Talk:Hoarse voice

Wiki Education Foundation-supported course assignment
This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Mhollett, Lioramatthews.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 22:30, 17 January 2022 (UTC)

Wiki Education Foundation-supported course assignment
This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Meagan.Honigman, H.hoangtn, Nancy Zee, KDmansfield. Peer reviewers: Mel-SLP, Chloe.93.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 23:45, 16 January 2022 (UTC)

Examples of people with Dysphonia ?
Are there any examples of people with this? Or could someone provide a sound sample? (Doesn't matter if it's .ogg format or not, someone will convert it I'm sure.) What does this sound like? Guroadrunner 03:11, 23 February 2007 (UTC)

It is not a specific disease but a symptom of other diseases, although these are sometimes idiopathic. It can therefore have almost limitless sounds - anyone who does not have a 'normal' voice is considered to have dysphonia. Girabbit85 (talk) 10:06, 24 September 2008 (UTC)

Shania Twain http://www.people.com/people/article/0,,20486696,00.html —Preceding unsigned comment added by 70.29.18.81 (talk) 11:45, 7 May 2011 (UTC)

What is Dysphonia?
I researched the term hoarseness and it redirected me to dysphonia. It explained that Dysphonia is the medical term for hoarseness. I am not familiar with either term. What is Hoarseness/Dysphonia? —Preceding unsigned comment added by 58.110.17.207 (talk) 02:01, 20 January 2009 (UTC)

There is no mention of prevalence of dysphonia in the general population. Are some groups of people more prone to dysphonia than others (e.g. certain occupations, how does gender and age play a role?) H.hoangtn (talk) 20:22, 22 September 2016 (UTC)

Insufficient explanation for the uninitiated
I wanted to know what caused hoarseness, and while I believe the page contains that information it is not presented in an easy to understand language. Its seems to be more or less a list of medical terms with no explanation for the uninitiated reader. In short, after reading the page I know nothing more about hoarseness. —Preceding unsigned comment added by 195.54.97.238 (talk) 11:49, 31 March 2009 (UTC)

Although multiple types of dysphonia are listed, there is no information regarding how they differ between one another. The article fails to outline the contrast between organic and functional dysphonia. The types listed are also not linked to another source that provides further information. H.hoangtn (talk) 20:27, 22 September 2016 (UTC)

Associated With Steroid Use
Dysphonia can also be associated with steroid injection use. Cited article: Dysphonia associated with epidural steroid injection: A case report. Sukima (talk) 07:51, 29 July 2009 (UTC)

Copyvio sections
The copyvio sections appear to be copy pasted from here. The website's disclaimer doesn't seem to indicate that the content is free. It is listed as one of the external links. Not sure how to proceed, maybe it can be rewritten with citation? Galadrist (talk) 23:17, 24 December 2011 (UTC)

Copyright problem removed
Prior content in this article duplicated one or more previously published sources. The material was copied from: http://www.netdoctor.co.uk/facts/dysphonia.htm. Infringing material has been rewritten or removed and must not be restored, unless it is duly released under a compatible license. (For more information, please see "using copyrighted works from others" if you are not the copyright holder of this material, or "donating copyrighted materials" if you are.) For legal reasons, we cannot accept copyrighted text or images borrowed from other web sites or published material; such additions will be deleted. Contributors may use copyrighted publications as a source of information, but not as a source of sentences or phrases. Accordingly, the material may be rewritten, but only if it does not infringe on the copyright of the original or plagiarize from that source. Please see our guideline on non-free text for how to properly implement limited quotations of copyrighted text. Wikipedia takes copyright violations very seriously, and persistent violators will be blocked from editing. While we appreciate contributions, we must require all contributors to understand and comply with these policies. Thank you. Moonriddengirl (talk) 21:15, 25 March 2012 (UTC)

Expansion of Content and References
There is little content presented under several article headings (e.g., common types, clinical management). Gathering information from additional reliable sources, such as peer-reviewed journals, can help to clarify the information that is currently presented (e.g., what is the difference between organic versus functional dysphonia?). Furthermore, there are several large bodies of text that are missing appropriate citations to support the information that is written. KDmansfield (talk) 01:01, 25 September 2016 (UTC)KDmansfield

