Symptom >> Otorhinolaryngology >> ENT

Aphonia

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Aphonic is a symptom of a clear, hoarse voice that can't even sound. A dysphonia caused by a lesion in the throat muscles or vocal cords. Symptoms are when the patient speaks, the tone is low, the sound is weak, and when it is severe, no sound is produced. Symptoms of sound when speaking. Also known as "" (yin sound). There are false and real points: external feelings of cold, wind, or sensation after injury to the diet, or obstruction of the airway at the end of pregnancy, mostly evidence, such as laryngitis, sudden loss of sound, also known as "violent"; internal injuries Lung and kidney, loss of yin essence, resulting in the lack of support for the body fluid, manifested as chronic or recurrent episodes of aphasia, mostly deficiency syndrome, such as vocal cord disease, disease and so on.

Cause

Cause

Mostly caused by cold, wind, heat, fire and other evil criminals, kidney yin deficiency, lung deficiency and weakness, or disposition, air stagnation and so on. Common in throat, throat sputum, laryngeal polyps, diphtheria, sputum and other diseases.

Because the evil of wind, cold, wind and heat invades the lungs, the lungs can't scatter; or feel the evil of heat, smoke and sputum; or addicted to fat, drink and smoke, and cause heat and endogenous, lung loss, all Can make the sound out. Mostly internal injuries, slow onset, mostly by long-term illness, physical weakness, lung dryness and Jin, or lung and kidney yin deficiency, the essence of the gas, the channel is dry and dry.

Functional aphasia (sound) is more common in emotional excitement, such as excessive tension or extreme grief after a sudden loss of voice, can not speak. In the past, functional aphasia was caused by mental factors, and it was often treated with strong stimulation, acupuncture or psychological suggestion. Some scholars believe that functional aphasia can be corrected by pronunciation, and it can be restored by changing the conditional reflex of the patient. In addition, iatrogenic functional aphasia can be prevented. Before the vocal cord surgery, the patient is told not to ban the sound after surgery. Pay attention to the rest, and the doctor should raise awareness.

Examine

an examination

Related inspection

Otolaryngology CT examination of oral endoscope

The vocal cord examination can be seen when the vocal cords are incompletely closed or the vocal cords are slack.

If the clinical cause of the arrhythmia is still uncertain, the aphasia can be checked for preliminary diagnosis and syndrome differentiation is performed.

[diagnosis of disease]

1. Loss of voice is conscious, hoarse, and can't even be pronounced as the main performance. It is different from rickets, strokes, dizziness, etc., but it is different from the weak and weak voices.

2. Aphonia is generally a throat disease, which can be diagnosed according to the condition and throat examination, such as:

(1) A disease characterized by a loss of sound is called a throat. Those with protrusions and sore throat are violent; those who have long-term hoarseness are long-lasting. Women who have arrhythmia in the third trimester of pregnancy are called sputum; those who have hoarseness after childbirth are postpartum sputum.

(2) Many diseases of the throat, such as rotten throat, milk moth, throat, throat, throat polyp, laryngeal tumor, throat, glottis opening and closing, etc., may cause hoarseness, but there must be other The main symptom, the throat examination has a special change.

(3) Those who have been ill for a long time and have lost their voices, and who have night sweats, hot flashes, etc., are mostly throats.

(4) fever, sore throat, white film is not easy to peel off the throat, hoarseness, mostly diphtheria.

(5) Liver qi stagnation, poor air, can be expressed as gas loss.

3. According to the clinical needs, carry out the necessary examination, X-ray film of the throat, fiber laryngoscopy, cytology, etc., to help confirm the diagnosis.

Diagnosis

Differential diagnosis

1. Wind and cold swallow syndrome: sudden sound is not raised, even a loss of sound, sore throat, itching, unpleasant swallowing, or cough, chest tightness, nasal congestion, clear aversion, cold, fever, headache, no sweat, thin white fur, pulse Floating tight. Disperse the wind and dispel the cold and swallow.

2. Wind-heat inhalation syndrome: discomfort in the throat, dry itching and cough, unfavorable sound or even a loss of sound, or burning, pain, fever, aversion to cold, headache, reddish tongue, white or yellow, moss floating number. Dispel the wind and clear the heat and swallow.

3. Fire poisoning throat certificate: throat burning, hoarseness, severe sore throat, difficulty swallowing, fever, thirst for drinking, bad breath, yellow urine, constipation, red tongue, thick yellow coating, pulse number. Clearing away heat and detoxification.

4. Qi stagnation pharyngeal throat syndrome: hoarseness, snoring in the throat, such as obstruction, chest tightness, vomiting, abdominal distension, dark tongue, greasy fur, slippery pulse. The gas is turned on and the sound is turned on.

5. Qi stagnation door test: hoarse voice, poor speech, difficult pronunciation or can not pronounce, under the threat of swelling, look depressed, sighs, pulse string. Open the air.

6. phlegm and throat syndrome: hoarseness, throat obstruction, pain such as thorns, dark purple tongue, sublingual varicose veins, pulse sputum. Let the blood flow open.

7. Qi deficiency throat loss certificate: hoarse voice, unfavorable throat, less gas lazy words, Shenpi fatigue, pale tongue, weak pulse. Benefit from phlegm and throat.

8. Yin deficiency throat loss syndrome: hoarseness, dry throat, throat itching, dry cough without phlegm, blush, virtual annoyance, hand and foot heart heat, night sweats, red tongue dry little moss, pulse countless weakness. Nourishing Yin and throat. The vocal cord examination can be seen when the vocal cords are incompletely closed or the vocal cords are slack.