Evaluation and Diagnosis

Download our quick self-screener to find out if you should be concerned about the functioning of your voice. Never hesitate to call a laryngologist if you experience voice difficulties or sudden changes in voice.

We use a number of tools to evaluate your voice and understand your condition. These include, stroboscopy (a camera that records your voice in action), acoustic and aerodynamic measures (that tell us about the nature of the sound wave being produced) and a physical examination of your face, neck and mouth. We integrate the information we get from these assessments to formulate the best treatment plan for you.

Sometimes surgery is needed to effectively treat voice problems; however, many voice disorders can be addressed by changing the way in which the muscles of the voice are activated and improving the efficiency of the voice. When there is a large vocal fold lesion, cancer or a vocal fold paralysis where there is little contact between the two vocal folds, surgery is often necessary. Your team will discuss your diagnosis and suggested treatment plan with you, once they are able to assess you.

Laryngeal Video Stroboscopy

Laryngeal stroboscopy is an examination where a camera is passed either through your nose or through your mouth to view the vocal folds under stroboscopic light. The strobe light synchronizes itself just barely out of phase with the frequency of vocal fold vibration. Therefore the clinician can see apparent slow motion of the vocal fold in vibration. The stroboscopic examination is capable of revealing the fine details of the vocal fold and how the vocal fold is responding to vibration.

Pediatric Voice Care

Children are susceptible to similar voice disorders as are adults. In addition to these disorders, children may also experience challenges from congenital cysts, tracheal stenosis and laryngomalacia. At times surgical intervention is necessary, while at other times, the surgeon may wait until the child is old enough to self-modulate some of their behavior. Treatment in younger children involves the participation of the parent and others in the home environment. Older school-aged children and teens may participate in a therapy program similarly to an adult.

Source: Barbara M. Wilson Arboleda, M.S., CCC-SLP