Plural Publishing produces leading academic, scientific and clinical publications in the fields of speech-language pathology, audiology, and otolaryngology.


Diagnosis and Treatment of Voice Disorders

Fourth Edition
Edited by: John S. Rubin, Robert Thayer Sataloff, Gwen S. Korovin
1019 pages, Color Illustrations (4 Color), Hardcover, 8.5 x 11"
Release Date:
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Diagnosis and Treatment of Voice Disorders, now in its fourth edition, continues to serve as a definitive reference for students and professionals in the fields of otolaryngology, speech-language pathology, voice and singing, and related sciences. Fifty-eight chapters¬—illustrated with color photos, dyed slides, and black and white figures—are divided into three parts: basic sciences, clinical assessment, and management. Each chapter has been updated with the most current and relevant information on the science of communication processes and voice disorders. With contributions from more than 60 internationally acknowledged experts, this text provides comprehensive, multidisciplinary coverage of the basic science and characteristics of voice disorders; diagnostic procedures and techniques; assessment protocols; as well as surgical and nonsurgical treatment models.

This fourth edition has been extensively updated and expanded with ten new chapters:

  • Vocal Fold Extracelluar Matrix and Wound Healing
  • COUGH and the Unified Airway
  • The Role of the Voice Coach in the Treatment of Vocal Disorders
  • Occupational Voice
  • Anesthesia in Laryngology
  • Reinnervation: New Frontiers
  • Emerging Approaches to Laryngeal Replacement and Reconstruction
  • Recurrent Respiratory Papillomatosis
  • Office-Based Phonosurgery
  • Telemedicine

From the Preface:
"This 4th edition of Diagnosis and Treatment of Voice Disorders provides a vibrant, up-to-date, accessible and clear reference for the various professionals entrusted with the care of patients with voice disorders, be they laryngologists or phoniatricians, speech-language pathologists or logopeds, physical therapists, osteopaths or other practitioners of complementary medicine, singing or acting voice specialists, acoustic or voice scientists, psychiatrists or psychologists, gastroenterologists, pulmonologists, or neurologists, nurses or other allied medical specialists. It is written in language intended to be accessible to an interdisciplinary readership; and we hope that the information presented will prove not only useful, but also inspirational to all voice care professionals since each of us has the opportunity to add new knowledge to this exciting and rapidly advancing field."

John S. Rubin,
Robert T. Sataloff, and
Gwen S. Korovin


  • Liam M Flood, FRCS, FRCSI, The Journal of Laryngology & Otology (September 2015):
    "...Ten years after the third edition, this has been expanded to 58 chapters and it weighs a ton. I always judge the quality of updating by checking the chapter references’ year of publication. There is a great little chapter on Research in Laryngology which stands this test well. The final chapter on Telemedicine speaks for itself as topical! There are high quality illustrations throughout, as you would expect from laryngology practice. Jean Abitbol’s chapter on 3D CT of the larynx shows the most remarkable colour images; a chapter on Videography and Photography of the larynx makes me wonder at what we used to achieve with 35 mm slide film, but also how things move on. Clearly UK surgeons can take the odd snap, to judge by the work of Sandhu and Howard on Laryngotracheal Stenosis . Look at their figure 48-2 as the cleverest way to size a stenosed larynx (something no human eye can possibly do, unaided. Remember the square of the radius rule, for cross sectional area.) Frankly you might miss this book and think it is solely for the small minority who make phonosurgery their life work. For the experts this remains a standard text, but it is an invaluable update for final exit exams and for anyone working in general ORL clinical practice."

  • Elisabeth Ference, MD/MPH, Northwestern University Feinberg School of Medicine, Doody’s Review (August 2014):
    "This edition has 58 chapters (compared to 48 in the third edition) subdivided into basic science, clinical assessment, and management. Some chapters are classics, such as the one on embryology and microanatomy. Other chapters have been extensively rewritten or newly added to include advances in the field. These chapters add greatly to the comprehensiveness of the book and provide inspiration. Particularly interesting are reports on cutting-edge treatments including reinveration and laryngeal replacement and reconstruction. The book has high quality color photographs and diagrams as well as a list of references at the end of every chapter to help direct further reading.

    This is an update of a seminal book in the field of voice disorders. This expanded edition includes recent advances in the field due to both genomics research and materials engineering. It also incorporates new trends in clinical management, such as office-based phonosurgery and transnasal esophagoscopy. The new information justifies replacing the previous edition."

