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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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.
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