Board-certified specialists treating hoarseness, chronic throat conditions, and swallowing difficulty.
Same-week appointments · 3 Denver-area offices
Diagnosis and treatment for voice, throat, and swallowing disorders.
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If your voice has been hoarse for more than a few weeks, swallowing feels different than it used to, or you've had a persistent cough or constant throat clearing, this scope lets your provider see your vocal cords and throat directly. It's often the clearest way to understand what's actually happening in an area that can't be seen with the naked eye.
Your provider will typically use a numbing spray first. Depending on what they need to see, the scope may go in through your nose or, in some cases, a rigid scope is used through the mouth instead. The exam itself usually takes just a few minutes. You may feel a brief gag reflex, and you might be asked to make certain sounds or swallow so your provider can watch how everything moves. Your throat may feel a little raw for a short time afterward.
Since your provider is watching everything happen live, findings are often discussed with you during the same visit. Depending on what's found, next steps might include voice therapy, medication, further imaging, or in some cases a biopsy.
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If you smoke or used to smoke and you've noticed a change in your voice, a chronic cough, or ongoing throat irritation, this evaluation looks closely at your throat, voice box, and sinuses for early signs of irritation or damage caused by smoking. Catching changes early gives you and your provider more options for how to address them.
This evaluation typically includes a conversation about your smoking history and symptoms, along with a physical exam. Depending on your symptoms, it may also include a laryngoscopy or nasal endoscopy, which uses a thin scope and a numbing spray to look directly at your throat or nasal passages. Any scope involved takes just a few minutes and may cause some brief pressure, but it typically isn't painful.
Your provider will explain what was found and whether anything needs ongoing monitoring or further testing.
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Vocal cord injection places a substance into one vocal cord to add volume and help it meet the opposite vocal cord more completely when you speak or swallow. This can improve a breathy or hoarse voice and help reduce coughing or choking on food or liquid when a vocal cord isn't moving or closing the way it should.
You may be a candidate if you have a weak, paralyzed, or bowed vocal cord causing a breathy or hoarse voice, vocal fatigue, or swallowing problems like coughing when you eat or drink. This is typically considered after a scope exam shows your vocal cord isn't closing fully. This can also serve as a shorter-term option before considering a more permanent surgical procedure, depending on your situation and how your voice responds.
Depending on your situation, this can be done in the office while you're awake, using a small scope through the nose to guide the injection, or in an operating room under sedation or general anesthesia. For an in-office injection, your provider numbs your nose and throat first, then places the injection with a thin needle guided by the scope. You may feel pressure or a brief urge to cough.
If done in the office, you can typically go home right after and resume normal activities the same day, though your voice may sound different at first while swelling from the injection settles. If done under anesthesia in an operating room, recovery takes a bit longer as the anesthesia wears off. Depending on the material used, results can be temporary or longer-lasting, and your provider can talk with you about which option fits your situation.
MOST INSURANCE PLANS ACCEPTED
Medicaid and additional plans also accepted. See full list.
"Dr. Manan Shah has a unique combination of exceptional skill and genuine kindness. He performed my septoplasty to fix a deviated septum, and he also performed balloon dilation of my eustachian tubes. I can breathe and sleep much better, and I can finally pop my left ear after decades of pressure and inability to do so."
"I was very impressed with Dr. Fairmont who treated my sinus symptoms. She was genuinely interested in my care & she recommended new medications and therapies which are covered by my insurance. Also, she was very kind and empathetic."
"This was my first visit. Dr. Sohal has a terrific bedside manner, is very knowledgeable and the care he has for his patients is obvious. He took time to discuss my condition and treatment. And spent time answering my questions. I highly recommend Dr. Sohal!"
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