Laryngology & Voice Disorders at Fudan University Eye & ENT Hospital Shanghai | CMCS

Expert Voice, Swallowing & Airway Care at China's Premier ENT Specialty Hospital

The Department of Laryngology and Voice Disorders at Fudan University Eye & ENT Hospital (EENT Hospital) is one of China's most distinguished laryngology centers, with a national reputation for excellence in the diagnosis and management of voice disorders, vocal cord lesions, laryngeal stenosis, swallowing disorders, airway management, and the care of professional voice users. As China's only dedicated eye and ENT specialty hospital at the tertiary level, EENT Hospital's laryngology department combines outstanding clinical expertise with a world-class voice laboratory and a fully integrated multidisciplinary approach, offering international patients access to some of China's most eminent laryngologists and voice specialists.

For international patients with a voice disorder, vocal cord lesion, swallowing difficulty, laryngeal stenosis, or a complex laryngeal condition — EENT Hospital's laryngology department offers an unparalleled combination of diagnostic sophistication, surgical expertise, and voice rehabilitation capability. China Medical Concierge Shanghai (CMCS) provides seamless end-to-end coordination for international patients throughout their laryngological care journey at EENT Hospital.

About the Department

EENT Hospital's laryngology department is a national key clinical specialty operating a comprehensive laryngology clinic, a state-of-the-art voice laboratory with videostroboscopy and high-speed laryngeal imaging, a swallowing assessment clinic with videofluoroscopic swallowing study (VFSS) and fiberoptic endoscopic evaluation of swallowing (FEES), a professional voice clinic for singers and performers, an office-based laryngeal procedure suite, a microlaryngoscopy surgical program, and works in close collaboration with speech therapy, neurology, gastroenterology, pulmonology, and head and neck oncology through a fully integrated multidisciplinary team.

Faculty members publish regularly in leading laryngology journals including Laryngoscope, Journal of Voice, Annals of Otology, Rhinology & Laryngology, Dysphagia, and Head & Neck.

Voice Disorders

Diagnostic Assessment

• Videostroboscopy — Gold standard for vocal fold vibratory assessment; mucosal wave analysis; glottal closure pattern; lesion characterization
• High-Speed Laryngeal Imaging — For assessment of rapid vocal fold vibration not captured by stroboscopy; aperiodic vibration; neurogenic voice disorders
• Acoustic Voice Analysis — Fundamental frequency; jitter; shimmer; harmonics-to-noise ratio (HNR); voice range profile; GRBAS perceptual scale
• Aerodynamic Assessment — Subglottic pressure; phonation threshold pressure; maximum phonation time; glottal airflow
• Electromyography (EMG) — Laryngeal EMG for vocal fold paralysis; prognosis assessment; reinnervation monitoring

Benign Vocal Fold Lesions

• Vocal Fold Nodules — Voice therapy as first-line; microlaryngoscopy with cold instrument excision for therapy-resistant nodules; professional voice user management
• Vocal Fold Polyps — Office-based KTP laser treatment; microlaryngoscopy excision; voice therapy post-operatively
• Vocal Fold Cysts — Microlaryngoscopy with cyst marsupializaton or excision; mucus retention cysts; epidermoid cysts
• Reinke's Edema (Polypoid Corditis) — Smoking cessation; microlaryngoscopy with Reinke's space aspiration and cordoplasty; voice therapy
• Vocal Fold Granuloma — Proton pump inhibitors for LPR-associated granuloma; voice therapy; botulinum toxin injection; KTP laser; microlaryngoscopy excision for refractory cases
• Leukoplakia & Dysplasia — KTP laser treatment; CO2 laser excision; microlaryngoscopy with cold instrument excision; close surveillance for malignant transformation
• Recurrent Respiratory Papillomatosis (RRP) — KTP laser as preferred treatment (preserves voice); CO2 laser; microdebrider; bevacizumab intralesional injection; cidofovir injection; pembrolizumab for aggressive RRP; HPV vaccination; one of China's most experienced RRP programs

Vocal Fold Paralysis & Paresis

• Unilateral Vocal Fold Paralysis (UVFP) — Observation for spontaneous recovery (up to 12 months); voice therapy; office-based injection laryngoplasty (temporary: Radiesse, Restylane; permanent: fat, calcium hydroxyapatite); medialization thyroplasty (type I) with Gore-Tex or silicone implant; arytenoid adduction for large posterior glottal gap; laryngeal reinnervation (ansa cervicalis to RLN)
• Bilateral Vocal Fold Paralysis (BVFP) — Tracheotomy for acute airway compromise; posterior cordotomy (CO2 laser or cold instrument); arytenoidectomy; laryngeal reinnervation; pacing
• Vocal Fold Paresis — Laryngeal EMG for diagnosis; voice therapy; injection laryngoplasty for selected cases
• Superior Laryngeal Nerve (SLN) Paresis — Voice therapy; pitch instability management

Spasmodic Dysphonia & Neurogenic Voice Disorders

• Adductor Spasmodic Dysphonia (AdSD) — Botulinum toxin injection into thyroarytenoid muscle (gold standard); EMG-guided injection; office-based procedure; repeat injections every 3-4 months; selective laryngeal adductor denervation-reinnervation (SLAD-R) for long-term benefit
• Abductor Spasmodic Dysphonia (AbSD) — Botulinum toxin injection into posterior cricoarytenoid muscle; EMG-guided
• Vocal Tremor — Botulinum toxin; propranolol; primidone; deep brain stimulation for severe cases
• Muscle Tension Dysphonia (MTD) — Voice therapy as primary treatment; manual circumlaryngeal therapy; botulinum toxin for refractory MTD
• Puberphonia (Mutational Falsetto) — Voice therapy; pitch-lowering exercises; laryngeal manipulation

