{"id":217,"date":"2022-11-22T14:53:10","date_gmt":"2022-11-22T13:53:10","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/?page_id=217"},"modified":"2022-12-06T12:53:18","modified_gmt":"2022-12-06T11:53:18","slug":"phoniatrie-et-phono-chirurgie","status":"publish","type":"page","link":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/phoniatrie-et-phono-chirurgie\/","title":{"rendered":"Laryngophoniatrie"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row][vc_column][vc_column_text]\n<p style=\"text-align: center;\">L&rsquo;activit\u00e9 laryngophoniatrique est centr\u00e9e sur les \u00e9valuations fonctionnelles laryng\u00e9es, avec explorations des <strong>troubles de la d\u00e9glutition<\/strong> et des<strong> troubles de la voix<\/strong>, et sur les traitements des troubles observ\u00e9s, qu&rsquo;ils soient chirurgicaux, m\u00e9dicaux ou r\u00e9\u00e9ducationnels.<\/p>\n[\/vc_column_text][vc_row_inner][vc_column_inner][vc_icon icon_fontawesome=\u00a0\u00bbfa fa-users\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb align=\u00a0\u00bbcenter\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1669125046733{margin-bottom: 5px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb custom_color=\u00a0\u00bb#3bb5e9&Prime;][vc_column_text]\n<p style=\"text-align: center;\">L\u2019\u00e9quipe de laryngophoniatrie est constitu\u00e9e d\u2019un m\u00e9decin phoniatre, d&rsquo;un m\u00e9decin ORL, d&rsquo;orthophonistes et d&rsquo;une di\u00e9t\u00e9ticienne<\/p>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_tta_accordion style=\u00a0\u00bbflat\u00a0\u00bb shape=\u00a0\u00bbsquare\u00a0\u00bb active_section=\u00a0\u00bb12&Prime; no_fill=\u00a0\u00bbtrue\u00a0\u00bb collapsible_all=\u00a0\u00bbtrue\u00a0\u00bb][vc_tta_section title=\u00a0\u00bbTroubles de la voix\u00a0\u00bb tab_id=\u00a0\u00bb1669123080108-a88500f3-4044&Prime;][vc_column_text]<em>Les explorations de la voix se font en consultations externes.<\/em>[\/vc_column_text][vc_text_separator title=\u00a0\u00bbPopulation concern\u00e9e\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#24607b\u00a0\u00bb][vc_row_inner][vc_column_inner width=\u00a0\u00bb1\/2&Prime;][vc_column_text]\n<p style=\"text-align: center;\"><strong>Professionnels de la voix<\/strong> (enseignants, artistes, journalistes\u2026), mais \u00e9galement toute personne pr\u00e9sentant une dysphonie, adulte ou enfant\u2026<\/p>\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/2&Prime;][vc_column_text]\n<p style=\"text-align: center;\">Patients ayant eu un <strong>traumatisme laryng\u00e9<\/strong> (post intubation, post tracheotomie, post chirurgie laryng\u00e9e&#8230;) ou pr\u00e9sentant une dysphonie en cours d&rsquo;hospitalisation<\/p>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\u00a0\u00bbExamens propos\u00e9s\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#24607b\u00a0\u00bb][vc_row_inner][vc_column_inner width=\u00a0\u00bb1\/2&Prime;][vc_column_text]\n<p style=\"text-align: center;\">Exploration du larynx en consultation phoniatrique , avec examen <strong>nasofibroscopique,<\/strong> ou <strong>vid\u00e9olaryngoscopique<\/strong><\/p>\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/2&Prime;][vc_column_text]\n<p style=\"text-align: center;\"><strong>Analyse vocale informatis\u00e9e<br \/>\n<\/strong>Peut \u00eatre \u00e9galement r\u00e9alis\u00e9e en consultation avec l\u2019orthophoniste qui pratique des enregistrements vocaux<\/p>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\u00a0\u00bbTraitements propos\u00e9s\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#24607b\u00a0\u00bb][vc_column_text]\n<ul>\n<li><strong>R\u00e9\u00e9ducation orthophonique<\/strong>: peut \u00eatre pratiqu\u00e9e en ville aupr\u00e8s des orthophonistes lib\u00e9rales, ou \u00e0 la consultation ORL par les orthophonistes de l\u2019\u00e9quipe<\/li>\n<li><strong>Traitements m\u00e9dicamenteux\u00a0<\/strong><\/li>\n<li><strong>Traitements chirurgicaux <\/strong>:\n<ul>\n<li>certaines l\u00e9sions laryng\u00e9es n\u00e9cessitent une ex\u00e9r\u00e8se chirurgicale, sous anesth\u00e9sie g\u00e9n\u00e9rale, suivies d\u2019un repos vocal de 5 jours<\/li>\n<li>certaines autres l\u00e9sions laryng\u00e9es peuvent \u00eatre trait\u00e9es en consultation, sous anesth\u00e9sie locale, \u00e0 l&rsquo;aide d&rsquo;un laryngoscope \u00e0 canal op\u00e9rateur.