About The Book


Diagnosis and Treatment of Voice Disorders, now in its fourth edition, continues to serve as a definitive reference for students and professionals in the fields of otolaryngology, speech-language pathology, voice and singing, and related sciences. Fifty-eight chapters—illustrated with color photos, dyed slides, and black and white figures—are divided into three parts: basic sciences, clinical assessment, and management. Each chapter has been updated with the most current and relevant information on the science of communication processes and voice disorders. With contributions from more than 60 internationally acknowledged experts, this text provides comprehensive, multidisciplinary coverage of the basic science and characteristics of voice disorders; diagnostic procedures and techniques; assessment protocols; as well as surgical and nonsurgical treatment models.

This fourth edition has been extensively updated and expanded with ten new chapters:

  • Vocal Fold Extracelluar Matrix and Wound Healing
  • COUGH and the Unified Airway
  • The Role of the Voice Coach in the Treatment of Vocal Disorders
  • Occupational Voice
  • Anesthesia in Laryngology
  • Reinnervation: New Frontiers
  • Emerging Approaches to Laryngeal Replacement and Reconstruction
  • Recurrent Respiratory Papillomatosis
  • Office-Based Phonosurgery
  • Telemedicine

From the Preface

“This 4th edition of Diagnosis and Treatment of Voice Disorders provides a vibrant, up-to-date, accessible and clear reference for the various professionals entrusted with the care of patients with voice disorders, be they laryngologists or phoniatricians, speech-language pathologists or logopeds, physical therapists, osteopaths or other practitioners of complementary medicine, singing or acting voice specialists, acoustic or voice scientists, psychiatrists or psychologists, gastroenterologists, pulmonologists, or neurologists, nurses or other allied medical specialists. It is written in language intended to be accessible to an interdisciplinary readership; and we hope that the information presented will prove not only useful, but also inspirational to all voice care professionals since each of us has the opportunity to add new knowledge to this exciting and rapidly advancing field.”

About The Authors

John Rubin, MD, FACS, FRCS, is a consultant ear nose and throat surgeon at The Royal National Throat Nose and Ear Hospital, a part of the University College London Hospital NHS Trust (UCLH)—where he is also currently chair of the consultant forum , lead clinician of the voice disorders unit, and past clinical director. He is honorary senior lecturer at the Ear Institute, and honorary consultant ENT surgeon and co-chair of the voice and swallowing unit at the National Hospital for Neurology and Neurosurgery, both a part of UCLH.

Dr. Rubin’s interests include voice disorders and laryngeal surgery. He has written extensively—including several books and numerous articles and chapters—and regularly lectures on voice-related topics. He has served in multiple capacities on international editorial and scientific boards and committees. Dr. Rubin is past-president of the Collegium Medicorum Theatri as well as the British Voice Association, and is a founding member of the European Academy of Voice. He was recently appointed honorary assistant treasurer to ENT UK.

Robert Thayer Sataloff, MD, DMA, FACS, is Professor and Chairman in the Department of Otolaryngology—Head and Neck Surgery and Senior Associate Dean for Clinical Academic Specialties at Drexel University College of Medicine. He is also Adjunct Professor in the Department of Otolaryngology—Head and Neck Surgery at Thomas Jefferson University; as well as on the faculty of the Academy of Vocal Arts.

Gwen S. Korovin, MD, is an otolaryngologist who maintains a busy private practice in New York City, where she treats some of the world’s most well-known performers. Dr. Korovin is a clinical assistant professor of otolaryngology at New York University School of Medicine, and is an attending physician at Lenox Hill Hospital and Manhattan Eye, Ear and Throat Hospital—all located in New York City. She serves on the board of directors and the advisory board of the Voice Foundation and is on the editorial board of the Journal of Voice. Dr .Korovin has appeared on television as an expert on vocal health and is the author of numerous articles and research papers on the voice and voice medicine. She frequently presents and speaks at conferences and symposia worldwide.

Table oF Contents



  • 1. Formation of the Larynx: From Hox Genes to Critical Periods
    • Jeffrey T. Laitman, Drew M. Noden, and Thomas R. Van De Water
  • 2. Laryngeal Development
    • David H. Henick
  • 3. Anatomy of the Human Larynx
    • Clarence T. Sasaki, Nwanmegha Young, Hiroumi Matsuzaki, and Boris Paskhover
  • 4. Functional Fine Structures of the Human Vocal Fold Mucosa
    • Kiminori Sato
  • 5. Microanatomy of the Vocal Fold Musculature
    • Ira Sanders
  • 6. Vocal Fold Extracellular Matrix and Wound Healing
    • Marie E. Jette and Susan Thibeault
  • 7. Benign Vocal Fold Pathology Through the Eyes of the Laryngologist
    • John S Rubin and Eiji Yanagisawa
  • 8. Laryngeal Function During Phonation
    • Ronald C. Scherer
  • 9. Laryngeal Neurophysiology
    • Christy L. Ludlow
  • 10. The Neurology of Stuttering
    • Rebecca Spain, Steven Mandel, Savita Kumari, and Robert T. Sataloff
  • 11. Toward a Dynamical Diagnosis of Vocal Function
    • Ronald J Baken and Robert F Orlikoff
  • 12. Research in Laryngology
    • Gayle E. Woodson


