Laryngopedia

To educate about voice, swallowing, airway, coughing, and other head and neck disorders

Laryngopedia By Bastian Medical Media

A Journal of Observational Laryngology

Clinical observations, anecdotes, case series, and conceptual frameworks for further exploration

About the Journal


Early Vocal Cord Cancer: Remove with a Laser, or Radiate?

By Robert W. Bastian, MD

Patients who are diagnosed with early vocal cord cancer have two main treatment options to consider: laser surgery or radiation. There are quite a few factors to consider when weighing these two options, which can be confusing for the patient and challenging for the clinician to explain.

After 15 years of laryngology practice, I decided to create a single, codified overview on this subject, to help me teach more clearly and comprehensively when consulting with patients about this decision. Since creating that overview (which I also send home with patients as a handout), I’ve found it much easier to explain to patients the factors to consider when deciding between laser surgery and radiation to treat early vocal cord cancer. Below is that overview I created, in case it could help others who are consulting on or making this decision. Continue reading



The Use of Capsaicin for Sensory Neuropathic Cough

By Robert W. Bastian, MD

In recent years, a neurogenic form of chronic cough has been described in the literature, referred to variously as “sensory neuropathy presenting as chronic cough”1, “sensory neuropathic cough”2,3, “laryngeal sensory neuropathy”4, or simply “refractory chronic cough”5. It has been shown that sensory neuropathic cough (SNC) can be treated with certain neuralgia medications1,4,5,6,7,8. What has not yet been described, however, is the use of capsaicin spray as a possible treatment for SNC patients—an approach that may seem counter-intuitive, given that capsaicin is known in the pulmonary medicine literature as a means for provoking coughing for diagnostic or research reasons. Continue reading



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