<br \/>\nUne r\u00e9\u00e9ducation orthophonique est souvent n\u00e9cessaire en encadrement des traitements chirurgicaux.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Injections intracordales de toxines botuliques\u00a0<\/strong>: pratiqu\u00e9es chez les patients pr\u00e9sentant des dystonies laryng\u00e9es.\n<ul>\n<li>L\u2019injection peut se faire en consultation neuro-ORL, sous contr\u00f4le \u00e9lectromyographique<\/li>\n<li>Elle peut \u00e9galement se faire en consultation ORL simple, \u00e0 l&rsquo;aide d&rsquo;un laryngoscope \u00e0 canal op\u00e9rateur.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n[\/vc_column_text][\/vc_tta_section][vc_tta_section title=\u00a0\u00bbTroubles de la d\u00e9glutition\u00a0\u00bb tab_id=\u00a0\u00bb1669124365618-f0895221-8fb9&Prime;][vc_column_text]<em>Les explorations de la d\u00e9glutition se font en consultations simples ou en hospitalisation de jour.<\/em><\/p>\n<p><em>\u00a0<\/em>[\/vc_column_text][vc_text_separator title=\u00a0\u00bbPopulation concern\u00e9e\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#24607b\u00a0\u00bb][vc_row_inner][vc_column_inner width=\u00a0\u00bb1\/3&Prime;][vc_column_text]\n<p style=\"text-align: center;\"><strong>Patients hospitalis\u00e9s<\/strong>: tout type de patient hospitalis\u00e9, qu\u2019il soit en service de r\u00e9animation, g\u00e9riatrie, pneumologie, m\u00e9decine interne, p\u00e9diatrie, etc\u2026<\/p>\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3&Prime;][vc_column_text]\n<p style=\"text-align: center;\"><strong>Patients adress\u00e9s par les m\u00e9decins traitants<\/strong>: personnes \u00e2g\u00e9es (en structure ou non) ou tout patient se plaignant de difficult\u00e9 de d\u00e9glutition<\/p>\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3&Prime;][vc_column_text]\n<p style=\"text-align: center;\"><strong>Patients adress\u00e9s par les centres de r\u00e9\u00e9ducation<\/strong> (Grand Feu, Saint Trojan, centre de c\u00e9r\u00e9brol\u00e9s\u00e9s, etc\u2026)<\/p>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\u00a0\u00bbExamens propos\u00e9s\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#24607b\u00a0\u00bb][vc_row_inner][vc_column_inner width=\u00a0\u00bb1\/2&Prime;][vc_column_text]\n<p style=\"text-align: center;\"><strong>\u00c9valuation en h\u00f4pital de jour<\/strong><\/p>\n<p style=\"text-align: center;\">Il s\u2019agit d\u2019une \u00e9valuation globale et compl\u00e8te de la d\u00e9glutition, comprenant plusieurs examens sur une journ\u00e9e, avec examen nasofibroscopique et radioscopique de la d\u00e9glutition, exploration orthophonique de la d\u00e9glutition et \u00e9valuation di\u00e9t\u00e9tique. Une observation de repas est pratiqu\u00e9e, en pr\u00e9sence de l\u2019orthophoniste, permettant une \u00e9valuation en situation r\u00e9elle.<\/p>\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/2&Prime;][vc_column_text]\n<p style=\"text-align: center;\"><strong>\u00c9valuation en consultation externe<br \/>\n<\/strong><\/p>\n<p style=\"text-align: center;\">Plus adapt\u00e9e pour des patients fatigu\u00e9s, ne pouvant pas supporter une \u00e9valuation sur une journ\u00e9e. Seule la nasofibroscopie de d\u00e9glutition ou la radioscopie est pratiqu\u00e9e<\/p>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\u00a0\u00bbTraitements propos\u00e9s\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#24607b\u00a0\u00bb][vc_row_inner][vc_column_inner width=\u00a0\u00bb1\/3&Prime;][vc_column_text]\n<p style=\"text-align: center;\"><strong>Adaptatif\u00a0:<\/strong> adaptations de textures alimentaires, de postures au cours des repas, prise en charge en r\u00e9\u00e9ducation orthophonique<\/p>\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3&Prime;][vc_column_text]\n<p style=\"text-align: center;\"><strong>M\u00e9dicamenteux\u00a0<\/strong>: traitements anti reflux, etc\u2026<\/p>\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3&Prime;][vc_column_text]\n<p style=\"text-align: center;\"><strong>Injections de toxines botuliques<\/strong>: en cas de dystonie du sphincter sup\u00e9rieur de l\u2019\u0153sophage, en cas de bavage invalidant.