Laryngology / Voice Dysfunction
Voice and swallowing problems can develop as a result of aging, overuse, surgery, smoking or throat cancer, and may include laryngitis, spasmodic dysphonia, vocal cord paralysis, cancer of the vocal cord, benign growths and more.
Our doctors provide comprehensive diagnostic and treatment services for a wide range of voice and swallowing disorders and are specially trained to help you restore function to your voice.
While many of these problems accompany a cold or other minor condition, some are chronic and may require special management to control or cure the condition. Patients may benefit from voice therapy, medicine or surgery, depending on their individual condition. It is also important for patients to protect their voice by practicing breathing techniques, avoiding smoking, alcohol and caffeine and by drinking plenty of water.
Flexible laryngoscopy is a minimally invasive diagnostic procedure used to evaluate the larynx in patients suffering from reflux, chronic cough, throat clearing and a feeling that something is stuck in the throat, voice changes and numerous other complaints. This procedure allows your doctor to evaluate the cause of your condition and develop an effective treatment plan for each individual patient.
During the laryngoscopy procedure, the nose is first numbed with a local anesthetic before the endoscope is inserted into the nose and fed to the throat. Your doctor can examine the throat and voice box in real-time, including detecting any changes when swallowing.
The entire procedure takes just 1-2 minutes to perform. Your doctor will discuss the findings with you in order to determine the ideal treatment approach for your individual condition.
Microlaryngeal surgery is a minimally invasive procedure used to correct voice disorders or other problems affecting the larynx. This procedure treats conditions like granulomas, lesions and benign tumors by removing the abnormal growths on the larynx.
This procedure is performed with an endoscope, a thin lighted tube with a camera on the end that allows your doctor to visually examine the area while operating on it. Tiny instruments are used to perform the procedure, and no incisions are needed. Because of this, most procedures are performed on an outpatient basis and do not require a hospital stay.
Dysphagia is a common condition that involves difficulty swallowing and an unpleasant sensation of having food and/or liquid sticking in the esophagus, the tube that stretches from the throat to the stomach. This condition may affect patients of any age, although it is more common in older patients.
In addition to difficulty swallowing, patients with dysphagia may also experience choking, regurgitation, weight loss, chest pain and a sore throat. This condition is often associated with others such as gastroesophageal reflux disease (GERD), muscular dystrophy or tumors within the esophagus.
Your doctor may perform a series of tests in order to diagnose dysphagia or its underlying cause. Some of these tests may include an oral-pharyngeal video swallow, barium swallow and endoscopy.
Treatment for dysphagia may include a combination of medication, exercises and surgery. The best treatment for you depends on the severity of your condition, as well as what kind of symptoms and complications you may be experiencing. Certain life changes may be effective for relieving dysphagia symptoms caused by GERD, including remaining upright after eating and making changes to your diet.
Many patients find effective relief from dysphagia symptoms through alternative treatment methods such as acupuncture, homeopathic remedies and herbal supplements. These treatments can be used together or on their own to relieve inflammation in the esophagus.
24 hour ambulatory pH probe monitoring is a test that measures the amount, duration, frequency, and acidity of acid juices refluxing (backing up) into the esophagus (food tube) from the stomach. During this procedure, a thin probe or catheter is passed through the nose into the esophagus. The probe is connected to a small computerized unit. This unit is able to record the pH or acid levels in your esophagus over a 24 hour period. Please note that the tube will remain in place for 24 hours.
You will be asked to keep a diary and push buttons on the unit to record your daily activities, such as eating and sleep periods and also when you experience your typical symptoms. We can then correlate these events and activities with acid levels in your esophagus and determine if your reflux is extending into the vocal cord area. We want you to be as active as possible during the test and try to perform activities which may induce symptoms.
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