Voice Case of the Week: The Value of a (Healthy) Screening Exam

Osborne Head and Neck Institute Case Presentation:

Figure: Videostroboscopy image demonstrating bilateral vocal fold polyps.
Figure: Videostroboscopy image demonstrating bilateral vocal fold polyps.

The patient is a 26 year old professional singer who has noted significant postnasal drip since performing in a smoky venue 3 weeks earlier. She feels that something is “stuck” in her throat and that singing is more fatiguing than usual. She also notes an increasingly frequent need to clear her throat. This temporarily improves her voice, however, the troubling sensation eventually returns. She denies loss of vocal range or change in vocal quality, noting that she has always had a raspy voice. She has no significant medical history and no history of seasonal or perennial allergies.

Her general physical exam was non-contributory and she did not demonstrate any signs of postnasal drip.

Click here for Los Angeles, laryngologist, Dr. Reena Gupta, MD’s diagnosis.

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