by Dr. Mark Richardson | Sep 19, 2024 | Advice, Educational, Throat
PRESENTATION The presentation of laryngeal cancer is determined by the size of the tumour and the location. It is divided into local, regional and systemic presentation symptoms. The systemic ones would be weight loss and weakness. The regional ones...
by Dr. Mark Richardson | Sep 19, 2024 | Advice, Educational
ANATOMY The larynx is made up of three sections. The glottis which is has the vocal cords. The supraglottis including the epiglottis and the sub-glottis which attaches to the trachea. It is made up predominantly of cartilage. PATHAPHYSIOLOGY The larynx is a dynamic...
by Dr. Mark Richardson | Jul 11, 2023 | Advice, Throat
Speech therapy is important in retraining the correct use of laryngeal muscles and swallowing. Medical could be cause-specific and include acid suppressants, antibiotics, and TB medication. In a lot of patients where there is a dysfunctional element, reassurance is...
by Dr. Mark Richardson | Sep 27, 2022 | Advice, Nose, Resources
A big bleed in an adult is a medical emergency with the prime objective to stop the bleeding. This is usually done in the hospital casualty with the insertion of a tamponade balloon (Rapid Rhino). The amount of blood loss is determined, and blood given if necessary....
by Dr. Mark Richardson | Sep 19, 2022 | Advice, Ear, Resources
Wax needs to be removed if blocking the ear causing deafness, or obscuring the eardrum if deeper disease is suspected. Wax is not removed with an earbud or with candling (gimmick!!). Most dissolving or lubricating ear drops do not work and make the situation worse....
by Dr. Mark Richardson | Aug 4, 2022 | Advice, Ear, Resources
In the acute infected condition, the ear needs ideally to be cleaned under the microscope (by an Ear Specialist) and topical agent applied. These are usually antibiotic, and cortisone based and in severe cases, an oral· antibiotic e.g. Ciprofloxacin is given. Chronic...
