Video post. Discussion with a colleague about vocal cord weakness — reviewing how to identify LCA paresis by focusing on the movement and position of the vocal processes. YouTube link.
Migration note: Connects to the Neurolaryngology section (Part II Structural) and Part III Laryngoscopy.
Home›Clinical & Educational›Thyroid Surgery Guidelines for Voice Evaluation — Letter to JAMA OTO 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…
Home›Clinical & Educational›Vocal Cord Paralysis: Lateral Cricoarytenoid (LCA) Paresis Video post. Discussion with a colleague about vocal cord weakness — reviewing how to identify LCA paresis by focusing on the movement and position of the vocal processes. YouTube link. Migration note: Connects to the Neurolaryngology section (Part II Structural) and Part III Laryngoscopy.
Dr. James Thomas joins Dr. Shiying Hey on The UEP VoiceBox podcast to discuss his diagnostic philosophy — how careful listening precedes the endoscope, why the pitch glide reveals so much, and what young laryngologists should learn first.
Home›Clinical & Educational›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…
Home›Clinical & Educational›Review: Thyroid Surgery Neural Dysfunction Guidelines Detailed critical review of: Dhillon VK, Randolph GW, Stack BC Jr, et al. Head & Neck 2020. Takes on flawed terminology (“immediate VFP”) and offers corrected statements for each of the paper’s 5 consensus points. Key arguments: “Vocal fold paralysis” is wrong terminology for surgical nerve injury…
Home›Clinical & Educational›Anatomy of the Voice Box Accessible anatomy introduction. Three functions of the larynx: regulate breathing, create sound, keep food out of lungs. Describes thyroid cartilage (Adam’s apple), cricoid cartilage, hyoid bone, and how testosterone thickens/elongates vocal cords lowering pitch. Written from a café observation scene with a Japanese-speaking couple. References the book. Migration…
