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PHYSICIANS | VOICEDOCTOR.NET Physicians. This list consists of physicians who practice laryngology, who may be known as laryngologists, phonosurgeons, phoniatrists, voice surgeons or at least seem to have a major interest in voice disorders. Their training in voice was likely after completing a residency in ENT or otorhinolaryngology. The general political considerations BEFORE CONTACTING US Before contacting us. Please be aware that a delay in a response to email can be common. If you have spam blocking on your email, please allow all replies from any voicedoctor.net address; the response might not come from the same address to which you sent it. A response to any enquiry by email is limited by the legal parameters of the doctorLARYNGOSCOPY
WEB GLOTTOPLASTY
Web glottoplasty. Webbing of the anterior portion of the vocal cords is a surgery designed to raise the comfortable speaking pitch by shortening the vibrating length of the vocal cords. It should also remove some of the lower pitches.SWELLING TESTS
Swelling tests are perhaps the most detailed vocal task. The examiner reassesses the upper and lower ends of the pitch range at the very softest volume the patient can produce, for comparison with the previously recorded maximum vocal range.MUSCLE COMPENSATION
The TA muscle is within the vocal cord and isometrically tightens the vocal cord to raise pitch, while the CT muscle is located on the external surface of the laryngeal cartilages and lengthens the vocal cords to raise the pitch. If there is decreased neurologic input to one of these muscles, the other muscle compensates at least partially. WHY CAN'T I SING ANYMORE? SINGING VOICE GONE FOR SEVERAL Now one of the issues here is that this has made it so unpleasant to sing that I've largely given up singing for several months, which I'm sure leads to underuse of vocal muscles, leading to the muscles atrophying or losing some of their strength, leading to further pain, leading to even less singing. A vicious cycle. VOICE HOARSNESS AND ASTHMA INHALERS This doesn't bother me, however when I take inhaled steroid sprays for asthma, my voice becomes much more weak, breathy, hoarse and even higher in pitch. I struggle to project my voice and it's a real strain in public settings. I've tried many different steroid preventer inhalers, and they all seem to cause this voice problem. VIDEOS | VOICEDOCTOR.NET Videos. Search for videos by title and/or description. Abductor spasm in patient with spasmodic dysphonia. Bilateral laryngeal paralysis. Feminization Laryngoplasty 2005, Bologna, Italy. HD Hemorrhagic vocal cord polyps - laryngology 101 HD version. HD Hemorrhagic vocal cord polyps, part II - laryngology 101 HD version. High Definition ABOUT VOICEDOCTOR.NET About voicedoctor.net. This site is my attempt to inform you about voice disorders from a physician's perspective. Vocal cords behave according to the laws of physics and there is not much that is mystical about them - although they are most important for transmitting verbal information and emotion from one person toanother.
PHYSICIANS | VOICEDOCTOR.NET Physicians. This list consists of physicians who practice laryngology, who may be known as laryngologists, phonosurgeons, phoniatrists, voice surgeons or at least seem to have a major interest in voice disorders. Their training in voice was likely after completing a residency in ENT or otorhinolaryngology. The general political considerations BEFORE CONTACTING US Before contacting us. Please be aware that a delay in a response to email can be common. If you have spam blocking on your email, please allow all replies from any voicedoctor.net address; the response might not come from the same address to which you sent it. A response to any enquiry by email is limited by the legal parameters of the doctorLARYNGOSCOPY
WEB GLOTTOPLASTY
Web glottoplasty. Webbing of the anterior portion of the vocal cords is a surgery designed to raise the comfortable speaking pitch by shortening the vibrating length of the vocal cords. It should also remove some of the lower pitches.SWELLING TESTS
Swelling tests are perhaps the most detailed vocal task. The examiner reassesses the upper and lower ends of the pitch range at the very softest volume the patient can produce, for comparison with the previously recorded maximum vocal range.MUSCLE COMPENSATION
The TA muscle is within the vocal cord and isometrically tightens the vocal cord to raise pitch, while the CT muscle is located on the external surface of the laryngeal cartilages and lengthens the vocal cords to raise the pitch. If there is decreased neurologic input to one of these muscles, the other muscle compensates at least partially. WHY CAN'T I SING ANYMORE? SINGING VOICE GONE FOR SEVERAL Now one of the issues here is that this has made it so unpleasant to sing that I've largely given up singing for several months, which I'm sure leads to underuse of vocal muscles, leading to the muscles atrophying or losing some of their strength, leading to further pain, leading to even less singing. A vicious cycle. VOICE HOARSNESS AND ASTHMA INHALERS This doesn't bother me, however when I take inhaled steroid sprays for asthma, my voice becomes much more weak, breathy, hoarse and even higher in pitch. I struggle to project my voice and it's a real strain in public settings. I've tried many different steroid preventer inhalers, and they all seem to cause this voice problem. VOICE – WHAT DOES IT REALLY DO? Voice is a vibration within the audible frequency range (roughly 60 to 1,100 vibrations per second ). In the human, voice is largely produced by the true vocal cords, but it is possible to vibrate other structures and create a voice. I have a set of wind chimes hanging from an arbor that catch my attention whenever I am out in the garden BEFORE CONTACTING US Before contacting us. Please be aware that a delay in a response to email can be common. If you have spam blocking on your email, please allow all replies from any voicedoctor.net address; the response might not come from the same address to which you sent it. A response to any enquiry by email is limited by the legal parameters of the doctorCLASSIFICATION
A conceptual organization of voice disorders. Upon diagnosing a voice problem, I subdivide causes of hoarseness into two primary categories. I think of these broad categories in terms of what causes the vocal cord dysfunction and so I name them functional hoarseness and structural hoarseness. This categorization is based upon the perceived cause of the hoarseness and it helps in directing theSWELLING TESTS
Swelling tests are perhaps the most detailed vocal task. The examiner reassesses the upper and lower ends of the pitch range at the very softest volume the patient can produce, for comparison with the previously recorded maximum vocal range.LARYNGOSCOPY
The two qualities that most people don't appreciate are roughness and breathiness. Technically roughness could be called diplophonia and breathiness could be called turbulent airflow or white noise. In this video, part one of the series "Basic laryngology “Mind the Gap” I supply video examples supporting these definitions. YouTube. AUDIO (BEFORE-AND-AFTER) Presently this page is limited to audio examples of pitch surgeries. All of the "Before" recordings were made with professional equipment in my office.Many of the "After" recordings were made over the telephone or on the patient's computer and this will affect the audio quality.Use the links on the right to filter your search | Reset filter Use the patient age drop-down to select age(s) to NORMAL FEMALE VOCAL CORD Click on the image to see full-size version. young female singer in her 20s with normal vocal cords, Viewed during the midportion of stroboscopy and during breathing in. INTERARYTENOID MUSCLE (IA) The IA (interarytenoid) muscle holds the vocal cords in a closed position after the LCA muscles bring them together. The IA muscle from one side attaches with the IA muscle from the other side. Because the IA muscles connect in the midline, this is one muscle where there seems to be cross innervation or nerve input from the opposite side. FEMINIZATION LARYNGOPLASTY Feminization Laryngoplasty. Sunday, July 24, 2016 - 08:55. I presented a short description of some of the work I am doing to modify the comfortable speaking pitch and pitch range of transgender individuals wishing to sound more feminine at the 23rd WPATH Symposium in Amsterdam, The Netherlands on July 20, 2016. WHY CAN'T I HIT A HIGH NOTE ANYMORE? Spasms. When i use to sing i could get my voice pretty high, Playing Football about 3 weeks ago I was hit open handed in the bottom of my throat, I was gasping for air for a good 30 seconds- 1 minute. Afterwards i could not talk and it hurt alot, i went to emergency and they had a look and said there was no damage, it was probably just amuscle
VIDEOS | VOICEDOCTOR.NET Videos. Search for videos by title and/or description. Abductor spasm in patient with spasmodic dysphonia. Bilateral laryngeal paralysis. Feminization Laryngoplasty 2005, Bologna, Italy. HD Hemorrhagic vocal cord polyps - laryngology 101 HD version. HD Hemorrhagic vocal cord polyps, part II - laryngology 101 HD version. High Definition ABOUT VOICEDOCTOR.NET About voicedoctor.net. This site is my attempt to inform you about voice disorders from a physician's perspective. Vocal cords behave according to the laws of physics and there is not much that is mystical about them - although they are most important for transmitting verbal information and emotion from one person toanother.
