Voice And Velopharyngeal Dysfunction Program | Your Visit

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Contact the Voice and Velopharyngeal Dysfunction Program

Voice Clinic Evaluation

A typical appointment will take up to two hours, including meeting with an ORL physician and with a Speech Pathologist. The evaluation includes general medical and otolaryngology-specific history and examination performed by Dr. Nuss or Dr. Hseu. A computerized voice analysis is then performed by the speech/voice clinician. We will obtain an acoustic measurement, or digital recording, of your child's voice, which allows for interpretation of fundamental frequency, range, loudness, and other characteristics.

After careful explanation, a videolaryngology is performed and captured digital video images are reviewed with the patient and family. After making an accurate diagnosis, recommendations are made for management of the problem, which may include voice/speech therapy, medical treatment, as well as surgical intervention. We communicate regularly with your referring physician and/or your speech clinician.

Velopharyngeal Dysfunction Evaluation

What is Velopharyngeal Dysfuntion?

A child with Velopharyngeal Dysfunction (VPD) may demonstrate difficulties with palatal closure. This may result in air escape through the nose during speech,with a nasal rustling sound and hypernasal resonance. A typical clinical evaluation in the VPD clinic involves a perceptual assessment of speech and resonance by our speech pathologists. This is followed by an evaluation by the ORL physicians (Dr. Nuss or Dr. Hseu) and also one of the plastic surgeons (Dr. Meara or Dr. Rogers). A nasopharyngoscopy is performed, and an accurate diagnosis and recommendations are made.


An interdisciplinary clinic involving specialists from Plastic Surgery, Otolaryngology, and Speech and Language Pathology.

Contact Us

For an appointment, more information or to obtain a second opinion for your child, please call us at 617-355-6309 or email samantha.hall@childrens.harvard.edu.

Voice Therapy

Voice therapy is beneficial with many voice conditions, and a recommendation for voice therapy may be determined following a medical examination and completion of a voice evaluation. Voice therapy is generally focused on teaching efficient voice production and behaviors to support healthy voice.  Therapy is customized for each individual based on diagnosis and specific voice concerns.  The treating speech-language pathologist also provides home-practice activities and guidance to help transition newly learned skills into the home environment and achievement of lasting voice improvement.  With young children, parents/caregivers are directly involved in the therapy process. 

The frequency of therapy sessions may vary, though usually starts with weekly one-hour appointments.  Time between therapy sessions may increase over the duration of therapy, which is typically a total of 6-8 treatment sessions.

Therapy is available at Boston Children’s Hospital (BCH) at Waltham, as well as some of our other BCH satellites.  Insurance authorization for voice therapy is requested prior to initiation of services.   If you live outside the greater Boston area, we will work with you to locate a speech-language pathologist with knowledge of voice treatment in the vicinity of your home.

Boston Children’s is so much more than a hospital—it’s a community of researchers, clinicians, administrators, support staff, innovators, teachers, patients and families, all working together to make the impossible possible. ”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital
300 Longwood Avenue, Boston, MA 02115
For Patients: 617-355-6000
For Referring Providers: 844-BCH-PEDS | 844-224-7337