  • 13. Patient History
    • Robert T. Sataloff
  • 14. Physical Examination
    • Robert T. Sataloff
  • 15. Evaluation of Laryngeal Biomechanics by Transnasal Flexible Laryngoscopy
    • Jamie A Koufman
  • 16. Transnasal Esophagoscopy
    • Nancy Solowski and Greg Postma
  • 17. Introduction to the Laboratory Diagnosis of Vocal Disorders
    • Gwen S. Korovin , John S. Rubin, and Owain R Hughes
  • 18. Measuring Vocal Fold Function
    • Raymond H. Colton and Peak Woo
  • 19. Laryngeal Electromyography
    • Elizabeth Guardiani, Babak Sadoughi, Lucian Sulica, Tanya Meyer, and Andrew Blitzer
  • 20. Videography and Photography of the Larynx
    • Eiji Yanagisawa, Ken Yanagisawa, and H. Steven Sims
  • 21. 3D Laryngeal CT Scan for Voice Disorders: Virtual Endoscopy—Virtual Dissection
    • Jean Abitbol, Albert Castro, Rodolphe Gombergh, and Patrick Abitbol
  • 22. The Evaluation of Voice Outcomes and Quality of Life
    • Michael S. Benninger and Glendon M. Gardner
  • 23. Voice Impairment, Disability, Handicap, and Medical/Legal Evaluation
    • Robert T. Sataloff


  • 24. Common Medical Diagnoses and Treatments in Patients with Voice Disorders
    • Robert T. Sataloff and Mary J. Hawkshaw
  • 25. Congenital Anomalies of the Larynx
    • Ted L. Tewfik, Steven E. Sobol, and Alyssa A. Kanaan
  • 26. Office Based Evaluation of Children with Dysphonia

Jennifer Setlur and Christopher J. Hartnick

  • 27. The Older Voice
    • Robert T Sataloff
  • 28. The Larynx: A Hormonal Target
    • Jean Abitbol and Patrick Abitbol
  • 29. Laryngopharyngeal Reflux and Voice Disorders
    • Jamie A. Koufman
  • 30. Infectious and Inflammatory Disorders of the Larynx
    • Catherine F Sinclair and Robert S. Lebovics
  • 31. Cough and the Unified Airway
    • Rupali N. Shah and Kenneth W. Altman
  • 32. Neurological Disorders and the Voice
    • Marshall E. Smith and Lorraine Olson Ramig
  • 33. Unilateral Vocal Fold Paralysis
    • Michael S. Benninger and Glendon M. Gardner
  • 34. Bilateral Vocal Fold Paralysis
    • Michael S. Benninger and Glendon M. Gardner
  • 35. Management of the Spasmodic Dysphonias
    • Joel H. Blumin and Christy L Ludlow
  • 36. Psychological Aspects of Voice Disorders
    • Deborah Caputo Rosen, Reinhardt J. Heuer, David A. Sasso, and Robert T. Sataloff
  • 37. The Voice and Medications
    • Thomas M. Harris, Harsha H. Kariyawasam, and John S. Rubin
  • 38. Corticosteroid Therapy in Otolaryngology
    • Harsha H. Kariyawasam, Giuseppina Rotiroti, and John S Rubin
  • 39. The Role of the Speech-Language Pathologist in the Treatment of Voice Disorders
    • Thomas Murry and Clark A. Rosen
  • 40. The Role of the Voice Specialist in the Non-Medical Management of Benign Voice Disorders
    • Linda M. Carroll
  • 41. The Role of the Voice Coach in the Treatment of Vocal Disorders
    • Barbara Houseman
  • 42. The Effects of Posture on Voice
    • Lesley Mathieson, John S. Rubin, and Ed Blake
  • 43. Special Considerations for the Professional Voice User
    • John S. Rubin, Gwen S. Korovin, and Ruth Epstein
  • 44. Occupational Voice
    • Orietta Calcinoni, Ewa Bogusz, and Ruth Epstein
  • 45. Anaesthesia in Laryngology
    • Anil Patel and John S. Rubin
  • 46. Laryngotracheal Trauma
    • Yolanda D. Heman-Ackah
  • 47. Surgical Management of Benign Voice Disorders
    • Mark S. Courey, Daniel S. Fink, and Robert H. Ossoff
  • 48. Adult Acquired Laryngotracheal Stenosis

Guri S Sandhu and David J. Howard

  • 49. Vocal fold Medialization: Injection and Laryngeal Framework Surgery
    • Steven M. Zeitels
  • 50. Laryngeal Reinnervation: Traditional Approaches
    • Harvey M. Tucker
  • 51. Reinnervation: New Frontiers
    • Jean-Paul Marie
  • 52. Emerging Approaches to Laryngeal Replacement and Reconstruction
    • Jonathan M. Fishman, Paolo De Coppi, and Martin A. Birchall
  • 53. Recurrent Respiratory Papillomatosis
    • Craig Derkay and Salvatore Taliercio
  • 54. Premalignant Lesions of the Larynx
    • Amanda Hu, Carole M. Dean, and Robert T. Sataloff
  • 55. Glottic Carcinoma: Disease Presentation and Philosophy of Management
    • Steven M. Zeitels
  • 56. Diagnosis and Management of Postoperative Dysphonia
    • Peak Woo
  • 57. Office-based Phonosurgery
    • Markus Hess and Susanne Fleischer
  • 58. Telemedicine
    • John S. Rubin and Robert T. Sataloff


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