Expand & Clarify Content
This page is in need of expansion and clarification of content. Firstly, the lead paragraph is confusing; it is stated that dysphonia is also known as harsh voice, but then it goes on to say that a dysphonic voice can be hoarse, breathy, harsh, or rough. It is thus unclear what voice qualities can be considered dysphonic. Further, a description or example of the different types of voice qualities would be necessary. Also, types of dysphonia and associated conditions are listed without sufficient description or additional information. Lastly, there is absolutely no information regarding the treatment strategies of dysphonic voices, which would be very useful. LisaMart86 (talk) 21:56, 25 September 2016 (UTC)

Expanding Content
Overall, there is a lot of content that can be expanded or added in this article. For example, there are no explanations about the causes of dysphonia. Although there are too many causes to go into detail about each one, a good place to start would be to talk about the broader categories of causes (i.e. functional, inflammatory, neurological) and then to expand each section a bit. A list of causes (it doesn't have to be exhaustive) could be added as well. Further, the clinical assessment section can also be restructured to include broader categories of types of assessments tools used in dysphonia (i.e. perceptual, visual, acoustic, aerodynamic). Each category can then be elaborated, and examples can be added. Since dysphonia is such a broad topic, the addition of sub categories may help readers sort through the information better and decide what topics they would like to explore more in depth.

The following is a list of articles I will use to begin implementing my above suggestions to this article:


 * 1) Feierabend, Raymond H.; Malik, Shahram N. Malik. "Hoarseness in Adults". American Family Physician. 80.
 * 2) Pylypowich, Ashley; Duff, Elsie. "Differentiating the Symptom of Dysphonia". The Journal for Nurse Practitioners. 12 (7): 459–466. doi:10.1016/j.nurpra.2016.04.025.
 * 3) Roy, Nelson; Barkmeier-Kraemer, Julie; Eadie, Tanya; Sivasankar, M. Preeti; Mehta, Daryush; Paul, Diane; Hillman, Robert (2013-05-01). "Evidence‐Based Clinical Voice Assessment: A Systematic Review". American Journal of Speech-Language Pathology. 22 (2). doi:10.1044/1058-0360(2012/12-0014). ISSN 1058-0360.
 * 4) Dejoncker, Philippe H. (2010). "Assessment of Voice and Respiratory Function". In Remacle, Marc; Eckel, Hans Edmund. Surgery of larynx and trachea. Berlin; London: Springer. pp. 11–25.

Please let me know if anyone has any comments. suggestions or articles that may be relevant.

Meagan.Honigman (talk) 05:02, 2 October 2016 (UTC)

Treatment of Dysphonia
A clear weakness of this article is it's lack of content and elaboration on the subject of dysphonia treatment. Firstly, the article requires a thorough explanation of the etiology of the different types of dysphonia (e.g. functional vs. organic), and what some associated conditions might look like. At the moment, the article only describes the voice quality as "hoarse, breathy, harsh, or rough". However, the articles lists many types of dysphonia that differ in quality. Thus, this vague description is insufficient in describing the nuances between the different types. Once the associated conditions of each type of dysphonia are described, treatment methods targeting each condition can be highlighted. This treatment section will include systematic reviews and meta-analyses of the effectiveness of indirect/direct voice therapy and interventions.

The following articles will be used to edit this section:


 * 1) Cohen, S. M., Kim, J., Roy, N., Asche, C. & Courey, M. (2012), Prevalence and causes of dysphonia in a large treatment-seeking population. The Laryngoscope, 122, 343–348.
 * 2) Ludlow, C. L. (2009). Treatment for spasmodic dysphonia: limitations of current approaches. Current opinion in otolaryngology & head and neck surgery, 17, 160-165.
 * 3) Ruotsalainen, J., Sellman, J., Lehto, L., & Verbeek, J. (2008). Systematic review of the treatment of functional dysphonia and prevention of voice disorders. Otolaryngology-Head and Neck Surgery, 138, 557-565.
 * 4) Ulis, J. M., & Yanagisawa, E. (2009). What's new in differential diagnosis and treatment of hoarseness?. Current opinion in otolaryngology & head and neck surgery, 17, 209-215.
 * 5) Van Houtte, E., Van Lierde, K., & Claeys, S. (2011). Pathophysiology and treatment of muscle tension dysphonia: a review of the current knowledge. Journal of Voice, 25, 202-207.
 * 6) Whurr, R., Nye, C. & Lorch, M. (1998), Meta-analysis of botulinum toxin treatment of spasmodic dysphonia: A review of 22 studies. International Journal of Language & Communication Disorders, 33, 327–329.

