Understanding Voice Disorders
Listen carefully. Look closely.
A clinician’s guide to the larynx — accurate diagnosis, informed treatment, and the science behind every voice.
Where Would You Like to Start?
Three pathways into the world of clinical laryngology
Foundation
Understanding Voice
How the larynx works, how voice is produced, and what goes wrong — from anatomy to acoustics to the neurology of control.
Explore →Clinical Skills
Diagnosis
The art and science of laryngoscopy, listening to the voice, and reaching a precise diagnosis — not just “hoarseness.”
Explore →Management
Treatment & Surgery
Evidence-based approaches to voice therapy, office procedures, and surgical intervention for laryngeal disorders.
Explore →At a Lecture?
Find your handout and reference materials here
“Why Is There a Frog in My Throat?”
This website grows out of a book — a comprehensive clinical resource for laryngologists, otolaryngologists, speech-language pathologists, and anyone who cares about the voice. The same clarity and depth that defines that work informs every page here.
Start with How Voice Works →
James Thomas, MD
Laryngologist · Pacific Northwest
Dr. Thomas is a laryngologist with a particular interest in the diagnosis and treatment of voice disorders. He teaches at conferences worldwide, with a focus on making precision laryngoscopy and the science of voice accessible to clinicians at every level of training.
This site reflects a career of asking: what does this larynx actually look like, and what does that mean?
About & Contact →