Infection by a fungal organism, Histoplasma capsulatum. This organism is found in soil, especially in areas contaminated by bird or bat droppings. Sometimes it is called “spelunker’s disease,” and it seems to be commoner in the Mississippi River valley than in other areas of the United States. Persons who contract this organism may not even know it, as they may have a self-limited, mild, flu-like syndrome. As with many infections, histoplasmosis can of course be more severe and even disseminated in persons who are immunocompromised. Transmission is primarily respiratory, and the primary target is the lungs, where it can cause non-progressive granulomas. It is quite rare in the larynx.
Tag Archives: Photos
Foreign Content in the Throat
Photos:
Closeup, magnified examination finds barbecue brush bristle base of tongue: Series of 4 photos
Pain in throat (1 of 4)
Pain in throat (1 of 4)
Closer view (2 of 4)
Closer view (2 of 4)
Bristle identified (3 of 4)
Bristle identified (3 of 4)
Bristle to be removed (4 of 4)
Bristle to be removed (4 of 4)
Idiopathic Subglottic Stenosis
Idiopathic (unknown cause) inflammatory subglottic stenosis is a frustrating breathing problem seen mostly in women. It appears to be an autoimmune disorder that we have thought for many years to be an incomplete expression (forme fruste) of Wegener’s Granulomatosis, aka granulomatosis with polyangiitis (GPA). In a caseload of perhaps 125 patients, it appears that standard of care remains occasional outpatient dilation, steroid injection, and mitomycin C application. Most patients go a year or more between dilations. The rub: occasionally, dilations need to be done more frequently in an “active” case, or there may be reasons to avoid the brief general anesthesia required for dilation such as: morbid obesity, difficult jaw/tooth/neck anatomy, or even a phobia of general anesthesia.
“Office” Treatment Option for Inflammatory Subglottic Stenosis
In such situations, one naturally casts about for alternatives. Low dose methotrexate has not been very effective in our experience. And we work with a motivated rheumatologist open to considering rituximab, even with a negative ANCA study. Or the laryngologist might consider an office-based airway procedure as illustrated in the photos below. This particular person only requires dilation every 18 months or so, but it represents a major stressor for her given her fears, her size, and somewhat challenging anatomy. She is one of several offered the treatment shown below: steroid injection in the voice laboratory, followed by laser treatment.
Our thought is that in some, it may be the ridges and air turbulence that creates the feeling of airway restriction, or that these rings of stenosis “catch” mucus. In the case below, the clinician was almost dubious that what was accomplished would make that much difference to the person’s breathing. But upon calling her a week after the procedure below, and asking if the improvement was nil, subtle, small, medium, or large, she replied “large…a huge improvement.”
60% Stenosis (1 of 5)
60% Stenosis (1 of 5)
Narrowing & erythema (2 of 5)
Narrowing & erythema (2 of 5)
Triamcinolone is injected (3 of 5)
Triamcinolone is injected (3 of 5)
Laser ablation (4 of 5)
Laser ablation (4 of 5)
Stenosis is coagulated (5 of 5)
Stenosis is coagulated (5 of 5)
Podcast:
Photos:
Idiopathic Subglottic Stenosis Has Different Levels
Post dilation (1 of 4)
Post dilation (1 of 4)
Closer view (2 of 4)
Closer view (2 of 4)
Rich vascular pattern (3 of 4)
Rich vascular pattern (3 of 4)
"Sharing" the airway (4 of 4)
"Sharing" the airway (4 of 4)
Another way to Inject Idiopathic Subglottic Stenosis
Idiopathic inflammatory subglottic stenosis (1 of 3)
Idiopathic inflammatory subglottic stenosis (1 of 3)
Priot to injection (2 of 3)
Priot to injection (2 of 3)
Injection (3 of 3)
Injection (3 of 3)
Subglottic Stenosis
Subglottic stenosis is narrowing just below the vocal cords, in the lowest part of the larynx and immediately above the first tracheal ring. Examples of causes include scarring from a breathing tube used during a long ICU stay, Wegener’s Granulomatosis (aka Granulomatosis with polyangiitis), and idiopathic subglottic stenosis (aka limited Wegener’s Granulomatosis).
