The George Washington University Hospital Health News
Summer 2009

Contents

Home
Find the Voice
You've Lost
Incisionless Surgery for Laryngeal Cancers
Breathe Easier with Sinus Treatments
Considering a
New Nose?
Catch Those ZZZZs
Removing Brain Tumors Through the Nose
Choose GW Hospital for World-Class Healthcare
Past Issues

www.gwhospital.com

The George Washington University Hospital Health News

The George Washington University Hospital Health News


Find the Voice You've Lost
The GW Voice Treatment Center

Photo of a woman yelling into a megaphone
You use your voice for hours every day. Like many people, you probably don't give it much thought -- until something goes wrong. "About 20 percent of people have voice difficulties at some time in their lives," says Steven Bielamowicz, MD, Chief, Division of Otolaryngology and Professor of Surgery. "People find that changes in their normal voices affect them personally and in some cases, professionally."

Call on Us for Help
Fortunately, if something happens to your voice, physicians at the GW Voice Treatment Center diagnose and treat a variety of voice-altering disorders, including:

  • Injuries or diseases that affect the voice
  • Benign vocal cord lesions, cysts, warts or polyps
  • Precancerous and cancerous changes to the vocal cord
  • Laryngeal weakness or paralysis

Sophisticated Evaluation Tests
Specialists at the Voice Treatment Center take complete medical histories and evaluate patients' voices. Staff members can measure vocal function, view the vocal cords during speech, assess the nerve-muscle activity of the vocal cords and perform other tests to diagnose the cause of patients' symptoms.

"The Voice Treatment Center is unique because patients don't have to make multiple appointments for different evaluations," Dr. Bielamowicz says. "Our interdisciplinary team of surgeons, nurses and speech language pathologists can fully evaluate patients and develop treatment plans during their visits."

Photo of Steven Bielamowicz, MD
Steven Bielamowicz, MD,
Chief, Division of Otolaryngology

Innovative Solutions: Botox to Surgery
Some patients benefit from nonsurgical treatments, like medications, voice therapy, Botox injections or laser therapy. Surgeons also perform innovative procedures to treat vocal disorders. Some of the procedures available include:

  • Injections or implants in the vocal cords to help them close properly
  • Surgery to change the shape of the larynx or move the vocal cords
  • Endoscopic or open procedures to remove cancers and reconstruct the larynx
Doctors can perform newly developed microflap excision procedures to remove benign vocal cord lesions. During these procedures, surgeons use a microscope to view the larynx. Next, they make a microscopic cut in the vocal fold to create a small flap. They lift the flap of normal vocal cord lining tissue to expose the abnormal tissue. The lesion is removed and the flap is returned to its normal position. These precise procedures allow the patient to speak normally again. For patients with early stage vocal cord cancer, this treatment can spare them the long-term effects of radiation therapy, which can damage the voice.

Does Your Voice Need Help?
You may need treatment for a voice disorder if you have some of these symptoms:

  • Hoarseness
  • Chronic cough
  • Throat irritation
  • Difficulty swallowing
  • Vocal fatigue, tremors or tightness
  • Unpleasant voice tone
  • Pitch abnormalities
  • Effortful speaking
  • Performance fatigue

Photo of Bill Colosim
Local singer Bill Colosimo had a benign polyp removed from his vocal cords at the GW Voice Treatment Center.
Singing Becomes Joyful Again
Singing is Bill Colosimo's passion and his livelihood. He performs, directs the Singing Capital Chorus and the Alexandria Singers and teaches voice.

Colosimo, 53, relied on his clear tenor voice for more than 30 years until it began deteriorating steadily over a year and a half.

"My singing had always been fairly effortless," he says. "So it was difficult when I had to labor to sing, and my voice became very erratic. I didn't enjoy performing and worried that I'd lose my ability to perform and to teach voice."

Colleagues recommended the GW Voice Treatment Center. During Colosimo's first appointment, Thomas Troost, MD, PhD, otolaryngologist at the Center, put a thin fiber-optic tube down Colosimo's nose and watched his vocal cords while he sang.

"He had a benign polyp lodged between his vocal cords that prevented them from closing properly," Dr. Troost says.

Dr. Troost removed the polyp in an outpatient endoscopic procedure in February. Colosimo was teaching a week after surgery and performing within 10 days.

"I can perform beyond my wildest dreams," he says. "I have more range and can sing better than I have in 20 years. The joy came back to my singing."

Find Your Voice
For a referral to the GW Voice Treatment Center, please call Direct DoctorsSM Plus at 1-888-4GW-DOCS, or visit www.gwhospital.com.

Logo of The George Washington University Hospital 900 23rd St., NW, Washington, DC 20037
(202) 715-4000

The George Washington University Hospital Health News