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Laryngology and Professional Voice

Speech Language Pathology

The Speech Language Pathology division offers evaluation and treatment for communication and swallowing disorders for both pediatric and adult populations.

Speech Language Pathology

Dr. Elizabeth Guardiani provides comprehensive care for all adult airway, voice and swallowing disorders. These include both benign and malignant disorders of the airway and those requiring complex reconstruction. She also has well known expertise in the management of laryngeal and tracheal trauma. She works closely with our two speech pathologists as well as with subspecialists in gastroenterology, pulmonology and thoracic surgery to provide multidisciplinary care to patients.

Doctors Kevin Pereira and Amal Isaiah provide advanced pediatric airway care dealing with both congenital and acquired disorders. They provide critical airway support to the neonatal and pediatric intensive care units at the University of Maryland Children's Hospital.

‌‌‌Disorders commonly seen:

  • Vocal fold paralysis
  • Laryngeal or tracheal scarring
  • Complications of tracheotomy
  • Paradoxical vocal fold motion disorders
  • Benign lesions of the larynx such as polyps, nodules and cysts
  • Neurologic disorders of the larynx affecting the voice
  • Laryngeal Cancer
  • Swallowing disorders including Zenker's diverticula
  • Chronic cough

Services provided include:

  • Speech Language Pathology
  • High definition stroboscopy and laryngoscopy
  • Botox injections to the larynx and jaw
  • In office laryngeal biopsies, laser treatments and injections
  • Phonomicrosurgery
  • Laser surgery of the larynx and airway
  • Rehabilitation of Vocal Fold Paralysis
  • Tracheotomy Decannulation Evaluation
  • Surgical management of airway disease


Elizabeth A. Guardiani, MD
Associate Professor and Director

Grace Snow, MD
Assistant Professor