Voice

Our team of providers works together to evaluate and treat various voice, swallowing, and airway disorders in patients of all ages. At the first visit, patients are often evaluated by a laryngologist (physician) and speech pathologist. 

A detailed history, physical examination including videostroboscopy, and often additional perceptual and voice analyses aid in the appropriate diagnosis. A treatment plan is then formulated that will be best for each unique patient, based on the current condition. The team continues to work together with each patient throughout treatment, altering therapies based on progress to help each patient reach their goals.

Depending on pathology for each patient, treatments may include various oral medications, voice rest, biopsy, excision of abnormal lesions, voice or swallowing therapy, suspension microdirect laryngoscopy with microflap excision of lesions, CO2 or KTP laser excision of vocal fold lesions, awake laser procedures, vocal fold injection augmentation, medialization laryngoplasty, excision of Zenker’s diverticulum, esophageal dilation, Cricopharyngeal Botox injection, Botox injection of the vocal folds with EMG guidance, Botox injection of the vocal folds endoscopically, tracheal dilation, laryngeal stent placement, cordotomy, arytenoidectomy, laryngeal or tracheal steroid injection.

Common Voice Problems

  • Voice changes in professional voice users
  • Hoarseness
  • Decrease in vocal range or vocal quality
  • Pain with voice use
  • Vocal cord hemorrhage
  • Vocal cord lesions
  • Vocal cord polyp
  • Vocal cord nodules
  • Vocal cord cyst
  • Vocal cord cancer or dysplasia
  • Vocal cord paresis/paralysis
  • Vocal cord atrophy/bowing
  • Laryngopharyngeal reflux
  • Chronic laryngitis
  • Recurrent Respiratory Papillomatosis
  • Laryngeal granulomas
  • Laryngocele
  • Saccular cyst
  • Muscle tension dysphonia
  • Chronic cough
  • Spasmodic Dysphonia
  • Vocal tremor
  • Voice changes associated with other neurologic disorders, such as Parkinson’s Disease
  • Voice changes associated with rheumatologic disorders
  • Velopharyngeal insufficiency (VPI)

Common Swallowing Problems

  • Dysphagia
  • Frequent regurgitation
  • Laryngopharyngeal reflux, GERD—evaluation may include Restech pH testing.
  • Cricopharyngeal Dysfunction
  • Zenker’s Diverticulum
  • Esophageal stenosis
  • Swallowing problems associated with neurologic disorders
  • Swallowing problems associated with rheumatologic disorders
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Swallowing Problems

Common Airway/Breathing Problems

  • Tracheal stenosis
  • Subglottic stenosis
  • Posterior glottic stenosis
  • Tracheostomy
  • Bilateral vocal fold paralysis
  • Vocal cord dysfunction
  • Paradoxical Vocal Fold Motion
  • Laryngospasm
  • Irritable Larynx, Laryngeal Sensory Neuropathy
  • Laryngeal cleft
  • Glottic web
Breathing Problems

Resources

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Otolaryngology Associates provides top-quality Ear, Nose and Throat care from 13 full-service medical offices throughout central Indiana.
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