Revista da Sociedade Brasileira de Fonoaudiologia
Print version ISSN 1516-8034
FAGUNDES, Raquel de Cássia Ferro et al. Laryngeal tuberculosis: proposal of Speech-Language Pathology intervention in voice disorders following pharmacological treatment. Rev. soc. bras. fonoaudiol. [online]. 2011, vol.16, n.1, pp. 99-103. ISSN 1516-8034. http://dx.doi.org/10.1590/S1516-80342011000100018.
Tuberculosis is a disease that has been present throughout history. In the XIX century the agent that causes the disease was discovered and named mycobacterium tuberculosis. Laryngeal tuberculosis is one of the possible complications from pulmonary tuberculosis, and the most common symptom is hoarseness, as a result of the healing process of ulcerative laryngeal lesions. The purpose of this study was to verify the effectiveness of speech-language therapy in a case of voice disorder following anti-tuberculosis drug treatment. The methodology used was the case study of the patient J.O.B.S, 39 years old, male, hotel receptionist with an eight-hour workday, former smoker, who had hoarseness, tiredness and dyspnea during speech as main complaints. Speech-language therapy sessions started after Speech-Language Pathology and otolaryngological evaluations, with the aims to reduce the laryngeal tension during phonation, induce supraglottic vocal fold separation, help the smooth movement of the vocal folds, install abdominal breathing, and improve pneumophonic coordination. After 12 sessions, several vocal parameters improved, including decrease of vocal tension during speech, use of abdominal breathing, improvement of pneumophonic coordination, loudness increase, and reduction of the abrupt vocal attack, which reflected in vocal emissions with less effort and more socially accepted. In spite of the limitations caused by the healing of the ulcerative lesions, speech-language therapy was important in this case study, and the patient was satisfied with the results obtained, which had positive influences on his oral communication and social life.
Keywords : Tuberculosis, laryngeal; Laryngeal diseases; Hoarseness; Voice disorders; Voice; Speech therapy.