PHYSICIANS | VOICEDOCTOR.NET Physicians. This list consists of physicians who practice laryngology, who may be known as laryngologists, phonosurgeons, phoniatrists, voice surgeons or at least seem to have a major interest in voice disorders. Their training in voice was likely after completing a residency in ENT or otorhinolaryngology. The general political considerations BEFORE CONTACTING US Before contacting us. Please be aware that a delay in a response to email can be common. If you have spam blocking on your email, please allow all replies from any voicedoctor.net address; the response might not come from the same address to which you sent it. A response to any enquiry by email is limited by the legal parameters of the doctorLARYNGOSCOPY
WEB GLOTTOPLASTY
Web glottoplasty. Webbing of the anterior portion of the vocal cords is a surgery designed to raise the comfortable speaking pitch by shortening the vibrating length of the vocal cords. It should also remove some of the lower pitches.SWELLING TESTS
Swelling tests are perhaps the most detailed vocal task. The examiner reassesses the upper and lower ends of the pitch range at the very softest volume the patient can produce, for comparison with the previously recorded maximum vocal range.MUSCLE COMPENSATION
The TA muscle is within the vocal cord and isometrically tightens the vocal cord to raise pitch, while the CT muscle is located on the external surface of the laryngeal cartilages and lengthens the vocal cords to raise the pitch. If there is decreased neurologic input to one of these muscles, the other muscle compensates at least partially. WHY CAN'T I SING ANYMORE? SINGING VOICE GONE FOR SEVERAL Now one of the issues here is that this has made it so unpleasant to sing that I've largely given up singing for several months, which I'm sure leads to underuse of vocal muscles, leading to the muscles atrophying or losing some of their strength, leading to further pain, leading to even less singing. A vicious cycle. VOICE HOARSNESS AND ASTHMA INHALERS This doesn't bother me, however when I take inhaled steroid sprays for asthma, my voice becomes much more weak, breathy, hoarse and even higher in pitch. I struggle to project my voice and it's a real strain in public settings. I've tried many different steroid preventer inhalers, and they all seem to cause this voice problem. VIDEOS | VOICEDOCTOR.NET Videos. Search for videos by title and/or description. Abductor spasm in patient with spasmodic dysphonia. Bilateral laryngeal paralysis. Feminization Laryngoplasty 2005, Bologna, Italy. HD Hemorrhagic vocal cord polyps - laryngology 101 HD version. HD Hemorrhagic vocal cord polyps, part II - laryngology 101 HD version. High Definition ABOUT VOICEDOCTOR.NET About voicedoctor.net. This site is my attempt to inform you about voice disorders from a physician's perspective. Vocal cords behave according to the laws of physics and there is not much that is mystical about them - although they are most important for transmitting verbal information and emotion from one person toanother.
PHYSICIANS | VOICEDOCTOR.NET Physicians. This list consists of physicians who practice laryngology, who may be known as laryngologists, phonosurgeons, phoniatrists, voice surgeons or at least seem to have a major interest in voice disorders. Their training in voice was likely after completing a residency in ENT or otorhinolaryngology. The general political considerations BEFORE CONTACTING US Before contacting us. Please be aware that a delay in a response to email can be common. If you have spam blocking on your email, please allow all replies from any voicedoctor.net address; the response might not come from the same address to which you sent it. A response to any enquiry by email is limited by the legal parameters of the doctorLARYNGOSCOPY
WEB GLOTTOPLASTY
Web glottoplasty. Webbing of the anterior portion of the vocal cords is a surgery designed to raise the comfortable speaking pitch by shortening the vibrating length of the vocal cords. It should also remove some of the lower pitches.SWELLING TESTS
Swelling tests are perhaps the most detailed vocal task. The examiner reassesses the upper and lower ends of the pitch range at the very softest volume the patient can produce, for comparison with the previously recorded maximum vocal range.MUSCLE COMPENSATION
The TA muscle is within the vocal cord and isometrically tightens the vocal cord to raise pitch, while the CT muscle is located on the external surface of the laryngeal cartilages and lengthens the vocal cords to raise the pitch. If there is decreased neurologic input to one of these muscles, the other muscle compensates at least partially. WHY CAN'T I SING ANYMORE? SINGING VOICE GONE FOR SEVERAL Now one of the issues here is that this has made it so unpleasant to sing that I've largely given up singing for several months, which I'm sure leads to underuse of vocal muscles, leading to the muscles atrophying or losing some of their strength, leading to further pain, leading to even less singing. A vicious cycle. VOICE HOARSNESS AND ASTHMA INHALERS This doesn't bother me, however when I take inhaled steroid sprays for asthma, my voice becomes much more weak, breathy, hoarse and even higher in pitch. I struggle to project my voice and it's a real strain in public settings. I've tried many different steroid preventer inhalers, and they all seem to cause this voice problem. VOICE – WHAT DOES IT REALLY DO? Voice is a vibration within the audible frequency range (roughly 60 to 1,100 vibrations per second ). In the human, voice is largely produced by the true vocal cords, but it is possible to vibrate other structures and create a voice. I have a set of wind chimes hanging from an arbor that catch my attention whenever I am out in the garden BEFORE CONTACTING US Before contacting us. Please be aware that a delay in a response to email can be common. If you have spam blocking on your email, please allow all replies from any voicedoctor.net address; the response might not come from the same address to which you sent it. A response to any enquiry by email is limited by the legal parameters of the doctorCLASSIFICATION
A conceptual organization of voice disorders. Upon diagnosing a voice problem, I subdivide causes of hoarseness into two primary categories. I think of these broad categories in terms of what causes the vocal cord dysfunction and so I name them functional hoarseness and structural hoarseness. This categorization is based upon the perceived cause of the hoarseness and it helps in directing theSWELLING TESTS
Swelling tests are perhaps the most detailed vocal task. The examiner reassesses the upper and lower ends of the pitch range at the very softest volume the patient can produce, for comparison with the previously recorded maximum vocal range.LARYNGOSCOPY
The two qualities that most people don't appreciate are roughness and breathiness. Technically roughness could be called diplophonia and breathiness could be called turbulent airflow or white noise. In this video, part one of the series "Basic laryngology “Mind the Gap” I supply video examples supporting these definitions. YouTube. AUDIO (BEFORE-AND-AFTER) Presently this page is limited to audio examples of pitch surgeries. All of the "Before" recordings were made with professional equipment in my office.Many of the "After" recordings were made over the telephone or on the patient's computer and this will affect the audio quality.Use the links on the right to filter your search | Reset filter Use the patient age drop-down to select age(s) to NORMAL FEMALE VOCAL CORD Click on the image to see full-size version. young female singer in her 20s with normal vocal cords, Viewed during the midportion of stroboscopy and during breathing in. INTERARYTENOID MUSCLE (IA) The IA (interarytenoid) muscle holds the vocal cords in a closed position after the LCA muscles bring them together. The IA muscle from one side attaches with the IA muscle from the other side. Because the IA muscles connect in the midline, this is one muscle where there seems to be cross innervation or nerve input from the opposite side. FEMINIZATION LARYNGOPLASTY Feminization Laryngoplasty. Sunday, July 24, 2016 - 08:55. I presented a short description of some of the work I am doing to modify the comfortable speaking pitch and pitch range of transgender individuals wishing to sound more feminine at the 23rd WPATH Symposium in Amsterdam, The Netherlands on July 20, 2016. WHY CAN'T I HIT A HIGH NOTE ANYMORE? Spasms. When i use to sing i could get my voice pretty high, Playing Football about 3 weeks ago I was hit open handed in the bottom of my throat, I was gasping for air for a good 30 seconds- 1 minute. Afterwards i could not talk and it hurt alot, i went to emergency and they had a look and said there was no damage, it was probably just amuscle
VIDEOS | VOICEDOCTOR.NET Videos. Search for videos by title and/or description. Abductor spasm in patient with spasmodic dysphonia. Bilateral laryngeal paralysis. Feminization Laryngoplasty 2005, Bologna, Italy. HD Hemorrhagic vocal cord polyps - laryngology 101 HD version. HD Hemorrhagic vocal cord polyps, part II - laryngology 101 HD version. High Definition ABOUT VOICEDOCTOR.NET About voicedoctor.net. This site is my attempt to inform you about voice disorders from a physician's perspective. Vocal cords behave according to the laws of physics and there is not much that is mystical about them - although they are most important for transmitting verbal information and emotion from one person toanother.
