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Specialist services 

 
videofluoroscopy lateral

Videofluoroscopy (A real-time x-ray assessment of swallowing). 

Referrals should be made to the speech and language therapy department. Clinics run from Northwick Park Hospital, Central Middlesex Hospital, and Ealing Hospital. Please contact the relevant speech and language therapy department. Further information on videofluoroscopy can be found here.

Photo to the right is a still image taken from a videofluoroscopy study (a video x-ray of a person swallowing). 




SLT led voice clinic (2)

SLT led voice clinic

This provides a specialist service to patients with voice disorders. Flexible nasendoscopy and rigid stroboscopy are used to view the larynx (voice box) in order to direct therapy more appropriately and to help patients understand their voice problems better. 

Referrals are accepted from GPs, consultants, and speech and language therapists.These can be made by contacting the Speech and Language Therapy Department and Northwick Park Hospital. 

The picture to the left shows a patient undergoing rigid stroboscopy, allowing the speech and language therapist to visualise their larynx.


combined voice clinic

Combined voice clinic

This is led by the ENT (ear, nose, throat) consultant surgeon and a specialist speech and language therapist. Flexible nasendoscopy and rigid stroboscopy are used to view the larynx (voice box) in order to diagnose voice problems and direct management. 

Referrals can be made directly to the ENT department by GPs, consultants, and speech and language therapists.

The picture to the right shows a Consultant is viewing this person's larynx using a flexible nasendoscope (a flexible telescope which is passed through the nose).


Cough reflex testing

This is currently being piloted on the acute stroke ward at Northwick Park Hospital as an adjunct to clinical swallow assessment.The patient’s cough is stimulated and the strength of their cough gives the therapist more information regarding the patient’s ability to react to food and fluids entering the airway. Referrals are accepted from the stroke unit multidisciplinary team.


Surgical voice restoration

This service is available to patients following total laryngectomy. This service includes the below and is based at Northwick Park Hospital:

  • insertion and maintenance of surgical voice prostheses
  • olfactory rehabilitation
  • problem-solving for issues relating to voice production, the voice prosthesis, trans-oesophageal puncture, or stoma.


Fibre-optic endoscopic evaluation of swallowing (FEES)

FEES is a real-time endoscopic evaluation of swallowing. This clinic takes place at Northwick Park Hospital and Central Middlesex Hospital. Please contact the relevant Speech and Language Therapy Department.