  • Kate Baumwol, Journal of Clinical Practice in Speech-Language Pathology (March 2015):
    "With relevance for singers to surgeons, the 4th edition of the Diagnosis and Treatment of Voice Disorders aims to be a definitive complete reference for all professionals on the "art vs. science" continuum of voice work... Ten chapters have been added since the previous edition, in acknowledgement of the substantial advancement in knowledge and treatment of voice disorders in the past 10 years... In addition, several chapters, mostly within the Management unit, have either been updated or had a complete shift in focus – for example, the chapter on "Laryngopharyngeal reflux"...

    For the speech pathologist or student with emerging skills in voice, the chapter by Thomas Murray and Clark A. Rosen – "The role of the speech-language pathologist in the diagnosis and treatment of voice disorders" – provides a clear overview of the speech pathologist’s role and includes protocols based on evidence from research and clinical practice. More experienced clinicians may find advanced chapters more interesting, such as R. J. Baken and R. F. Orlikoff’s chapter "Towards a dynamic diagnosis of vocal function" and others detailing surgical management. The addition of the “Role of the voice coach” chapter is indeed interesting; it presents very specific voice training exercises for the actor and professional voice user which occasionally contradict the speech pathologist’s motor learning approach, particularly with regard to the use of metaphors and imagery.

    The 4th edition of the Diagnosis and Treatment of Voice Disorders is a comprehensive reference that would be a good addition to a teaching or clinical library. For students and speech pathologists new to voice it would be a useful tool…"

  • Mi Jin Yoo, MD, Department of Otolaryngology – Head and Neck Surgery, Albert Einstein College of Medicine, NY, Annals of Otology, Rhinology and Laryngology (March 2015):
    "Diagnosis and Treatment of Voice Disorders is an extensive and in-depth resource on understanding, assessing, and managing voice disorders. The fourth edition arrives nearly a decade after the third edition (2005) with 10 new chapters...The new edition also comes with updates and expansions on prior contents to account for the new developments in a rapidly developing field...The book is well organized, comprehensive, and easy-to-read, making it an excellent primary resource for all professionals involved in voice care.The diagrams, illustrations, and photographs complement the text and enhance the reader’s retention and understanding. As each chapter is fortified with current literature, evidence-based information, and an extensive reference list, the text will prove to be a versatile and a practical resource. Overall, Diagnosis and Treatment of Voice Disorders will be a great accompaniment to general otolaryngologist, laryngologist, speech-language pathologist, singing pedagogues, basic scientists, and other individuals with interest in the voice."

  • Guri Sandhu, ENT Surgeon, Imperial College, London, UK, ENT & Audiology News (March/April 2017):
    "This is one of a very few large comprehensive laryngology texts, now its fourth edition. The editors and the various authors of the chapters are specialists with international reputations in their respective fields. In this edition, the text has been extensively revised, with 58 chapters now instead of the previous 48. It is subdivided into topics under basic sciences, clinical assessment and management. There are over 1000 pages with an A4 size format. There are an adequate number of diagrams and clinical pictures, as explanations of the topics being discussed. The majority of the topics have been updated and there are several new topics covering tissue engineering, the ageing voice, reinnervation, chronic cough and new trends in office-based procedures. Many of the chapters are truly at the forefront of current understanding and practice within laryngology. . . it should serve as a reference text of choice for both the trainee and practising laryngologist; also for speech and swallowing pathologists and even vocal coaches. With this interdisciplinary readership in mind, the editors have ensured that the writing style allows for easy understanding."



  • 1. Formation of the Larynx: From Hox Genes to Critical Periods
    • Jeffrey T. Laitman, Drew M. Noden, and Thomas R. Van De Water
  • 2. Laryngeal Development
    • David H. Henick
  • 3. Anatomy of the Human Larynx
    • Clarence T. Sasaki, Nwanmegha Young, Hiroumi Matsuzaki, and Boris Paskhover
  • 4. Functional Fine Structures of the Human Vocal Fold Mucosa
    • Kiminori Sato
  • 5. Microanatomy of the Vocal Fold Musculature
    • Ira Sanders
  • 6. Vocal Fold Extracellular Matrix and Wound Healing
    • Marie E. Jette and Susan Thibeault
  • 7. Benign Vocal Fold Pathology Through the Eyes of the Laryngologist
    • John S Rubin and Eiji Yanagisawa
  • 8. Laryngeal Function During Phonation
    • Ronald C. Scherer
  • 9. Laryngeal Neurophysiology
    • Christy L. Ludlow
  • 10. The Neurology of Stuttering
    • Rebecca Spain, Steven Mandel, Savita Kumari, and Robert T. Sataloff
  • 11. Toward a Dynamical Diagnosis of Vocal Function
    • Ronald J Baken and Robert F Orlikoff
  • 12. Research in Laryngology
    • Gayle E. Woodson


