Vocal cord damage, like severe inflammation and swelling, bleeding in the vocal cords, mucosal disruption and others, may occur with laryngitis. When this is noticed, the treatment includes a strict voice rest, and an additional correction of any underlying disease.
Vocal fold hemorrhage is more common in premenstrual period in women who are using aspirin. Heavy bleeding and mucosal scarring can result in permanent hoarseness. In some situations, surgery may be needed. It is important to emphasize the seriousness of this situation so that patients understand the importance of compliance with restrictions on the use of voice.
Infectious laryngitis can be caused by bacteria or virus.
When a doctor is not completely sure about a cause of a disease and when the voice unavoidably required, a strong antibiotic treatment is needed. In some cases, corticosteroids can help. Mild to moderate edema and redness of the vocal cords may result from infection, and noninfectious causes.
Non-infectious laryngitis is often associated with excessive voice use for performance. This may be associated with other forms of voice abuse and irritation to mucous allergies, smoke, and more. When the anterior and middle third vocal cord remains without mucosa, this is ususally due to voice abuse.
Laryngitis sicca (dry voice) is associated with dehydration, dry voice, mouth breathing, and antihistamine therapy. It can be a symptom of diabetes and other medical problems. Deficiency of lubrication causes irritation, coughing, and results in mild inflammation. Inflammatory processes of the larynx are best treated with voice rest. Corticosteroids and other medications can be helpful and if there is an excessive mucous secretion, a small dose of hystaminic can help, but it should be prescribed with caution and generally it should be avoided.
Voice rest is important in all forms of laryngitis.
Voice rest implies absolute silence and communication with writing pad and other helpful resources. The patient must be warned not to whisper, because even a whisper can be a traumatic activity. Absolute voice rest is necessary only for serious violations such as vocal cord hemorrhage and mucosal disorders. Usually three days of rest are sufficient. It is also very important to meet with a speech therapist in order to provide guidelines to prevent abuses. Nevertheless, the patient must be aware that there are some risks associated with laryngitis, even when the use of voice possible. Inflammation of vocal cords is associated with increased fragility of capillaries and an increased risk of injury or hemorrhage. It is up to singers, actors and other professionals to determine if their commitment is more important to them than possible consequences to their voice.
Other treatments of laryngitis?
For some steam inhalation helps. Some people use medicaments that are supposed to be dripped into the nostrils, even though these have little proven value. Also gargling agents (mouthwash) haven’t got any proven efficacy, but this is probably only harmful if it includes vocalization as part of the gargling process.
Supersonic treatments, psychotherapy and biofeedback are directed at relieving anxiety and decreasing muscle tension and they may be an additional help in the therapeutic program. However, these programs should be supervised by professionals.