PHYSICIANS | VOICEDOCTOR.NET Physicians. This list consists of physicians who practice laryngology, who may be known as laryngologists, phonosurgeons, phoniatrists, voice surgeons or at least seem to have a major interest in voice disorders. Their training in voice was likely after completing a residency in ENT or otorhinolaryngology. The general political considerations BEFORE CONTACTING US Before contacting us. Please be aware that a delay in a response to email can be common. If you have spam blocking on your email, please allow all replies from any voicedoctor.net address; the response might not come from the same address to which you sent it. A response to any enquiry by email is limited by the legal parameters of the doctorLARYNGOSCOPY
WEB GLOTTOPLASTY
Web glottoplasty. Webbing of the anterior portion of the vocal cords is a surgery designed to raise the comfortable speaking pitch by shortening the vibrating length of the vocal cords. It should also remove some of the lower pitches.SWELLING TESTS
Swelling tests are perhaps the most detailed vocal task. The examiner reassesses the upper and lower ends of the pitch range at the very softest volume the patient can produce, for comparison with the previously recorded maximum vocal range. AUDIO (BEFORE-AND-AFTER) Presently this page is limited to audio examples of pitch surgeries. All of the "Before" recordings were made with professional equipment in my office.Many of the "After" recordings were made over the telephone or on the patient's computer and this will affect the audio quality.Use the links on the right to filter your search | Reset filter Use the patient age drop-down to select age(s) to WHY CAN'T I SING ANYMORE? SINGING VOICE GONE FOR SEVERAL Now one of the issues here is that this has made it so unpleasant to sing that I've largely given up singing for several months, which I'm sure leads to underuse of vocal muscles, leading to the muscles atrophying or losing some of their strength, leading to further pain, leading to even less singing. A vicious cycle. VOICE HOARSNESS AND ASTHMA INHALERS This doesn't bother me, however when I take inhaled steroid sprays for asthma, my voice becomes much more weak, breathy, hoarse and even higher in pitch. I struggle to project my voice and it's a real strain in public settings. I've tried many different steroid preventer inhalers, and they all seem to cause this voice problem. VIDEOS | VOICEDOCTOR.NET Videos. Search for videos by title and/or description. Abductor spasm in patient with spasmodic dysphonia. Bilateral laryngeal paralysis. Feminization Laryngoplasty 2005, Bologna, Italy. HD Hemorrhagic vocal cord polyps - laryngology 101 HD version. HD Hemorrhagic vocal cord polyps, part II - laryngology 101 HD version. High Definition ABOUT VOICEDOCTOR.NET About voicedoctor.net. This site is my attempt to inform you about voice disorders from a physician's perspective. Vocal cords behave according to the laws of physics and there is not much that is mystical about them - although they are most important for transmitting verbal information and emotion from one person toanother.
PHYSICIANS | VOICEDOCTOR.NET Physicians. This list consists of physicians who practice laryngology, who may be known as laryngologists, phonosurgeons, phoniatrists, voice surgeons or at least seem to have a major interest in voice disorders. Their training in voice was likely after completing a residency in ENT or otorhinolaryngology. The general political considerations BEFORE CONTACTING US Before contacting us. Please be aware that a delay in a response to email can be common. If you have spam blocking on your email, please allow all replies from any voicedoctor.net address; the response might not come from the same address to which you sent it. A response to any enquiry by email is limited by the legal parameters of the doctorLARYNGOSCOPY
WEB GLOTTOPLASTY
Web glottoplasty. Webbing of the anterior portion of the vocal cords is a surgery designed to raise the comfortable speaking pitch by shortening the vibrating length of the vocal cords. It should also remove some of the lower pitches.SWELLING TESTS
Swelling tests are perhaps the most detailed vocal task. The examiner reassesses the upper and lower ends of the pitch range at the very softest volume the patient can produce, for comparison with the previously recorded maximum vocal range. AUDIO (BEFORE-AND-AFTER) Presently this page is limited to audio examples of pitch surgeries. All of the "Before" recordings were made with professional equipment in my office.Many of the "After" recordings were made over the telephone or on the patient's computer and this will affect the audio quality.Use the links on the right to filter your search | Reset filter Use the patient age drop-down to select age(s) to WHY CAN'T I SING ANYMORE? SINGING VOICE GONE FOR SEVERAL Now one of the issues here is that this has made it so unpleasant to sing that I've largely given up singing for several months, which I'm sure leads to underuse of vocal muscles, leading to the muscles atrophying or losing some of their strength, leading to further pain, leading to even less singing. A vicious cycle. VOICE HOARSNESS AND ASTHMA INHALERS This doesn't bother me, however when I take inhaled steroid sprays for asthma, my voice becomes much more weak, breathy, hoarse and even higher in pitch. I struggle to project my voice and it's a real strain in public settings. I've tried many different steroid preventer inhalers, and they all seem to cause this voice problem. VOICE – WHAT DOES IT REALLY DO? Voice is a vibration within the audible frequency range (roughly 60 to 1,100 vibrations per second ). In the human, voice is largely produced by the true vocal cords, but it is possible to vibrate other structures and create a voice. I have a set of wind chimes hanging from an arbor that catch my attention whenever I am out in the garden BEFORE CONTACTING US Before contacting us. Please be aware that a delay in a response to email can be common. If you have spam blocking on your email, please allow all replies from any voicedoctor.net address; the response might not come from the same address to which you sent it. A response to any enquiry by email is limited by the legal parameters of the doctorCLASSIFICATION
