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Videostroboscopic Evaluation of Larynx

You will be asked a series of questions regarding the onset of your voice problem, your medical history, medications, voice use and specific symptoms. Please inform the physician and speech pathologist if you have had any reactions to topical or local anesthetic agents in the past. A speech pathologist will ask you to speak or perform other voice tasks to assess voice performance. A computer analysis of your voice quality may also be performed.

A small scope will be placed towards the back of the mouth. A numbing agent may be administered for your comfort during the procedure. The scope provides a telescopic video recording of your larynx. The speech pathologist will then ask you to perform various voice tasks to look at the movement of your vocal folds and condition of your larynx. If necessary, a flexible scope may be passed through your nasal passage to gain additional information.

The entire evaluation may take approximately 45 minutes to one hour. However, the total time the scope is in the mouth is approximately 2 minutes. Immediately following the evaluation, the physician and speech pathologist will review your results and provide recommendations including plan of care, voice therapy, medication prescriptions, follow-up referrals or surgery. You should refrain from eating and/or drinking alcoholic beverages for one hour prior to your scheduled appointment. Please arrive 15 minutes early to complete any necessary paperwork.

Erin O. from Downingtown, PA

“I had stopped taking my allergy medicine and ended up with the worse sinus infection of my life. The staff at Ear, Nose & Throat Associates of Chester County genuinely will provide you with the best care. I was overwhelmed by the kindness, concern, and sense of urgency everyone gave. My phone calls were returned promptly and time was made to see me in the office when it was an emergency.”

Connie J. from West Chester, PA

“I can say after years of coming to Ear, Nose & Throat Associates of Chester County, my relationship and trust with Dr. Marriotti has grown tremendously. He is personable, friendly and I appreciate his input with my hearing condition. The staff at Ear, Nose & Throat Associates of Chester County is always cheery and pleasant. I enjoy my visits and always leave feeling like I am in good hands.”

Dauna P. from University Lincoln, PA

“I am so grateful for the care Dr. Picariello has given for my complex and serious brain diagnosis. He has made such an impression on the way the process was handled. I shall never forget him and how humble he was when dealing with my condition. He is truly one of the best around and I am fortunate for his high ethical standards and professionalism.”

Kathy S. from Schwenksvile, PA

“The knowledge, encouragement, concern, and individual attention the doctors of Ear, Nose & Throat Associates of Chester County had demonstrated was far beyond my expectations. The office atmosphere is professional yet friendly. The doctors know their profession well and are able to explain in basic understandable terms. They made sure we were comfortable and took their time going over everything extensively.”

James B., from Coatesville, PA

“The allergy shot process has been a great experience and has prevented a reoccurrence of my nasal polyps, and decreased the need for my asthma inhaler. The allergy staff is excellent.”