<\/p>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][\/vc_tta_accordion][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text] L&rsquo;activit\u00e9 laryngophoniatrique est centr\u00e9e sur les \u00e9valuations fonctionnelles laryng\u00e9es, avec explorations des troubles de la d\u00e9glutition et des troubles de la voix, et sur les traitements des troubles observ\u00e9s, qu&rsquo;ils soient chirurgicaux, m\u00e9dicaux ou r\u00e9\u00e9ducationnels. [\/vc_column_text][vc_row_inner][vc_column_inner][vc_icon icon_fontawesome=\u00a0\u00bbfa fa-users\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb align=\u00a0\u00bbcenter\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1669125046733{margin-bottom: 5px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb custom_color=\u00a0\u00bb#3bb5e9&Prime;][vc_column_text] L\u2019\u00e9quipe de laryngophoniatrie est constitu\u00e9e d\u2019un [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-217","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Laryngophoniatrie - ORL<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/phoniatrie-et-phono-chirurgie\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Laryngophoniatrie - ORL\" \/>\n<meta property=\"og:description\" content=\"[vc_row][vc_column][vc_column_text] L&rsquo;activit\u00e9 laryngophoniatrique est centr\u00e9e sur les \u00e9valuations fonctionnelles laryng\u00e9es, avec explorations des troubles de la d\u00e9glutition et des troubles de la voix, et sur les traitements des troubles observ\u00e9s, qu&rsquo;ils soient chirurgicaux, m\u00e9dicaux ou r\u00e9\u00e9ducationnels. 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[\/vc_column_text][vc_row_inner][vc_column_inner][vc_icon icon_fontawesome=\u00a0\u00bbfa fa-users\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb align=\u00a0\u00bbcenter\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1669125046733{margin-bottom: 5px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb custom_color=\u00a0\u00bb#3bb5e9&Prime;][vc_column_text] L\u2019\u00e9quipe de laryngophoniatrie est constitu\u00e9e d\u2019un [&hellip;]","og_url":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/phoniatrie-et-phono-chirurgie\/","og_site_name":"ORL","article_modified_time":"2022-12-06T11:53:18+00:00","twitter_card":"summary_large_image","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/phoniatrie-et-phono-chirurgie\/","url":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/phoniatrie-et-phono-chirurgie\/","name":"Laryngophoniatrie - ORL","isPartOf":{"@id":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/#website"},"datePublished":"2022-11-22T13:53:10+00:00","dateModified":"2022-12-06T11:53:18+00:00","breadcrumb":{"@id":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/phoniatrie-et-phono-chirurgie\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.chu-poitiers.fr\/specialites\/orl\/phoniatrie-et-phono-chirurgie\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/phoniatrie-et-phono-chirurgie\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"CHU de Poitiers","item":"https:\/\/www.chu-poitiers.fr\/"},{"@type":"ListItem","position":2,"name":"Services","item":"https:\/\/www.chu-poitiers.fr\/services\/"},{"@type":"ListItem","position":3,"name":"ORL","item":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/"},{"@type":"ListItem","position":4,"name":"Laryngophoniatrie"}]},{"@type":"WebSite","@id":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/#website","url":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/","name":"ORL","description":"Oto-rhino-laryngologie","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"}]}},"_links":{"self":[{"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/wp-json\/wp\/v2\/pages\/217","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/wp-json\/wp\/v2\/comments?post=217"}],"version-history":[{"count":5,"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/wp-json\/wp\/v2\/pages\/217\/revisions"}],"predecessor-version":[{"id":313,"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/wp-json\/wp\/v2\/pages\/217\/revisions\/313"}],"wp:attachment":[{"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orl\/wp-json\/wp\/v2\/media?parent=217"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}