Core laryngology clinical and educational posts
Online lecture released during COVID travel pause. Describes the phonogram — a graphic vocal signature — and how training the ear to recognize pitch/volume patterns of hoarseness allows diagnosis before endoscopy. Discusses “normal-looking larynx” scenario where audio patterns reveal the impairment the endoscope misses. Links to lecture video. Migration note: Core content for the “Vocal…
Online lecture released during COVID travel pause. Describes the phonogram — a graphic vocal signature — and how training the ear to recognize pitch/volume patterns of hoarseness allows diagnosis before endoscopy. Discusses “normal-looking larynx” scenario where audio patterns reveal the impairment the endoscope misses. Links to lecture video. Migration note: Core content for the “Vocal…
Vocal capabilities pattern matching — the most substantive blog post. Four patterns: (1) Vocal cord margin swellings (impairment at low volume, high pitch = lower right quadrant), (2) RLN paresis anterior branch (low pitch, low volume = lower left), (3) Vocal cord bowing (impairment at low volume across range), (4) External compression (impairment at all…
Vocal capabilities pattern matching — the most substantive blog post. Four patterns: (1) Vocal cord margin swellings (impairment at low volume, high pitch = lower right quadrant), (2) RLN paresis anterior branch (low pitch, low volume = lower left), (3) Vocal cord bowing (impairment at low volume across range), (4) External compression (impairment at all…
Announcement of book chapter published in Gender Affirmation Medical and Surgical Perspectives (Thieme, eds. Salgado, Monstrey, Djordjevic). Chapter pages 31–50 covers multiple surgical approaches for male-to-female voice modification with complete photographic documentation of Feminization Laryngoplasty and surgical technique details. Available from Thieme and Amazon. Migration note: Should link from Feminization Laryngoplasty and Publications pages.
Announcement of book chapter published in Gender Affirmation Medical and Surgical Perspectives (Thieme, eds. Salgado, Monstrey, Djordjevic). Chapter pages 31–50 covers multiple surgical approaches for male-to-female voice modification with complete photographic documentation of Feminization Laryngoplasty and surgical technique details. Available from Thieme and Amazon. Migration note: Should link from Feminization Laryngoplasty and Publications pages.
Presentation at 23rd WPATH Symposium, Amsterdam, July 20, 2016. Describes the five procedures then utilized to alter pitch: (1) Cricothyroid approximation (Thyroplasty Type I), (2) Vocal cord webbing / VFSAAC / Wendler Glottoplasty, (3) Laser reduction — CO2 (LAVA / Laser Glottoplasty), (4) Laser vocal cord tuning — KTP, (5) Feminization Laryngoplasty.
Presentation at 23rd WPATH Symposium, Amsterdam, July 20, 2016. Describes the five procedures then utilized to alter pitch: (1) Cricothyroid approximation (Thyroplasty Type I), (2) Vocal cord webbing / VFSAAC / Wendler Glottoplasty, (3) Laser reduction — CO2 (LAVA / Laser Glottoplasty), (4) Laser vocal cord tuning — KTP, (5) Feminization Laryngoplasty.
Letter to editor submitted to JAMA Otolaryngology Head & Neck Surgery in response to Shonka & Terris (2016). Argues that current AAO-HNS and ATA guidelines are insufficient — vocal capability recording before and after any thyroid/parathyroid surgery is the gold standard. Vocal functions reviewed: SLN = tension (high pitch, volume increase); RLN-ant = adduction for…
Letter to editor submitted to JAMA Otolaryngology Head & Neck Surgery in response to Shonka & Terris (2016). Argues that current AAO-HNS and ATA guidelines are insufficient — vocal capability recording before and after any thyroid/parathyroid surgery is the gold standard. Vocal functions reviewed: SLN = tension (high pitch, volume increase); RLN-ant = adduction for…