A conceptual organization of voice disorders. Upon diagnosing a voice problem, I subdivide causes of hoarseness into two primary categories. I think of these broad categories in terms of what causes the vocal cord dysfunction and so I name them functional hoarseness and structural hoarseness. This categorization is based upon the perceived cause of the hoarseness and it helps in directing theSWELLING TESTS
Swelling tests are perhaps the most detailed vocal task. The examiner reassesses the upper and lower ends of the pitch range at the very softest volume the patient can produce, for comparison with the previously recorded maximum vocal range.LARYNGOSCOPY
The two qualities that most people don't appreciate are roughness and breathiness. Technically roughness could be called diplophonia and breathiness could be called turbulent airflow or white noise. In this video, part one of the series "Basic laryngology “Mind the Gap” I supply video examples supporting these definitions. YouTube. AUDIO (BEFORE-AND-AFTER) Presently this page is limited to audio examples of pitch surgeries. All of the "Before" recordings were made with professional equipment in my office.Many of the "After" recordings were made over the telephone or on the patient's computer and this will affect the audio quality.Use the links on the right to filter your search | Reset filter Use the patient age drop-down to select age(s) to NORMAL FEMALE VOCAL CORD Click on the image to see full-size version. young female singer in her 20s with normal vocal cords, Viewed during the midportion of stroboscopy and during breathing in. INTERARYTENOID MUSCLE (IA) The IA (interarytenoid) muscle holds the vocal cords in a closed position after the LCA muscles bring them together. The IA muscle from one side attaches with the IA muscle from the other side. Because the IA muscles connect in the midline, this is one muscle where there seems to be cross innervation or nerve input from the opposite side. FEMINIZATION LARYNGOPLASTY Feminization Laryngoplasty. Sunday, July 24, 2016 - 08:55. I presented a short description of some of the work I am doing to modify the comfortable speaking pitch and pitch range of transgender individuals wishing to sound more feminine at the 23rd WPATH Symposium in Amsterdam, The Netherlands on July 20, 2016. WHY CAN'T I HIT A HIGH NOTE ANYMORE? Spasms. When i use to sing i could get my voice pretty high, Playing Football about 3 weeks ago I was hit open handed in the bottom of my throat, I was gasping for air for a good 30 seconds- 1 minute. Afterwards i could not talk and it hurt alot, i went to emergency and they had a look and said there was no damage, it was probably just amuscle
VIDEOS | VOICEDOCTOR.NET Videos. Search for videos by title and/or description. Abductor spasm in patient with spasmodic dysphonia. Bilateral laryngeal paralysis. Feminization Laryngoplasty 2005, Bologna, Italy. HD Hemorrhagic vocal cord polyps - laryngology 101 HD version. HD Hemorrhagic vocal cord polyps, part II - laryngology 101 HD version. High Definition ABOUT VOICEDOCTOR.NET About voicedoctor.net. This site is my attempt to inform you about voice disorders from a physician's perspective. Vocal cords behave according to the laws of physics and there is not much that is mystical about them - although they are most important for transmitting verbal information and emotion from one person toanother.
PHYSICIANS | VOICEDOCTOR.NET Physicians. This list consists of physicians who practice laryngology, who may be known as laryngologists, phonosurgeons, phoniatrists, voice surgeons or at least seem to have a major interest in voice disorders. Their training in voice was likely after completing a residency in ENT or otorhinolaryngology. The general political considerationsLARYNGOSCOPY
WEB GLOTTOPLASTY
Web glottoplasty. Webbing of the anterior portion of the vocal cords is a surgery designed to raise the comfortable speaking pitch by shortening the vibrating length of the vocal cords. It should also remove some of the lower pitches.MUSCLE COMPENSATION
The TA muscle is within the vocal cord and isometrically tightens the vocal cord to raise pitch, while the CT muscle is located on the external surface of the laryngeal cartilages and lengthens the vocal cords to raise the pitch. If there is decreased neurologic input to one of these muscles, the other muscle compensates at least partially. FEMINIZATION LARYNGOPLASTY voice and the resonant frequency of the vocal tract, particulalry for male-to-female transgender patients. It is designed in an attempt to address possible shortcomings in quality, longevity, as AUDIO (BEFORE-AND-AFTER) Presently this page is limited to audio examples of pitch surgeries. All of the "Before" recordings were made with professional equipment in my office.Many of the "After" recordings were made over the telephone or on the patient's computer and this will affect the audio quality.Use the links on the right to filter your search | Reset filter Use the patient age drop-down to select age(s) to FEMINIZATION LARYNGOPLASTY Feminization Laryngoplasty. Sunday, July 24, 2016 - 08:55. I presented a short description of some of the work I am doing to modify the comfortable speaking pitch and pitch range of transgender individuals wishing to sound more feminine at the 23rd WPATH Symposium in Amsterdam, The Netherlands on July 20, 2016. VOICE HOARSNESS AND ASTHMA INHALERS This doesn't bother me, however when I take inhaled steroid sprays for asthma, my voice becomes much more weak, breathy, hoarse and even higher in pitch. I struggle to project my voice and it's a real strain in public settings. I've tried many different steroid preventer inhalers, and they all seem to cause this voice problem. VIDEOS | VOICEDOCTOR.NET Videos. Search for videos by title and/or description. Abductor spasm in patient with spasmodic dysphonia. Bilateral laryngeal paralysis. Feminization Laryngoplasty 2005, Bologna, Italy. HD Hemorrhagic vocal cord polyps - laryngology 101 HD version. HD Hemorrhagic vocal cord polyps, part II - laryngology 101 HD version. High Definition ABOUT VOICEDOCTOR.NET About voicedoctor.net. This site is my attempt to inform you about voice disorders from a physician's perspective. Vocal cords behave according to the laws of physics and there is not much that is mystical about them - although they are most important for transmitting verbal information and emotion from one person toanother.