  • 13. Patient History
    • Robert T. Sataloff
  • 14. Physical Examination
    • Robert T. Sataloff
  • 15. Evaluation of Laryngeal Biomechanics by Transnasal Flexible Laryngoscopy
    • Jamie A Koufman
  • 16. Transnasal Esophagoscopy
    • Nancy Solowski and Greg Postma
  • 17. Introduction to the Laboratory Diagnosis of Vocal Disorders
    • Gwen S. Korovin , John S. Rubin, and Owain R Hughes
  • 18. Measuring Vocal Fold Function
    • Raymond H. Colton and Peak Woo
  • 19. Laryngeal Electromyography
    • Elizabeth Guardiani, Babak Sadoughi, Lucian Sulica, Tanya Meyer, and Andrew Blitzer
  • 20. Videography and Photography of the Larynx
    • Eiji Yanagisawa, Ken Yanagisawa, and H. Steven Sims
  • 21. 3D Laryngeal CT Scan for Voice Disorders: Virtual Endoscopy—Virtual Dissection
    • Jean Abitbol, Albert Castro, Rodolphe Gombergh, and Patrick Abitbol
  • 22. The Evaluation of Voice Outcomes and Quality of Life
    • Michael S. Benninger and Glendon M. Gardner
  • 23. Voice Impairment, Disability, Handicap, and Medical/Legal Evaluation
    • Robert T. Sataloff


  • 24. Common Medical Diagnoses and Treatments in Patients with Voice Disorders
    • Robert T. Sataloff and Mary J. Hawkshaw
  • 25. Congenital Anomalies of the Larynx
    • Ted L. Tewfik, Steven E. Sobol, and Alyssa A. Kanaan
  • 26. Office Based Evaluation of Children with Dysphonia

Jennifer Setlur and Christopher J. Hartnick

  • 27. The Older Voice
    • Robert T Sataloff
  • 28. The Larynx: A Hormonal Target
    • Jean Abitbol and Patrick Abitbol
  • 29. Laryngopharyngeal Reflux and Voice Disorders
    • Jamie A. Koufman
  • 30. Infectious and Inflammatory Disorders of the Larynx
    • Catherine F Sinclair and Robert S. Lebovics
  • 31. Cough and the Unified Airway
    • Rupali N. Shah and Kenneth W. Altman
  • 32. Neurological Disorders and the Voice
    • Marshall E. Smith and Lorraine Olson Ramig
  • 33. Unilateral Vocal Fold Paralysis
    • Michael S. Benninger and Glendon M. Gardner
  • 34. Bilateral Vocal Fold Paralysis
    • Michael S. Benninger and Glendon M. Gardner
  • 35. Management of the Spasmodic Dysphonias
    • Joel H. Blumin and Christy L Ludlow
  • 36. Psychological Aspects of Voice Disorders
    • Deborah Caputo Rosen, Reinhardt J. Heuer, David A. Sasso, and Robert T. Sataloff
  • 37. The Voice and Medications
    • Thomas M. Harris, Harsha H. Kariyawasam, and John S. Rubin
  • 38. Corticosteroid Therapy in Otolaryngology
    • Harsha H. Kariyawasam, Giuseppina Rotiroti, and John S Rubin
  • 39. The Role of the Speech-Language Pathologist in the Treatment of Voice Disorders
    • Thomas Murry and Clark A. Rosen
  • 40. The Role of the Voice Specialist in the Non-Medical Management of Benign Voice Disorders
    • Linda M. Carroll
  • 41. The Role of the Voice Coach in the Treatment of Vocal Disorders
    • Barbara Houseman
  • 42. The Effects of Posture on Voice
    • Lesley Mathieson, John S. Rubin, and Ed Blake
  • 43. Special Considerations for the Professional Voice User
    • John S. Rubin, Gwen S. Korovin, and Ruth Epstein
  • 44. Occupational Voice
    • Orietta Calcinoni, Ewa Bogusz, and Ruth Epstein
  • 45. Anaesthesia in Laryngology
    • Anil Patel and John S. Rubin
  • 46. Laryngotracheal Trauma
    • Yolanda D. Heman-Ackah
  • 47. Surgical Management of Benign Voice Disorders
    • Mark S. Courey, Daniel S. Fink, and Robert H. Ossoff
  • 48. Adult Acquired Laryngotracheal Stenosis

