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absolutely refuse permission for any of
the music to which they own rights to be published on any
website. This would additionally apply to chapters that have
their own "members only" section of a website where they put
learning tapes/CDs for their members. If they need to know
what kind of permission they need, they should contact the copyright
owner and seek a website (media)
license. If it becomes more involved than
that, they should call the Society office and talk either to
Joe Liles or Colleen Theobold.
Reflux and the Voice
Although not a substitute
for consultation with your doctor, this introduction to the causes
and symptoms of acid reflux can help you safeguard your health and
voice.
Martin L. Spencer, M.A.
CCC-SLP Voice pathologist Ohio ENT Surgeons, 974 Bethel
Road, Columbus, Ohio 43214 (614) 406-1987 martin_spencer@ameritech.net
Laryngopharyngeal reflux (LPR)
occurs when digestive secretions, chiefly hydrochloric acid and
the enzyme pepsin, seep out of the esophagus and irritate the voice
box (larynx) and throat (pharynx). LPR is the most common source of
laryngeal pathology and may be a contributor to disorders ranging
from excessive muscular tension during voicing, to nodules, and even
laryngeal cancer.
Singers affected by LPR typically
describe vocal difficulties such as increased vocal strain or
fatigue, reduced tonal quality, loss of high range, or pronounced
register disconnect. Additional reflux related symptoms may include
speaking voice changes (particularly in the morning), persistent
throat clearing, sore throat, hacking cough, nocturnal choking,
metallic taste, swallowing difficulty, and throat “tickle” or
fullness. To aid in diagnostic verification, a physician or voice
pathologist will correlate these symptoms to characteristic tissue
changes. Note that allergies and post-nasal drainage may produce
similar symptoms; clinical dialogue, and careful usage of treatment
should sort out the relative contributions of each potential source
of irritation.
Reflux
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