Approximately 70-year-old male who has both smoked and consumed alcohol in the past. He also had a cancer removed from the floor of mouth one year ago. He reported a right-sided sore throat and intermittent referred otalgia to his right ear.
This 47-year-old female noted hoarseness that started 5-7 years before I saw her. The hoarseness has become progressively worse over the past 2 years. During the past 2 years, she has noted breaks in her voice and an increased effort to make sound.
She had 8 surgeries for laryngeal papilloma over 24 years. Then for the past 3 years, her ENT kept telling her she had reflux laryngitis. She was not getting better on acid reflux treatment, and came to visit me. She had recurrent papillomatosis.