Conditions and Treatments

Comprehensive care is provided to patients suffering from voice and swallowing ailments. Conditions ranging from vocal cord dysfunction and paralysis to swallowing disorders are corrected via surgical and therapeutic options.

Conditions

  • Airway problems - glottal, subglottal and tracheal stenosis, bilateral vocal paralysis.
  • Chronic cough, paradoxical vocal fold motion, laryngeal hypersensitivity - a spectrum of disorders where the throat is very sensitive - symptoms including severe coughing, trouble breathing, and sometimes pain.
  • Dysphagia/swallowing disorders - gastroesophageal reflux and LPR, endoscopic surgery for Zenker’s diverticulum, cricopharyngeus spasm.
  • Malignant or pre-malignant neoplasms (leukoplakia, dysplasia, early larynx cancer)
  • Reflux Laryngitis - inflammation of the larynx caused by stomach contents.
  • Spasmodic dysphonia - a neurologic disorder which is a type of dystonia or involuntary movement of the vocal folds with certain speech tasks.
  • Vocal cord (fold) lesions - including polyps, nodules, cysts, fibrous and vascular lesions.
  • Vocal cord paralysis and paresis - problems with movement of the vocal folds (cords).
  • Vocal cord scarring - any scar tissue of the vocal folds that results in hoarseness or trouble breathing.
  • Voice disorders - related to aging -such as vocal cord atrophy.
  • Voice disorders (dysphonia) - such as hoarseness.

Treatments

  • Botox injection for the larynx and neck
  • Computerized voice analysis - analyzes the quality of the voice and the amount of “noise” or disturbance the voice contains as compared to a normal voice.
  • Endoscopic airway surgery - surgery done for limited areas of narrowing or blockage from scar tissue or lesions from above the vocal folds to about 5 cm below the vocal folds.
  • FEES: Fiber-optic endoscopic examination of swallowing - asking the patient to swallow different consistencies of blue or green dyed food while have a scope in the throat to observe what happens to the food during the swallow.
  • In office laser treatment of vocal fold and airway lesions.
  • Laryngeal EMG ( electromyography) - tests electrical activity of the muscles that control the vocal folds.
  • Laryngeal framework surgery - Surgical procedure designed to improve the voice by altering the cartilages of the voice box (larynx). Through this procedure, the position of the vocal folds is improved so they vibrate better during speaking or singing.
  • Laryngeal function studies - tests vocal efficiency, breath support and airflow analysis of the larynx.
  • Microflap excision of vocal cord tumors - A precise procedure using specially designed, tiny instruments to create small incisions and remove tumors from the vocal cords.
  • Oropharyngeal pH probe testing - A test in which a catheter is used to evaluate patients for the presenceof laryngopharyngeal reflux disease, a condition that develops when the voice box and esophagus is exposed to stomach acid due to acid reflux.
  • Phonosurgery - any surgery using the microscope in which the end goal is improvement of the voice.
  • Swallowing therapy
  • Transnasal esophagoscopy - A test that examines your esophagus using ultra thin endoscopes to diagnose esophageal-related diseases. The scope goes through the nose into the esophagus to look at the lining of the esophagus and is done without sedation.
  • Vocal cord injections - A procedure that can be done in the office an in the operating room. Vocal fold injections are done for a variety of reasons including vocal cord (fold) paralysis or paresis, vocal fold atrophy and disorders of aging, trouble swallowing and aspiration and even chronic cough. The injection basically fattens up or augments the vocal fold to repair vocal cord paralysis or atrophy.
  • Voice therapy - Individualized evaluation and training to improve, modify or maintain vocal function for professionals including performing artists, public speakers, teachers and salespeople.
  • Videostroboscopy - The videostroboscopy examination is designed to examine vocal fold vibration and vocal fold closure, using a strobe light that is linked to the frequency of the patients voice. A camera is used to view the vocal folds while flashing the strobe light at certain frequencies so we view vibration of the vocal folds in slow motion.