PHYSICIANS | VOICEDOCTOR.NET Physicians. This list consists of physicians who practice laryngology, who may be known as laryngologists, phonosurgeons, phoniatrists, voice surgeons or at least seem to have a major interest in voice disorders. Their training in voice was likely after completing a residency in ENT or otorhinolaryngology. The general political considerationsLARYNGOSCOPY
WEB GLOTTOPLASTY
Web glottoplasty. Webbing of the anterior portion of the vocal cords is a surgery designed to raise the comfortable speaking pitch by shortening the vibrating length of the vocal cords. It should also remove some of the lower pitches.MUSCLE COMPENSATION
The TA muscle is within the vocal cord and isometrically tightens the vocal cord to raise pitch, while the CT muscle is located on the external surface of the laryngeal cartilages and lengthens the vocal cords to raise the pitch. If there is decreased neurologic input to one of these muscles, the other muscle compensates at least partially. FEMINIZATION LARYNGOPLASTY voice and the resonant frequency of the vocal tract, particulalry for male-to-female transgender patients. It is designed in an attempt to address possible shortcomings in quality, longevity, as AUDIO (BEFORE-AND-AFTER) Presently this page is limited to audio examples of pitch surgeries. All of the "Before" recordings were made with professional equipment in my office.Many of the "After" recordings were made over the telephone or on the patient's computer and this will affect the audio quality.Use the links on the right to filter your search | Reset filter Use the patient age drop-down to select age(s) to FEMINIZATION LARYNGOPLASTY Feminization Laryngoplasty. Sunday, July 24, 2016 - 08:55. I presented a short description of some of the work I am doing to modify the comfortable speaking pitch and pitch range of transgender individuals wishing to sound more feminine at the 23rd WPATH Symposium in Amsterdam, The Netherlands on July 20, 2016. VOICE HOARSNESS AND ASTHMA INHALERS This doesn't bother me, however when I take inhaled steroid sprays for asthma, my voice becomes much more weak, breathy, hoarse and even higher in pitch. I struggle to project my voice and it's a real strain in public settings. I've tried many different steroid preventer inhalers, and they all seem to cause this voice problem. BEFORE CONTACTING US Before contacting us. Please be aware that a delay in a response to email can be common. If you have spam blocking on your email, please allow all replies from any voicedoctor.net address; the response might not come from the same address to which you sent it. A response to any enquiry by email is limited by the legal parameters of the doctorCLASSIFICATION
A conceptual organization of voice disorders. Upon diagnosing a voice problem, I subdivide causes of hoarseness into two primary categories. I think of these broad categories in terms of what causes the vocal cord dysfunction and so I name them functional hoarseness and structural hoarseness. This categorization is based upon the perceived cause of the hoarseness and it helps in directing theWHAT IS SPEECH?
We can imagine speech (at an unvarying pitch and volume) as a package of cognitive information. Voice is the wire used for the transmission of speech. Voice then typically carries information from one location to another from one location to another. With voice, we alter volume or change pitch to carry our words some distance to penetrate CHOOSING YOUR DOCTOR The physician sees you promptly. This is a small quality indicator and really should only be considered along with many other characteristics Physicians who overbook, may be making efficient use of their time, possibly at the expense of yours. There are certainly plenty of reasons for a physician to be behind - the office should keep youinformed.
AUDIO (BEFORE-AND-AFTER) Presently this page is limited to audio examples of pitch surgeries. All of the "Before" recordings were made with professional equipment in my office.Many of the "After" recordings were made over the telephone or on the patient's computer and this will affect the audio quality.Use the links on the right to filter your search | Reset filter Use the patient age drop-down to select age(s) to INTERARYTENOID MUSCLE (IA) The IA (interarytenoid) muscle holds the vocal cords in a closed position after the LCA muscles bring them together. The IA muscle from one side attaches with the IA muscle from the other side. Because the IA muscles connect in the midline, this is one muscle where there seems to be cross innervation or nerve input from the opposite side. FEMINIZATION LARYNGOPLASTY voice and the resonant frequency of the vocal tract, particulalry for male-to-female transgender patients. It is designed in an attempt to address possible shortcomings in quality, longevity, as THE HOARSE WHISPERER The Hoarse Whisperer. Treatment for vocal chord disorder leaves reporter nearly speechless. Tuesday, May 2, 2000. by Jeffrey Cohan, Pittsburgh Post-Gazette Staff Writer. You know that obscene call you received, with the heavy breathing on the other end of the line? THYROHYOID ELEVATION After you are asleep, an incision is placed parallel to or in a skin crease of your neck over the Adam’s apple. The thyroid cartilage (Adam's apple) is exposed and the top portion removed. Holes are placed in the thyroid cartilage and in the hyoid bone and when tightened, the voice box is raised higher in the neck. FEMINIZATION LARYNGOPLASTY Feminization Laryngoplasty. Sunday, July 24, 2016 - 08:55. I presented a short description of some of the work I am doing to modify the comfortable speaking pitch and pitch range of transgender individuals wishing to sound more feminine at the 23rd WPATH Symposium in Amsterdam, The Netherlands on July 20, 2016. VIDEOS | VOICEDOCTOR.NET Videos. Search for videos by title and/or description. Abductor spasm in patient with spasmodic dysphonia. Bilateral laryngeal paralysis. Feminization Laryngoplasty 2005, Bologna, Italy. HD Hemorrhagic vocal cord polyps - laryngology 101 HD version. HD Hemorrhagic vocal cord polyps, part II - laryngology 101 HD version. High Definition ABOUT VOICEDOCTOR.NET About voicedoctor.net. This site is my attempt to inform you about voice disorders from a physician's perspective. Vocal cords behave according to the laws of physics and there is not much that is mystical about them - although they are most important for transmitting verbal information and emotion from one person toanother.
PHYSICIANS | VOICEDOCTOR.NET Physicians. This list consists of physicians who practice laryngology, who may be known as laryngologists, phonosurgeons, phoniatrists, voice surgeons or at least seem to have a major interest in voice disorders. Their training in voice was likely after completing a residency in ENT or otorhinolaryngology. The general political considerationsWHAT IS SPEECH?
We can imagine speech (at an unvarying pitch and volume) as a package of cognitive information. Voice is the wire used for the transmission of speech. Voice then typically carries information from one location to another from one location to another. With voice, we alter volume or change pitch to carry our words some distance to penetrateMEDIALIZATION
Medialization laryngoplasty is a procedure that provides support to a vocal fold that lacks either the bulk, the mobility or both, that it once had. Most commonly it is used to try and correct a neurologic injury or problem that prevents full closure of the vocal fold orfolds.
LARYNGOSCOPY
The two qualities that most people don't appreciate are roughness and breathiness. Technically roughness could be called diplophonia and breathiness could be called turbulent airflow or white noise. In this video, part one of the series "Basic laryngology “Mind the Gap” I supply video examples supporting these definitions. YouTube.WEB GLOTTOPLASTY
Web glottoplasty. Webbing of the anterior portion of the vocal cords is a surgery designed to raise the comfortable speaking pitch by shortening the vibrating length of the vocal cords. It should also remove some of the lower pitches.LARYNGOSCOPY
THE HOARSE WHISPERER The Hoarse Whisperer. Treatment for vocal chord disorder leaves reporter nearly speechless. Tuesday, May 2, 2000. by Jeffrey Cohan, Pittsburgh Post-Gazette Staff Writer. You know that obscene call you received, with the heavy breathing on the other end of the line? THYROHYOID ELEVATION VIDEOS | VOICEDOCTOR.NET Videos. Search for videos by title and/or description. Abductor spasm in patient with spasmodic dysphonia. Bilateral laryngeal paralysis. Feminization Laryngoplasty 2005, Bologna, Italy. HD Hemorrhagic vocal cord polyps - laryngology 101 HD version. HD Hemorrhagic vocal cord polyps, part II - laryngology 101 HD version. High Definition ABOUT VOICEDOCTOR.NET About voicedoctor.net. This site is my attempt to inform you about voice disorders from a physician's perspective. Vocal cords behave according to the laws of physics and there is not much that is mystical about them - although they are most important for transmitting verbal information and emotion from one person toanother.
PHYSICIANS | VOICEDOCTOR.NET Physicians. This list consists of physicians who practice laryngology, who may be known as laryngologists, phonosurgeons, phoniatrists, voice surgeons or at least seem to have a major interest in voice disorders. Their training in voice was likely after completing a residency in ENT or otorhinolaryngology. The general political considerationsWHAT IS SPEECH?
