Vocal Disorders

01

Leukoplakia & Dysplasia

Consultant-led diagnosis and monitoring of vocal cord leukoplakia and dysplasia, precancerous changes most strongly linked to smoking.

• Microlaryngoscopy with biopsy
• Smoking cessation and reflux management
• Surgical removal for higher-grade changes
• Ongoing surveillance endoscopy

02

Laryngeal Papilloma

Consultant-led diagnosis and management of laryngeal papilloma, wart-like growths on the vocal cords caused by HPV.

• Microlaryngoscopy to remove papillomas
• Regular surveillance endoscopy
• Adjuvant therapy for frequently recurring disease

03

Laryngeal Granuloma

Consultant-led diagnosis and treatment for laryngeal granuloma, a benign growth typically caused by reflux, intubation or vocal strain.

• Reflux treatment
• Voice therapy to reduce throat clearing and vocal strain
• Microlaryngoscopy for persistent cases

04

Reinke's Oedema

Consultant-led diagnosis and treatment for Reinke's oedema, a swelling of the vocal cords strongly linked to smoking.

• Smoking cessation
• Microlaryngoscopy to reduce the swelling

05

Vocal Cord Polyps

Consultant-led diagnosis and treatment for vocal cord polyps, soft swellings that can follow a single episode of vocal strain or a burst blood vessel.

• Voice therapy and vocal rest
• Microlaryngoscopy to remove the polyp

06

Vocal Cord Cysts

Consultant-led diagnosis and treatment for vocal cord cysts, fluid- or mucus-filled growths within the vocal cord.

• Voice therapy for symptom management
• Microlaryngoscopy to remove the cyst

07

Laryngopharyngeal Reflux (Silent Reflux)

Consultant-led diagnosis and treatment for laryngopharyngeal reflux — "silent reflux" — where stomach contents irritate the throat and voice box.

• Dietary and lifestyle modification
• Acid-suppressing medication (e.g. proton pump inhibitors)
• Nasal endoscopy to assess the throat and larynx

08

Vocal Cord Nodules

Consultant-led diagnosis and treatment for vocal cord nodules — often called "singer's nodules" — caused by repeated vocal strain.

• Speech and language therapy (voice therapy)
• A structured period of vocal rest
• Microlaryngoscopy to remove persistent nodules

09

Ageing Voice (Presbyphonia)

Consultant-led diagnosis and treatment for presbyphonia, the natural weakening and thinning of the vocal cords that comes with age.

• Speech and language therapy exercises
• Vocal cord injection augmentation
• Voice lift (medialisation) surgery

10

Voice Cord Nodules

Consultant-led diagnosis and treatment for Common nasal and breathing difficulties in children often linked to infections, enlarged adenoids, or allergic rhinitis. with personalised care and advanced ENT techniques

11

Vocal Cord Paralysis

Consultant-led diagnosis and treatment for vocal cord paralysis, where one or both vocal cords lose normal movement.

• Voice therapy while natural recovery is monitored
• Vocal cord injection augmentation
• Thyroplasty
• Laryngeal re-innervation surgery

12

Laryngeal Cancer

Consultant-led diagnosis and referral pathway for laryngeal (voice box) cancer, with an emphasis on early detection.

• Nasal endoscopy and microlaryngoscopy with biopsy for diagnosis
• Surgery (ranging from endoscopic removal to more extensive procedures)
• Radiotherapy, alone or alongside surgery

13

Spasmodic Dysphonia

Consultant-led diagnosis and treatment for spasmodic dysphonia, a neurological voice disorder causing involuntary spasms of the voice box muscles.

• Botulinum toxin injections into the laryngeal muscles
• Voice therapy alongside injections

14

Belch-Retrograde Cricopharyngeal Dysfunction

Consultant-led diagnosis and treatment for A muscular dysfunction preventing normal belching, causing gas to become trapped in the stomach and oesophagus. with personalised care and advanced ENT techniques

• Inability to burp or belch, even when feeling the strong urge to do so
• Constant gurgling or bubbling sounds from the throat, particularly after eating or drinking
• Severe bloating and abdominal distension as trapped gas has no upward escape
• Chronic nausea, especially after meals or when lying down