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Many voice disorders remain unidentified. Often, voice complaints are dismissed as “par for the course” for a cold, flu, or an allergy. Other times, voice complaints are not considered to be part of a voice disorder – especially if the complaints have been present for a long time or most of the patient’s life. Red Flag
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History of Voice Disorder. A physician takes the “history,” or information regarding the voice disorder, by interviewing the patient. This history provides information that will help the physician determine the special focus of the examination and the need for particular tests.
The diagnosis of a voice disorder follows a comprehensive and ordered sequence of steps. Taking the history of voice disorder. Doing a comprehensive examination, including a head and neck exam and a laryngeal exam. Performing diagnostic tests.
Videostroboscopy is especially useful in documenting the state of laryngeal vibration for later comparison – to follow the course of the voice disorder or to evaluate effectiveness of the treatment of the voice disorder . (For more information, see Laryngoscopy/Stroboscopy .) Diagnostic Tests.
Accuracy in Diagnosis Is Important for Effective Treatment. Accuracy in pinpointing the cause or causes of a voice disorder is essential to effective treatment. Proper treatment can be given only if the correct cause of the voice disorder is identified.
A mirror examination is performed on a seated patient by placing a mirror in the back of the throat. By reflecting light down to the voice box, the otolaryngologist can visualize the patient’s vocal folds and voice box structure. The examination can be done without special equipment, but it does have limitations.
Head and Neck Examination. Examination of the head and neck region is important in investigating voice disorders. Voice problems can arise from nerve compression or damage elsewhere in the neck and head, from thyroid gland problems, or from other sources.
Red Flag. If voice symptoms persist for more than two or three weeks after a cold or flu has gone away – especially if the patient is a smoker – an ear, nose, and throat physician specialist (ENT, otolaryngologist) or physician voice specialist (laryngologist) should be consulted right away.