We can imagine speech (at an unvarying pitch and volume) as a package of cognitive information. Voice is the wire used for the transmission of speech. Voice then typically carries information from one location to another from one location to another. With voice, we alter volume or change pitch to carry our words some distance to penetrateMEDIALIZATION
Medialization laryngoplasty is a procedure that provides support to a vocal fold that lacks either the bulk, the mobility or both, that it once had. Most commonly it is used to try and correct a neurologic injury or problem that prevents full closure of the vocal fold orfolds.
LARYNGOSCOPY
The two qualities that most people don't appreciate are roughness and breathiness. Technically roughness could be called diplophonia and breathiness could be called turbulent airflow or white noise. In this video, part one of the series "Basic laryngology “Mind the Gap” I supply video examples supporting these definitions. YouTube.WEB GLOTTOPLASTY
Web glottoplasty. Webbing of the anterior portion of the vocal cords is a surgery designed to raise the comfortable speaking pitch by shortening the vibrating length of the vocal cords. It should also remove some of the lower pitches.LARYNGOSCOPY
THE HOARSE WHISPERER The Hoarse Whisperer. Treatment for vocal chord disorder leaves reporter nearly speechless. Tuesday, May 2, 2000. by Jeffrey Cohan, Pittsburgh Post-Gazette Staff Writer. You know that obscene call you received, with the heavy breathing on the other end of the line? THYROHYOID ELEVATIONGENERAL ENT EXAM
The general exam begins by looking into the: Ears. Nose. Mouth. Throat. While some of these areas may not seem too closely related to voice, they can be peripherally related. For example, the structures of the pharynx, mouth and nose alter resonance. Then examining the structures in the neck: Salivary glands.MEDIALIZATION
Medialization laryngoplasty is a procedure that provides support to a vocal fold that lacks either the bulk, the mobility or both, that it once had. Most commonly it is used to try and correct a neurologic injury or problem that prevents full closure of the vocal fold orfolds.
MISSION | VOICEDOCTOR.NET Mission. At the practice of James P. Thomas, MD, our mission is to: Provide all patients with the highest quality voice and laryngeal care. Be innovative and improve on the diagnosis and the surgeries available to treat voice and laryngeal disorders. Disseminate the information that I have learned about the voice and larynx, byteaching.
LARYNGOSCOPY
The two qualities that most people don't appreciate are roughness and breathiness. Technically roughness could be called diplophonia and breathiness could be called turbulent airflow or white noise. In this video, part one of the series "Basic laryngology “Mind the Gap” I supply video examples supporting these definitions. YouTube.LOUD VOLUME
A loud sound that can only be produced at high pitch is suggestive of weakness such as a recurrent laryngeal nerve paresis. Notation is made of quality. A loud phonation that is clear at high pitch and causes flutter at low pitch is suggestive of an anterior branch, recurrent laryngeal nerve paresis. Notation is made of patient effort. BOWING | VOICEDOCTOR.NET Summary. With vocal cord bowing, air leak is greater at low pitch when the concave vocal cords allow the most air to escape. Since the thyroarytenoid muscles are still functioning, with the increased subglottic pressure during a yell, they can maintain tension andvibrate normally.
THE HOARSE WHISPERER The Hoarse Whisperer. Treatment for vocal chord disorder leaves reporter nearly speechless. Tuesday, May 2, 2000. by Jeffrey Cohan, Pittsburgh Post-Gazette Staff Writer. You know that obscene call you received, with the heavy breathing on the other end of the line?MUSCLE COMPENSATION
The TA muscle is within the vocal cord and isometrically tightens the vocal cord to raise pitch, while the CT muscle is located on the external surface of the laryngeal cartilages and lengthens the vocal cords to raise the pitch. If there is decreased neurologic input to one of these muscles, the other muscle compensates at least partially. INTERARYTENOID MUSCLE (IA) The IA (interarytenoid) muscle holds the vocal cords in a closed position after the LCA muscles bring them together. The IA muscle from one side attaches with the IA muscle from the other side. Because the IA muscles connect in the midline, this is one muscle where there seems to be cross innervation or nerve input from the opposite side. WHY CAN'T I SING ANYMORE? SINGING VOICE GONE FOR SEVERAL I was wondering if you could help me figure out why I've lost my singing voice. I'm 23 years old, been singing since the day i said my first words as a baby, and I never had any problems whatsoever with my voice until a year or two ago, at the very least I never had a problem before I was 21, and as far as I remember it didn't become a problemuntil 22.
PHYSICIANS | VOICEDOCTOR.NET Physicians. This list consists of physicians who practice laryngology, who may be known as laryngologists, phonosurgeons, phoniatrists, voice surgeons or at least seem to have a major interest in voice disorders. Their training in voice was likely after completing a residency in ENT or otorhinolaryngology. The general political considerationsWHAT IS SPEECH?
We can imagine speech (at an unvarying pitch and volume) as a package of cognitive information. Voice is the wire used for the transmission of speech. Voice then typically carries information from one location to another from one location to another. With voice, we alter volume or change pitch to carry our words some distance to penetrate MISSION | VOICEDOCTOR.NET Mission. At the practice of James P. Thomas, MD, our mission is to: Provide all patients with the highest quality voice and laryngeal care. Be innovative and improve on the diagnosis and the surgeries available to treat voice and laryngeal disorders. Disseminate the information that I have learned about the voice and larynx, byteaching.
MEDIALIZATION
Medialization laryngoplasty is a procedure that provides support to a vocal fold that lacks either the bulk, the mobility or both, that it once had. Most commonly it is used to try and correct a neurologic injury or problem that prevents full closure of the vocal fold orfolds.
WEB GLOTTOPLASTY
Web glottoplasty. Webbing of the anterior portion of the vocal cords is a surgery designed to raise the comfortable speaking pitch by shortening the vibrating length of the vocal cords. It should also remove some of the lower pitches. PHYSICIANS | VOICEDOCTOR.NET Voice diagnosis, therapy, and surgery. Before and after audio and informational videos. Normal vocal cords, behavioral injury, structural injury, and incisions. A questions and answers forum, and a location based physician search.LARYNGOSCOPY
The two qualities that most people don't appreciate are roughness and breathiness. Technically roughness could be called diplophonia and breathiness could be called turbulent airflow or white noise. In this video, part one of the series "Basic laryngology “Mind the Gap” I supply video examples supporting these definitions. YouTube.LOUD VOLUME
A loud sound that can only be produced at high pitch is suggestive of weakness such as a recurrent laryngeal nerve paresis. Notation is made of quality. A loud phonation that is clear at high pitch and causes flutter at low pitch is suggestive of an anterior branch, recurrent laryngeal nerve paresis. Notation is made of patient effort.DAVID PRILLWITZ
In practice since 1984 - shared professional appointment at Legacy Emanuel Randall Children's Hospital and in private practice, as well as professor of graduate courses at Portland State University in aphasia and clinical management. 909 NW 18th Avenue. Portland, OR 97209. Contact telephone 503-998-4450. david.prillwitz@gmail.com. WHY CAN'T I SING ANYMORE? SINGING VOICE GONE FOR SEVERAL Now one of the issues here is that this has made it so unpleasant to sing that I've largely given up singing for several months, which I'm sure leads to underuse of vocal muscles, leading to the muscles atrophying or losing some of their strength, leading to further pain, leading to even less singing. A vicious cycle. PHYSICIANS | VOICEDOCTOR.NET Physicians. This list consists of physicians who practice laryngology, who may be known as laryngologists, phonosurgeons, phoniatrists, voice surgeons or at least seem to have a major interest in voice disorders. Their training in voice was likely after completing a residency in ENT or otorhinolaryngology. The general political considerationsWHAT IS SPEECH?
