of Office-Based Laryngeal Laser Surgery |
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223 | (1) |
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223 | (4) |
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11 Office-Based Laryngeal Injections of Steroids and Other Pharmaceutical Agents |
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227 | (20) |
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11.1 Office-Based Laryngeal Steroid Injections |
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227 | (1) |
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11.2 Office-Based Steroid Injections in Laryngotracheal Stenosis |
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228 | (2) |
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11.3 Office-Based Vocal Fold Steroid Injection |
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230 | (6) |
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11.3.1 Office-Based Steroid Injection in Vocal Fold Scar |
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230 | (1) |
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11.3.2 Office-Based Steroid Injection in Benign Lesions of the Vocal Folds |
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231 | (3) |
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11.3.3 Office-Based Steroid Injection in Vocal Fold Bamboo Nodes |
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234 | (1) |
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11.3.4 Complications of Office-Based Vocal Fold Steroid Injection |
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235 | (1) |
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11.4 Office-Based Laryngeal Intra-articular Steroid Injections in Patients with Autoimmune Diseases |
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236 | (1) |
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11.5 Office-Based Laryngeal Injections of Cidofovir |
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237 | (2) |
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11.6 Office-Based Laryngeal Injection of 5-Fluorouracil |
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239 | (1) |
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11.7 Office-Based Laryngeal Injection of Growth Factors |
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240 | (1) |
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241 | (6) |
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12 Office-Based Laryngeal Biopsy, Excision of Masses, and Dilation |
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247 | (12) |
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247 | (1) |
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12.2 Office-Based Laryngeal Brush Biopsy |
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248 | (1) |
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12.3 Office-Based Laryngeal Biopsy |
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249 | (3) |
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12.3.1 Diagnostic Yield of Office-Based Laryngeal Biopsy in Patients with Vocal Fold Leukoplakia |
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249 | (3) |
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12.4 Office-Based Laryngoscopy and Removal of Lesions |
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252 | (2) |
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12.5 Office-Based Laryngeal Dilation |
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254 | (1) |
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12.6 Other Office-Based Endolaryngeal Procedures |
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255 | (1) |
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256 | (3) |
Index |
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259 | |