Vocal rest

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Vocal rest or voice rest is the process of resting the vocal folds by not speaking and singing typically following viral infections that cause hoarseness in the voice, such as the common cold or influenza or more serious vocal disorders such as chorditis or laryngitis. [1] Vocal rest is also recommended after surgery to removal of vocal fold lesions, such as vocal fold cysts. [2]

The purpose of vocal rest is to hasten recovery time. It is believed that vocal rest, along with rehydration, will significantly decrease recovery time after a cold. [3] It is generally believed, however, that if one needs to communicate one should speak and not whisper. The reasons for this differ; some believe that whispering merely does not allow the voice to rest and may have a dehydrating effect, [4] while others hold that whispering can cause additional stress to the larynx. [5]

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Vocal fold cysts are benign masses of the membranous vocal folds. These cysts are enclosed, sac-like structures that are typically of a yellow or white colour. They occur unilaterally on the midpoint of the medial edge of the vocal folds. They can also form on the upper/superior, surface of the vocal folds. There are two types of vocal fold cysts:

  1. Sub-epithelial vocal fold cysts- located in the superficial lamina propria of the vocal folds.
  2. Ligament vocal fold cysts- located within the deeper layers of the lamina propria or on the vocal ligament.
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Contact granuloma is a condition that develops due to persistent tissue irritation in the posterior larynx. Benign granulomas, not to be confused with other types of granulomas, occur on the vocal process of the vocal folds, where the vocal ligament attaches. Signs and symptoms may include hoarseness of the voice, or a sensation of having a lump in the throat, but contact granulomas may also be without symptoms. There are two common causes associated with contact granulomas; the first common cause is sustained periods of increased pressure on the vocal folds, and is commonly seen in people who use their voice excessively, such as singers. Treatment typically includes voice therapy and changes to lifestyle factors. The second common cause of granulomas is gastroesophageal reflux and is controlled primarily through the use of anti-reflux medication. Other associated causes are discussed below.

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References

  1. "Archived copy". Archived from the original on 2011-07-10. Retrieved 2011-04-27.CS1 maint: archived copy as title (link)
  2. Franco, Ramon A.; Andrus, Jennifer G. (2007). "Common Diagnoses and Treatments in Professional Voice Users". Otolaryngologic Clinics of North America. 40 (5): 1025–1061. doi:10.1016/j.otc.2007.05.008. PMID   17765694.
  3. "Answers for Singers with Colds". Scena.org. Retrieved 2016-11-03.
  4. "Archived copy". Archived from the original on 2006-05-05. Retrieved 2006-05-21.CS1 maint: archived copy as title (link)
  5. "Welcome to the Melissa Cross Vocal Studio :: Vocal Solutions and Voice Lessons for a New Breed". Melissacross.com. Retrieved 2016-11-03.