Before proper treatment/assessment by a SLP can begin, all patients must be evaluated by Otolaryngologists (ENT’s) under visualization of the laryngeal pathology. Often times abnormal laryngeal pathologies require medical management or both medical management and voice therapy. Once a patient’s ENT has cleared them to receive outpatient voice therapy with a referral to the SLP, the SLP then begins a formal assessment to determine appropriate course of treatment.

Voice Assessment-
· Review of ENT/Medical Dx
· Patient-reported: VHI-10
· Auditory-Perceptual: CAPE-V
· S:Z Ratio/MPT
· Stimulability for more functional/comfortable voice use

Voice Treatment-
· Vocal Function Exercises (Stemple, 1994, 2014)
· PhoRTE (Ziegler,et al., 2014)
· Stretch & Flow (Watts, et at., 2014)
· Lax Vox and Resonance Tubes (Tyrmi, et al., 2017)
· Resonant Voice Therapy (Stemple, 2014)
· Straw Phonation (Kapsner-Smith, et al. 2015)
· Conversation Training Therapy (Gartner-Schmidt, et al.2016)

The Signs and Symptoms of Voice Disorders-
· Hoarseness of Voice
· Vocal Fatigue
· Aphonia or voice loss
· Strained/Quivering voice
· Whispery or breathy voice
· A change in pitch