presented by Edie Hapner & Michael Johns III
This course presents an in depth tutorial in the role of laryngeal videostrobscopy in the comprehensive evaluation of voice disorders. Examination begins with a discussion of the differences between diagnostic flexible laryngoscopy and rigid or flexible endoscopy with videostroboscopy. Participants will be provided with the practicing clinician demonstration of the assessment of the functional parameters of the vocal fold mucosa and the glottis demonstrated in the laryngeal videostroboscopic examination. Demonstrations of both flexible and rigid examinations are included.
Edie R. Hapner is a Professor in the Rick and Tina Caruso Department of Otolaryngology Head and Neck Surgery at the University of Southern California and a founding member of the USC Voice Center, an interprofessional team treating persons with disorders of voice and swallowing. Dr. Hapner has authored over 33 peer reviewed articles on voice and voice disorders, four book chapters, and is the co-editor of Voice Disorders, Clinical Case Studies. She is the author of Training and Implementation of FEES, a DVD training program for clinicians. Dr. Hapner served on the Coordinating Committee of Special Interest Group 3, Voice and Voice Disorders, for seven years. She served as both the Coordinator and Associate Coordinator of SIG 3 during her tenure. She was the Chair of the SIG 3 Reimbursement Committee between 2006 and 2009 and served as a member of the Member Advisory Group (MAG) to ASHA's Health Economics & Advocacy Team. Dr. Hapner was an ASHA appointed member of the National Advisory Committee to the Educational Testing Service. She served as the ASHA appointed member of the American Academy of Otolaryngology's committee for the development of evidence-based guidelines for the treatment of dysphonia. She served as an ASHA site visitor through the Council on Academic Accreditation. She was the Florida Association of Speech-Language Pathologists and Audiologists Vice President for Convention Planning and was a member of the Illinois Speech-Language-Hearing Association's Convention Committee. Dr Hapner received an honors award from the American Academy of Otolaryngology Head and Neck Surgery in 2013 and remains an engaged member of the AAOHNS. Dr. Hapner cherishes three very special awards: GSHA's Clinician of the Year; The University of Missouri's Education Program Alumnae of the Year; and the Clinical Scholar's designation of the AAOHNS. Her passion is her work with A Voice For Hope, a nonprofit organization whose mission is the prevention of head and neck cancer through early identification screening programs. She is the coordinator for multiple large-scale community-based free head and neck cancer screenings at sporting events, specifically NASCAR events around the county.
As the director of the USC Voice Center, Michael Johns III’s goal is to improve the quality of life for individuals with voice, swallowing and airway disorders. He strives to achieve this through a true interdisciplinary approach to promoting health, preventing and curing disease, advancing biomedical research and educating those around him. He received his undergraduate degree in economics at the University of Virginia, but his passion is for medicine. He graduated medical school from the Johns Hopkins University and then pursued training in Otolaryngology – Head and Neck Surgery at the University of Michigan. While there, he did an NIH funded research year and became interested in voice, swallowing and airway disorders. This led him to pursue specialty fellowship training at the Vanderbilt Voice Center. He then founded the Emory Voice Center with Speech Pathologist Dr. Edie Hapner, PhD in Atlanta Georgia, which was amongst the first interdisciplinary voice centers in United States. 12 years later, he was recruited to the University of Southern California to form the USC Voice Center and bring their interdisciplinary model of care to Southern California. He embraces a caring, patient-centered approach with his patients. At the USC Voice Center, his patients can count on a coordinated, cohesive and unique experience backed by a team of voice and swallowing experts to optimize outcomes and satisfaction.
This chapter lays the foundation for the use of laryngeal imaging. The science behind laryngeal videostroboscopy, how it differs from flexible diagnostic laryngoscopy, and when it is important to use videostroboscopy will be discussed.
This chapter will introduce the participant to the functional information gleaned from the laryngeal videostroboscopy examination that provides information on the health and pliability of the vocal fold mucosa, the size and shape of the glottis and the vertical phase of vocal fold approximation.
This chapter will demonstrate one comprehensive rigid and one comprehensive flexible laryngeal videostroboscopic examination.