Subglottic Stenosis, after Treatment
Subglottic stenosis, before treatment (1 of 2)
Subglottic stenosis, before treatment (1 of 2)
Subglottic stenosis, after treatment (2 of 2)
Subglottic stenosis, after treatment (2 of 2)
Subglottic Stenosis, before and after Dilation
Subglottic stenosis, before dilation (1 of 2)
Subglottic stenosis, before dilation (1 of 2)
Subglottic stenosis, after dilation (2 of 2)
Subglottic stenosis, after dilation (2 of 2)
Subglottic stenosis (1 of 5)
Subglottic stenosis (1 of 5)
Subglottic stenosis, worsened (2 of 5)
Subglottic stenosis, worsened (2 of 5)
Subglottic stenosis, worsened (3 of 5)
Subglottic stenosis, worsened (3 of 5)
Subglottic stenosis, after dilation (4 of 5)
Subglottic stenosis, after dilation (4 of 5)
Subglottic stenosis, after dilation (5 of 5)
Subglottic stenosis, after dilation (5 of 5)
Stenosis Before and After Dilation for Forme Fruste Wegener’s
Subglottic stenosis (1 of 5)
Subglottic stenosis (1 of 5)
Inflammation (2 of 5)
Inflammation (2 of 5)
Flexible scope (3 of 5)
Flexible scope (3 of 5)
Post-dilation (4 of 5)
Post-dilation (4 of 5)
Post-operative bruising (5 of 5)
Post-operative bruising (5 of 5)
Subglottic / Tracheal Stenosis
Wegener's granulomatosis (1 of 4)
Wegener's granulomatosis (1 of 4)
Subglottic / Tracheal stenosis (2 of 4)
Subglottic / Tracheal stenosis (2 of 4)
Subglottic / Tracheal stenosis (3 of 4)
Subglottic / Tracheal stenosis (3 of 4)
Inflammed Stenosis (4 of 4)
Inflammed Stenosis (4 of 4)
Subglottic Stenosis, Due to Wegener’s Granulomatosis
Subglottic stenosis, due to Wegener's (1 of 2)
Subglottic stenosis, due to Wegener's (1 of 2)
Subglottic stenosis, due to Wegener's (2 of 2)
Subglottic stenosis, due to Wegener's (2 of 2)
Supraglottic, Glottic, and Subglottic Endotracheal Tube Injury
Breathing tube injury (1 of 4)
Breathing tube injury (1 of 4)
Aryepiglottic cord defect (2 of 4)
Aryepiglottic cord defect (2 of 4)
Phonation (3 of 4)
Phonation (3 of 4)
Posterior subglottic thickening (4 of 4)
Posterior subglottic thickening (4 of 4)
Pinhole Opening in Near-Complete Subglottic Stenosis
Narrowed space for breathing (1 of 4)
Narrowed space for breathing (1 of 4)
Looking between the vocal cords (2 of 4)
Looking between the vocal cords (2 of 4)
Closer view (3 of 4)
Closer view (3 of 4)
Space between subglottis and trachea (4 of 4)
Space between subglottis and trachea (4 of 4)
Difficulty Breathing after a 3-day Intubation
Noisy, restricted breathing following intubation (1 of 5)
Noisy, restricted breathing following intubation (1 of 5)
Normal voice (2 of 5)
Normal voice (2 of 5)
At close range (3 of 5)
At close range (3 of 5)
At even closer range (4 of 5)
At even closer range (4 of 5)
Mucosa-only scar (5 of 5)
Mucosa-only scar (5 of 5)
Open Epidermoid Cyst
An open epidermoid cyst occurs when it spontaneously ruptures, but yet not empty all of its contents (keratin). The outline of the partially-emptied cyst may still be very evident, but it usually assumes an oval shape with the long axis oriented anteriorly and posteriorly. If the cyst empties nearly completely, the white oval is no longer seen, but the vocal cord may have a mottled appearance. If the cyst empties completely, a sulcus lined by epithelium remains.
