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Voice Case of the Week

Happily Ever After (a Hemorrhage)

by Dr. Reena Gupta
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An earlier Voice Case of the Week described a severe vocal hemorrhage, which occurred after a patient choked and coughed while eating. The follow up to this included a discussion of the consequences of hemorrhages. Small hemorrhages (or bruising) of the vocal fold will lead to injuries if they are not identified. The case included […]

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Voice Case of the Week: “Pushing Through” and “Working Around” Hoarseness

by Dr. Reena Gupta
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The patient is a 40-year-old female who noted voice changes after choking. She was drinking water the night before and noted it went down the wrong pipe. She only coughed for 1-2 minutes but had a sore throat afterwards and felt her voice was different. She has a large stadium engagement tomorrow and so she […]

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Voice Case of the Week: Side Effects of Medications

by Dr. Reena Gupta
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The patient is an 82 year old male who presented with complaints of loss of voice. He had noted initial symptoms 7 months ago and had noted a gradual decline since that time. He had a self-reported normal voice prior to this. He went to an ENT who noted that he was simply elderly and […]

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Voice Case of the Week: The Effects of Alcohol on the Voice

by Dr. Reena Gupta
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The patient is a 26 year old male who presented with a 3 week history of hoarseness. He denied any other symptoms, including throat pain, postnasal drip, or throat clearing. He also denied feeling unwell. The patient noted no precipitating events around the time of onset. He is a professional singer and was particularly concerned […]

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Voice Case of the Week: Sometimes it is Reflux

by Dr. Reena Gupta
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The patient is a 34 year old male opera singer who presented with decreased vocal range, throat clearing, and pitch breaks during sustained phonation. He has noted changes over the past 3 months and has sought consultation from numerous physicians. He has been told that he has allergies by one doctor, and was placed on […]

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Voice Case of the Week: Larynx Injury from Inhalation

by Dr. Reena Gupta
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  The patient is 32 year old female who has noted gradual worsening of her voice over the past year and a half. She is not a voice student and is unsure if technique is contributing to her problem. She has noted a significant increase in sinus symptoms, including postnasal drip, and has had frequent […]

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Voice Case of the Week: When Nodules Need Surgery

by Dr. Reena Gupta
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The patient is a 32 year old singer who presented with significant worsening of her voice over a 3 month period. She is typically in meetings for most of the day where she engages in significant and loud voice use. In the evenings, following her workday, she is at rehearsals or in the studio. The […]

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Voice Case of the Week: Who Needs a Laryngeal Surgeon?

by Dr. Reena Gupta
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The patient is a 34 year old male professional singer who presented with difficulty in his vocal break. His speaking voice sounded slightly raspy to him but more troublesome was that he could not do his vocal exercises as easily as he used to be able to. He noted the onset of his symptoms after […]

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Voice Case of the Week: Prolonged Vocal Hemorrhage from Herbal Supplements

by Dr. Reena Gupta
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The patient is a 43 year old female who presented with occasional hoarseness for the past year. She noted her voice was normal at times. Her most recent episode of hoarseness, however, started 3 weeks ago and had not improved at all. She denied any associated symptoms, such as would be consistent with an illness. […]

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Voice Case of the Week: Voice and Emotion

by Dr. Reena Gupta
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A 23 year old female singer, well-known to the practice, presented with new onset of vocal symptoms. She noted that things had been going well since her last screening visit, which did not demonstrate any abnormalities. However, over the past month she had been having increasing vocal difficulty. She noted pain when she tried to […]

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Voice Case of the Week: Timeline of Consultation for Hoarseness

by Dr. Reena Gupta
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The patient is a 59 year old male who presented with a 10 month history of throat clearing. He noted some mild voice changes approximately 2 months ago but states his voice has always been weak. He went to his primary care physician at the time of onset who felt this was allergies and prescribed […]

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