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
신경계 질환	Spasmodic dysphonia	Variable hoarseness	Administration of botolinumtoxin A
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

발성장애/쉰소리 (Dysphonia/Hoarseness) 구독