원인질환	임상양상	치료
Functional dysphonia
Hyperfunctional dysphonia	Vocal strain을 동반한 쉰소리	Voice therapy
functional dysphonia의 2차적인 발현
Vocal cord nodules	Vocal strain을 동반한 쉰소리	Voice therapy (phonosurgery)
Organic dysphonia
후두염(Laryngitis): 급성	쉰소리, 감염	No medicinal treatment, self-limiting
후두염(Laryngitis): 만성	지속적인 쉰소리, 발성장애(dysphonia) 인후 이물감, compulsion to clear throat	Avoidance of noxae, laryngostroboscopic monitoring
양성종양
- Polyps/cysts	쉰소리, 성량감소, vocal fatigue	Phonosurgery, if applicable voice therapy
- Reinke edema	쉰소리, vocal fatigue, deep voice	Avoidance of noxae, phonosurgery, if applicable voice therapy
- Recurring papillomatosis	쉰소리, 호흡곤란	Phonosurgery
Vocal cord malignancies	조기에 쉰소리 발현	(Laser) surgery, radiotherapy
Vocal cord scarring	지속적인 쉰소리, quiet voice	Voice therapy (phonosurgery)
Presbyphonia	쉰소리, high-pitched voice	Voice therapy, phonosurgery
내과적 질환에 의한 발현
Laryngopharyngeal reflux	쉰소리(경함), 인후이물감 밤에 특히 심함	With signs of reflux: PPIs Without signs of reflux: no PPIs
Tuberculosis	호흡곤란, 기침	결핵치료
류마티스 질환	쉰소리, 호흡곤란, 삼킴곤란(침범부위에 좌우)	항류마티스 치료
- 류마티스 관절염
- 전신홍반루푸스
- 사르코이드증
아밀로이드증	쉰소리, 호흡곤란, 삼킴곤란(침범부위에 좌우)	Phonosurgery, internal/hematological treatment
림프종	발성장애, 호흡곤란	Internal/hematological treatment
신경계 질환
Vocal cord paresis	Hoarseness, impaired speech breathing	Voice therapy, phonosurgery
Spasmodic dysphonia	Variable hoarseness	Botolinum toxin A 투여
Vocal cord dysfunction	Hoarseness during an episode of respiratory distress (few seconds)	Discuss with patient, breathing therapy, psychotherapy
Psychogenic dysphonia	Sudden hoarseness (hours or days)	Psychological/ psychosomatic treatment, psychotherapy

Omitted

대한임상진료학회 강사 모집

1. 강의 주제

2. 강의 성격

쉰소리/발성장애(Hoarseness, dysphonia) 구독