Voice Disorders: Referral Directory
John E. McClay, M.D. - Velopharyngeal insufficiency, pediatric voice disorders
Julie Cook , MS, CCC-SLP
Description of services:
Any patient with chronic hoarseness, breathiness, whispering, aphonia, abnormal pitch, decreased or increased intensity, hypernasality or hyponasality may be referred.
The clinic benefits children with underlying medical conditions such as vocal nodules, velopharyngeal insufficiency, cleft palate or laryngeal injury/stenosis, as well as those whose voices may have been damaged through persistent improper voice use, which is not uncommon among singers, actors and cheerleaders.
Evaluations are completed by a licensed master-level speech pathologist, pediatric otolaryngologist and nurse (if sedation used). Full evaluation can take up to two hours depending on age and cooperation of child.
Procedures performed or problems diagnosed and treated:
- Videostroboscopy of laryngeal function and vocal fold movement and fiberoptic nasoendoscopy to evaluate velar functioning using Kay Elemetrics Rhino Laryngeal Stroboscope
- Full voice evaluation using Visi-pitch/Nasometer
- Conscious sedation is used for scope if indicated
Information for referral sources:
- A written referral from physician or referral source is required.
- Pre-authorization is required by some insurance plans.
- Patient instructions for specific tests will be provided when the appointment is scheduled.
- Services are provided in close cooperation with the patient’s referring physician.
- Diagnosis, evaluation and recommended treatment information is provided promptly to the referring physician, current speech/language pathologist and family.
Please provide the following when calling to schedule a patient for a diagnostic examination:
- Patient name and date of birth
- Probable diagnosis
- Insurance/referral information
- Physician clinical findings or symptoms which caused the patient to visit physician