We can imagine speech (at an unvarying pitch and volume) as a package of cognitive information. Voice is the wire used for the transmission of speech. Voice then typically carries information from one location to another from one location to another. With voice, we alter volume or change pitch to carry our words some distance to penetrate MISSION | VOICEDOCTOR.NET Mission. At the practice of James P. Thomas, MD, our mission is to: Provide all patients with the highest quality voice and laryngeal care. Be innovative and improve on the diagnosis and the surgeries available to treat voice and laryngeal disorders. Disseminate the information that I have learned about the voice and larynx, byteaching.
MEDIALIZATION
Medialization laryngoplasty is a procedure that provides support to a vocal fold that lacks either the bulk, the mobility or both, that it once had. Most commonly it is used to try and correct a neurologic injury or problem that prevents full closure of the vocal fold orfolds.
WEB GLOTTOPLASTY
Web glottoplasty. Webbing of the anterior portion of the vocal cords is a surgery designed to raise the comfortable speaking pitch by shortening the vibrating length of the vocal cords. It should also remove some of the lower pitches. PHYSICIANS | VOICEDOCTOR.NET Voice diagnosis, therapy, and surgery. Before and after audio and informational videos. Normal vocal cords, behavioral injury, structural injury, and incisions. A questions and answers forum, and a location based physician search.LARYNGOSCOPY
The two qualities that most people don't appreciate are roughness and breathiness. Technically roughness could be called diplophonia and breathiness could be called turbulent airflow or white noise. In this video, part one of the series "Basic laryngology “Mind the Gap” I supply video examples supporting these definitions. YouTube.LOUD VOLUME
A loud sound that can only be produced at high pitch is suggestive of weakness such as a recurrent laryngeal nerve paresis. Notation is made of quality. A loud phonation that is clear at high pitch and causes flutter at low pitch is suggestive of an anterior branch, recurrent laryngeal nerve paresis. Notation is made of patient effort.DAVID PRILLWITZ
In practice since 1984 - shared professional appointment at Legacy Emanuel Randall Children's Hospital and in private practice, as well as professor of graduate courses at Portland State University in aphasia and clinical management. 909 NW 18th Avenue. Portland, OR 97209. Contact telephone 503-998-4450. david.prillwitz@gmail.com. WHY CAN'T I SING ANYMORE? SINGING VOICE GONE FOR SEVERAL Now one of the issues here is that this has made it so unpleasant to sing that I've largely given up singing for several months, which I'm sure leads to underuse of vocal muscles, leading to the muscles atrophying or losing some of their strength, leading to further pain, leading to even less singing. A vicious cycle.GENERAL ENT EXAM
The general exam begins by looking into the: Ears. Nose. Mouth. Throat. While some of these areas may not seem too closely related to voice, they can be peripherally related. For example, the structures of the pharynx, mouth and nose alter resonance. Then examining the structures in the neck: Salivary glands.MEDIALIZATION
Medialization laryngoplasty is a procedure that provides support to a vocal fold that lacks either the bulk, the mobility or both, that it once had. Most commonly it is used to try and correct a neurologic injury or problem that prevents full closure of the vocal fold orfolds.
CHOOSING YOUR DOCTOR The physician sees you promptly. This is a small quality indicator and really should only be considered along with many other characteristics Physicians who overbook, may be making efficient use of their time, possibly at the expense of yours. There are certainly plenty of reasons for a physician to be behind - the office should keep youinformed.
MISSION | VOICEDOCTOR.NET Mission. At the practice of James P. Thomas, MD, our mission is to: Provide all patients with the highest quality voice and laryngeal care. Be innovative and improve on the diagnosis and the surgeries available to treat voice and laryngeal disorders. Disseminate the information that I have learned about the voice and larynx, byteaching.
PHYSICIANS | VOICEDOCTOR.NET Voice diagnosis, therapy, and surgery. Before and after audio and informational videos. Normal vocal cords, behavioral injury, structural injury, and incisions. A questions and answers forum, and a location based physician search.LARYNGOSCOPY
The two qualities that most people don't appreciate are roughness and breathiness. Technically roughness could be called diplophonia and breathiness could be called turbulent airflow or white noise. In this video, part one of the series "Basic laryngology “Mind the Gap” I supply video examples supporting these definitions. YouTube. BLOG | VOICEDOCTOR.NET Voice diagnosis, therapy, and surgery. Before and after audio and informational videos. Normal vocal cords, behavioral injury, structural injury, and incisions. A questions and answers forum, and a location based physician search.LOUD VOLUME
A loud sound that can only be produced at high pitch is suggestive of weakness such as a recurrent laryngeal nerve paresis. Notation is made of quality. A loud phonation that is clear at high pitch and causes flutter at low pitch is suggestive of an anterior branch, recurrent laryngeal nerve paresis. Notation is made of patient effort. ADDUCTOR SPASMODIC DYSPHONIA INJECTION ADductor spasmodic dysphonia injection. ADductor spasmodic dysphonia is the most common type of laryngeal dystonia and involves spasms of the muscles that close the vocal folds. It could be appropriately called the strain-strangled voice. The spasms cause a choking off of the voice or interruptions of the voice. THYROHYOID ELEVATION After you are asleep, an incision is placed parallel to or in a skin crease of your neck over the Adam’s apple. The thyroid cartilage (Adam's apple) is exposed and the top portion removed. Holes are placed in the thyroid cartilage and in the hyoid bone and when tightened, the voice box is raised higher in the neck. PHYSICIANS | VOICEDOCTOR.NET Dr. Bastian offers a fellowship in laryngology. His insights into the functioning of the voice are superb. He is the originator of the concept of the three part laryngeal exam described by this site and is one of the few laryngologists who listens closely to the capabilitiesof the voice.
MEDIALIZATION
Medialization laryngoplasty. Information for patients considering a medialization procedure or implant into their vocal folds. Definition;Indications
MISSION | VOICEDOCTOR.NET At the practice of James P. Thomas, MD, our mission is to: Provide all patients with the highest quality voice and laryngeal care. Be innovative and improve on the diagnosis and the surgeries available to treat voice and laryngeal disorders.WHAT IS SPEECH?
How is speech different from voice? Mr. Heimler, at 70 years old, seems older and less intelligent to his family since he was hospitalized for a stroke about two months ago.WEB GLOTTOPLASTY
Webbing of the anterior portion of the vocal cords is a surgery designed to raise the comfortable speaking pitch by shortening the vibrating length of the vocal cords. PHYSICIANS | VOICEDOCTOR.NET Voice diagnosis, therapy, and surgery. Before and after audio and informational videos. Normal vocal cords, behavioral injury, structural injury, and incisions. A questions and answers forum, and a location based physician search.LOUD VOLUME
A yell. A robust vocalization, not a scream, but a well-supported yell on the word “Hey” assesses the ability of a patient to maintain or recruit additional closure with increased subglottic pressure.LARYNGOSCOPY
In the second part of this video series, I'll talk about the various types of gaps that are encountered during an examination of the larynx. The video supplies recorded footage ofDAVID PRILLWITZ
Interested in chronic hoarseness, optimizing voice after medialization laryngoplasty, non-organic voice disorders, optimizing voice of vocal 'under-doers', spasmodic dysphonia, disorders of resonance. WHY CAN'T I SING ANYMORE? SINGING VOICE GONE FOR SEVERAL I was wondering if you could help me figure out why I've lost my singing voice. I'm 23 years old, been singing since the day i said my first words as a baby, and I never had any problems whatsoever with my voice until a year or two ago, at the very least I never had a problem before I was 21, and as far as I remember it didn't become a problemuntil 22.
