A classic work, now in its fifth edition, Clinical Voice Pathology: Theory and Management, is a compilation of the authors' many years of experience in a multitude of settings and addresses a considerable range of voice disorders in various populations and from various etiologies including medical, environmental, social, psychological, occupational, and even idiopathic threats to vocal health. The addition of world-renowned coauthor, Nelson Roy, brings this fifth edition even more valuable experience in clinical voice disorders research.

Whether a typical voice user, occupational voice user, elite vocal performer, head and neck cancer client, or an individual who has lost the ability to communicate competently and confidently due to a detrimental voice change, each patient presents a unique diagnostic dilemma: how best to return the voice to its optimal condition? This text thoroughly answers this question through explaining and illustrating the knowledge necessary to treat and manage voice disorders.

Key features to the fifth edition:
Provides the history and common causes of voice disorders, introducing the interdisciplinary background essential to successful voice therapy and treatment planning
Details the anatomy and physiology of voice production to aid in identification and evaluation measures
Reviews criteria for a comprehensive voice assessment, such as high speed digital imaging and videokymography tools, as well as several voice therapy approaches, including hygienic, symptomatic, psychogenic, physiologic, and eclectic treatments
Highlights current clinical evidence that either supports or refutes popular voice therapy treatments for conditions such as papilloma, mutational falsetto, and transgendered voice
Presents the pathologies of the laryngeal mechanism, organized according to ASHA's Classification Manual for Voice Disorders
Provides guidance for management and rehabilitation of the laryngectomized patient, outlining the complementary roles of the interdisciplinary treatment team to manage multiple treatment goals

With numerous pieces of artwork, full color inserts, and case examples, Clinical Voice Pathology, Fifth Edition, not only maintains but also significantly improves on the standards set by its previous editions.

Preface
1. Voice: A Historical Perspective
Ancient History
The Renaissance
The 17th to 19th Centuries
The Laryngeal Mirror
Further Advancements
Voice Therapy
Clinical Voice Pathology
References

2. Anatomy and Physiology
Anatomy
The Laryngeal Valve
Respiration for Phonation
Vocal Tract Resonance
Structural Support for the Larynx
Hyoid Bone
Laryngeal Cartilages
Muscles
Muscles for Respiration: Inspiration and Exhalation
Laryngeal Muscles
True Folds, Ventricular (False) Folds, and Ventricle
Vocal Fold Microstructure
Epithelium
Basement Membrane Zone
Lamina Propria
Vocal Muscle
Blood Supply and Secretions
Neurologicl Supply
Central Nervous System Control
Peripheral Innervation
Laryngeal Reflexes
Developmental Changes
Geriatric Vocal Folds
DNA Mircoarray Gene Expression Analysis
Physiology of Phonation
Theories of Vibration
Fundamental Frequency Control
Intensity Control
Phonation Modes and Voice Quality Control
Summary
References

3. Some Etiologic Correlates
Etiologies of Vocal Misuse
Phonotrauma
Inappropriate Vocal Components
Medically Related Etiologies
Direct Surgery
Indirect Surgery
Chronic Illnesses and Disorders
Primary Disorder Etiologies
Personality-Related Etiologies
Environmental Stress
Identify Conflict
Summary
References

4. Pathologies of the Laryngeal Mechanism
Prevalence of Voice Disorders
Pathology Classifications
Structural Pathologies of the Vocal Fold
Congenital and Maturational Changes Affecting Voice
Inflammatory Conditions of the Larynx
Trauma or Injury of the Larynx
Systematic Condition Affecting Voice
Allergies
Nonlaryngeal Aerodigestive Disorders Affecting Voice
Psychiatric and Psychological Disorders Affecting Voice
Neurological Disorders Affecting Voice
Movement Disorders Affecting the Larynx
Central Neurological Disorders Affecting the Voice
Other Disorders of Voice Use
Summary
References

5. The Diagnostic Voice Evaluation
The Management Team
Patient Profile
Referral Sources
Medical Evaluation
Voice Pathology Evaluation
Diagnostic Voice Evaluation
Referral
Reason for the Referral
History of the Problem
Oral-Peripheral Examination
Auditory-Perceptual Voice Assessment
Patient Self-Analysis of the Voice Disorder
Impressions
Prognosis
Recommendations
Additional Considerations
Summary
References
Appendix 5-A. Sample Report
Appendix 5-B. Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V)
Appendix 5-C. The Rainbow Passage
Appendix 5-D. Vocal Component Checklist
Appendix 5-E. Voice Handicap Index (VHI)