Photos:
A Case That Clearly Shows the Relationship Between Cyst & Sulcus
White Lesion on Right Vocal Cord (1 of 6)
White Lesion on Right Vocal Cord (1 of 6)
White Lesion Under Strobe Light (2 of 6)
White Lesion Under Strobe Light (2 of 6)
White Lesion Under Strobe Light (3 of 6)
White Lesion Under Strobe Light (3 of 6)
White Lesion Removed (4 of 6)
White Lesion Removed (4 of 6)
Vocal Cords (5 of 6)
Vocal Cords (5 of 6)
Vocal Cords without Lesion (6 of 6)
Vocal Cords without Lesion (6 of 6)
Possible Open Epidermoid Cyst
Capillary ectasia and white submucosal abnormality (1 of 3)
Capillary ectasia and white submucosal abnormality (1 of 3)
Prephonatory view, mtd (2 of 3)
Prephonatory view, mtd (2 of 3)
Open cyst (3 of 3)
Open cyst (3 of 3)
Open Cyst and Sulcus in Same Patient
Hoarse voice (1 of 4)
Hoarse voice (1 of 4)
Cyst + sulcus (2 of 4)
Cyst + sulcus (2 of 4)
Closed phase (3 of 4)
Closed phase (3 of 4)
Open phase (4 of 4)
Open phase (4 of 4)
Open Cyst and Sulcus; Normal and Segmental Vibration
Margin swelling (1 of 6)
Margin swelling (1 of 6)
Narrow band light (2 of 6)
Narrow band light (2 of 6)
Open phase, strobe light (3 of 6)
Open phase, strobe light (3 of 6)
Closed phase, same pitch (4 of 6)
Closed phase, same pitch (4 of 6)
Segmental vibration (5 of 6)
Segmental vibration (5 of 6)
Closed phase (6 of 6)
Closed phase (6 of 6)
Open Epidermoid Cyst-Sulcus
Chronic hoarseness (1 of 4)
Chronic hoarseness (1 of 4)
Cyst under narrow band light (2 of 4)
Cyst under narrow band light (2 of 4)
Closed phase (3 of 4)
Closed phase (3 of 4)
Open phase (4 of 4)
Open phase (4 of 4)
Surgical results: before and after photos
Vocal Polyps:
An Actress’ Polyp Before and Hours After Surgical Removal
Vocal cord polyp (1 of 8)
Vocal cord polyp (1 of 8)
Closer view (2 of 8)
Closer view (2 of 8)
Closed phase (3 of 8)
Closed phase (3 of 8)
Open phase (4 of 8)
Open phase (4 of 8)
24 hours post surgery (5 of 8)
24 hours post surgery (5 of 8)
Primary “wound” (6 of 8)
Primary “wound” (6 of 8)
Closed phase (7 of 8)
Closed phase (7 of 8)
Open phase (8 of 8)
Open phase (8 of 8)
Hemorrhagic Polyp, before and after Surgery
Hemorrhagic polyp (1 of 8)
Hemorrhagic polyp (1 of 8)
Hemorrhagic polyp (2 of 8)
Hemorrhagic polyp (2 of 8)
Hemorrhagic polyp (3 of 8)
Hemorrhagic polyp (3 of 8)
Hemorrhagic polyp: 1 week after surgery (4 of 8)
Hemorrhagic polyp: 1 week after surgery (4 of 8)
Hemorrhagic polyp: 1 week after surgery (5 of 8)
Hemorrhagic polyp: 1 week after surgery (5 of 8)
Hemorrhagic polyp: 1 week after surgery (6 of 8)
Hemorrhagic polyp: 1 week after surgery (6 of 8)
Hemorrhagic polyp: 7 months after surgery (7 of 8)
Hemorrhagic polyp: 7 months after surgery (7 of 8)
Hemorrhagic polyp: 7 months after surgery (8 of 8)
Hemorrhagic polyp: 7 months after surgery (8 of 8)
Vocal Polyp, Before and After Surgery
Vocal polyp (1 of 2)
Vocal polyp (1 of 2)
Vocal polyp, surgically removed (2 of 2)
Vocal polyp, surgically removed (2 of 2)
Vocal polyp (1 of 6)
Vocal polyp (1 of 6)
Vocal polyp (2 of 6)
Vocal polyp (2 of 6)
Vocal polyp, surgically removed (3 of 6)
Vocal polyp, surgically removed (3 of 6)
Vocal polyp, surgically removed (4 of 6)
