Voice Disorders

We diagnose and treat the full spectrum of voice disorders, from laryngitis and voice strain to more complex problems such as atrophy, hemorrhage, scarring of the vocal cords, vocal tremor, and laryngeal papilloma. We can also help with voice problems related to acid reflux (GERD), allergies, chronic cough, and swallowing dysfunction.

If you have been hoarse for more than two weeks, you should be evaluated by an ear, nose, and throat (ENT) doctor.

Expert Diagnosis
Your care begins with a comprehensive voice evaluation. We use advanced equipment and testing techniques to identify whether you have a voice disorder and, if so, we recommend appropriate treatment.

A Team of Specialists
You will receive coordinated care from a team that includes laryngologists and speech pathologists. Our providers have advanced training in evaluating and treating the full range of voice and swallowing problems.

Coordinated Care
If you have other medical conditions that may contribute to your voice disorder -- such as allergies, asthma, or acid reflux -- we will work with your other providers throughout Duke Health to ensure you receive the best care from an integrated team.

Specialty Care for Singers and Professional Voice Performers
Whether you are a professional vocalist who needs immediate voice care services or someone who sings for enjoyment, our singing and performing voice specialists provide expert care. They are speech pathologists with additional training in vocal performance and singing voice rehabilitation. They are also experienced singers and singing teachers who understand the unique needs of singers and other performers.

Medical Management and Voice Therapy
Depending on your diagnosis, medical management and voice therapy can often correct a voice problem. We are one of the few voice centers in the Southeast offering expert voice therapy, which can sometimes provide an alternative to surgery. 

Gender-Affirming Voice Care 
Duke offers gender-affirming voice modification services to our transgender, non-binary, and other gender-diverse patients. Whether in-person or virtually, our voice therapists and laryngologists provide trans-competent voice assessment and voice modification programs. We also moderate a weekly Gender-Affirming Vocal Skills Support Group for people who are interested.

Latest Surgical Techniques
If you need surgery, our highly skilled ENT surgeons have advanced training in the latest techniques. We use a range of surgical approaches to treat the root cause of your voice disorders, including benign lesions, cancer, and vocal cord paralysis. 

Commitment to Advancing Voice Care
Our laryngologists and speech pathologists are nationally recognized experts in their fields. Their ongoing research ensures you receive the best, most up-to-date care for your voice disorder. We also host community education events and workshops throughout the year to increase vocal health and awareness.