In the March 20, 2009 edition of The New York Times, an article came out stating that individuals whose face turns red when drinking alcohol are at elevated risk of throat cancer. Click here to read more about it!
March 21, 2009
Dr. Christopher Chang will be a guest lecturer at Shenandoah University for a course on Anatomy and Function of the Singing Voice on March 30, 2009. The lecture will be held during normally scheduled hours at 4PM in Ruebush R209. This particular lecture will focus on vocal abuse and misuse for conservatory students and professionals.
March 17, 2009
|Image by Patrick Lynch from Wikipedia|
Click here to check it out!
March 11, 2009
NOTE: A more complete discussion on this topic can be found here.
A common complaint of patients seeing an ENT doctor is for a persistent phlegmy throat or sensation of mucus in the throat. Other symptoms that a patient may complain of include constant throat-clearing, cough, raspy voice, and a lump sensation in the middle of the throat (aka, globus).
Reflux (Acidic or Non-acidic)
In the VAST majority of patients with this complaint, it is due to a disorder called "laryngopharyngeal reflux" or LPR for short. This disorder is due to reflux whether acidic or non-acidic from the stomach that travels up to and settles in the throat region. This mucus collection can even be seen on fiberoptic endoscopy as shown in the picture here. Of note, most patients with LPR do NOT complain of heartburn, nausea, indigestion and other symptoms commonly associated with reflux.
The treatment is the same as for the more common and related GERD disorder except that treatment usually takes much longer... sometimes for as long as 6 weeks to 3 months. Some over-the-counter medications one can try are listed at the end of this article.
To read more about this disorder as well as treatment options, click here.
Sometimes, the throat mucus can come from the nose. In these patients, they literally feel the drainage travelling from the nose and down into the throat. Often, when one looks in the back of the throat, the drainage can be seen. Treatment for this drainage depends on what it is caused by. If due to sinusitis, antibiotics is the treatment. If due to allergies, allergy treatment is recommended. If due to vasomotor rhinnitis, nasal sprays such as atrovent, patanase, and astelin may be quite helpful. In these patients, turbinate reduction may quite helpful to reduce the amount of drainage.
Uncommonly, food "sensitivities" can cause excessive throat mucus to develop. The most common culprit is dairy products (many folks develop lots of phlegm in the throat when drinking lots of whole milk for example). Other common triggers include egg and wheat. Treatment for this problem is mainly avoidance.
To be clear, we are NOT talking about food allergies.
Even more rarely, there may be an anatomic abnormality in the throat called a Zenker's Diverticulum. Basically, this abnormality is a pouch that protrudes from the esophagus (swallowing tube) which catches food and mucus preventing it from going down towards the stomach. At random times, the contents in the pouch may suddenly regurgitate causing aspiration as well as mucus collection in the throat.
Treatment is surgical. Click here for more info.
Read more about these and other cause of phlegmy throat conditions here.
Medications that may help reflux:
March 07, 2009
March 04, 2009
Dr. Chang has been quoted in the Middleburg Eccentric newspaper. Click on the image to read the article. Yes... we know... they spelled his last name wrong...
March 01, 2009
A new webpage has been added to our website describing the uvulopalatopharyngoplasty (UPPP) procedure to address patients with obstructive sleep apnea (OSA). Patients who pursue surgical options to treat OSA have usually tried and failed to tolerate CPAP mask use. Click here for more info.
Other surgical procedures we provide to treat OSA include:
• Base of Tongue Reduction
• Lingual Tonsillectomy
• Pillar Procedure
• Coblation Palatoplasty
• Injection Snoreplasty
• Turbinate Reduction
• Tonsillectomy & Adenoidectomy