PHYSICIANS | VOICEDOCTOR.NET Physicians. This list consists of physicians who practice laryngology, who may be known as laryngologists, phonosurgeons, phoniatrists, voice surgeons or at least seem to have a major interest in voice disorders. Their training in voice was likely after completing a residency in ENT or otorhinolaryngology. The general political considerationsWHAT IS SPEECH?
We can imagine speech (at an unvarying pitch and volume) as a package of cognitive information. Voice is the wire used for the transmission of speech. Voice then typically carries information from one location to another from one location to another. With voice, we alter volume or change pitch to carry our words some distance to penetrate MISSION | VOICEDOCTOR.NET Mission. At the practice of James P. Thomas, MD, our mission is to: Provide all patients with the highest quality voice and laryngeal care. Be innovative and improve on the diagnosis and the surgeries available to treat voice and laryngeal disorders. Disseminate the information that I have learned about the voice and larynx, byteaching.
MEDIALIZATION
Medialization laryngoplasty is a procedure that provides support to a vocal fold that lacks either the bulk, the mobility or both, that it once had. Most commonly it is used to try and correct a neurologic injury or problem that prevents full closure of the vocal fold orfolds.
WEB GLOTTOPLASTY
Web glottoplasty. Webbing of the anterior portion of the vocal cords is a surgery designed to raise the comfortable speaking pitch by shortening the vibrating length of the vocal cords. It should also remove some of the lower pitches. PHYSICIANS | VOICEDOCTOR.NET Voice diagnosis, therapy, and surgery. Before and after audio and informational videos. Normal vocal cords, behavioral injury, structural injury, and incisions. A questions and answers forum, and a location based physician search.LARYNGOSCOPY
The two qualities that most people don't appreciate are roughness and breathiness. Technically roughness could be called diplophonia and breathiness could be called turbulent airflow or white noise. In this video, part one of the series "Basic laryngology “Mind the Gap” I supply video examples supporting these definitions. YouTube.LOUD VOLUME
A loud sound that can only be produced at high pitch is suggestive of weakness such as a recurrent laryngeal nerve paresis. Notation is made of quality. A loud phonation that is clear at high pitch and causes flutter at low pitch is suggestive of an anterior branch, recurrent laryngeal nerve paresis. Notation is made of patient effort.DAVID PRILLWITZ
In practice since 1984 - shared professional appointment at Legacy Emanuel Randall Children's Hospital and in private practice, as well as professor of graduate courses at Portland State University in aphasia and clinical management. 909 NW 18th Avenue. Portland, OR 97209. Contact telephone 503-998-4450. david.prillwitz@gmail.com. WHY CAN'T I SING ANYMORE? SINGING VOICE GONE FOR SEVERAL Now one of the issues here is that this has made it so unpleasant to sing that I've largely given up singing for several months, which I'm sure leads to underuse of vocal muscles, leading to the muscles atrophying or losing some of their strength, leading to further pain, leading to even less singing. A vicious cycle.GENERAL ENT EXAM
The general exam begins by looking into the: Ears. Nose. Mouth. Throat. While some of these areas may not seem too closely related to voice, they can be peripherally related. For example, the structures of the pharynx, mouth and nose alter resonance. Then examining the structures in the neck: Salivary glands.MEDIALIZATION
Medialization laryngoplasty is a procedure that provides support to a vocal fold that lacks either the bulk, the mobility or both, that it once had. Most commonly it is used to try and correct a neurologic injury or problem that prevents full closure of the vocal fold orfolds.
CHOOSING YOUR DOCTOR The physician sees you promptly. This is a small quality indicator and really should only be considered along with many other characteristics Physicians who overbook, may be making efficient use of their time, possibly at the expense of yours. There are certainly plenty of reasons for a physician to be behind - the office should keep youinformed.
MISSION | VOICEDOCTOR.NET Mission. At the practice of James P. Thomas, MD, our mission is to: Provide all patients with the highest quality voice and laryngeal care. Be innovative and improve on the diagnosis and the surgeries available to treat voice and laryngeal disorders. Disseminate the information that I have learned about the voice and larynx, byteaching.
PHYSICIANS | VOICEDOCTOR.NET Voice diagnosis, therapy, and surgery. Before and after audio and informational videos. Normal vocal cords, behavioral injury, structural injury, and incisions. A questions and answers forum, and a location based physician search.LARYNGOSCOPY
The two qualities that most people don't appreciate are roughness and breathiness. Technically roughness could be called diplophonia and breathiness could be called turbulent airflow or white noise. In this video, part one of the series "Basic laryngology “Mind the Gap” I supply video examples supporting these definitions. YouTube. BLOG | VOICEDOCTOR.NET Voice diagnosis, therapy, and surgery. Before and after audio and informational videos. Normal vocal cords, behavioral injury, structural injury, and incisions. A questions and answers forum, and a location based physician search.LOUD VOLUME
A loud sound that can only be produced at high pitch is suggestive of weakness such as a recurrent laryngeal nerve paresis. Notation is made of quality. A loud phonation that is clear at high pitch and causes flutter at low pitch is suggestive of an anterior branch, recurrent laryngeal nerve paresis. Notation is made of patient effort. ADDUCTOR SPASMODIC DYSPHONIA INJECTION ADductor spasmodic dysphonia injection. ADductor spasmodic dysphonia is the most common type of laryngeal dystonia and involves spasms of the muscles that close the vocal folds. It could be appropriately called the strain-strangled voice. The spasms cause a choking off of the voice or interruptions of the voice. THYROHYOID ELEVATION After you are asleep, an incision is placed parallel to or in a skin crease of your neck over the Adam’s apple. The thyroid cartilage (Adam's apple) is exposed and the top portion removed. Holes are placed in the thyroid cartilage and in the hyoid bone and when tightened, the voice box is raised higher in the neck.* __ Search
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Are you a young physician a bit obsessed with all things voice? Interested in developing a laryngology only practice? Consider Portland, Oregon for your interests. I am also open to a fellow staying on after a fellowship. The next fellowship openingis June,
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Laryngology 101 SD - Hemorrhagic vocal cord polyps,part II, SD version
Standard Definition version: This video discusses surgical management of hemorrhagic vocal cord polyps and the expected outcome aftersurgery.
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HD Hemorrhagic vocal cord polyps, part II - laryngology 101 HD version This video discusses surgical management of hemorrhagic vocal cord polyps and the expected outcome after surgery.More videos
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Laryngology conferences ABOUT VOICEDOCTOR.NET This site is my attempt to inform you about voice disorders from a physician's perspective. Vocal cords behave according to the laws of physics and there is not much that is mystical about them - although they are most important for transmitting verbal information and emotion from one person to another. If you would like a summary of diagnosing voice disorders, that would be best available in a book I have written, published 2012, "Why is there a frog in my throat? A guide to hoarseness." All of the content on this site, including photos and videos, are available for your use under a creative commons license which allows you to use the content for non-profit or educational purposes at no cost, as long as you attribute it's source.Read more
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