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Tag: Diagnosis

A collection of encyclopedia entries relating to diagnostics.

Illustration of breathing tube in a laryngectomy patient and how you must make sure it does not snag the TEP when inserting into the trachea.
Diagnosis

What Hospital Staff Need to Know About You As a Laryngectomy Patient (Especially if Contemplating Surgery)

Robert W. Bastian, M.D. — Published August 8, 2023 Introduction Anesthesiologists, respiratory therapists, and nurses may know the following information if you are in a large hospital. If you are in a small hospital, day surgery center, walk-in urgent care

Dramatic lateral dilation of the upper esophagus is a symptom of R-CPD
Diagnosis

Can’t Burp? Here Are the Symptoms of R-CPD

Robert W. Bastian, M.D. — Published: December 18, 2020 There is a group of people whose inability to burp causes severe daily distress. They are left without a solution (or even explanation) in spite of many doctor visits. Recently a

mid-esophagus
Diagnosis

R-CPD Esophageal Findings

The details of the following photos may support the R-CPD diagnosis, though they should not be considered diagnostic. Take note that all photos are non-channel scope images; that is, the scope is not able to insufflate (blow in) air. The significance: the

Laryngopedia Thumbnail
Airway disorders

The Gasping Syndrome

Robert W. Bastian, M.D. — Published: September 22, 2020 A few times a year, distressed patients present from their internists or pulmonologists to see if I can explain their shortness of breath. The patient has already undergone numerous tests: e.g.

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Audio

Positive and Negative Practice

Positive/negative practice is a behavioral treatment prescribed primarily for patients with nonorganic voice disorders. A patient with a nonorganic voice disorder has been diagnosed with aberrant voice production due to the abnormal use of a normal mechanism, often due to

vocals nodules causing mucosal chattering YT Thumbnail
Audio

Mucosal Chatter

Mucosal chatter is an audible phenomenon of injured vocal cord vibration. It is commonly heard in the softly-sung upper voice of persons with nodules, polyps, etc. Hoarseness or roughness are broad and nonspecific descriptors useful only for severe injuries. Small

Open phase, E4
Audio

Segmental Vibration

In the normal larynx, segmental vibration occurs when both chest and falsetto (head) registers are produced by vibration of the anterior 2/3 of the vocal cords. The posterior 1/3 is “inhabited” by the arytenoid cartilage and does not vibrate. In

Phonatory gap
Audio

Popping Onset

A popping onset refers to the sudden start of the voice after a little hiss of air, but once the voice begins, it is very clear. It doesn’t sound like laryngitis, or scratchy like one would hear after a nodule

Phonatory gap
Diagnosis

Phonatory Gap

Phonatory gap occurs when the vocal cords fail to close during phonation. A phonatory gap may be seen in patients who have muscle tension dysphonia, vocal cord paresis or paralysis, loss of tissue, or vocal cord flaccidity. In addition, however,

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