Background: Based on stakeholder conversations, speech and language therapists have anecdotally observed cases of dysphagia with suspected laryngeal hypersensitivity. These presentations have been coined as 'muscle tension dysphagia' often with concurrent laryngeal sensitivity symptoms. However, the role of laryngeal hypersensitivity in dysphagia…

Described and provided is a laryngology consult form that has been found useful by speech therapists in obtaining information important to the diagnosis and management of children with voice disorders. (CL)

The article reviews common misconceptions about oral pharyngeal structure and function and suggests the need for more adequate training in order to make more reliable decisions about the adequacy of the speech mechanism. (CL)

This tutorial in nonlinear phonology introduces the basic concepts and assumptions of this new theoretical approach and then demonstrates clinical applications of the theory for assessment and intervention. Data from a child with a severe phonological disorder are used to illustrate aspects of nonlinear theory. (Author/DB)

The perceptual assessment of voice disorders by speech pathologists and interjudge reliability were investigated through screening of 160 children (4-14 years old). Results demonstrated poor interjudge agreement between the listeners and indicate a need for more objective measures in the identification of voice disorders. (Author/SEW)

This article reviews 19 common myths in voice therapy. Issues examined include developmental factors, iatrogenic voice disorders, breathing habits, optimum pitch, palate training, and etiology based on perceptual cues. More referral, assessment, and decision making are needed, as well as development of standards for the management of voice…

Children with laryngeal pathologies or alterations in laryngeal structure and/or function often present with complex medical profiles. This article presents case studies for the speech-language pathologist that provide information regarding management decisions and specific treatment options. (Author/DB)

Resonance disorders can have a variety of causes but the appropriate evaluation includes a speech pathology evaluation and may require a videofluoroscopic speech study or nasopharyngoscopy assessment. Treatment may include surgery or the use of prosthetic devices, and usually speech therapy. An interdisciplinary approach is best. (Author/DB)

Five papers presented at two inservice institutes for school speech and language pathologists delineated identification, remediation, and management of voice disorders in school children. Keynote remarks emphasized the intimate relationship between children's voices and their affective behavior and psychological needs, and thus, the importance of…

This article offers guidelines for the evaluation and treatment of the child or adult client with vocal disorders, including the importance of obtaining a thorough history; the physical examination, including use of such technology as video strobolaryngoscopy; and medical, surgical, or rehabilitation treatment. A team effort, involving both…

The role of the speech-language pathologist (SLP) has developed considerably over the last 10 years given the medical and technological advances in life-sustaining procedures. Over time, children born with congenital, surgical, or "medically fragile" conditions have become mainstreamed into regular school-based settings, thus extending…