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82457acb1a This polyp has a more watery texture, and resolved after treatment with voice therapy. The person can usually go home the same day as the injection. Granulomas can occur in a number of ways, but most are related to some acute or chronic injury, such as: trauma from intubation during surgery an extended bout of coughing or other vocal trauma chronic reflux chronic mild trauma such as frequent throat-clearing Granulomas may occur from any single or combination of the above, but it is often difficult to determine an exact cause. The individual now has a healthy voice. Both side effects are related to the intended purpose of the Botox, to weaken the vocal folds.
A short course of steroids is prescribed to reduce the inflammation and, hopefully, the size of the granuloma. Laryngopharyngeal Reflux Disease (LPRD). If the damage is permanent and there is no movement at all to the vocal fold, it is considered a paralysis. Also, the patient is counseled about dietary, lifestyle, and mechanical precautions to alleviate GERD/LPRD. Otolaryngologic Clinics of North America, 37, 105119. Often, the individual with tremor tries to stop the tremor while talking, but ends up creating more tension and making the tremor worse. Any problems breathing during an illness warrants emergency evaluation. Sound of Voice Ranges from normal to breathy to extremely rough and hoarse. There are several classes of drugs that may be helpful, including beta-blockers, anti-seizure medications, and psychotropic drugs. Sound of Voice May vary from normal to severely dysphonic (very poor voice quality).