Vocal polyp, surgically removed (4 of 6)
Vocal polyp, surgically removed (5 of 6)
Vocal polyp, surgically removed (5 of 6)
Vocal polyp, surgically removed (6 of 6)
Vocal polyp, surgically removed (6 of 6)
Vocal polyp (1 of 6)
Vocal polyp (1 of 6)
Vocal polyp (2 of 6)
Vocal polyp (2 of 6)
Vocal polyp (3 of 6)
Vocal polyp (3 of 6)
Vocal polyp, surgically removed (4 of 6)
Vocal polyp, surgically removed (4 of 6)
Vocal polyp, surgically removed (5 of 6)
Vocal polyp, surgically removed (5 of 6)
Vocal polyp, surgically removed (6 of 6)
Vocal polyp, surgically removed (6 of 6)
Pre-op and very early Post-op Mucosal Match and Flexibility in Male Singer
Bilateral chronic injuries (1 of 8)
Bilateral chronic injuries (1 of 8)
Closeup of injuries (2 of 8)
Closeup of injuries (2 of 8)
Post microsurgery (3 of 8)
Post microsurgery (3 of 8)
Prephonatory instant (4 of 8)
Prephonatory instant (4 of 8)
Closed phase, A-flat 3 (5 of 8)
Closed phase, A-flat 3 (5 of 8)
Open phase (6 of 8)
Open phase (6 of 8)
Dramatically improved match (7 of 8)
Dramatically improved match (7 of 8)
Equal mucosal flexibility (8 of 8)
Equal mucosal flexibility (8 of 8)
For more info: Vocal polyps
Vocal Nodules:
Fibrosis as a Base to Nodules, Before and After Surgery
Bilateral polypoid nodules (1 of 8)
Bilateral polypoid nodules (1 of 8)
Narrow-band lighting (2 of 8)
Narrow-band lighting (2 of 8)
Closed phase (3 of 8)
Closed phase (3 of 8)
Open phase (4 of 8)
Open phase (4 of 8)
Two weeks after surgery (5 of 8)
Two weeks after surgery (5 of 8)
Phonation (6 of 8)
Phonation (6 of 8)
Margin fibrosis (7 of 8)
Margin fibrosis (7 of 8)
Open phase (8 of 8)
Open phase (8 of 8)
Vocal Nodules, Before and After Surgery
Vocal nodules (1 of 6)
Vocal nodules (1 of 6)
Breathy voice (2 of 6)
Breathy voice (2 of 6)
1 week after surgery (3 of 6)
1 week after surgery (3 of 6)
Closed phase (4 of 6)
Closed phase (4 of 6)
7 weeks after surgery (5 of 6)
7 weeks after surgery (5 of 6)
7 weeks after surgery (6 of 6)
7 weeks after surgery (6 of 6)
Vocal nodules (1 of 10)
Vocal nodules (1 of 10)
Prephonatory instant (2 of 10)
Prephonatory instant (2 of 10)
Translucency (3 of 10)
Translucency (3 of 10)
Open phase (4 of 10)
Open phase (4 of 10)
1 week after surgery (5 of 10)
1 week after surgery (5 of 10)
1 week after surgery (6 of 10)
1 week after surgery (6 of 10)
1 week after surgery (7 of 10)
1 week after surgery (7 of 10)
Vocal nodules: 10 weeks after surgery (8 of 10)
Vocal nodules: 10 weeks after surgery (8 of 10)
10 weeks after surgery (9 of 10)
10 weeks after surgery (9 of 10)
10 weeks after surgery (10 of 10)
10 weeks after surgery (10 of 10)
Vocal nodules (1 of 4)
Vocal nodules (1 of 4)
Phonation (2 of 4)
Phonation (2 of 4)
After surgery (3 of 4)
After surgery (3 of 4)
After surgery (4 of 4)
After surgery (4 of 4)
Pre-and 1 Week Post-removal Vocal Nodules
Vocal nodules (1 of 8)
Vocal nodules (1 of 8)
Muscular tension dysphonia (2 of 8)
Muscular tension dysphonia (2 of 8)
Open phase (3 of 8)
Open phase (3 of 8)
Closed phase (4 of 8)
Closed phase (4 of 8)
Post-op, one week (5 of 8)
Post-op, one week (5 of 8)
Phonation (6 of 8)
Phonation (6 of 8)
Open phase (7 of 8)
Open phase (7 of 8)
Closed phase (8 of 8)
