Laryngology and Voice Care

James J. Daniero, MD MS

We treat ear, nose and throat problems in people who use their voices extensively, including:

  • Singers
  • Clergy
  • Call center employees
  • Teachers/professors
  • Coaches
  • Docents

Conditions Treated

  • Vocal fold paralysis
  • Care of the professional voice
  • Spasmodic dysphonia and vocal tremor
  • Benign vocal fold lesions (polyps, nodules, cysts)

  • Vocal fold scar (sulcus)
  • Laryngeal webs
  • Vocal fold leukoplakia and dysplasia
  • Early glottic cancer (T1/T2 stage)
  • Vocal fold atrophy and presbylarynges
  • Laryngeal papilloma (recurrent respiratory papilloma)
  • Autoimmune disease of the larynx
  • Laryngocele
  • Saccular cyst
  • Muscle tension dysphonia
  • Zenker’s diverticulum
  • Cricopharyngeal dysfunction
  • Esophageal strictures (cervical esophagus)
  • Laryngopharyngeal reflux
  • Subglottic stenosis
  • Posterior glottic stenosis

Services Provided

  • Medialization thyroplasty (Gore-Tex and Silastic)
  • Microsurgery of the vocal fold (phonomicrosurgery)
  • LASER endoscopic cricopharyngeal myotomy (minimally-invasive swallowing surgery
  • Endoscopic and open Zenker’s diverticulotomy
  • Endoscopic and open surgery for upper airway stenosis
    • Cricotracheal resection
    • Endoscopic LASER cordotomy (minimally-invasive airway surgery)
  • Endoscopic LASER cordectomy (minimally-invasive cancer surgery)
  • Endoscopic LASER treatment of benign laryngeal disease
  • Endoscopic treatment of laryngoceles and saccular cysts
  • Endoscopic laryngeal web division and keel placement

In-office procedures

  • Laryngeal botulinum toxin injection
  • KTP laser treatment of vocal fold lesions
  • Vocal fold injection medialization
  • Upper airway steroid injection
  • Transnasal esophagoscopy
  • Transnasal tracheoscopy
  • Laryngeal videostroboscopy (flexible and rigid scopes)
  • Laryngeal electromyography (L-EMG)

Ancillary Services & Staff – Speech-Language Pathology

  • Multidisciplinary evaluation of voice and swallowing
  • Flexible endoscopic evaluation of swallowing (FEES)
  • Voice therapy
  • Singing voice therapy
  • Swallowing therapy

Speech Language Pathologists

  • Joanna Lott, CCC-SLP, Singing voice therapist
  • Holly Hess, CCC-SLP
  • Casey Resnick CCC-SLP

Nursing Staff

  • Debra Connor, RN
  • Melissa Mosley, MA

Patient Experience

Patients visiting the Voice and Swallowing Center at the University of Virginia will typically meet a whole team of providers dedicated to solving their medical needs. In addition to the doctor, this often includes a speech-language pathologist specifically trained in voice and swallowing rehabilitation, a resident physician, nurse practitioner, and nurse. The first visit may include a detailed exam of the voice and larynx (voice box). Using the latest high-definition video technology, our team can get a comprehensive evaluation of the vocal cords and surrounding tissues to identify problems. Vocal rehabilitation is provided by our specialty-trained speech pathologists and immediately accessible in the same office location. We also offer cutting-edge procedures right in the clinic, saving many patients general anesthesia and a trip to the operating room. Overall, this allows for one-stop-shopping for many patients that require specialized diagnostic tests, procedures, and voice/swallowing rehabilitation. We strive to give each patient the kind of care normally available only to well-known performers.



Links to more information on voice and swallowing:

Voice Treatments: Make your voice heard!

World Voice Day 2018 Theme Article: Choose you Voice!

Swallowing Problems: A Dr. Daniero Podcast

 UVA Voice and Swallowing Center

Click here to view the Laryngology Division’s Research Page