Gregory A. Grillone, M.D., F.A.C.S. – Director
It is estimated that 7 million Americans have some type of voice disorder. For many, these voice disorders can be devastating, particularly in professions that have high voice demands such as singing, acting, teaching and sales.
The Center for Voice and Swallowing at Boston University Medical Center offers a wide array of evaluation and treatment options for patients with various voice and swallowing disorders, including vocal cord paralysis, spasmodic dysphonia, laryngopharyngeal reflux (acid reflux), vocal polyps and cysts, sulcus vocalis and vocal scarring, as well as singer’s nodules and other disorders of professional voice. The center offers diagnostic and treatment options for laryngeal papillomas, cancers of the larynx, and swallowing and voice problems related to Parkinson’s disease, strokes, and other neurological disorders.
The center also specializes in voice, swallowing and airway problems related to Wegener’s granulomatosis and amyloidosis.
The center provides a full range of state-of-the-art diagnostic testing including videolaryngostroboscopy, acoustic analysis, aerodynamic analysis, functional endoscopic evaluation of swallowing with sensory testing (FEES and FEESST), in-office biopsy of laryngeal lesions, and in-office transnasal esophagoscopy (TNE), as well as laryngeal electromyography (LEMG).
A number of office-based therapeutic interventions are available including botulinum toxin injections for spasmodic dysphonia, photoangiolytic (KTP and PDL) laser treatment for papilloma, dysplasia, and other vascular lesions of the larynx, and cidofovir injections for laryngeal papilloma. In addition, the center offers state-of-the-art, minimally invasive, surgical interventions such as vocal cord augmentation for paralyzed vocal cords, endoscopic laser removal of early cancers of the larynx, laser treatment for bilateral vocal cord paralysis and laser treatment of subglottic stenosis