Laryngology is today an important subspecialty in ENT. A voice clinic is run by a laryngologist and a speech language pathologist but also involves teamwork with the gastroenterologist, psychiatrist and neurologist. It is the aim of “The Association of Phonosurgeons of India” to have voice clinic in every city of India.

Stroboscopy is an important diagnostic tool in the armamentariery early laryngeal lesions such as early glottic cancer. Stroboscopy also allows differentiation between various laryngeal lesions.

Laryngeal EMG is performed by introducing a Teflon coated needle into the specific laryngeal muscle to check its response to phonation or breathing. This helps in diagnosing vocal fold paralysis and its prognosis. Laryngeal EMG is primarily used in the injection of Botulinum Toxin into the larynx in cases of spasmodic dysphonia. The toxin weakens the spasms of the voice but needs to be re-injected every 6 months.