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Updated: 7:45 a.m. PDT, April 24, 2008 Current time:

Case histories: Laryngeal fungal infection from steroid inhaler

History

Complaints

  • 6th Decade
  • male
  • Three years of hoarseness
  • Loses voice with use
  • Had a previous gelfoam injection into his vocal cords which helped for 2 weeks

Character

  • talkativeness scale: 4
  • loudness: 5

Vocal capabilities

  • Reading voice
    • airy quality.
  • Pitch range
    • Anchor pitch E3
    • Low pitch - A2
    • High pitch - E4
    • vocal ceiling: central gap
    • Maximum phonation time: 9 seconds at E3 (fades)
    • Yell: excellent volume

This film shows this patient before and after treatment as well as a second similar patient.

ipod version - 12.5 MB

high resolution - 16 MB

low resolution - 1 MB

no narration - 15 MB

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Stroboscopic Examination

  • I really could not visualize the vocal cords during ADduction.

Initial Exam
fungal laryngitis

View during ABduction: Capillaries are dilated and their are small white spots. If one looks closely there is a haze visible on the posterior vocal cords
fungal laryngitis

View during ADduction: general redness from dilated capillaries

Post treatment
fungal laryngitis post treatment

View during mid ABduction: dilated capillaries (and thus redness) have improved
fungal laryngitis post treatment

View during ADduction: strobe during closed phase. dilated capillaries (and thus redness) have improved

Treatment

Medical

Diflucan for 10 days. Laryngeal gargles with water.

Behavioral

No therapy was recommended.

Surgical

None
Contact the author: James P. Thomas, MD

Created 4 April 2008