The Voice and Dysphagia Centre at VPS Lakeshore Hospital is a dedicated centre that provides comprehensive care for children and adults with voice disorders. The voice disorders could be uncomplicated or could be as serious as voice box cancer, so a person experiencing trouble should be evaluated promptly by specialists.
The highly experienced professionals at the department cater to the personal requirements of the patients by conducting thorough evaluations. The laryngologists and speech pathologists at the department perform focused physical exam and specialized tests for accurate diagnosis and to determine the nature and extent of the problem and thereby formulate specified treatment plans for each patient. The disorders related to voice box and other speech organs are treated with precise care at the centre.
The disorders that are in early stage are managed through behavioral therapy sessions and surgical interventions are employed only if the disorder demands it. Voice disorders related to serious issues like vocal cord cancer are treated by head and neck cancer surgeons using endoscopic carbon dioxide laser surgery or open surgery, when required.
Dysphagia means difficulty in swallowing. Swallowing disorders can be due to various problems related to nervous system, throat, voice box or food pipe. Patients with swallowing problems are assessed and treated at the centre. Swallowing problems which require intervention are treated as per the anatomical area of involvement by various specialists.
The centre is a multi disciplinary one that works in collaboration with the other departments like Neurology, Gastroenterology, Endocrinology, Pulmonologist, and Clinical Psychology/Psychiatry.
WHEN TO SEEK HELP
If you have;
• Sore throat or pain during or after voice use
• Hoarse, scratchy, rough voice
• Increased effort when producing voice
• Decreased loudness or pitch range
• Breathiness, weakness or vocal fatigue
• Shaky, strained voice or voice cutting off unexpectedly
DYSPHAGIA (swallowing problem)
• Pain while swallowing
• Inability to swallow
• A sensation of food getting stuck in thethroat
• Food coming back up (regurgitation)
• Frequent heartburn
• Food or stomach acid backing up into thethroat
• Weight loss
• Coughing blood
• Coughing or gagging when swallowing
What we treat
STRUCTURAL PATHOLOGIES OF THE LARYNX
1. Malignant Vocal Fold Lesions
2. Dysplasia/carcinoma in situ
3. Laryngeal Malignancy (Non-Vocal Fold Origin)
4. Oral cancers causing dysphagia
5. Skull base lesions causing dysphagia
1. Vocal Fold Nodules
2. Vocal Fold Polyp(s)
3. Vocal Fold Cyst
4. Reinke’s Edema
5. Vocal Fold Scar
6. Vocal Fold Sulcus
7. Vocal Fold Granuloma
8. Contact Ulcer
10. Recurrent Respiratory Papillomatosis (RRP)
11. Globus pharyngeus
Vascular Abnormalities of the Vocal Fold
1. Vocal Fold Hemorrhage
2. Varix and Ectasia of the Vocal Fold(dilated blood vessels)
Congenital and Maturational Changes
1. Congenital Webs (Synechia)
2. Cri du Chat Syndrome
3. Down’s syndrome
7. Choanal atresia
8. Cleft lip/palate
INFLAMMATORY CONDITIONS OF THE LARYNX
TRAUMA OR INJURY OF THE LARYNX
1. Laryngeal Mucosa Trauma (Chemical and Thermal)
2. Intubation/Extubation Injuries of the Laryngeal Mucosa
3. Arytenoid Dislocation
2. Sexual Hormone Imbalances
3. Growth Hormone Abnormalities (Hyperpituitarism)
1. Allergic Diseases of the Upper Respiratory Tract
2. HIV and AIDS
3. Chronic Fatigue Syndrome
4. Sjogren’s Syndrome
NEUROLOGIC DISORDERS AFFECTING VOICE
Peripheral Nervous System Pathology
1. Superior &Recurrent Laryngeal Nerve Paralysis
2. Myasthenia Gravis
3. Peripheral Neuropathy
Movement Disorders Affecting the Larynx
1. Spasmodic Dysphonia(Abductor&Adductor, Mixed)
2. Essential Tremor Affecting Voice
3. Meige’s Syndrome (Orofacial dystonia)
4. Tourette’s Syndrome
CENTRAL NERVOUS SYSTEM DISTURBANCE
1. Amyotrophic Lateral Sclerosis (ALS; Lou Gehrig’s Disease)
2. Wallenberg Syndrome (Lateral Medullary Syndrome/Infarct)
3. Parkinson Disease
4. Multiple Systems Atrophy (Shy-Drager Syndrome,Striatonigral Degeneration, Sporadic Olivoponto- cerebellar Atrophy)
5. Progressive Supranuclear Palsy (Includes Pseudobulbar Palsy and Steele-Richardson-Olszewski Syndrome)
6. Multiple Sclerosis
7. Cerebellar Disorders
8. Huntington’s Chorea
10. CVA(stroke )
PSYCHIATRIC AND PSYCHOLOGICAL DISORDERS WHICH AFFECT VOICE AND SWALLOWING
Airway related disorders
1. Airway masses, cysts, tumors and cancers
2. Laryngeal clefts
4. Sleep apnea and airway obstruction related to craniofacial disorders, including micrognathia, Pierre Robin syndrome
5. Stridor or noisy breathing
6. Subglottic hemangiomas
7. Subglottic stenosis
8. Tracheal stenosis
9. Tracheomalacia and tracheobronchomalacia.
10. Vascular rings and complete tracheal rings
11. Tracheoespophageal fistula
Voice and swallowing therapy
Speech-language pathologists (SLPs) specializing in voice therapy are involved in the diagnosis, assessment, planning, and treatment of individuals with voice disorders. SLPs are trained to evaluate voice use and vocal function to determine the cause of reported symptoms and to determine optimal treatment methods for improving voice production.
Voice therapy is a behavioral intervention technique that makes use of vocal hygiene, breathing exercises and exercises that facilitate better voicing.
Voice therapist provides prevention information to individuals and groups known to be at risk for voice disorders, as well as to individuals working with those at risk, detail voice evaluation, including clinical and instrumental evaluation, identify normal and abnormal vocal function, describe perceptual qualities of voice, and assess vocal habits, make decisions about management of voice disorders to improve the quality of life, counsel patients and provide education aimed at preventing further complications from voice disorders.
Speech and swallowing pathologist is responsible for the diagnosis of swallowing problems and determining a course of treatment. Speech pathologists work as part of a multidisciplinary team to support people with dysphagia. The role of the speech pathologist is to evaluate swallowing dysfunction and difficulties using tools such as a bedside dysphagia evaluation, Modified Barium Swallow evaluation (MBS), or Fiberoptic Endoscopic Evaluation (FEES).
Once an evaluation has been completed the role of the speech language Pathologist is to determine not only the safest diet for the patient in order to reduce their risk of aspiration also to provide support to ensure that mealtimes are safe and enjoyable for children and adults with dysphagia .SLP develops a mealtime management plan for people with swallowing difficulties following the texture and consistency guidelines.
VPS Lakeshore opened its brand-new HemoDialysis Unit on Wednesday, September 20, 2023. Mr. S.K. Abdulla, the Managing Director
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VPS Lakeshore Conducted a get-together with Lymphoma Winners on the occasion of Lymphoma Day September 15th 2023.
VPS Lakeshore Hospital conducted Voice Week from April 17th to 22nd.
World Voice Day is a worldwide annual event on April 16, to create awareness of problems, diagnosis, and treatment of various voice-related diseases.
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As part of International Women's Day, VPS Lakeshore hospital has announced a 50% discount on Women's health checkup packages.
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