6. Instrumental Measurement of Voice
Introduction to Instrumentation in Voice Assessment
Clinical Utility
Basics of Technical Instruments
Microphones and Recording Environment
Digital Signal Processing
Acoustic Measurements
Pitch Detection Algorithm
Fundamental Frequency
Intensity
Voice Range Profile, Phonetogram, and Physiologic Frequency Range of Phonation
Perturbation Measures
Signal (or Harmonic)-to-Noise Ratios
Spectral Analysis
Cepstral Spectral Index of Dysphonia (CSID)
Aerodynamic Measures
Calibration
Pressure, Flow, Resistance, and Ohm's Law
Airflow Equipment
Flow Measurement
Subglottal Air Pressure Measurement
Phonation Threshold Pressure
Laryngeal Resistance
Inverse Filter
Laryngeal Imaging
Endoscopy
Stroboscopy
High-Speed Digital Imaging
Kymography
Criteria for Laryngeal Imaging
Recording Protocol
Visual Perceptual Judgements
Electroglottography (EGG)
Laryngeal Electromyography (LEMG)
Normative Information
Electrical Safety
Hygienic Safety
The Clinical Voice Laboratory
Glossary
Acoustics
Aerodynamics
References
Appendix 6-A. Joint Statement: ASHA and AAO-HNS
Appendix 6-B. Vocal Tract Visualization and Imaging: Position Statement

7. Survey of Voice Management
Voice Therapy Orientations
Hygienic Voice Therapy
Symptomatic Voice Therapy
Psychogenic Voice Therapy
Physiologic Voice Therapy
Eclectic Voice Therapy
Case Study 1
Hygienic Voice Therapy
Treatment Strategies for Vocally Traumatic Behavior
Vocal Hygiene Therapy Approaches
Case Study 2: The Homemaker
Case Study 3: The Noisy Job Environment
Case Study 4: The Public Speaker
Case Study 5: Phonotrauma in Children
Case Study 6: Can We Always Expect Success?
Hydration
Confidential Voice
Symptomatic Voice Therapy
Therapy Approaches for Respiration
Therapy Approaches for Phonation
Therapy Approaches for Resonance
Therapy Approaches for Pitch
Therapy Approaches for Gender Reassignment Voice Change
Therapy Approaches for Loudness Modification
Therapy Approaches for Rate Modification
Therapy Approaches for Laryngeal Area Muscle Tension
Psychogenic Voice Therapy
Functional Aphonia/Dysphonia
Functional Falsetto
Vocal Chord Dysfunction (VCD)
Physiologic Voice Therapy
Case Study 11: Laryngeal Muscle Imbalance
Case Study 12: The Postsurgical Patient
Case Study 13: Presbyphonia
Vocal Function Exercises
Resonant Voice Therapy
Accent Method of Voice Therapy
Lee Silverman Voice Treatment
Team Management of Specific Laryngeal Pathologies
Vocal Fold Cover Lesions
Laryngopharyngeal Reflux and Gastroesophageal Reflux Disease
Unilateral Vocal Fold Paralysis
Case Study 14: Unilateral Vocal Fold Paralysis
Spasmodic Dysphonia
Successful Voice Therapy
Refernces
Appendix 7-A. Phrases and Sentences Graduated in Length
Paragraph Readings
Poetry Readings

8. The Professional Voice
Overview
The Professional Voice User
History
The "At-Risk" Status
Professional Roles
The Otolaryngoloist
The Voice Pathologist
The Produces
The Agent or Manager
Clinical Pathways
Otolaryngology-Voice Pathology-Voice Pedagogy
Voice Pedagogy-Otolaryngoloist-Voice Pathology
Voice Pedagogy-Voice Pathology-Otolaryngology
Otolaryngology-Voice Pedagogy
Voice Pathologist-Voice Pedagogy
Vocal Types and Vocal Range
Categories of Singers
Vocal Registers
Common Etiologic Factors
Personality Factors
Phonotrauma
Drugs
Hydration
Common Pathologies
Acute and Chronic Noninfectious Laryngitis
Vocal Nodules
Contact Ulcers and Granulomas
Gastroesophageal Reflux Disease/Laryngopharyngeal Reflux
Voice Fatigue
Vocal Fold Hemorrhage and Vascular Pathologies
Clinical Assessment of the Vocal Performer
Supportive Training and Techniques
Alexander Technique
The Linklater Method
The Feldenkrais Method
The Lessac System
Estill Voice Training
Summary
Glossary of Terms Used in Singing
References

9. Rehabilitation of the Laryngectomized Patient
Overview
Incidence of Laryngeal Cancer
Etiology
Symptoms of Laryngeal Cancer
Medical Evaluation
Staging and Tumor-Node-Metastasis Classification
Lymph Node Distribution
Treatment Options
Conservation
Combined Treatments
Radiation Therapy
Surgery
Concurrent Chemoradiotherapy
Methods of Reconstruction
Needs for Follow-Up Treatment
Multidisciplinary Rehabilitation Team
Special Concerns of the Laryngectomized Patient
Communication
Physical Concerns
Psychosocial Concerns
Speech Rehabilitation
Artificial Larynges
Esophageal Speech
Surgical Prothetics
Role of the Speech-Language Pathologist and Surgical Prothetics
Patient Evaluation
Patient Fitting
Independent Care
Maximizing Communication
Hands-Free Speaking Valve
Summary
Helpful Websites on Head and Neck Cancers
Refernces