The voice assessment is performed as a team by the Ear, Nose and Throat Specialist and the Speech therapist, which involves the following:
- The Ear, Nose and Throat Specialist performs a comprehensive ear, nose, throat, head and neck evaluation.
- During the examination of the vocal cords, state of the art equipment (Kay Pentax Stroboscopy system with a distal chip flexible laryngoscope) is utilised for the structural and functional assessment of the upper airways and vocal folds.
- Direct laryngoscopy through nasoendoscopy and videostroboscopy are carried out. During the flexible nasoendoscopy and laryngoscopy the patient is able to phonate relatively normal.
- A rigid 70° fibre optic scope and a flexible distal chip scope are utilised during laryngeal stroboscopy. The vocal fold edge and mucosal wave is more visible with videostroboscopy.
- In both examinations the image is shown on a monitor. This allows the patient a visual of his/her larynx.
- Images are stored to compare pre- and post treatment pictures.
- The Speech therapist will carry out an auditory-perceptual voice assessment and evaluate phonatory-respiratory efficiency.
- Voice recordings of speaking voice and singing voice (where applicable) are made for acoustic analysis and to monitor improvement.
- For professional singers a singing assessment by our Singing voice specialist will be recommended, during a later consultation.
- Laryngeal electromiography (EMG) can be performed, during a next consultation, in collaboration with our Neurologist, to confirm the presence of vocal fold nerve paralysis or paresis and to determine prognoses.
- If necessary referrals are made to other appropriate medical specialists like a Gastroenterologist, Neurologist and Pulmonologist.
- In cases of referrals from other Ear, Nose and Throat Specialists or Speech therapy colleagues, patients will be referred back with a report for further management.