Voice Clinic

Having a problem with your voice?

Professor Thomas Havas started Sydney Voice Clinic over 20 years ago. He has considerable expertise and diagnosis management of the full range of vocal problems. Talk to us and we will get your problem solved.

Please call 02 9387 7360 or use the booking form to book an appointment first.

 

Let Your Voice Be Heard – Giving You Back Your Life in Speaking, Singing and Talking

The Sydney Voice Clinic is a multidisciplinary Clinic established in 1988 for the diagnosis of voice and swallowing disorders. The Clinic is run by Associate Professor Thomas E Havas with the assistance of speech pathologist Jocelyn Priestley. It was the first integrated Voice Clinic established in Australia where conjoint assessment by an Otolaryngologist and a Speech pathologist took place utilising the latest Video Endoscopic, Electrophysiologic Diagnostic Techniques.

Conjoint consultation takes place in our state of the art Voice Laboratory. Each patient is given a comprehensive questionnaire concerning various aspects of their medical history, including general medical history, specific voice history and vocal requirements.

Acoustic analysis is undertaken using the latest computerised “Kay” voice analysis package. This provides a visual representation of the dynamics of voice in terms of any abnormal features their probable aetiology and serves as a guide for appropriate treatment.

A Flexible fibreoptic telescopic examination is undertaken on every patient and the images are projected on to a large screen for the patient to see first hand what their larynx and surrounding hypo pharynx looks like. If any pathology is present this can be highlighted for the patient’s better understanding of the condition.

Vocal Polyps

Stroboscopic examination involves a rapidly flashing light which slows down the movement of the larynx so that any subtle problems – particularly those associated with prolonged professional voice use – can be demonstrated, diagnosed and appropriately treated. A digital recording of the examination is made in every case. The option exists for either digital recording and/or appropriate video prints to be given to the patient or subsequent therapists.

In particularly complex cases electrophysiological diagnosis can take place. This involves inserting a small needle through the skin into the small muscles of the larynx so that electrical activity can be monitored. This is very useful in the diagnosis of various nerve and muscle disorders such as paralysis of the vocal fold or vocal polyps as illustrated on the right.



Vocal Nodules

Vocal Nodules are small areas of thickening or mini calluses on the vocal folds. They occur due to banging the vocal folds together with excessive tension. Vocal nodules are a common cause of hoarseness in children and adults often being associated with excessive shouting or screaming or excessive strained use of the voice. (This condition is benign. It nearly always responds to speech therapy.)

In cases where the nodules are large or mature or speech therapy has failed vocal nodules are appropriately treated by microsurgical dissection and removal.

If vocal habits are appropriately altered the nodules will not recur.

The Sydney Voice Clinic was established for the diagnosis and treatment of voice and swallowing disorders. It was the first of its kind to introduce flexible endoscopic evaluation of swallowing.

The clinic can assist you with the following voice and swallowing problems: Early Laryngeal Cancer
  • Hoarseness
  • Loss of voice
  • Difficulty Swallowing
  • Chronic sore throat
  • Treating early laryngeal cancers (as illustrated on the right) by the application of lasers without the need for radiotherapy, chemotherapy, or loss of the voice box.