Laryngeal Stenosis & Airway Disorders

• Subglottic Stenosis — Endoscopic balloon dilation; CO2 laser radial incisions; mitomycin C application; cricotracheal resection and anastomosis for severe stenosis; laryngotracheal reconstruction
• Glottic Stenosis — Endoscopic lysis of posterior glottic adhesions; keel placement; laryngofissure with stenting
• Tracheal Stenosis — Endoscopic balloon dilation; tracheal resection and anastomosis; T-tube stenting; coordination with thoracic surgery
• Laryngomalacia — Supraglottoplasty for severe laryngomalacia in infants; CO2 laser or cold instrument division of aryepiglottic folds
• Tracheomalacia — CPAP; aortopexy; tracheal stenting; tracheotomy for severe cases

Swallowing Disorders (Dysphagia)

• Diagnostic Assessment — Fiberoptic endoscopic evaluation of swallowing (FEES); videofluoroscopic swallowing study (VFSS/modified barium swallow); high-resolution manometry for pharyngeal and esophageal function
• Neurogenic Dysphagia — Post-stroke dysphagia; Parkinson's disease; ALS; swallowing therapy; neuromuscular electrical stimulation (NMES/VitalStim); diet modification; nasogastric tube and PEG tube coordination
• Cricopharyngeal Dysfunction — Botulinum toxin injection into cricopharyngeus; endoscopic cricopharyngeal myotomy (CO2 laser or stapler); open cricopharyngeal myotomy
• Zenker's Diverticulum — Endoscopic stapler diverticulotomy (Dohlman procedure); CO2 laser diverticulotomy; open diverticulectomy with cricopharyngeal myotomy
• Post-Treatment Dysphagia — After head and neck cancer surgery or radiation; swallowing therapy; dilation for strictures; laryngeal suspension
• Laryngopharyngeal Reflux (LPR) — Dietary modification; proton pump inhibitors; alginate; lifestyle modification; pH-impedance monitoring

Professional Voice Care

EENT Hospital's professional voice clinic provides specialized care for singers, actors, teachers, lawyers, and other professional voice users:

• Comprehensive voice assessment with videostroboscopy and acoustic analysis
• Performance-oriented voice therapy with specialized speech-language pathologists
• Office-based procedures (KTP laser, injection) timed around performance schedules
• Microlaryngoscopy with voice-preserving cold instrument technique
• Vocal hygiene counseling; hydration; vocal warm-up and cool-down protocols
• Return-to-performance planning after vocal fold surgery

Office-Based Laryngeal Procedures

• KTP Laser (532nm) — Office-based treatment of vocal fold polyps, papillomas, leukoplakia, and granulomas under topical anesthesia; no general anesthesia required; immediate return to voice use
• Injection Laryngoplasty — Office-based vocal fold augmentation for UVFP and vocal fold atrophy; Radiesse, Restylane, fat, and calcium hydroxyapatite
• Botulinum Toxin Injection — EMG-guided injection for spasmodic dysphonia, vocal tremor, and cricopharyngeal dysfunction
• Intralesional Bevacizumab — For recurrent respiratory papillomatosis; anti-VEGF to reduce papilloma vascularity and recurrence

Why International Patients Choose EENT Hospital Laryngology

• Professional Voice Expertise — Specialized care for singers, performers, and professional voice users; performance-oriented treatment planning
• KTP Laser Program — Office-based KTP laser for vocal fold lesions and RRP without general anesthesia
• Spasmodic Dysphonia — EMG-guided botulinum toxin injection and SLAD-R for long-term benefit
• Laryngeal Reinnervation — Ansa cervicalis to RLN reinnervation for unilateral vocal fold paralysis
• Comprehensive Dysphagia Program — FEES, VFSS, cricopharyngeal myotomy, and Zenker's diverticulotomy
• Cost-Effectiveness — World-class laryngological care at significantly lower cost than equivalent treatment in Western countries

The CMCS Patient Journey

1. Initial Inquiry — Share your voice or swallowing history, laryngoscopy reports, voice recordings, and prior treatment history with CMCS.
2. Medical Record Preparation — We translate and organize your records for specialist pre-consultation review.
3. Specialist Matching — We identify the most appropriate laryngologist based on your condition — voice disorder, vocal fold paralysis, spasmodic dysphonia, laryngeal stenosis, or dysphagia.
4. Priority Scheduling — We secure a consultation with minimal waiting time.
5. Travel & Logistics — Assistance with visa invitation letters, accommodation near EENT Hospital, and Shanghai airport transfers.
6. Diagnostic Assessment — Full coordination of videostroboscopy, laryngeal EMG, FEES, VFSS, and acoustic voice analysis.
7. Treatment Coordination — Full coordination of office-based procedures, microlaryngoscopy, or surgical admission.
8. Post-Treatment Follow-Up — Treatment report translation, voice therapy guidance, and remote follow-up coordination after you return home.

Book a Consultation

If you have a voice disorder, vocal fold lesion, vocal fold paralysis, spasmodic dysphonia, laryngeal stenosis, swallowing difficulty, or are a professional voice user seeking expert laryngological care in Shanghai — CMCS can arrange a specialist consultation with EENT Hospital's laryngology team.

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