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Speech & Hearing

The Speech and Hearing Center is dedicated to the prevention, identification, evaluation and rehabilitation of communication disorders arising from impairments of speech, language, swallowing and hearing.

Our clinic provides the full gamut of services, from initial evaluation through the rehabilitation process.

Audiology

Diagnostics Services

  • Hearing testing: services for infants to geriatrics

  • Tympanometry: assess middle ear function

  • Cerumen management: removing cerumen from ear canal (wax blockage)

  • Testing for Workers Compensation cases

  • Hearing conservation programs: obtain baseline audio on workers who are exposed to high level noise and test annually to monitor hearing sensitivity 

Audiologic Rehabilitation

  • Hearing aid services

  • Evaluations

  • Fitting

  • Follow-up

  • Hearing aid adjustment program

Speech Language Pathology

The ability to communicate and swallowing are two incredibly important human fuctions. Any impairment of these abilities can have far-reaching consequences, affecting every aspect of a person's life from learning to working  to interacting with family, friends, and community.

At the Center we evaluate, diagnose and treat speech, language, cognitive-communication and swallowing disorders in individuals of all ages, from infants to the elderly.

Commonly Treated Disorders

  • Developmental receptive and/or expressive language impairment

  • Developmental speech impairment 

  • Acquired language impairment (Aphasia)

  • Acquired speech impairment (Apraxia, Dysarthria)

  • Swallowing disorders

  • Laryngectomy and Tracheostomy

  • Voice and swallowing rehabilitation for head and neck cancer patients

  • Voice disorders (vocal nodules, polyps, GERD)

Evaluation of Speech, Language, Voice, and Swallowing

Specialty Tests for Swallowing

Modified Barium Swallow Studies (MBS)

During this examination, your speech-language pathologist will observe and examine the patient swallowing multiple consistencies of liquid/food mixed with a radio-opaque substance called Barium. A radiology will assist with this procedure. 

Fiberoptic Endoscopic Evaluation of Swallow (FEES)

During this examination, your speech-language pathologist will gently pass an endoscope through the patient’s nasal passage into the throat to provide a “bird-eye” view of what happens during liquid/food intake. The liquid/food will be dyed green using food coloring for easy observation. 

These tests have three main purposes:

  1. Observe your swallow in real-time.
  2. Identify the cause of your swallowing difficulties.
  3. Identify and assess treatment strategies that may improve your swallowing function or the safety and ease of eating.

These tests may be useful for patients who:

  1. Complain of coughing or choking while eating
  2. Complain of food getting stuck in the throat while eating
  3. Have neurological or other body injury causing airway or throat problems
  4. Have illness causing progressive swallowing deterioration

Specialty Tests for Voice

Computer Speech Lab Analysis (CSL)

Computerized Speech Lab (CSL) is the gold standard/instrument used for acoustic analysis in the assessment and treatment of patients with speech and voice difficulties. It is used by leading clinicians and speech scientists for speech/voice measurements, clinical feedback, teaching, and second language acquisition.

This test may be useful for patients with the following diagnoses:

  1. Hoarseness
  2. Chronic laryngitis
  3. Vocal cord injury

Nasometer II, Model 6400

Nasometer II is a tool used for assessment and treatment of patients with nasality problems. It is a simple, non-invasive procedure that determines the patient’s nasalance. Hypernasality (too much nasal airflow), or hyponasality (too little nasal air flow) can occur due to many reasons. We use the instrument for assessment before and after surgery (e.g., tonsil and adenoid removal) and during therapy.

This test can be useful for patients with the following diagnoses:

  • Cleft palate
  • Speech and resonance disorders
  • Hearing impairment
  • Palatal prosthetic fitting 

Treatment of Speech, Language, Voice, and Swallowing

Specialty Intervention for Swallowing

  1. VitalStim Electro-Stim Therapy

VitalStim Therapy is the use of neuromuscular electrical stimulation (NMES) to rehabilitate the muscles in the mouth and throat for patients with difficulty swallowing. An SLP uses electrodes which are placed on the face or throat to provide NMES to weakened muscles. With the electrodes in place, the patient completes various swallowing exercises while the electrodes work to further strengthen the muscles for swallowing.

Specialty Intervention for Speech and Voice

  1. Lee Silverman Voice Technique (LSVT)

Intensive, research-based, therapy program for the improvement of vocal loudness, quality and variation in pitch for patients with Parkinson's Disease.

General Inquiries: tbhcspeechandhearing@nyp.org

Related Information

Appointments

Patients must have a "Physician Order" (prescription) from the primary or referring physician. You may also need an insurance referral, pre-certification or an authorization number.

Contact and Location

Maynard Building - Suite 12C
240 Willoughby Street
Brooklyn, NY 11201
(718) 250-8431