Reflux, Voice and Swallowing

We believe in evidence based medical and surgical treatments of swallowing and voice disorders. We employ extensive modern testing modalities including pH probe testing, and flexible fiberoptic endoscopic evaluation of the swallowing (FEES) for laryngopharyngeal reflux, flexible fiberoptic endoscopic evaluation of swallowing with sensory testing (FEESST), video documentation for swallowing disorders, and video stroboscopy for the evaluation of the voice.

Voice restoration surgery is commonly applied for a variety of vocal problems ranging from spasmodic conditions of the voice box (larynx) to reconstruction after treatment for laryngeal cancers. Botox injections are commonly performed in the office and usually provide months of relief for patients suffering from spasmodic dysphonia of the larynx. For patients suffering from paralysis of one or both vocal cords injection and or Trans oral techniques may be employed to restore the voice or the airway. Open reconstructive techniques can also be use to alter the frame work of the larynx in selected patients when necessary. More recently long term management of unilateral vocal cord paralysis can be accomplished with nerve reconstruction to improve tone in the paralyzed cord.