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Laryngeal Mass:   The two patients shown on the right have a supraglottic mass caused by a lymphoma ( a blood cell cancer ).  In both patients, the mass was submucosal ( below the skin ).  The photograph on the far right shows a mass protruding out over the true vocal cords , coming out of the laryngeal ventricle .  The left hand picture shows a large supraglottic mass which is deep in the tissues of the larynx.


 

 
 
  The picture on the right shows a 60 year old patient with a  lymphoma arising from the left epiglottis and vallecula .  
Vocal Cord Nodules:  These nodules are similar to calluses on a worker's hands.  They are caused by chronic straining of the voice.  They are often called singer's or screamer's nodules.  Speech therapy to train the patient to not abuse his/her voice is usually curative.

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Dear T,
Sorry to hear about your son’s struggles. It sounds like you’re doing all the right things. For kids with chronic rhinitis and chronic cough, I am suspicious of reflux (GER/GERD) as a contributing factor. Take a look at the articles on this site for that topic. Regarding the precise amount of Manuka honey to use, it ends up being about a tablespoon for an 8-oz bottle of saline. Manuka honey may help reduce inflammation, studies have found that Manuka contains both a strong anti-microbial, and strong anti-inflammatory agents … worth a try.
Please let us know how it goes, and thanks for visiting.
RF

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