Reinke’s Edema is a polypoid degeneration of the true vocal cords. Synonyms include Polypoid Corditis and Chronic Hypertrophic Laryngitis. Reinke’s Space is a collection of loose gelatenous material in the superficial layer of the Lamina Propria between the non keritinizing stratus squamous epithelium of the true vocal cord and vocal ligament. It is bounded anteriorly by Broyles ligamant and posteriorly by the arytenoids.
There is a strong association with smoking, vocal abuse and GERD. These are fun people that you would want to hang around with. Some have mentioned hypothyroidism.
Treatment is smoking cessation, empiric treatment of LPR/GERD, and screening for thyroid issues. Beyond that surgical intervention is warranted. Hirono’s method is the creation of a superior true vocal cord incision and suctioning the excess gelatenous material out. Laser and microdebrider techniques have been described. Any excess flap then is trimmed with the micro laryngeal scissors. I also like to add in a therapeutic steroid injection.
Hemangioma treatment with Inderal
Hemangiomas tend towards a natural regression. There is however a proliferative phase. Inderal was incidentally discovered to hasten the regression. It is available is a liquid or a tablet. It has been tolerated in infancy, which is where the most targeted proliferative phase happens. Typically it is dosed in a bid fashion at around 1-2 mg/kg/day for 5-6 months. Blood glucose and EKG are often checked pre treatment.
Meth Mouth
Meth mouth is a dental condition characterized by severe decay and loss of teeth, as well as fracture, enamel erosion, and other oral problems symptomatic of extended use of the drug methamphetamine (meth). The specific cause of the condition is unknown, although drug-induced xerostomia (dry mouth) and bruxism (grinding of the teeth) are thought to be involved. Other frequently cited factors are poor nutrition and lack of dental hygiene, common among long-term users of the drug. The legitimacy of meth mouth as a unique condition has been questioned because of the similar effects of some other drugs on teeth. Advocates of its status as a unique condition cite the pattern and scope of the decay as distinguishing factors.
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The area’s specialists in total care of the ear, nose, throat, and sinuses.
Otolaryngology is the oldest medical specialty in the United States. Otolaryngologists are commonly referred to as ENT physicians. They can also be known as Head and Neck Surgeons, ENT Allergists, Facial Plastic Surgeons, or Sinus Specialists.
Our 7 ENT physicians, and staff of over 40, possess the unique combination of training and experience to provide our patients with a diverse array of both medical and surgical treatments for both adult and pediatric ear, nose, and throat disorders.
Our comprehensive approach to specialty care gives us the advantage in being the “final consult” for most patients. We are able to offer our complex patients any and all necessary tests and treatments in a single location under the “common sense”care of a single board certified physician.
http://www.youtube.com/watch?v=R-1k8yeeq9Q