Please feel free to add/comment on this section. H.hoangtn (talk) 15:34, 2 October 2016 (UTC)

Clarifying the Types of Dysphonia
Another clear weakness of this article is the lack of clarification on the different types of dysphonia. I plan to add a section explaining the two main classes (i.e. functional vs. organic) and how they differ in their etiology and subsequent treatment. Additionally, I will discuss some issues of classification in this section. Finally, I will explore different types of dysphonia within each broad class.

Another section that is lacking information is the treatment section; I plan to add a sub-section within the treatment section regarding prevention strategies for dysphonia. To complete these edits I plan to utilize the following sources:

1. Cohen, S. M., Kim, J., Roy, N., Asche, C. & Courey, M. (2012), Prevalence and causes of dysphonia in a large treatment-seeking population. The Laryngoscope, 122, 343–348.

2. Hazlett, D. E., Duffy, O. M., & Moorhead, S. A. (March 01, 2011). Review of the Impact of Voice Training on the Vocal Quality of Professional Voice Users: Implications for Vocal Health and Recommendations for Further Research. Journal of Voice, 25, 2, 181-191.

3. Ruotsalainen, J., Sellman, J., Lehto, L., & Verbeek, J. (2008). Systematic review of the treatment of functional dysphonia and prevention of voice disorders. Otolaryngology-Head and Neck Surgery, 138, 557-565.

4. Schwartz, S. R., Cohen, S. M., Dailey, S. H., Rosenfeld, R. M., Deutsch, E. S., Gillespie, M. B., Granieri, E., ... Patel, M. M. (January 01, 2009). Clinical practice guideline: hoarseness (dysphonia). Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 141, 3, 1.

5. Van Houtte, E., Van Lierde, K., & Claeys, S. (2011). Pathophysiology and treatment of muscle tension dysphonia: a review of the current knowledge. Journal of Voice, 25, 202-207.

6. American Speech-Language Hearing Association. Voice disorders. http://www.asha.org/PRPSpecificTopic.aspx?folderid=8589942600&section=Overview. Retrieved on Oct.2, 2016.

Please let me know if there are any comments/ideas for additional sources. Thanks! Nancy Zee (talk) 20:26, 2 October 2016 (UTC)

Definition of Dysphonia
In general, the current article appears to lack content and is need of additional information from secondary sources. Furthermore, the article needs to be reorganized and delivered in a user-friendly way (i.e., provide content that is understandable to the public). In order to lay the ground work for the rest of the article (e.g., types of dysphonia, clinical measures, treatment), viewers should be provided with a definition of dysphonia which includes the underlying physiology (i.e., “normal” voice versus “dysphonic” voice). Additionally, a brief description of the prevalence of dysphonia should also be provided under the same section.

The following sources will be used to add to the section:

1. Aronson, A. E., & Bless, D. M. (2009). Clinical voice disorders. New York: Thieme.

2. Cohen, S. M., Kim, J., Roy, N., Asche, C. & Courey, M. (2012), Prevalence and causes of dysphonia in a large treatment-seeking population. The Laryngoscope, 122, 343–348.

3. Colton, R. H., Casper, J. K., & Leonard, R. (2011). Understanding Voice Problems: A Physiological Perspective for Diagnosis and Treatment (4th ed).Baltimore, MD: Lippincott Williams & Wilkins.

4. Ulis, J. M., & Yanagisawa, E. (January 01, 2009). What's new in differential diagnosis and treatment of hoarseness?. Current Opinion in Otolaryngology & Head and Neck Surgery, 17, 3, 209-15.

Please feel free to comment, provide additional resources, or suggest changes for this section.

KDmansfield (talk) 21:35, 2 October 2016 (UTC)KDmansfield

Title/Heading Considerations
The title or heading should be changed back to Dysphonia, as it was originally titled at some point. The article specifically states, hoarseness ≠ dysphonia: “While hoarseness is used interchangeably with the term dysphonia, it is important to note that the two are not synonymous. Hoarseness is merely a subjective term to explain the perceptual quality (or sound) of a dysphonic voice.[8]” Note the definition section is defining “dysphonia,” not hoarseness and the Content list (see below) is about Dysphonia not hoarseness. This article is appropriately linked from https://en.wikipedia.org/wiki/List_of_language_disorders, however, when one clicks on Dysphonia from the Language Disorders page, it brings one to this page titled "Hoarseness" instead of bringing one to the correctly titled section on "Dysphonia". Dysphonia is listed as a language disorder while hoarseness is not. Hoarseness should appropriately be discussed in a subsection of dysphonia as a symptom.