Closed phase (8 of 8)
Vocal Nodule Postop Irregularity yet Match and Flexibility
Large vocal nodules (1 of 8)
Large vocal nodules (1 of 8)
Narrow band light (2 of 8)
Narrow band light (2 of 8)
At B2 (3 of 8)
At B2 (3 of 8)
At A5 (4 of 8)
At A5 (4 of 8)
One week after surgery (5 of 8)
One week after surgery (5 of 8)
Prephonatory instant (6 of 8)
Prephonatory instant (6 of 8)
Closed phase (8 of 8)
Closed phase (8 of 8)
Open phase (7 of 8)
Open phase (7 of 8)
For more info: Vocal nodules
Cancer:
Vocal Cord Cancer, before and after Surgery
Vocal cord cancer (1 of 4)
Vocal cord cancer (1 of 4)
Vocal cord cancer, 1 week after surgery (2 of 4)
Vocal cord cancer, 1 week after surgery (2 of 4)
Vocal cord cancer, 1 month after surgery (3 of 4)
Vocal cord cancer, 1 month after surgery (3 of 4)
Vocal cord cancer, after complete healing (4 of 4)
Vocal cord cancer, after complete healing (4 of 4)
Vocal cord cancer (1 of 8)
Vocal cord cancer (1 of 8)
Vocal cord cancer (2 of 8)
Vocal cord cancer (2 of 8)
Vocal cord cancer, 1 week after surgery (3 of 8)
Vocal cord cancer, 1 week after surgery (3 of 8)
Vocal cord cancer, 1 week after surgery (4 of 8)
Vocal cord cancer, 1 week after surgery (4 of 8)
Vocal cord cancer, 7 weeks after surgery (5 of 8)
Vocal cord cancer, 7 weeks after surgery (5 of 8)
Vocal cord cancer, 7 weeks after surgery (6 of 8)
Vocal cord cancer, 7 weeks after surgery (6 of 8)
Vocal cord cancer, 7 weeks after surgery (7 of 8)
Vocal cord cancer, 7 weeks after surgery (7 of 8)
Vocal cord cancer, 7 weeks after surgery (8 of 8)
Vocal cord cancer, 7 weeks after surgery (8 of 8)
Scarring after Cancer Treatment but with very Good Voice
Post laser excision (1 of 4)
Post laser excision (1 of 4)
Prephonatory instant (2 of 4)
Prephonatory instant (2 of 4)
Phonation (3 of 4)
Phonation (3 of 4)
Close-up view (4 of 4)
Close-up view (4 of 4)
Vocal Cord Cancer, before, during, and after Radiation
Vocal cord cancer (1 of 8)
Vocal cord cancer (1 of 8)
Vocal cord cancer (2 of 8)
Vocal cord cancer (2 of 8)
Vocal cord cancer, during radiation (3 of 8)
Vocal cord cancer, during radiation (3 of 8)
Vocal cord cancer, during radiation (4 of 8)
Vocal cord cancer, during radiation (4 of 8)
Vocal cord cancer, 2 months after radiation (5 of 8)
Vocal cord cancer, 2 months after radiation (5 of 8)
Vocal cord cancer, 4 months after radiation (6 of 8)
Vocal cord cancer, 4 months after radiation (6 of 8)
Vocal cord cancer, 6 months after radiation (7 of 8)
Vocal cord cancer, 6 months after radiation (7 of 8)
Vocal cord cancer, 6 months after radiation (8 of 8)
Vocal cord cancer, 6 months after radiation (8 of 8)
Vocal Cord Cancer, before and after Radiotherapy
Vocal cord cancer (1 of 7)
Vocal cord cancer (1 of 7)
Vocal cord cancer (2 of 7)
Vocal cord cancer (2 of 7)
Vocal cord cancer (3 of 7)
Vocal cord cancer (3 of 7)
Vocal cord cancer, 3 weeks after radiotherapy (4 of 7)
Vocal cord cancer, 3 weeks after radiotherapy (4 of 7)
Vocal cord cancer, 3 weeks after radiotherapy (5 of 7)
Vocal cord cancer, 3 weeks after radiotherapy (5 of 7)
Vocal cord cancer, 2 months after radiotherapy (6 of 7)
Vocal cord cancer, 2 months after radiotherapy (6 of 7)
