Continuing Education Courses

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WEBINAR – The Diagnosis and Treatment of Voice Disorders

Friday, April 12, 2024     |     9:00am – 1:00pm CST

CEU Hours: 3.5 CEUs approved by TSHA

Location: Webinar

Pricing & Registration (for Live or Recorded Webinar): 

Facilitators: Alexandra Surdo, M.Ed., CCC-SLP and Megan Karas MS, CCC-SLP

Alexandra Surdo, M.Ed., CCC-SLP, is a speech-language pathologist who has been with Cook Children’s since 2020. She has specialized in pediatrics since the beginning of her career, and has prior experience in early childhood intervention. Alex enjoys working with patients who have complex communication needs. She is passionate about working with children with feeding difficulties, voice disorders, communication deficits, and dysphagia. Alex enjoys being part of a multidisciplinary team and she loves Cook Children’s family-centered approach for empowering families to take the lead in their child’s care.

Megan Karas MS, CCC-SLP, is a speech-language pathologist and has been with Cook Children’s since 2019. She has prior experience working with adults and pediatrics in an inpatient rehabilitation setting and acute care setting. She primarily treats children from birth to eighteen-years-old with feeding difficulties, dysphagia, voice disorders, and complex communication needs. She enjoys the Family-Centered Care model at Cook Children’s, which allows her to work with children and their caregivers. She believes that every child is unique and should be allowed to receive the highest possible level of individualized care.


There are a variety of voice disorders that impact pediatrics on a daily basis. As speech-language pathologists, we can recognize signs and symptoms of voice disorders, complete evaluations to diagnose voice disorders, and teach strategies in order to decrease the impact of voice disorders on a child’s activities of daily living (ADLs).

Hyperfunctional voice disorders, vocal nodules/general hoarseness, and vocal cord paresis can affect a child’s ability to communicate daily and participate independently in ADLs. It is important to recognize and treat these disorders early in order to decrease a child’s risk for social isolation and recurrent vocal cord trauma.

Inducible Laryngeal Obstruction (ILO) is a more recent term for vocal cord dysfunction. ILO is characterized by the narrowing or closing of the glottis or supraglottic tissue when exposed to irritants or during exercise which causes difficulty with inspiration, chest/throat tightness, increased anxiety, lightheadedness, and stridor/stertor. ILO can impact a child’s ability to participate in high intensity exercise and competitive sports as well as ADLs. It is important to recognize the signs/symptoms of ILO in order to refer patients to the appropriate providers and to implement treatment as soon as possible in order to decrease intensity and frequency of symptoms.

This class will cover the how to evaluate, treat, and educate parents for these disorders.


Participants will be able to:

1.) Recognize signs and symptoms of the following diagnoses: hyperfunctional voice disorders, vocal nodules/general hoarseness, vocal cord paresis.
2.) List at least 2 treatment techniques for hyperfunctional voice disorders, vocal nodules, and vocal cord paresis.
3.) List at least 2 vocal hygiene strategies.
4.) Recognize possible clinical presentation/symptoms for exercise induced laryngeal obstruction (EILO), inducible laryngeal obstruction (ILO), and breathing pattern disorder.
5.) Return demonstrate at least 1 rescue breathing strategy for EILO/ILO.
6.) Return demonstrate 2 treatment strategies for EILO.
7.) Return demonstrate 1 treatment strategy to address breathing pattern disorder.

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