Professional Voice & Swallowing Center

Welcome to the Lakeshore Professional Voice Center. We are dedicated to the prevention, diagnosis and treatment of voice and other laryngeal disorders.

The voice is an expression of the soul and is an essential part of daily life.

Voice problems are common and can have dramatic physical and emotional consequences affecting a person’s quality of life. Voice changes may also be the first signs of other underlying medical problems, even cancer.

At Lakeshore Professional Voice Center we take a multidisciplinary approach to treatment of voice disorders. We have a highly specialized voice team and use state of the art equipment to take care of people with the most complex voice problems.

The larynx, commonly known as the “voice box”, serves other vital functions. It provides an airway passage into the lungs, and protects the lungs from other contents entering, such as food and drink (aspiration). At the Lakeshore Professional Voice Center we care for all laryngeal disorders, involving voice, swallowing and airway problems.

The Voice Team

Lakeshore Professional Voice Center is directed by Dr Adam Rubin, a fellowship-trained Laryngologist and former professional actor and singer.

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Laryngologist: Adam D. Rubin, M.D. Dr. Rubin graduated summa cum laude from Yale College with degrees in Theater Studies and Economics. He received his medical doctorate from Harvard Medical School. >> More

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Jean Skeffington, M.A., CCC-SLP, Voice Pathologist/Singing Voice Specialist, joined the team at Lakeshore Professional Voice Center in March of 2014. She specializes in the rehabilitation of injured speaking, singing, and performing voices. >> More

Care for the Professional Voice
Over the past 30 years, our understanding of and ability to treat voice problems have increased dramatically largely due to the interdisciplinary collaboration of otolaryngologists, speech language and voice pathologists, singing and acting teachers, and performers. A new medical subspecialty emerged, laryngology, to raise the level of care for voice patients. The laryngologist and voice pathologist work together as a “voice team” to provide sophisticated voice care.

The voice team at Lakeshore Professional Voice Center has extensive experience working with professional voice users such as; singers, speakers, lecturers, and others whose livelihoods depend on their voices can be assured of receiving the finest in clinical evaluation and treatment.

>> Read more about the voice.

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Services

The staff of the Lakeshore Professional Voice Center takes a multidisciplinary approach to your voice problems to provide you with the best opportunity for a healthy voice. Services offered include:

  • Comprehensive evaluation of voice disorders
  • Objective and perceptual analysis of the voice
  • Strobovideolaryngoscopy
  • Care for the Professional Voice
  • Voice, speech and performance therapy
  • Individual, group voice therapy
  • Seminars and workshops
  • Laryngeal microsurgery for vocal fold masses
  • Surgery for vocal fold paralysis and paresis
  • Vocal fold polyps, cysts and other masses
  • Treatment of the aging voice
  • Evaluation and management of laryngopharyngeal reflux
  • Laryngeal BOTOX® injections for spasmodic dysphonia
  • Voice Problems related to vocal misuse and abuse
  • Sudden Hoarseness Requiring Voice Rest
    • Vocal Fold Tear
    • Vocal Fold Hemorrhage
    • Vocal Fold Masses
    • Vocal fold Nodules
    • Vocal Fold Pseudocysts
    • Vocal Fold Polyps
    • Vocal Fold Cysts
    • Contact Masses
    • Reinke’s polyposis (Reinke’s edema)
    • Papillomas
    • Leukoplakia
    • Cancer
  • Impaired vocal fold closure
    • Vocal fold paresis
    • Vocal fold paralysis
    • Vocal fold bowing incl. type-I thyroplasty & injection laryngoplasty
  • Vocal fold scar and sulcus
  • Abnormal vocal fold movement
    • Spasmodic dysphonia
    • Muscle tension dysphonia
    • Paradoxical vocal fold movement
  • Masses resulting from Acid Reflux, incl. granuloma

>> Read more about common voice problems and treatments provided.

The Voice Laboratory

At Lakeshore Professional Voice Center we have an expert voice team and the latest technology to obtain detailed objective and perceptual analysis of the voice. We use strobovideolaryngoscopy to image the vocal folds and evaluate their fine structure, as well as computerized voice analysis and aerodynamic studies to help us identify any factors contributing to your vocal problems.

>> Read more about the voice analysis procedures performed in our Voice Laboratory, which include:

  • Acoustic Analysis
    • Fundamental Frequency
    • Perturbations of frequency (jitter) and amplitude (shimmer)
    • Signal-to-noise ratio
    • Spectral analysis
  • Electroglottography (EGG)
  • Phonetogram (Voice Range)
  • Aerodynamics Studies
  • Strobovideolaryngoscopy
  • Laryngeal electromyography
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What happens at the first visit?

  1. You will be asked to fill out a detailed voice history and general medical history questionnaires.
  2. Your initial evaluation takes place in 2 parts. We will try to arrange this for the same day if possible.
  3. Our team will have you record your voice digitally and perform a computerized analysis of your voice. She may also perform pulmonary function tests (breathing tests) and do a trial of voice therapy.
  4. We then will perform a full head and neck examination, and may perform flexible and rigid strobovideolaryngoscopy to visualize and assess the gross movement and vibration of your vocal folds
  5. By the end of your evaluation, you will understand the nature of your voice problem, and the potential roles of pharmacologic, voice therapy, and surgical intervention. Additional workup may be necessary.

Tips

Lakeshore Professional Voice Center recommends these tips on voice care.

For More Information

>> Click here for a list of helpful links and downloads about the voice, voice care and treatments.

>> Click here for our swallowing page

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