Management of Voice Disorders

Voice problems are experienced by as much as 10 percent of the population, according to the National Center for Voice and Speech. Given our lifestyles, work demands, and dietary habits, it is not unusual for one to experience vocal changes. Persons with laryngopharyngeal reflux, vocally demanding occupations, and alcohol and/or tobacco use are most likely to experience voice problems.

In our work with swallowing disorders, we often see signs during endoscopy that are consistent with reflux irritation, usually accompanied by patient complaints of vocal changes, vocal fatigue, and globus sensation. Changes in the integrity of vocal cord and arytenoid appearance and movement are also sometimes noted. These findings lead us to recommend evaluation by an otolaryngologist, or ear, nose, and throat doctor (ENT). In doing so, we have found a shortage of SLPs who can provide the much needed follow-up voice management services.

Now, building on our years of dysphagia services, SDX offers voice management services. Our expert voice therapists use state-of-the-art ATMOS medical equipment to evaluate and treat voice problems. Stroboscopy is also used in ongoing vocal therapy, providing biofeedback and directly measuring patient progress. Trained in rigid and flexible (oral and nasopharyngeal) endoscopy according to ASHA guidelines, our therapists conduct a thorough voice evaluation utilizing stroboscopy and work with ENT physicians to form an appropriate treatment plan. For laryngeal surgery candidates, pre-surgical voice therapy is imperative to eliminating abusive vocal behaviors in order to achieve optimal post-surgical outcomes.

Any physicians interested in partnering with our services can contact Katrina Woodward for more information and to arrange a meeting at 860-573-0120, or via e-mail at katrinaWoodward@hotmail.com.