The Initial Evaluation and Management of a Vocal Performer With New Voice Complaints

Purpose of Review: Caring for the vocal performance community represents a great privilege. A multidisciplinary team approach that is both accessible and sensitive to the unique needs of the performing artist is crucial to providing the highest level of care. Recent Findings: The approach to a vocal performer in the clinical setting must be one that does not trivialize vocal concerns nor ignore vocal demands and habits outside of the performance milieu. Furthermore, relevant historical details and considerations for the performing artist are specific to their craft. Counseling this population often addresses vocal dose awareness, vocal hygiene optimization, and muscle memory pattern adjustments. Behavioral intervention in the form of voice therapy almost always precedes consideration of surgical therapy. Furthermore, prescribed short-term voice rest periods, guided by videostroboscopic exam, can be effective both diagnostically and therapeutically. Summary: Various medical, surgical, and behavioral intervention recommendations and management strategies are highlighted from the perspective of a fellowship-trained laryngologist and a voice therapist, both with clinical emphasis on performance voice.