Voice Changes – Dysphonia – Larynx Disorders – Plano & Dallas, TX

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About Voice Changes

Saman ENT & Facial Plastic Surgery offers voice change treatment to residents of Dallas, Plano, and the surrounding Texas communities. Board-certified otolaryngologist & head and neck surgeon Dr. Masoud Saman combines advanced techniques with state-of-the-art technology for optimal outcomes for voice problems or dysphonia.

Dysphonia is the abnormal functioning of the voice, and abnormalities or impairments have to be present in a single or multiple vocal parameters. These vocal parameters can include pitch, loudness, quality, or variability. Smokers and certain occupational groups and artists are at particular risk for this condition, including singers, teachers, and coaches. Many people have the false assumption that this is a speech disorder, but, in fact, this is a disorder of the larynx. Dr. Saman provides treatment for voice problems by identifying any underlying causes and creating an effective procedure plan. Contact Saman ENT & Facial Plastic Surgery to learn more about treatment for voice changes and to get an appointment with Dr. Saman.

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Voice Changes Our Treatment Approach

Voice changes can happen for a number of different reasons. In order for treatment to be effective, one must consider the possible underlying causes:

  • Age
  • Acute or chronic bacterial or viral infections, like laryngitis
  • Strain from speaking loudly when the patient has an undiagnosed hearing loss
  • Vocal abuse
  • Trauma
  • Misuse of the vocal chords
  • Hypothyroidism
  • Tumors or cancer
  • Stiffening or weakening of the vocal folds
  • Shrinking of the vocal folds
  • Acute or chronic acid reflux or gastroesophageal reflux disease (GERD)
  • Neurological conditions, such as multiple sclerosis

These causes can trigger the growth of vocal nodules, vocal polyps, and vocal chord ulcers, which can cause the fluctuations in the voice others are hearing. Those underlying causes can also contribute to laryngitis and carcinoma. By evaluating these causes, Dr. Saman can more accurately produce an effective treatment plan. 

What to Expect with Voice Changes

To treat voice problems, Dr. Saman will inspect the vocal folds through an endoscopy, taking a biopsy only when medically necessary. Once he has performed a thorough examination, he will recommend a treatment plan based on the severity and nature of your voice problems. While medication and speech therapy can be helpful tools, sometimes microsurgery is necessary. The goal of the surgery is to remove the abnormal tissue and preserve your natural voice.

Alleviate Your Symptoms

If you are experiencing a change in your voice or the sound of your voice has been off for a while, please see a doctor you trust. 

There are many possibilities as to why your voice is changing in your adult life, and it could simply be just from the natural aging process or a treatable condition. Some of the other causes may include:

Vocal Polyps: They appear as swelling or a bump on either one or both of the vocal folds. Unlike nodules, polyps may occur after a single, traumatic event to the voice, such as yelling at a concert  or after chronic misuse of the voice.

Vocal Cord Ulcers: They are raw and often raised areas on the lining of the vocal folds. These ulcers usually occur at the back of the vocal fold where the vocal ligament meets is attached to the cartilage. Reflux of stomach contents can be a contributing factor in the development of contact ulcers.

Laryngitis: This occurs when the larynx becomes inflamed, and the vocal cords become swollen and cannot vibrate properly. Common causes of laryngitis include:  viral infection (such as a cold or flu), bacterial infection, yelling, smoking, or long periods of talking or singing.

Carcinoma: Persistent dysphonia (with or without difficulty swallowing), pain on swallowing, referred pain in the ear or the presence of a lump in the neck, may indicate the presence of laryngeal cancer. More serious signs include coughing up blood, ear pain, difficulty breathing or swallowing especially with a history of smoking.

Diagnosis normally involves a direct inspection of the vocal folds through endoscopy and occasionally a biopsy sample is taken.The treatment of dysphonia depends on the nature of the problem and the degree of voice change.

Medications, speech therapy and laryngeal microsurgery are the more common types of treatment for dysphonia and may be used alone or in combination. If surgery is indicated, it is performed under general anaesthesia. The operation may last about 30 to 90 minutes.

An endoscope is placed over your tongue and into the top of the larynx allowing direct visualization of the vocal folds. An operating microscope is then brought into position to allow precise maneuvering. The goal is to remove the abnormal tissue with minimal disruption of adjacent normal tissue to restore and preserve your normal voice.

Get the peace of mind you deserve and make an appoint to see Dr. Saman at Saman ENT & Facial Plastic Surgery. He provides comprehensive treatment and procedure options to help eradicate your symptoms. Contact our Plano, TX office today to schedule your consultation and learn more.

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