Voice Program

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Voice Program

Helping Kids Find Their Voice


Voice program doctor examines young girl's throat.

At Nemours, our pediatric voice program is designed for children with voice problems. That could include issues with the pitch, volume or quality of the voice that make it hard for listeners to understand what’s being said. Our team of experienced speech-language pathologists and ear, nose and throat (ENT) specialists work together to help kids find their voice again.

Conditions We Treat

Conditions We Treat


The most common conditions we treat are:

  • ongoing hoarseness (makes the voice crackle and sound rough or breathy)
  • vocal cord dysfunction (when the vocal cords don’t open like they should when breathing in and out)
  • vocal nodules (calluses, or a hard formation of tissue, on the vocal cords — a common cause of hoarseness, often from overuse — for example, screaming, speaking in a strained voice, coughing or throat clearing. Or, nodules may be from a medical problem like allergies.)
  • vocal cord paralysis (when the nerves in the vocal cords don’t work)
Services We Offer

Services We Offer


To figure out what’s causing your child’s voice problem and try to fix it, we offer:

  • coordinated appointments with our specialists
  • full evaluation by our trained speech-language pathologist and laryngologist (an ear, nose and throat doctor who specializes in problems with the larynx, or voice box)
  • special diagnostic testing that looks at how your child’s voice box and vocal cords are working
  • one-on-one appointments with a speech-language pathologist to focus on good “vocal hygiene.” That includes working on breathing and speaking techniques, and managing habits (like throat clearing or talking loudly).
Why Choose Us

Why Choose Us


At Nemours, our Voice Program team will give you treatment recommendations right at your first evaluation. And we’ll design the plan to fit your child’s specific needs. We’ll address any medical concerns and, if needed, focus on changes in behavior that could help put less stress on your child’s vocal cords.

Regional Voice Program Highlights

Services, programs and care teams differ at each location. Call for details.

Commission on Accreditation of Rehabilitation Facilities award

We offer care for voice disorders at Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.) and select Nemours duPont Pediatrics satellite locations.

  • one of the largest pediatric ENT programs in the country, with nearly 65,000 outpatient visits each year
  • one of the tristate area’s only facilities that works on pediatric vocal cord dysfunction
  • only pediatric rehabilitation program in the greater Philadelphia region accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF)
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Scheduled Specialist Online Visits

Nemours now offers scheduled specialist appointments through live video chat. Ask your doctor if this is an option for your family.

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Research & Clinical Trials

At Nemours, we’re actively researching new approaches for childhood disease prevention, diagnosis and treatment.

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KidsHealth Library

Learn more about your child’s medical condition from the experts at Nemours’ KidsHealth.