The right diagnosis is key

High-resolution video endoscopy with tip-chip cameras, image processing and computer storage can be performed using the latest magnifying laryngoscopes and flexible optics.
These completely painless examinations are performed on the examination chair under light spray anesthesia and provide meaningful findings on the tissue and function of the larynx, vocal folds and resonance chambers of the upper respiratory tract in just a few minutes.

All images are digitized in high resolution and archived without loss of quality for later image comparisons. The MEDICAL VOICE CENTER uses only the latest high-intensity optics and HD imaging systems. High Definition (HD) resolution is the routine standard.

Videokymography (VKG) allows the simultaneous display of an image of the larynx and analysis of the vibration of the vocal folds during sound production.
Immediate visual assessment with detailed registration of vocal fold movements of each individual vocal fold during opening and closing extends the physician’s diagnosis with immediate findings at the examination site. The physicians at the MEDICAL VOICE CENTER have many years of experience with this method, which is particularly useful in the differential diagnosis of singers.

Painless video endoscopy of the swallowing process using the FEES method (Flexible Endoscopic Examination of Swallowing) allows detailed diagnosis of the individual phases of swallowing and the sensitivity of the pharynx and larynx.
Some voice disorders are accompanied by swallowing disorders. This is often due to the fact that the larynx has a dual function as a voice-producing organ and as a closing organ during swallowing. For this reason, a swallowing evaluation is often combined with a voice evaluation.

In PC-based hoarseness measurement, formant analysis is regularly performed in the spectrogram in addition to the measurement of the sound pressure level, fundamental frequency and deviations in regularity (so-called perturbation measurement).
The most modern methods also analyze the spoken language in addition to the vowels. We often use broadband and narrowband spectral analysis. We have a voice laboratory according to the UEP standard with hoarseness assessment including measurement of interference (jitter, shimmer), signal-to-noise parameters, F0 profile, electroglottography (EGG).

The simultaneous display of the electroglottographic signal (EGG signal) and the power spectrum makes it possible to determine the so-called “speaker formant” and “singer formant”.
It is also a valuable feedback method for the performer to use the voice in a more targeted way. It is also a useful method for gaining clarity about the voice’s ability to penetrate a noisy environment.

Vocal range is an important characteristic of vocal performance. In the case of vocal dysfunctions, e.g. in professional speakers, both the speaking and singing range can be determined. In addition to high and low pitches, both loud and soft pitches are measured under standardized conditions, and sometimes other characteristics are integrated into a third quality dimension and displayed as a 3D graph.

Voice stress tests can be used to create profiles of vocal changes during and after stress with constant parameters of volume (sound pressure level in dB) and fundamental pitch (fundamental frequency).
In the MEDICAL VOICE CENTER, vocal workloads can be tested using scientifically standardized vocal workloads. These “stress tests” increase the diagnostic power, e.g. when assessing occupational demands on the vocal apparatus.