Voice specialist Barbara Wilson with patient

Evaluation and Treatment


Evaluation and Diagnosis

If you or a loved one has experienced voice difficulties or sudden changes in voice, it is important to see a specialist to evaluate the problem. At Mass. Eye and Ear, we combine the expertise of our laryngologists and specialists in our Voice and Speech Laboratory to evaluate and treat our patients. Depending on your symptoms and diagnosis, you may be seen by specialists in each of those areas throughout your visit.

All first-time patients will be seen by our laryngologists first for a medical evaluation on the 9th Floor of our main campus. Then, depending on your diagnosis and recommended treatment plan, you may be seen by one of our speech-language pathologists, who are located in the Voice and Speech Laboratory on the 11th Floor of our main campus.

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.
  • Functional endoscopic evaluation of swallowing: An examination of your throat during swallowing.
  • Laryngeal electromyography (L-EMG): An electrodiagnostic test that assesses the integrity of the laryngeal nerve supply.
  • A physical examination of your face, neck, and mouth. 

We combine the information from these assessments to formulate the best treatment plan for you. 

Download our quick self-screener to see if you should be concerned about your voice.


Treatment 

After you’ve been properly evaluated and a diagnosis has been made, our team will develop a treatment plan that best meets your needs. Depending on the presenting problem, surgery may be needed, however, many voice disorders can be addressed with medical therapy and/or voice therapy

For many laryngeal conditions, surgery is often the treatment of choice. When there is a problem of the upper airway, large vocal fold lesion, cancer, or a vocal fold paralysis, surgery is often necessary. We do both many office-based procedures, which are surgical treatments that can be performed under local anesthetic. Many of the office-based treatments we use were pioneered at the Mass. Eye and Ear. In some cases, interventions may include the operating room and office-based procedures.

Office-based procedures:
  • Vocal fold injections
  • Steroid injections for subglottic and tracheal stenosis
  • Botox injections
  • Laser treatments
  • Biopsies
  • Dilation techniques
  • Laryngeal electromyography


Surgical procedures:


To schedule an appointment, request one online or call 617-573-3557 today. You can reach the Voice and Speech Laboratory at 617-573-4050.