Vocal cord cancer, 2 months after radiotherapy (7 of 7)
Vocal cord cancer, 2 months after radiotherapy (7 of 7)
Cancer, HPV Subtype 16, Before and After Radiation
Cancer: HPV Subtype 16 (1 of 5)
Cancer: HPV Subtype 16 (1 of 5)
Cancer: HPV Subtype 16 (2 of 5)
Cancer: HPV Subtype 16 (2 of 5)
Cancer: HPV Subtype 16, after radiation therapy (3 of 5)
Cancer: HPV Subtype 16, after radiation therapy (3 of 5)
Cancer: HPV Subtype 16, after radiation therapy (4 of 5)
Cancer: HPV Subtype 16, after radiation therapy (4 of 5)
Cancer: HPV Subtype 16, after radiation therapy (5 of 5)
Cancer: HPV Subtype 16, after radiation therapy (5 of 5)
Pre-and 1 Week Post-removal Vocal Nodules
Verrucous carcinoma (1 of 5)
Verrucous carcinoma (1 of 5)
Verrucous carcinoma (2 of 5)
Verrucous carcinoma (2 of 5)
Verrucous carcinoma, after laser treatment (3 of 5)
Verrucous carcinoma, after laser treatment (3 of 5)
Verrucous carcinoma, several weeks after laser treatment (4 of 5)
Verrucous carcinoma, several weeks after laser treatment (4 of 5)
Verrucous carcinoma, several weeks after laser treatment (5 of 5)
Verrucous carcinoma, several weeks after laser treatment (5 of 5)
For more info: Cancer
Capillary Ectasia:
Capillary Ectasia, before and after Laser Coagulation
Capillary ectasia (1 of 7)
Capillary ectasia (1 of 7)
Capillary ectasia (2 of 7)
Capillary ectasia (2 of 7)
Capillary ectasia (3 of 7)
Capillary ectasia (3 of 7)
Closed phase (4 of 7)
Closed phase (4 of 7)
Capillary ectasia, after laser coagulation (5 of 7)
Capillary ectasia, after laser coagulation (5 of 7)
Capillary ectasia, after laser coagulation (6 of 7)
Capillary ectasia, after laser coagulation (6 of 7)
After laser coagulation (7 of 7)
After laser coagulation (7 of 7)
Capillary ectasia (1 of 3)
Capillary ectasia (1 of 3)
Capillary ectasia, right after laser coagulation (2 of 3)
Capillary ectasia, right after laser coagulation (2 of 3)
Capillary ectasia, 6 weeks after laser coagulation (3 of 3)
Capillary ectasia, 6 weeks after laser coagulation (3 of 3)
Capillary Ectasia and Hemorrhagic Polyp, before and after Treatment
Capillary ectasia and hemorrhagic polyp (1 of 4)
Capillary ectasia and hemorrhagic polyp (1 of 4)
Capillary ectasia and hemorrhagic polyp (2 of 4)
Capillary ectasia and hemorrhagic polyp (2 of 4)
Capillary ectasia and hemorrhagic polyp, after treatment (3 of 4)
Capillary ectasia and hemorrhagic polyp, after treatment (3 of 4)
Capillary ectasia and hemorrhagic polyp, after treatment (4 of 4)
Capillary ectasia and hemorrhagic polyp, after treatment (4 of 4)
For more info: Capillary ectasia
RRP:
Papillomas, HPV Subtype 11, before and after Removal
Papillomas: HPV Subtype 11 (1 of 4)
Papillomas: HPV Subtype 11 (1 of 4)
Papillomas: HPV Subtype 11 (2 of 4)
Papillomas: HPV Subtype 11 (2 of 4)
Papillomas, removed: HPV Subtype 11 (3 of 4)
Papillomas, removed: HPV Subtype 11 (3 of 4)
Papillomas, removed: HPV Subtype 11 (4 of 4)
Papillomas, removed: HPV Subtype 11 (4 of 4)
Lesions and Papillomas of HPV, Before and After Removal and Adjuvant Injection
Lesions and papillomas of HPV subtype? (1 of 8)
Lesions and papillomas of HPV subtype? (1 of 8)
Subtle lesion (2 of 8)
