Monday, May 22, 2017

Prophylactic Swallow Therapy

Dance Center Head & Neck Team's research on prophylactic swallow therapy for patients with head and neck cancer undergoing chemoradiotherapy was recently published in the peer reviewed journal, Dysphagia.


 Prophylactic Swallow Therapy for Patients with Head and Neck Cancer

Friday, May 19, 2017

Prognosis After Squamous Cell Carcinoma of the Glottis

I was diagnosed with Squamous cell carcinoma in March of this year after years of chronic hoarseness. I had surgery to excise the area effected on my left vocal cord. Clear margins could not be determined on the Pathology report. We waited one month then my doctor looked at the area again and recommended we go back to get clear margins. I am waiting for this report. My question is this...is it typical to keep removing part of the cord opposed to radiation. I do not by any means want to do radiation but I also feel like my voice quality is suffering more and more. I am a non smoker, non drinker. No family history of head and neck cancer. Thanks for info.

Melissa Kim, M.S., CCC-SLP writes...

The only way to determine the most appropriate treatment course, with regards to your question about the options of further excision versus radiation therapy, would be to discuss these options with both your surgeon and a radiation oncologist. I certainly understand your concerns regarding vocal quality, but only a physician who has reviewed a detailed medical history and specifics of your previous excision and pathology would be able to offer guidance as to the most appropriate treatment plan and anticipated functional outcomes.

Best of luck to you -

Friday, May 5, 2017

Laryngology Grand Rounds

Johns Hopkins Voice Center
Greater Baltimore Medical Center

PRESENTS

Laryngology Grand Rounds
Friday, May 12, 2017


Physician Pavilion West 3rd Floor Conference Center
7:30 AM – 8:30 AM

“Interesting Cases in Laryngology” 

Moderator:
Lee Akst, M.D.




Thursday, April 27, 2017

Laryngeal Pharyngeal Reflux - LPR

Hi there,

I'm a professional recording artist and in January I noticed a very sudden shift in my vocal capacities, tone and range. It happened (literally) overnight. I went to a Center in Denver, and the Dr. there scoped me and said LPR was the culprit.

Although I am only 31 and fit, and don't drink or smoke, I still altered my diet to improve it even more and to avoid citrus, chocolate, etc. It's been some time now that I've changed my diet and lifestyle according to the suggestions on your blogs (and other resources I've read) but I have not regained tone, clarity, or my original range. I'm unable to sing clearly notes that were, in January, very, very easy to hit and resonate. The "sweet spot" of my range is essentially missing.

Can you advise how long is average to recover from the impacts of LPR and if you think it's possible to recover completely? I'm wondering if the alterations to my voice are permanent.

Thank you very much for any insight.

Melissa Kim, M.S., CCC-SLP writes...

It is very possible that your voice difficulties are secondary to muscle tension dysphonia, a general term to describe excessive and unnecessary tension of laryngeal muscles during voicing. Muscle tension dysphonia is often seen in response to an underlying condition, such as acid reflux, that causes irritation and subsequent compensatory change in vocal technique. Treatment involves intervention for any underlying condition, in your case acid reflux, and voice therapy with a speech pathologist who specializes in the treatment of voice disorders; ask your physician for a referral.

Best of luck to you!



Sunday, April 23, 2017

Hopewell Cancer Support - 20th Reach Out and Run Race

Hopewell Cancer Support...20th Reach Out and Run Race was held 4/23/2017. Thank you to Hopewell for the compassionate care and programs offered to cancer survivors in our community. Thank you to the Dance Endowment who continue to provide annual support for this race.


Tuesday, April 11, 2017

Karen T. Pitman, MD, FACS

Karen T. Pitman MD, FACS currently serves as the Medical Director of the Milton J. Dance Jr, Head and Neck Center. Dr. Pitman graduated from the University of Maryland prior to receiving her medical degree from the Uniformed Services University of the Health Sciences in Bethesda MD. She completed her otolaryngology residency at Naval Medical Center Portsmouth VA and fellowship training in Advanced Head and Neck Oncologic Surgery at the University of Pittsburgh School of Medicine. Dr. Pitman’s clinical interests include quality of life in head and neck cancer patients, premalignant lesions, and young patients with head and neck cancer. She specializes in tumors of the tongue, oral cavity, throat, larynx, thyroid, parathyroid glands and salivary glands, and advanced skin cancers.