Fungal Disease in ENT

Fungal Disease in ENT

Fungi are often commensals that can either be on the skin or inhaled and often don’t produce any problems.  They can however infect, and this is usually when there is decreased local or systemic immunity.  Any organ can be involved and this is very commonly...
Treatment of Globus Pharyngus

Treatment of Globus Pharyngus

Treatment of secondary globus is lesion specific.  In primary Globus Pharyngus, patient reassurance is essential.  Medical therapy revolves around decrease of acid production (PPI).  This treatment is usually given in a twice a day dose over a period of three months...
Globus Pharyngus Investigations

Globus Pharyngus Investigations

A thorough history it important to identify those at high risk including smokers.  Clinically, a full Ear Nose and Throat and Neck examination including a flexible nasopharyngolaryngoscopy would help identify or exclude secondary disease.  Once a working diagnosis has...
Treatment of laryngitis and hoarseness

Treatment of laryngitis and hoarseness

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...
Diagnosis of Hoarseness

Diagnosis of Hoarseness

The diagnosis is usually made on history and the most important examination tool is the flexible nasopharyngolaryngoscope, which would be done in the rooms and ideally identify the laryngeal lesion.  Depending on the working diagnosis, investigations would continue,...