Voice Clinic

The Voice Clinic helps patients improve and regain their ability to talk, sing, and communicate with their voices. We use state-of-the art technology and employ highly trained teams of Otolaryngologists and Speech Pathologists to help patients on their journey to recovery.

The Voice Clinic team treats a wide range of voice disorders, including:


  • Cancer (head and neck)
  • Laryngitis
  • Post Trauma
  • Vocal fold lesions (cysts, nodules, papilloma)


  • Vocal fold paralysis/paresis
  • Movement Disorders (Spasmodic Dysphonia, Parkinson's Disease)


  • Pain in the throat or neck
  • Hoarseness
  • Muscle tension dysphonia
  • Vocal fold bowing

Typical complaints and symptoms that we treat include:

  • Pain in the throat or neck
  • Hoarseness
  • Breathiness
  • Decreased loudness/intensity
  • Loss of vocal range
  • Pitch changes
  • Voice tremor
  • Voice breaks

The Voice Clinic team provides a comprehensive range of diagnostic services to help manage the condition. Diagnostic services include:

  • Acoustic Analysis
  • Voice Handicap Inventory
  • Vocal range analysis
  • Reflux evaluation
  • Flexible Endoscopic Evaluation of Swallowing (FEES)
  • Videostroboscopy
  • Analysis and discussion of pathology
  • Referral for further evaluations, for other speech and health problems that may accompany a voice disorder, such as medical concerns, dysarthria, swallowing difficulty, emotional disturbance)

Once the cause of the condition if identified, the Voice Clinic provides a full complement of treatment and therapy services including:

  • Vocal Hygiene Program
  • Voice Therapy with biofeedback
  • Lee Silverman Voice Treatment
  • Laryngeal manipulation
  • Breath Support exercises
  • Medication management as needed
  • Botox injections
  • Vocal fold injections
  • Laser Surgery
  • Vocal fold medialization
  • Voice Amplification
  • Singing and Performing Voice therapy
  • Patient, family, and caregiver education
  • Palliative Care
  • Pre/Post-operative Counseling
  • Other discipline involvement/services as needed

Our Citrus Valley Centers for Rehabilitation Services Voice Clinic Speech Pathology Team:

  • Gilda Dominguez, M.S., CCC-SLP – Director, Speech Pathology Department; Experienced in Tracheostomy and Laryngectomy Intervention
  • Jeffrey Klein, M.A., CCC-SLP - Clinical SLP Experienced in the Performing Voice