Voice Care Services

We treat patients who are having difficulties related to:

voice: hoarseness, dysphonia, voice loss, vocal fatigue, frequent throat clearing, loss of vocal range, voice breaks, vocal instability, reduced volume
airway: unresponsive or atypical asthma, problems with tracheostomy, loud breathing, persistent cough
swallowing: choking on foods/liquids, food sticking in throat, sensation of something in throat, regurgitation of undigested food

Our doctors of medicine (MD) and speech language pathologists (SLP)

The Voice Center team consists of Jeffrey Marino, MD, Jodie Fornadley, CCC-SLP and Amy Clift, CCC-SLP. Our MD/SLP team evaluates patients together in a multi-disciplinary clinic model in order to offer the most comprehensive assessment and treatment plan. We provide care for all professional and avocational voice users, as well as management of swallowing and upper airway disorders. Our specialized speech-language pathologists have over 25 years of combined experience in the treatment of voice and swallowing disorders with significant additional training in the evaluation and treatment of these problems.

We offer comprehensive treatments for patients with the following conditions including:

Muscle tension dysphonia
Benign vocal fold lesions: nodules, cysts, polyps, granuloma, papilloma, hemorrhage
Vocal fold scarring
Vocal fold paresis/paralysis
Vocal fold atrophy
Laryngopharyngeal reflux
Reinke's edema
Laryngeal tremor
Dystonia
Spasmodic dysphonia
Leukoplakia
Chronic infectious laryngitis
Laryngeal cancer
Glottic stenosis
Subglottic stenosis
Tracheal stenosis
Bilateral vocal fold paralysis
Paradoxical vocal fold motion/vocal cord dysfunction
Zenker's diverticulum
Cricopharyngeal dysfunction
Reflux

Clinic setting

Comprehensive voice evaluation including clinical and instrumental assessment
High-definition laryngeal videostroboscopy
Voice therapy
Respiratory retraining therapy
Swallowing therapy
Evaluation of swallowing including endoscopic and radiographic assessment

Awake in-office procedures

Laryngeal botulinum toxin injections
Laryngeal culture
Transnasal esophagoscopy
Esophageal dilation
Vocal cord injection
Vocal cord laser treatment
Diagnostic laryngeal EMG

Surgical management

Vocal cord microsurgery
Endoscopic laser surgery
Laryngeal framework surgery including medialization laryngoplasty and thyroplasty
Endoscopic resection of laryngeal cancers or other non-cancerous masses
Cricopharyngeal myotomy
Surgical treatment of Zenker's diverticulum
Airway surgery