Post-medialization thyroplasty for a paralyzed vocal fold, which therapeutic strategy should a speech-language pathologist prioritize?

Post-medialization thyroplasty for a paralyzed vocal fold, which therapeutic strategy should a speech-language pathologist prioritize?

• A. Producing a soft glottal attack
• B. Digital manipulation of the neck
• C. Producing a hard glottal attack
• D. Increasing airflow during speech

Answer: (C)

In the context of post-medialization thyroplasty for a paralyzed vocal fold, prioritizing the production of a hard glottal attack is particularly beneficial for patients. A hard glottal attack involves firmly adducting the vocal folds to initiate phonation. After the surgical intervention, where the aim is to improve the closure of the vocal folds and enhance vocal quality, utilizing a hard glottal attack can help achieve better voice intensity and clarity. This technique can also provide stability in voice production, especially for individuals who have previously struggled with voice strength due to the paralysis. While producing a soft glottal attack may seem gentle, it does not provide the same level of support and airflow management, which are critical after such a surgical procedure. Similarly, increasing airflow during speech can be beneficial but must be controlled and coordinated well with vocal fold closure to prevent breathiness. Digital manipulation of the neck does not directly facilitate voice production and may not be a primary focus in voice rehabilitation immediately post-surgery. Thus, emphasizing a hard glottal attack aligns with promoting effective voice production strategies and maximizing the benefits of the thyroplasty.

In the context of post-medialization thyroplasty for a paralyzed vocal fold, prioritizing the production of a hard glottal attack is particularly beneficial for patients. A hard glottal attack involves firmly adducting the vocal folds to initiate phonation. After the surgical intervention, where the aim is to improve the closure of the vocal folds and enhance vocal quality, utilizing a hard glottal attack can help achieve better voice intensity and clarity. This technique can also provide stability in voice production, especially for individuals who have previously struggled with voice strength due to the paralysis.

While producing a soft glottal attack may seem gentle, it does not provide the same level of support and airflow management, which are critical after such a surgical procedure. Similarly, increasing airflow during speech can be beneficial but must be controlled and coordinated well with vocal fold closure to prevent breathiness. Digital manipulation of the neck does not directly facilitate voice production and may not be a primary focus in voice rehabilitation immediately post-surgery. Thus, emphasizing a hard glottal attack aligns with promoting effective voice production strategies and maximizing the benefits of the thyroplasty.