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Home > Department of Otolaryngology/ENT > ENT/Otolaryngology > Evelyn Trammell Institute - Voice
Evelyn Trammell Institute - Voice

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Voice patient in treatment at Evelyn Trammell Institute

Underlying Conditions
Causing Voice Disorders

Vocal misuse and abuse syndromes
Benign and malignant growths
Neuromuscular diseases
Infectious and inflammatory conditions
Trauma

Diagnostic and treatment facilities at the Evelyn Trammell Institute for Voice and Swallowing serve the professional voice, the pediatric and aging voice, the paralyzed or weakened larynx, benign and malignant tumors affecting laryngeal function, voice restoration and rehabilitation in head and neck cancer patients, and many other disorders.

 

Read more about:
 Evaluation
 Treatment
 Care for the Professional Voice
 Underlying Conditions Causing Voice Disorders
 Specialized Clinical Services
 State-of-the-Art Procedures & Equipment

Evaluation
Voice specialists at the Evelyn Trammell Institute fully evaluate a patient’s vocal abilities using state-of-the-art analysis, and provide appropriate recommendations and treatment. The evaluation process is highly educational and interactive, allowing patients to view video images of their own vocal folds. This, along with recommendations from the specialist and physician, assists patients in making decisions for care based on their individual needs.

Voice specialists at the Institute focus treatment primarily upon optimizing the speaking voice through muscle re-education, teaching proper vocal techniques and hygiene. These strategies often improve vocal performance during singing. When appropriate, they work closely with physicians, community vocal coaches and singing teachers to achieve full vocal performance.

Voice patient in treatment at Evelyn Trammell Institute

Specialized Clinical Services

Vocal misuse and overuse syndromes
Recurrent laryngitis
Spasmodic dysphonia
Vocal fold motion impairment
Vocal cord paralysis
The aging voice
Cancer of the vocal cord
Scarred vocal cords
Benign vocal cord growths, such as nodules,
 cysts, granulomas, ulcers, webs, papillomas and polyps

Treatment
Voice restoration following laryngectomy surgery is another area of service. Clinicians provide pre-operative and post-operative instructions in the management and use of alternative speech production methods such as electronic speech aids, esophageal speech and tracheoesophageal voice prostheses.

Care for the Professional Voice
“There is much we can impart to singers to help them stay healthy and prevent injury. The voice is truly a specialty just like sinus and allergies or ear problems,” said Lucinda Halstead, M.D., who established the voice center at MUSC in 1989.

Dr. Halstead is part of an international network of doctors who specialize in treating elite performers. She works collaboratively with speech-language pathologists and Deanna McBroom, a professional singer and associate professor of music at the College of Charleston. Dr. Halstead also serves as the otolaryngologist for the Spoleto Festival USA. In 1987, she established and continues to direct MUSC’s annual Spoleto Symposium: Medicine in the Vocal Arts.

For those professionals whose careers depend on maintaining voice quality and stamina, specialists at the Institute recommend a baseline evaluation along with guidance in voice preservation techniques and precautions.  “It’s truly a bridge where art and science meet,” says Dr. Halstead.

The Institute is working with the College of Charleston on ways for the professional to optimize vocal potential and is engaged in a study focusing on vocal tract dynamics of woodwind instrumentalists and singers,examining vocal fatigue, hoarseness, voice vibrato using imaging technology and multiple physiological signals.

Lucinda Halstead, M.D., performs microlaryngeal surgery on an infant

State-of-the-art procedures and equipment

Comprehensive medical evaluation of the voice and airway
Advanced phonosurgical techniques
Laryngeal framework surgery for vocal cord bowing and paralysis
Laryngeal electromyography (EMG)
Botox injections for laryngeal dystonias
Image, acoustic and aerodynamic analysis
Videostroboscopy and flexible endoscopy
Voice treatment, wellness and hygiene
Laryngectomy rehabilitation
Tracheoesophageal prosthesis fitting
Speech-language evaluations and treatment

 

Page last updated: 10/26/05
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