1. Vocal Misuse… Inappropriate Pitch and Glottal Fry (Clarence Henry Style – 1957) Vocal Endoscopy Samples
12/4/2018

2. Girl Frog
12/4/2018

3. Vocal Misuse? – You Be the Judge
Singing like a girl is okay….. if you’re a girl.
…not so great if you’re not a girl.
You also ain’t got good vocal technique
Is this considered inappropriate pitch?
And now you ain’t got no voice.
12/4/2018

4. Glottal Frog is Glottal Fry…
Vocal technique ain’t much better than the girl voice
You can add “Ain’t got no vocal folds” after this glottal fry ………
What I’m saying is you ain’t going to have much of a voice if you keep this up…..
12/4/2018

5. Vocal Disorders
Cysts - Growths that form underneath the vocal fold mucosa. A cyst may form on one or both vocal folds. Cysts causes a gap between the two vocal folds and prevent normal vibration. The resulting sound can range from normal to breathy to very rough.
Granuloma - A blister-like growth that occurs in the posterior (back) part of the larynx. This granuloma has formed on one of the mucosal surfaces nearby the vocal fold. The granuloma may prevent glottic closure. Voice quality ranges from normal to breathy to very rough. This particular granuloma is considered rather large.
Cysts - Growths that form underneath the vocal fold mucosa. A cyst may form on one or both vocal folds. Cysts causes a gap between the two vocal folds and prevent normal vibration. The resulting sound can range from normal to breathy to very rough

6. Vocal Disorders
Hyperkeratosis
Leukoplakia

7. Nodules
Soft, broad-based swellings at the same location on both vocal folds (vocal cords). These are considered to be early nodules. As nodules mature, they typically become smaller, more defined, harder and callous-like.
These nodules are smaller and more well-defined.

8. Vocal Disorders Papilloma Right Left
Paralysis (unilateral) - In this picture the left vocal fold does not move; it is paralyzed near the midline. Seen in open position, the vocal folds do not fully open. Because the left vocal fold is paralyzed the arytenoid appears to "droop." In a normal larynx, the left vocal fold would be symmetrical with the right.
Right
Left

9. Polyps
Polyp - A fairly large polyp on the right vocal fold. This polyp has a more watery texture, and was removed surgically and treated with voice therapy. The individual has a healthy voice.
This polyp has a more solid texture. During phonation and inhalation it moved above and below the glottis as if on a hinge. Like the first picture, this polyp was removed surgically

10. Vocal Disorders Reflux changes
Vocal Fold Bowing - Vocal folds don't come together to vibrate. Instead, they leave a gap, allowing air to leak through, usually resulting in a weak, breathy voice. This picture illustrates moderate bowing.

11. Varix
Varix - A blunt end of a varicose vein, seen on the right vocal fold, possibly indicating a former vocal fold hemorrhage. The varix may cause a small specific area of stiffness on the vocal fold (vocal cord) mucosa and may give a very slight buzzy quality to the voice. Usually only noticed by singers.
Right Left

12. The End
(of one’s natural voice)
Clarence Henry
Tiny Tim

13. With many thanks for a great semester, Bob Dietz
Articulation, Voice and Fluency Disorders
Spring 2009
12/4/2018

14. Bibliography Endoscopy Slides
Lions Voice Clinic –
Clarence Henry picture
Tiny Tim Image emol.org/nevada/images/tinytim.jpg
12/4/2018