Conditions and Care

Symptoms evaluated by a Laryngologist

  • Change in voice including hoarseness, breathy voice, decreased loudness, loss of range, voice breaks, and vocal tremor.
  • Pain with talking or singing
  • Difficulty swallowing such as choking while eating or drinking, regurgitation of food, or food getting stuck in the throat when swallowing.
  • Pain with swallowing
  • Persistent throat pain
  • Difficulty breathing or noisy breathing
  • Chronic cough
  • Cancer of the throat

Common diagnoses

  • Vocal fold (vocal cord) lesions:
    • Cancer of the larynx
    • Leukoplakia
    • Laryngitis
    • Nodules
    • Polyps
    • Cysts
    • Papilloma
    • Granulomas
    • Vocal fold scarring
    • Vocal fold hemorrhage
    • Varices (enlarged blood vessels)
  • Other voice disorders
    • Vocal fold paresis/paralysis
    • Spasmodic Dysphonia
    • Scarring and narrowing of the vocal folds and airway
    • Laryngopharyngeal Reflux
    • Chronic Cough
    • Age-related voice changes
    • Paradoxical Vocal Fold Motion (Vocal cord dysfunction)
    • Laryngospasm
  • Disorders of the esophagus
    • Zenker’s Diverticulum
    • Cricopharyngeal Dysfunction
    • Esophageal stenosis
    • Radiation-related swallowing disorders
  • Neurologic disorders affecting speech and swallowing such as Parkinson’s disease, ALS, or stroke.
  • Airway stenosis: Supraglottic stenosis, Glottic Stenosis, Subglottic Stenosis, Tracheal Stenosis

 

Treatments offered by Dr. Bergeron

  • Evaluation for and identifying the cause of hoarseness, airway and swallowing disorders.
  • Care for the professional voice.
  • Multidisciplinary management of voice disorders and laryngeal cancer.
  • Referrals for voice therapy or swallow therapy with a speech language pathologist when appropriate.
  • Office-based procedures:
    • In-office vocal fold injection augmentation for paralysis, paresis or bowing
    • Botox injections for selected laryngeal diseases such as spasmodic dysphonia
    • In-office steroid injections of some laryngeal lesions or scarring
    • In-office laryngeal biopsy
    • Flexible Endoscopic Evaluation of Swallowing
  • Procedures in the operating room:
    • Phonomicrosurgery for vocal fold lesions requiring surgical treatment
    • Laser treatment of benign and malignant vocal fold lesions
    • Conservative surgery for laryngeal cancer: Endoscopic treatment for early stage disease and open surgery for later stage disease.
    • Arytenoid repositioning surgery for vocal fold paralysis
    • Medialization thyroplasty for vocal fold paralysis
    • Reinnervation of the paralyzed vocal fold
    • Dilation of airway stenosis
    • Laryngotracheal reconstruction
    • Tracheal resection
    • Cricotracheal resection
    • Endoscopic treatment of Zenker’s diverticulum
    • Transcervical treatment of Zenker’s diverticulum
    • Esophageal dilation
    • Endoscopic cricopharyngeal myotomy
    • Transcervical cricopharyngeal myotomy
    • Selective Laryngeal Adductor Dennervation and Reinnervation – The Berke Procedure for Spasmodic Dysphonia
    • Placement of tracheoesophageal puncture (TEP) and prosthesis for tracheoesophageal speech after laryngectomy