A pediatric otolaryngologist and speech pathologist will conduct a comprehensive voice evaluation of your child. Together, our experts will assess the causes of your child's voice problem to ensure an accurate diagnosis. We evaluate your child's voice use patterns -- how much they speak, sing, or use a loud voice -- as well as what their voice sounds like. Our pediatric laryngologist will evaluate whether your child's voice changes have a medical cause such as illness, allergies, acid reflux, or recent surgery.
We perform a head-and-neck examination as well as a visual examination of your child's voice box. If chronic cough is a concern, your child's breathing or cough symptoms and other triggers will also be evaluated. Additional tests may be necessary to complete the evaluation.
This detailed visual exam helps us evaluate how your child's vocal cords vibrate while they make sounds. A tiny camera attached to a small tube called an endoscope is inserted through the nose and allows us to see your child's vocal cords and larynx (voice box). A flashing strobe light simulates slow motion video images of your child's vocal cords. This allows your child's team to look for any lesions, stiffness, paralysis, irregular movements, throat strain, or incomplete closure of the vocal cords. Videostroboscopy is often essential to reach an accurate diagnosis and determine the best treatment for your child.
The exam takes just a few minutes, and every effort is made to provide a good experience for your child and family. Your child's nose will be sprayed with a numbing medicine to minimize discomfort. A Child Life Specialist can be on hand for children who benefit from additional comfort measures before and during medical procedures or exams.
Computerized Acoustic Analysis
Creates a visual display on a computer screen as your child speaks into a microphone. This allows the speech pathologist to see characteristics of your child's voice, including pitch, loudness, and vocal quality. It is used to identify abnormalities, including subtle vocal problems that cannot be detected with the unaided ear. This assessment is usually done at the beginning of voice therapy, and it may be repeated during treatment to monitor your child's progress.