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StevenMFeinbergMD

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Everything posted by StevenMFeinbergMD

  1. It is not uncommon after an intubation to have ulceration of the arytenoid mucosa. If you experience any pain with singing you need to return to your otolaryngologist for laryngoscopy prior to resuming singing.
  2. This sounds very much like a patulous eustacian tube. This is a difficult condition to treat, and I would recommend seeing an otolaryngologist who specializes in ear disorders for treatment. Best of luck.
  3. You may have a septal deviation or some other process like nasal polyps blocking one nasal passage. A trip to the ENT should answer this question for you, although a CT scan of your sinuses may be needed to find out for sure.
  4. Depending on where your white spots are located, they may be either tonsiliths (collections of food and debris in the pockets of your tonsils), plugged mucus glands, or taste buds. Other causes are fungal infections, precancerous conditions, and a variety of mucosal inflammatory diseases. You need to get checked out by your physician, who may refer you to an ENT.
  5. Sounds like you need to have a laryngeal videostroboscopy. I'm assuming that this was not done, but if it was you may want to get a second opinion. Subtle vocal fold changes can be easily missed without proper focus of the stroboscopic exam, and definitely on laryngoscopy without stroboscopy.
  6. Did he use topical anesthetic? Sometimes medications like Cetacaine lead to excessive mucus, so the effect may be transient. The character of your mucus directly relates to your hydration status and diet as well. Mucinex is popular among singers, and is safe to use. Give it a try and see if it works for you.
  7. A deviated septum can absolutely interfere with resonance and airflow. In addition, in some people a deviated septum can lead to recurrent sinus issues, which can lead to resonance issues as well, in addition to sinusitis and associated laryngitis and mucus viscosity alteration. Finally, some deviated septums are "S" shaped and result in bilateral nasal congestion, as you are describing. I recommend visiting your otolaryngologist to get it checked out.
  8. Hi Chen, I concur with your ENT doctor that there is no such test to measure the effects of the fumes. As far as a non-productive cough following an irritant exposure, those problems often fall within the realm of the otolaryngologist or the pulmonologist, and get lumped under the category of "irritable larynx syndrome?. Airway hypersensitivity occasionally develops but it is hard to establish a causative factor (viral injection vs. irritant exposure). Regardless of the inciting irritant, I would focus on treating the excessive mucus and minimizing the cough. By the way, how do you create your signature beneath your posting?
  9. In response to the initial question, a growling sound arises from a pharyngeal (throat) sound source rather than a glottic (vocal folds) sound source. The discomfort you are feeling in your throat may be due to the growling or the cold or a combination of the two. As you are feeling under the weather with discomfort while singing, it would be worth seeing your ENT physician and allowing him/her to do a thorough exam. Preferably you should see someone that can perform stroboscopy, as diagnosis of vocal pathology without stroboscopy can be hit or miss. I hope that this helps. Steven M. Feinberg MD www.newportvoiceandswallow.com
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