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Pretoria Voice Clinic
Pretoria Voice Clinic
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 Case Evaluation

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.
Cintocare Hospital, Menlyn Maine, Pretoria | Phone: +27 12 460 1284 | Email: reception.swanepoel@surgeon.co.za
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