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Fox Valley Speech and Swallowing Center

Voice Disorders

The quality of sound is poor. Voice is difficult (or impossible) to produce.


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.

Services:


Evaluation

  1. Medical history
  2. Oral examination
  3. Perceptual evaluation
  4. Acoustic and aerodynamic measures
  5. Laryngeal Video Endo-Stroboscopy
  6. Nasometry

Recommendations

  1. Speech therapy / home program
  2. Audiological evaluation
  3. Medical evaluation / intervention
  4. Monitor habits and lifestyle
  5. Monitor with nasometry

Therapy

  1. Specific objective goals
  2. Individualized exercise program
  3. Biofeedback to teach and reinforce new skills
  4. Protocols for prevention
  5. Computer games to teach and reinforce new skills

Communication / coordination

    with other professionals and family members.


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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© 2010, Fox Valley Speech and Swallowing Center, LLC
- Specializing in Voice, Speech Production, and Swallowing - 


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