Guri S Sandhu and David J. Howard

  • 49. Vocal fold Medialization: Injection and Laryngeal Framework Surgery
    • Steven M. Zeitels
  • 50. Laryngeal Reinnervation: Traditional Approaches
    • Harvey M. Tucker
  • 51. Reinnervation: New Frontiers
    • Jean-Paul Marie
  • 52. Emerging Approaches to Laryngeal Replacement and Reconstruction
    • Jonathan M. Fishman, Paolo De Coppi, and Martin A. Birchall
  • 53. Recurrent Respiratory Papillomatosis
    • Craig Derkay and Salvatore Taliercio
  • 54. Premalignant Lesions of the Larynx
    • Amanda Hu, Carole M. Dean, and Robert T. Sataloff
  • 55. Glottic Carcinoma: Disease Presentation and Philosophy of Management
    • Steven M. Zeitels
  • 56. Diagnosis and Management of Postoperative Dysphonia
    • Peak Woo
  • 57. Office-based Phonosurgery
    • Markus Hess and Susanne Fleischer
  • 58. Telemedicine
    • John S. Rubin and Robert T. Sataloff


About The Editors

John S. Rubin

John Rubin, MD, FACS, FRCS, is a consultant ear nose and throat surgeon at The Royal National Throat Nose and Ear Hospital, a part of the University College London Hospital NHS Trust (UCLH)—where he is also currently chair of the consultant forum , lead clinician of the voice disorders unit, and past clinical director. He is honorary senior lecturer at the Ear Institute, and honorary consultant ENT surgeon and co-chair of the voice and swallowing unit at the National Hospital for Neurology and Neurosurgery, both a part of UCLH.

Dr. Rubin’s interests include voice disorders and laryngeal surgery. He has written extensively—including several books and numerous articles and chapters—and regularly lectures on voice-related topics. He has served in multiple capacities on international editorial and scientific boards and committees. Dr. Rubin is past-president of the Collegium Medicorum Theatri as well as the British Voice Association, and is a founding member of the European Academy of Voice. He was recently appointed honorary assistant treasurer to ENT UK.

Robert Thayer Sataloff

Robert T. Sataloff, MD, DMA, FACS, is professor and chairman in the Department of Otolaryngology-Head and Neck Surgery and senior associate dean for Clinical Academic Specialties at Drexel University College of Medicine. He is also adjunct professor in the Department of Otolaryngology-Head and Neck Surgery at Thomas Jefferson University and Temple University; as well as on the faculty of the Academy of Vocal Arts. Dr. Sataloff is a professional singer and singing teacher and served as conductor of the Thomas Jefferson University Choir for nearly four decades. He holds an undergraduate degree in Music Theory and Composition from Haverford College, medical degree from Jefferson Medical College–Thomas Jefferson University, and doctor of musical arts in voice performance from Combs College of Music. He completed his residency in otolaryngology-head and neck surgery and fellowship in otology, neurotology and skull base surgery at the University of Michigan. Dr. Sataloff is chairman of the boards of directors of the Voice Foundation and the American Institute for Voice and Ear Research. He is editor-in-chief of the Journal of Voice and Ear, Nose and Throat Journal, associate editor of the Journal of Singing, and on the editorial boards of numerous otolaryngology journals. He has written more than 700 publications, including 40 books. His medical practice is limited to care of the professional voice and otology/neurotology/skull base surgery.

Gwen S. Korovin

Gwen S. Korovin, MD, is an otolaryngologist who maintains a busy private practice in New York City, where she treats some of the world’s most well-known performers. Dr. Korovin is a clinical assistant professor of otolaryngology at New York University School of Medicine, and is an attending physician at Lenox Hill Hospital and Manhattan Eye, Ear and Throat Hospital—all located in New York City. She serves on the board of directors and the advisory board of the Voice Foundation and is on the editorial board of the Journal of Voice. Dr .Korovin has appeared on television as an expert on vocal health and is the author of numerous articles and research papers on the voice and voice medicine. She frequently presents and speaks at conferences and symposia worldwide.

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