Subtle lesion (2 of 8)
Open phase (3 of 8)
Open phase (3 of 8)
1 week after removal (4 of 8)
1 week after removal (4 of 8)
1 week after removal (5 of 8)
1 week after removal (5 of 8)
Injecting adjuvant (6 of 8)
Injecting adjuvant (6 of 8)
After injecting adjuvant (7 of 8)
After injecting adjuvant (7 of 8)
After final adjuvant injection (8 of 8)
After final adjuvant injection (8 of 8)
Papillomas, HPV Subtype 6, before and after Removal
Papillomas: HPV Subtype 6 (1 of 4)
Papillomas: HPV Subtype 6 (1 of 4)
Papillomas: HPV Subtype 6 (2 of 4)
Papillomas: HPV Subtype 6 (2 of 4)
Papillomas, removed: HPV Subtype 6 (3 of 4)
Papillomas, removed: HPV Subtype 6 (3 of 4)
Papillomas, removed: HPV Subtype 6 (4 of 4)
Papillomas, removed: HPV Subtype 6 (4 of 4)
For more info: Recurrent Respiratory Papillomatosis
Vocal Cord Paralysis/paresis:
TA-only Paresis before and after Voice Gel Injection
TA weakness, intact LCA + PCA (1 of 5)
TA weakness, intact LCA + PCA (1 of 5)
Prephonatory instant (2 of 5)
Prephonatory instant (2 of 5)
Gel injection (3 of 5)
Gel injection (3 of 5)
Straight vocal cord margin (4 of 5)
Straight vocal cord margin (4 of 5)
Phonation (5 of 5)
Phonation (5 of 5)
Paresis, TA-only: before and after an Implant
Paresis, TA-only (1 of 5)
Paresis, TA-only (1 of 5)
Paresis, TA-only (2 of 5)
Paresis, TA-only (2 of 5)
Paresis, TA-only (3 of 5)
Paresis, TA-only (3 of 5)
Paresis, TA-only: after implant is placed (4 of 5)
Paresis, TA-only: after implant is placed (4 of 5)
Paresis, TA-only: after implant is placed (5 of 5)
Paresis, TA-only: after implant is placed (5 of 5)
Vocal Cord Paralysis, Before and After Medialization
Vocal cord paralysis: before medialization (1 of 12)
Vocal cord paralysis: before medialization (1 of 12)
Vocal cord paralysis: before medialization (2 of 12)
Vocal cord paralysis: before medialization (2 of 12)
Vocal cord paralysis: before medialization (3 of 12)
Vocal cord paralysis: before medialization (3 of 12)
Vocal cord paralysis: before medialization (4 of 12)
Vocal cord paralysis: before medialization (4 of 12)
Vocal cord paralysis: 1 week after medialization (5 of 12)
Vocal cord paralysis: 1 week after medialization (5 of 12)
Vocal cord paralysis: 1 week after medialization (6 of 12)
Vocal cord paralysis: 1 week after medialization (6 of 12)
Vocal cord paralysis: 1 week after medialization (7 of 12)
Vocal cord paralysis: 1 week after medialization (7 of 12)
Vocal cord paralysis: 1 week after medialization (8 of 12)
Vocal cord paralysis: 1 week after medialization (8 of 12)
Vocal cord paralysis: 5 months after medialization (9 of 12)
Vocal cord paralysis: 5 months after medialization (9 of 12)
Vocal cord paralysis: 5 months after medialization (10 of 12)
Vocal cord paralysis: 5 months after medialization (10 of 12)
Vocal cord paralysis: 5 months after medialization (11 of 12)
Vocal cord paralysis: 5 months after medialization (11 of 12)
Vocal cord paralysis: 5 months after medialization (12 of 12
Vocal cord paralysis: 5 months after medialization (12 of 12
Paresis, TA + LCA, before and after Placement of an Implant
Paresis, TA + LCA (1 of 6)
Paresis, TA + LCA (1 of 6)
Paresis, TA + LCA (2 of 6)
