Larynx is the area of the throat, contained within a rigid framework formed by various cartilages. The most important part of the larynx is the vocal cords which generate voice and function as the inlet to the lungs. Epiglottis, which is an important part of the laryngeal framework, in conjunction with laryngeal muscles, prevents food from entering the airway and thus protects the laryngeal inlet and the tracheobronchial tree.
Laryngology is the division of ENT which deals with the disorders, diseases, and injuries of the larynx. Because of the prime function of production and modulation of voice, the larynx is generally referred to as the ‘Voice Box’. The voice box sits in the front of the neck and contains the vocal cords and accessory structures.
Common ailments include vocal cord nodules, cysts, polypi, spasmodic dysphonia, laryngopharyngeal reflux, papilloma, vocal cord palsies, laryngeal cancer, etc. The voice disorders are evaluated, and an accurate diagnosis is arrived at using the Stroboscope. At Ascent AE we have set up a comprehensive Voice Lab for thorough Stroboscopic assessment of the voice and computerized analysis of the findings. Treatment programs are decided based on international protocols.
Phono-surgery procedures help improve the quality of voice by correcting defects in laryngeal sound production. It’s achieved by Phono microsurgery (microsurgery of the vocal folds through an endoscope), laryngoplastic phono surgery (open-neck surgery that restructures the cartilaginous framework of the larynx and the soft tissues), laryngeal injection (injection into the larynx of medications as well as synthetic and organic biologic substances) and re-innervation (restoration of the nerve supply) of the larynx. Generally, surgical procedures are performed only if there is no relief, after applying conservative measures including voice therapy for voice quality improvement. Voice therapy is given post-operatively as well, to maintain perfect vocal hygiene.
Laryngopharyngeal Reflux (LPR) refers to the back flow of food or acid back up into the larynx or to the pharynx. A feeling of a lump in the throat or difficulty swallowing may be the initial signs of LPR. Some may feel heartburns. After food intake, normal cases digestion process will begin without the contents of the stomach coming back up again causing refluxing. Not every case maybe with reflux with heartburns or indigestion. Many with LPR may never have heartburns. That is why LPR is also referred as silent reflux and very difficult to diagnose in many cases.
Acid reflux symptoms include heartburn, throat irritation, regurgitation, a sour taste in the mouth, and difficulty swallowing. Some people may also experience chronic cough and hoarseness due to acid affecting the throat.
Yes, untreated acid reflux can lead to complications such as esophagitis, ulcers, and Barrett’s esophagus, which increases the risk of esophageal cancer. Chronic acid reflux may also cause respiratory issues and long-term throat damage.
To manage acid reflux cough, avoid trigger foods, maintain a healthy diet, sleep with your head elevated, and take prescribed medications. If symptoms persist, consult a specialist to explore effective acid reflux treatment options.