700 and counting!

We have successfully assisted our 700th patient in finding relief from R-CPD, or the inability to burp! Thank you to our patients who shared their success stories on places such as TikTok, Facebook and Reddit.  We will continue to offer tele-conversations, in-office consultations, and Botox injections for those who are interested in learning more, or who are ready to find relief. https://buff.ly/2SE7cHo

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New video about babies who can’t burp

Babies and older children with this condition are in misery, and so are their parents, with the stress of it all. The answer might be a dysfunction of the upper esophageal sphincter (Retrograde Cricopharyngeus Dysfunction, or R-CPD).

 

Ground-breaking publication by Dr. Brent Richardson about RRP

Dr. Brent Richardson is one of 4 clinicians at Bastian Voice Institute who together manage a large population of adult patients with recurrent respiratory papillomatosis (RRP).  RRP is caused by the human papilloma virus (HPV), which in turn stimulates growth of benign proliferative lesions called papillomas, similar to warts.  State-of-the-art management remains precise surgical removal of papillomas when the lesions regrow sufficiently to cause hoarseness or rarely in adults, airway obstruction.  Looking for a medical alternative to surgery, Dr. Richardson’s ground-breaking pilot study of three patients used an investigational oral anti-viral medication called Brincidofovir.  The medication appeared to reduce the amount of disease and prolong the interval to regrowth of lesions in these three patients.  Given these encouraging results, further study is needed, because the behavior of RRP is so variable. Dr. Richardson is pursuing the possibility of a larger clinical trial with the drug’s pharmaceutical sponsor and developer.  To view the abstract of his study, click this link: https://journals.sagepub.com/doi/abs/10.1177/00034894211007227

New video on YouTube!

Dr. Bastian makes extensive use of elicitation with his own voice in order to hear the “vocal phenomenology” of a voice under evaluation. He has named one phenomenon he has not heard described elsewhere as mucosal chatter. This post describes mucosal chatter and provides a video that demonstrates it in an injured voice.

New video on YouTube about COVID cough!

Those who contracted COVID-19 but are still experiencing coughing several days or weeks after recovery may have sensory neuropathic cough (SNC), a damaging of sensory nerve endings in the trachea, larynx, or pharynx.