Paresis, TA + LCA (2 of 6)
Paresis, TA + LCA (3 of 6)
Paresis, TA + LCA (3 of 6)
Paresis, TA + LCA: 1 week after implant is placed (4 of 6)
Paresis, TA + LCA: 1 week after implant is placed (4 of 6)
Paresis, TA + LCA: 3 months after implant is placed (5 of 6)
Paresis, TA + LCA: 3 months after implant is placed (5 of 6)
Paresis, TA + LCA: 3 months after implant is placed (6 of 6)
Paresis, TA + LCA: 3 months after implant is placed (6 of 6)
Paresis, TA + LCA, before and after Injection of Voice Gel
Paresis, TA + LCA (1 of 5)
Paresis, TA + LCA (1 of 5)
Paresis, TA + LCA (2 of 5)
Paresis, TA + LCA (2 of 5)
Paresis, TA + LCA: voice gel injection (3 of 5)
Paresis, TA + LCA: voice gel injection (3 of 5)
Paresis, TA + LCA: 1 month after voice gel injection (4 of 5)
Paresis, TA + LCA: 1 month after voice gel injection (4 of 5)
Paresis, TA + LCA: 1 month after voice gel injection (5 of 5)
Paresis, TA + LCA: 1 month after voice gel injection (5 of 5)
Voice Gel Injection for Vocal Cord Paralysis
Left vocal cord paralysis (1 of 4)
Left vocal cord paralysis (1 of 4)
Voice-making position (2 of 4)
Voice-making position (2 of 4)
Voice gel injection (3 of 4)
Voice gel injection (3 of 4)
After voice gel injection (4 of 4)
After voice gel injection (4 of 4)
For more info: Paralysis or Paresis
Stenosis:
Subglottic Stenosis, before and after Dilation
Subglottic stenosis (1 of 5)
Subglottic stenosis (1 of 5)
Subglottic stenosis, worsened (2 of 5)
Subglottic stenosis, worsened (2 of 5)
Subglottic stenosis, worsened (3 of 5)
Subglottic stenosis, worsened (3 of 5)
Subglottic stenosis, after dilation (4 of 5)
Subglottic stenosis, after dilation (4 of 5)
Subglottic stenosis, after dilation (5 of 5)
Subglottic stenosis, after dilation (5 of 5)
Subglottic stenosis, before dilation (1 of 2)
Subglottic stenosis, before dilation (1 of 2)
Subglottic stenosis, after dilation (2 of 2)
Subglottic stenosis, after dilation (2 of 2)
Tracheal Stenosis, before and after Tracheal Resection and Primary Reanastomosis
Tracheal stenosis (1 of 8)
Tracheal stenosis (1 of 8)
Tracheal stenosis (2 of 8)
Tracheal stenosis (2 of 8)
Close up view (3 of 8)
Close up view (3 of 8)
Just below the tracheal stenosis (4 of 8)
Just below the tracheal stenosis (4 of 8)
Tracheal stenosis, 5 days after surgery (5 of 8)
Tracheal stenosis, 5 days after surgery (5 of 8)
Tracheal stenosis, 5 days after surgery (6 of 8)
Tracheal stenosis, 5 days after surgery (6 of 8)
Tracheal stenosis, 2 months after surgery (7 of 8)
Tracheal stenosis, 2 months after surgery (7 of 8)
Tracheal stenosis, 2 months after surgery (8 of 8)
Tracheal stenosis, 2 months after surgery (8 of 8)
Tracheal Deformity and Stenosis, before and after Repair
Upper tracheal stenosis, before repair (1 of 6)
Upper tracheal stenosis, before repair (1 of 6)
Upper tracheal stenosis, before repair (2 of 6)
Upper tracheal stenosis, before repair (2 of 6)
Looking from below the stenosis (3 of 6)
Looking from below the stenosis (3 of 6)
After tracheal repair (4 of 6)
After tracheal repair (4 of 6)
After tracheal repair (5 of 6)
After tracheal repair (5 of 6)
After tracheal repair (6 of 6)
After tracheal repair (6 of 6)
For more info: Stenosis