Clinical & Educational

Core laryngology clinical and educational posts

  • Speech or Voice, What’s the Difference?

    Mr. Heim Stillear story — post-stroke dysarthria. “Speech line” concept: above the Adam’s apple = speech modification (resonance and interruptions); below = sound production. Dysarthria = neurologic problem above the speech line. Discusses how slurred speech creates false perception of diminished intelligence. Distinguishes voice problems (below the line: larynx) from speech problems (above the line:…

  • Video and the Voice

    Why video recording of vocal cords is essential — most vocal events happen too fast for live perception; stroboscopy needed to slow and reveal. Rigid vs. flexible endoscopy approaches. If patients can view video of their own cords, they can often assess whether their physician’s explanation makes sense. References the book. Migration note: Part III…

  • Video and the Voice

    Why video recording of vocal cords is essential — most vocal events happen too fast for live perception; stroboscopy needed to slow and reveal. Rigid vs. flexible endoscopy approaches. If patients can view video of their own cords, they can often assess whether their physician’s explanation makes sense. References the book. Migration note: Part III…

  • What Is Voice?

    Faith N. Metsan’s first appearance — voice disappears suddenly over an afternoon. Dr. Marcus Goodew doesn’t look at vocal cords. Defines voice: “a sound produced by vibration and amplified by resonance; no vocal cords are required.” Violin analogy — anything vibrating in audible range has a voice. Two components: sound source (vibrating) + amplifier (resonating…

  • What Is Voice?

    Faith N. Metsan’s first appearance — voice disappears suddenly over an afternoon. Dr. Marcus Goodew doesn’t look at vocal cords. Defines voice: “a sound produced by vibration and amplified by resonance; no vocal cords are required.” Violin analogy — anything vibrating in audible range has a voice. Two components: sound source (vibrating) + amplifier (resonating…

  • Frog in Your Throat?

    The founding post of the blog — mirrors the book’s thesis. Getting a hoarseness diagnosis can be “a long, tough process.” Patient stories: “The explanation for my hoarseness doesn’t make sense” and “I have tried so many treatments without success.” Key message: “A hoarse person with a voice that is not improving is far more…

  • Frog in Your Throat?

    The founding post of the blog — mirrors the book’s thesis. Getting a hoarseness diagnosis can be “a long, tough process.” Patient stories: “The explanation for my hoarseness doesn’t make sense” and “I have tried so many treatments without success.” Key message: “A hoarse person with a voice that is not improving is far more…