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).