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Otolaryngology – Head and Neck Surgery
Otolaryngology – Head and Neck Surgery

Centre for Paediatric Voice and Laryngeal Function

The Department of Otolaryngology - Head & Neck Surgery provides the following information concerning the Centre for Paediatric Voice and Laryngeal Function:

Who are we?

The Centre for Paediatric Voice and Laryngeal Function (Voice Clinic) at SickKids is a clinic that specializes in voice disorders in children and teenagers.

 

Who do we see?

We see children and teens, ages 0-18 years of age, who present with “voice problems.”  Some common voice problems include:

    • vocal fold nodules
    • laryngeal papillomas
    • vocal fold paresis/paralysis
    • granulomas
    • vocal fold edema (Reinke’s Edema)
    • reflux laryngitis
    • laryngeal trauma
    • laryngeal webs

Vocal characteristics that may indicate a possible voice problem include:

    • hoarseness
    • breathiness
    • poor volume (difficulties projecting your voice)
    • loss of voice
    • voice "cracks" or breaks

How do I get a referral?

Referrals to the clinic can be made electronically by a Family Physician, Paediatrician, or Ear-Nose-Throat Physician/Otolaryngologist (ENT). The Ambulatory Referral Management (ARMs) referral category is “Voice Disorder”.

See the Ambulatory Clinics referrals page for more.
 

Before your appointment

Once we receive and accept the referral from your doctor, an information package (including a Patient Information Form and Voice Questionnaire) will be sent to you in the mail.

Complete the Patient Information Form and Voice Questionnaire and return them to the clinic (via fax or mail, see below).  You will be contacted to schedule an appointment for your child.  Please note there is a waiting list for assessment in the Voice Clinic.

If you are unable to attend the appointment, please contact the clinic at 416-813-2133 to cancel and reschedule as soon as possible.

What do I bring to the clinic?

Please bring:

    • your child’s health card and immunization card
    • list of any current medications
    • the voice questionnaire and parent form (if not already mailed or faxed to the clinic)
    • any previous reports from an Speech-Language Pathologist (SLP) or Ear-Nose-Throat Physician/Otolaryngologist (ENT)

Who will see my child?

You and your child will meet with an Ear-Nose-Throat Physician/Otolaryngologist (ENT) and a Speech-Language Pathologist (SLP):

    • Dr. P. Campisi, MSc, MD, FRCSC, FAAP
    • Jennifer Allegro, MSc, SLP (C), Reg. CASLPO
    • Laurie Russell, MHSc, SLP (C), Reg. CASLPO

You may also meet with medical and other health-care students. As a teaching hospital affiliated with the University of Toronto, SickKids helps to train doctors, Speech-Language Pathologists and other health-care professionals.

 

What happens at the voice assessment?

An evaluation of a child’s voice will typically include:

    • review of the concerns and medical history
    • perceptual evaluation of voice quality
    • acoustic analysis of voice (acoustic measurements of sound signals are taken using specialized software and computer equipment)
    • direct visualization of the vocal folds using endoscopy and/or videostroboscopy (the vocal folds are viewed using a flexible or rigid endoscope and a specialized light source)

What happens after the voice assessment?

Following the voice assessment, the Ear-Nose-Throat Physician/Otolaryngologist (ENT) and Speech-Language Pathologist (SLP) will:

    • discuss the structure and function of the child’s vocal folds
    • discuss therapeutic, medical and/or surgical treatment options
    • help initiate referrals to community agencies and/or other services, such as Speech-Language Pathology
    • generate a comprehensive report
    • arrange a follow-up clinic appointment if necessary

Reach us

Centre for Paediatric Voice and Laryngeal Function
Departments of Otolaryngology and Communication Disorders
The Hospital for Sick Children (SickKids)
555 University Ave
Room 6171, 6th Floor, Burton Wing
Toronto, Ontario
M5G 1X8

Phone: 416-813-2133
Fax: 416-813-5036