Contents [hide] 1	Examples of people with Dysphonia ? 2	What is Dysphonia? 3	Insufficient explanation for the uninitiated 4	Associated With Steroid Use 5	Copyvio sections 6	Copyright problem removed 7	Expansion of Content and References 8	Expand & Clarify Content 9	Expanding Content 10	Treatment of Dysphonia 11	Clarifying the Types of Dysphonia (Hoarseness should be discussed in this section) 12	Definition of Dysphonia Hoopwe (talk) 03:07, 16 February 2018 (UTC)

I now see now that this article is categorized under signs and symptoms. Hoarseness is a symptom and does rightly belong in this category. However, the article is written more about dysphonia, which is not a symptom but one type of language disorder of which hoarseness is a symptom. Major editing needs to take place to correct this. Also the link from "https://en.wikipedia.org/wiki/List_of_language_disorders" to this article should be removed. If one clicks on a link for Dysphonia, then it should go to an article about dysphonia and not to an article about one of its symptoms. A dysphonia article would appropriately be categorized as is shown in the wiki page, "https://en.wikipedia.org/wiki/List_of_language_disorders". Within the dysphonia article it would be appropriate to have a link to an article about hoarseness or "Hoarse Voice" as it is currently titled. Hoopwe (talk) 03:27, 16 February 2018 (UTC)


 * Was this change ever initiated? I agree the article is more about dysphonia rather than hoarseness which is a symptom of dysphonia. Em.buddo (talk) 23:59, 21 September 2018 (UTC)


 * Additionally, Speech-Language Pathologists have a role in treating dysphonia yet there doesn't seem to be mention about this on this article. Should this be added?Em.buddo (talk) 00:14, 22 September 2018 (UTC)

Epidemiology
A weakness of this article is its section on the epidemiology of dysphonia, which could be significantly more detailed. I propose to flesh out this section by using the epidemiology sections of featured Wikipedia articles (e.g. Alzheimer's disease, Autism, Coeliac disease, Endometrial cancer, Tourette syndrome) as a reference for the type of information to include and how to format it. Available epidemiological information seems to be more limited for dysphonia than in these featured Wikipedia articles, but I will add as much detail as I can find from appropriate sources.

Here are the sources I intend to use:

1. Cohen, S. M., Kim, J., Roy, N., Asche, C., & Courey, M (2012). "Prevalence and causes of dysphonia in a large treatment-seeking population". The Laryngoscope. 122 (2): 343–348. doi:10.1002/lary.22426. PMID 22271658. 2. Stachler, Robert J.; Francis, David O.; Schwartz, Seth R.; Damask, Cecelia C.; Digoy, German P.; Krouse, Helene J.; McCoy, Scott J.; Ouellette, Daniel R.; Patel, Rita R. (2018-03). "Clinical Practice Guideline: Hoarseness (Dysphonia) (Update)". Otolaryngology–Head and Neck Surgery. 158 (1_suppl): S1–S42. doi:10.1177/0194599817751030. ISSN 0194-5998.

3. Colton, Raymond ([2011], ©2011). Understanding voice problems : a physiological perspective for diagnosis and treatment. Casper, Janina K.,, Leonard, Rebecca, (Fourth edition ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781609138745. OCLC 660546194. 4. Williams, N. R. (2003). "Occupational groups at risk for voice disorders: A review of the literature". Occupational Medicine. 53 (7): 456–460. doi:10.1093/occmed/kqg113. 5. Verdolini, K., & O Ramig, L. (2001). "Review: Occupational risks for voice problems". Logopedics Phoniatrics Vocology. 26: 37–46. doi:10.1080/14015430119969. 6. Cantor Cutiva, Lady Catherine; Vogel, Ineke; Burdorf, Alex (2013-3). "Voice disorders in teachers and their associations with work-related factors: a systematic review". Journal of Communication Disorders. 46 (2): 143–155. doi:10.1016/j.jcomdis.2013.01.001. ISSN 1873-7994. PMID 23415241. 7. Pestana, Pedro Melo; Vaz-Freitas, Susana; Manso, Maria Conceição (2017-11). "Prevalence of Voice Disorders in Singers: Systematic Review and Meta-Analysis". Journal of Voice: Official Journal of the Voice Foundation. 31 (6): 722–727. doi:10.1016/j.jvoice.2017.02.010. ISSN 1873-4588. PMID 28342677.

Mhollett (talk) 23:11, 13 October 2018 (UTC)Mhollett