We provide specialized care for professional voice disorders.

Those who use their voice in a professional setting can be more at risk for disorders. Excessive talking, straining and constantly clearing your throat can lead to problems including nodules, polyps and lesions on the vocal cords.

Other causes of voice disorders include:

  • Acid reflux (stomach acid backup into the throat)
  • Diseases that paralyze the vocal cords
  • Growths due to a virus or cancer
  • Paradoxical vocal cord motion disorder (an illness that mimics asthma)
  • Infections
  • Laryngitis or pharyngitis (inflammation of the pharynx)
  • Spasms (spasmodic dysphonia)

Signs that your voice isn’t healthy include:

  • Your voice has become hoarse or raspy
  • You’ve lost the ability to hit some high notes when singing
  • Your voice suddenly sounds deeper
  • Your throat often feels raw, achy or strained
  • It’s become an effort to talk

Source: National Institute on Deafness and Other Communication Disorders

Tests and Treatments

There are many different treatments for voice disorders. Which is right for you depends on the cause and your particular needs. With early diagnosis and treatment, most voice disorders can be successfully treated.

Here are some possible tests and treatments available to you at The Ohio State University Wexner Medical Center:

Botulinum toxin

When overactive signals from the brain cause vocal cord muscles to spasm, it is called spasmodic dysphonia. Botulinum toxin (BTX) is injected into the muscles to block the signals, which diminishes the intensity and amount of spasms.

Direct microlaryngoscopy

During the direct microlaryngoscopy (DML) procedure, a small telescope is inserted through the mouth to examine your throat and larynx. Images of your larynx are magnified with a microscope and projected to enable the surgeon to diagnose and, if necessary, remove vocal cord lesions.


Esophagoscopy is examination of the esophagus using a thin, tubular instrument fitted with a laminated lens. The instrument, called an esophagoscope, may also be fitted with other equipment to extract a tissue sample (biopsy) to analyze it for disease.

Flexible endoscopic evaluation of swallow

Flexible endoscopic evaluation of swallow (FEES) is a specialized test that uses a small camera inserted through the nose to the throat to evaluate a swallowing problem and determine the safest diet.

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KTP laser treatments

KTP (potassium titanyl phosphate) lasers are usually used in Lasik eye surgery. KTP lasers have been applied to ENT surgical procedures to destroy unwanted tissues or masses (photoablation). The procedure is relatively painless, with patients recovering within weeks.


Laryngoscopy enables a surgeon to examine the larynx (voice box) for abnormality. A mirrored, tubular instrument with an illuminated lens is inserted through the mouth to analyze the larynx. The instrument, called a laryngoscope, can also be used to remove tissue samples for further analysis (biopsy).

Swallowing, voice and laryngeal control therapy

Swallowing therapy

Swallowing therapy is performed to help patients maximize their nutrition and provides a safe means of swallowing when they have swallowing dysfunction.

Voice therapy

Voice therapy can be used to treat various issues that affect the throat, vocal cords and other parts of the voice box. Exercises are usually engaged to help strengthen the vocal cords, improve breathing and modify voice usage.

Laryngeal control therapy

Laryngeal control therapy (LCT) is specialized therapy for vocal cord dysfunction/paradoxical vocal cord motion disorder. With it, participants learn how to relax the vocal cords and retrain the way they breathe. In a study of 36 subjects who attended at least one LCT session, 25 reported improvement of symptoms (69 percent). Other patients who attended two or more sessions were more likely to experience symptom improvement.


Tracheotomy (or tracheostomy) involves making an incision in the front of the neck to insert a breathing tube into the trachea. The tube bypasses the normal breathing process that occurs through the nose and mouth and allows the breathing to take place through the tube.

Vocal cord injections

Where your only option elsewhere may be surgery, OSU Wexner Medical Center often offers various other safe and effective alternatives, as we do for vocal cord paralysis. By using an in-office/outpatient injection procedure we conducted leading research on, patients with vocal cord paralysis often can avoid other, more invasive surgery.

Vocal cord injection is also used to treat a condition called spasmodic dysphonia, where muscles that control the vocal cords spasm due to overactive signals from the brain. It may also be used to treat paradoxical vocal cord motion disorder (PVCMD) – a vocal cord abnormality that mimics asthma.

Why Choose Ohio State?

Specialty trained: Our physicians who specialize in voice and swallowing disorders are fellowship-trained surgeons. These specialists receive training above the level most ENT specialists receive. Half of the fellowship specialists in all of Ohio can be found here.

Depth of experience: Our department sees up to 30 patients or more in a day. They can range from anyone who’s coughing more than they should be to nationally renowned touring singers with vocal impairment.

Clinical excellence: We’re considered the worldwide experts on paradoxical vocal cord motion disorder (PVCMD) – a vocal cord abnormality that mimics asthma – partly because our academic affiliation enables us to conduct research that leads to better diagnosis and treatment. In fact, we see more patients for PVCMD than any other facility in the United States.

Unique treatments: While surgery may be your only option at other hospitals, we often offer various other safe and effective alternatives. This includes using an in-office injection procedure we conducted leading research on.

Nationally ranked: OSU Wexner Medical Center is recognized by U.S.News & World Report one of the nation’s best hospitals for care of the ear, nose and throat.

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