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Referrals are indicated for:
- anyone with complaints of voice difficulty regardless of perceptual judgment or a normal laryngeal exam.
- patients who are at risk for further injury, pre- and post-surgery, or those with a known medical diagnosis.
- voice quality that draws negative attention:
- Pitch – speaking voice is too high, too low, or monotone (Example - 135KB)
- Loudness – too quiet, too loud or uncontrolled
- Quality – hoarse, breathy, harsh (Example - 168KB)
- Duration – inability to sustain voicing; voice tires easily or breaks
- Resonance – nasal (whiney sound) (Example - 60KB)
or de-nasal (congested sound) (Example - 54KB)
- partial or total laryngectomy
Whenever an unexplained voice change occurs, a medical examination by an otolaryngologist
(ear, nose, throat doctor) should be arranged.
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Services:
Evaluation
- Medical history
- Oral examination
- Perceptual evaluation
- Acoustic and
aerodynamic measures
- Laryngeal Video Endo-Stroboscopy
- Nasometry
Recommendations
- Speech therapy / home program
- Audiological evaluation
- Medical evaluation / intervention
- Monitor habits and lifestyle
- Monitor with nasometry
Therapy
- Specific objective goals
- Individualized exercise program
- Biofeedback to
teach and reinforce new skills
- Protocols for prevention
- Computer
games to teach and reinforce new skills
Communication / coordination
Diagnosis and treatment may include any or all of the above. For additional information, see Diagnostic Voice
Evaluation – What to Expect
and Voice Analysis and Rehabilitation (for professionals).
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