The Pituitary Program is a destination center for the clinical management of pituitary, parasellar, and anterior skull base disease delivering state-of-the-art, multidisciplinary care. It is the referral center for the state of Connecticut for treatment of complex pituitary and sellar-parasellar pathology using the expertise of minimally invasive endoscopic skull base surgery jointly performed by neurosurgery and ENT. Patient cases are reviewed by a multidisciplinary pituitary tumor board, with intraoperative hormone monitoring, intraoperative MRI, and whole exome sequencing of tumors for potential genomic-based diagnosis and treatment. The Yale endocrinology team and other supporting subspecialties follow each patient during the hospitalization for uninterrupted endocrine care. We aim to maximize the quality of care and the ultimate outcome of each patient. To ensure the best care possible, we co-manage the pituitary disorder with each patient’s primary care physician, and actively seek second opinions, exploring dynamic testing and pituitary hormone replacement therapy options. Yale New Haven Hospital is a regional center for pituitary surgery, and our physicians have specific expertise in treating a variety of neuroendocrine diseases, including Cushing's disease and adult growth hormone deficiency syndrome. We also evaluate and treat reproductive disorders in collaboration with the sections of Reproductive Endocrinology and Infertility. Additionally, we work closely with colleagues in neurosurgery, surgical endocrinology, therapeutic radiology, and other departments to make sure patients benefit from our patient-centered, team-based approach. Combined with first-rate technology at Yale New Haven Hospital, the Yale Cancer Center and the Department of Neurosurgery’s Gamma Knife Center, the Pituitary Program is uniquely positioned to offer every diagnostic and treatment option available, including: Dynamic pituitary magnetic resonance imaging (MRI), an enhanced diagnostic imaging technique Inferior petrosal sinus sampling to sample hormones from the veins that drain the pituitary gland 3-D conformal radiotherapy to better target tumors Intensity-modulated radiation therapy, an advanced high-precision technique Transphenoidal surgery performed through the nose and sphenoid sinus Gamma Knife surgery (stereotactic radiosurgery) performed at the Gamma Knife Center, the only dedicated Gamma Knife facility in Connecticut. At Yale New Haven Children's Hospital, our longstanding pediatric endocrinology clinic provides the same services and excellence of care that adults receive.

At Yale Medicine, our team of otolaryngology specialists care for ear, nose, and throat conditions that can affect your balance, breathing, hearing, and sleep, as well as your ability to speak, swallow, and maintain voice quality. Our physicians professionals also have advanced training in the diagnosis and treatment of conditions related to allergies and sinuses, which are often due to other respiratory issues. To address the broad spectrum of ear, nose, and throat conditions, we offer a full range of treatments that includes minimally invasive procedures alongside traditional therapies, both surgical and non-surgical, to ensure the most effective approach. Special care is offered in the following areas:•General and pediatric ear, nose, and throat care•Head and neck cancers•Hearing and balance testing and treatment•Pediatric otolaryngology•Sinus and allergy conditions•Skull-base disorders•Snoring and sleep apnea care•Speech and swallowing conditions

Our Greenwich-based center offers state-of-the-art care for those suffering from voice and swallowing disorders. The Voice Center provides sophisticated and expert care to all of our patients, including professional and performing vocalists, public speakers, executives, teachers, and clergy as well as to those with more routine or recreational vocal aspirations. Individuals experiencing any of the following symptoms may benefit from an evaluation: raspy or hoarse voice, voice strain, voice spasms, reduced pitch range, voice pitch breaks, aging voice changes, difficulty swallowing, frequent throat clearing, or the sensation of a lump in one’s throat (globus sensation). Receiving the right diagnosis is the most important step on the road to vocal recovery. Our voice experts perform comprehensive evaluations utilizing the latest technologies, including laryngeal videostroboscopy, laryngeal electromyography (EMG), and vocal acoustics analysis software to ensure an accurate and precise diagnosis. Our patients receive coordinated care from a team of voice experts with advanced training in the full spectrum of voice and swallowing disorders. Each patient’s care is led by a laryngologist who works closely with a team of speech-language pathologists. Our laryngologists are Yale Medicine ENT (ear, nose, and throat) physicians with additional specialization in treating the larynx, voice, and related problems such as swallowing. Speech-language pathologists are clinically trained, state licensed, and certified (by the American Speech-Language Hearing Association) in voice and speech analysis. A voice rehabilitation regimen incorporates the principles of vocal hygiene, behavioral modification, circumlaryngeal massage, and alternative therapies. Using the latest technologies, including laryngeal videostroboscopy, our patients can visualize the mechanics of their own larynx in high definition and slow motion, allowing them to more fully understand treatment options and outcomes. We offer voice therapy (exercises) and medical management as an alternative to surgery whenever possible and appropriate. However, if a procedure or surgery is indicated, our surgeons use the most advanced and minimally invasive techniques. Our specialists from Yale Medicine offer several advanced treatments performed in the office. In-office procedures include KTP laser ablation, vocal augmentation injection, EMG (electromyography), and botulinum toxin (Botox®) injections. Patients benefit from effective same-day treatments that require local or no anesthesia. Above all, we treat our patients with dignity and compassion. Conditions we treat: Aging voice: age-related changes such as voice roughness, elevated pitch, and reduced projection or volume Laryngitis: inflammation of the larynx and vocal folds, usually causing hoarseness and sore throat Muscle tension dysphonia: hoarseness or discomfort from improper use of muscles around the larynx during speech or singing Spasmodic dyspho