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What if Botox Doesn’t Work for My R-CPD? | High Quality Injections
Rarely, treatment of R-CPD (no-burp) with botox fails to initiate burping. Why might that be? Is the diagnosis wrong? Was the dose of botox Inadequate? Was the target missed? Dr. Bastian explores these possibilities in this video.
Read more on Laryngopedia: laryngopedia.com/rcpd
If you would like to have an educational / informational Zoom call with Dr. Robert Bastian please contact us at info@laryngopedia.com. Learn more: laryngopedia.com/video-conversation/
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Educational Website: laryngopedia.com/
Clinic Website: www.bastianvoice.com/
Twitter: bastianvoicedoc/
Instagram: bastianvoiceinstitute
Facebook: BastianVoice/
LinkedIn: www.linkedin.com/company/bastian-voice-institute/
zhlédnutí: 143

Video

An Illustration of Vocal Cord Injury Prevention by Dr. Robert Bastian
zhlédnutí 338Před 21 dnem
When it comes to vocal cord injury, "It is better to build a fence at the top of a cliff than to park an ambulance at the bottom.” Prevention of injury is the point of Dr. Bastian’s tour of a cartoon he had drawn years ago. Learn more: laryngopedia.com/disorders/voice-larynx-disorders/vocal-cord-vibratory-injuries/ If you would like to have an educational / informational Zoom call with Dr. Robe...
To Diminish your Voice Problem, Read to Children!
zhlédnutí 239Před 28 dny
Something to try for your gravelly, tired, or under-energized voice: Reading to Children! As a technique for everyone you talk to! Learn more on Laryngopedia: laryngopedia.com/vocal-fry-dysphonia/ If you would like to have an educational / informational Zoom call with Dr. Robert Bastian please contact us at info@laryngopedia.com. Learn more: laryngopedia.com/video-conversation/ Educational Webs...
Inflammatory Subglottic Stenosis | Definition, Symptoms, and Treatments
zhlédnutí 328Před měsícem
Are you experiencing gradual onset of noisy, even effortful breathing? One uncommon but important explanation is idiopathic, inflammatory subglottic stenosis. That just means “unknown cause, likely autoimmune narrowing just below the vocal cords and at the highest part of the windpipe.” This video explains the disorder and its management, shows “before” and “after” photos, and reassures viewers...
Dropped Syllables? Catches in Your Voice? | Adductory Spasmodic Dysphonia (AD-SD)
zhlédnutí 502Před měsícem
A strained voice, usually with "catches" or dropped syllables or words, may be the result of a rare neurological condition called adductory spasmodic dysphonia (AD-SD). Abnormal muscular tone in vocal cords (laryngeal dystonia) results in abnormal vocal sound (spasmodic dysphonia). This video explains the disorder. Current standard of care is botox, which can dramatically diminish symptoms with...
Vocal Cords Spasm Apart? | Abductory Spasmodic Dysphonia (AB-SD)
zhlédnutí 613Před měsícem
Syllables or words drop away to a whisper when a person is afflicted by the less common variant of a neurological disorder called AB-ductory spasmodic dysphonia (AB-SD) Due to its effect on speech, it is sometimes called "intermittent whisper dysphonia." In this video you will find a description of the disorder, its treatment with botox, and how to assess for proper dosage and placement of this...
Respiratory Dystonia | When Spasms Affect the Voice
zhlédnutí 430Před 2 měsíci
In a peculiar disorder of breathing, “respiratory dystonia,” tiny spasms in the vocal cords prevent the smooth in- and out-flow of air to the lungs. It is as though the air comes in or goes out in little pieces rather than in a unified inspiration or expiration. Quiet involuntary noises are heard from the throat, most often while trying to breathe in, and sometimes tiny “grunts” when breathing ...
Abrupt Feeling of Air Hunger? GASPING SYNDROME
zhlédnutí 418Před 3 měsíci
This video is for those who fulfill four criteria: 1) They experience abrupt feelings of air hunger, with or without exertion. 2) Deep breaths in response to the feeling of "needing air" are not noisy and it doesn't take longer to fill your lungs than for the other people in your life. 3) Your doctors cannot find an explanation despite running a considerable number of "heart and lung" tests. 4)...
What is the Relationship between R-CPD (no-burp) and GERD? SIBO? IBS?
zhlédnutí 1,4KPřed 4 měsíci
Often, and almost routinely, persons with easily-diagnosed R-CPD may initially be diagnosed instead as "gastroesophageal reflux disease" (GERD), or "irritable bowel syndrome," (IBS) or "small intestine bacterial overgrowth" (SIBO). Do GERD, IBS, and SIBO symptoms and findings point to coexisting and separate diagnoses, or are those symptoms part of the larger, umbrella diagnosis of R-CPD? Dr. B...
Botox Injection Into the “Fortress Larynx” for Spasmodic Dysphonia
zhlédnutí 299Před 4 měsíci
High quality Botox shots for spasmodic dysphonia (SD) can be defined as: 1. Available on demand. 2. Accomplished efficiently and with minimal discomfort. 3. Providing consistent results. Numbers 2 & 3 can be difficult to impossible when the patient has a “fortress larynx.“ In this video, we define this problem and a possible solution... If you would like to have an educational / informational Z...
Laser Treatment of Laryngeal Papillomas (RRP)
zhlédnutí 470Před 5 měsíci
This man has had RRP (laryngeal papillomas) for many years. He has had laser ablations both in the O.R. under general anesthesia, and in an “office” laser room. For the complete exam video, visit Recurrent Respiratory Papillomatosis encyclopedia entry on Laryngopedia: laryngopedia.com/rrp If you would like to have an educational / informational Zoom call with Dr. Robert Bastian please contact u...
Tin Whistle Segmental Vibration of the Vocal Cords
zhlédnutí 1,1KPřed 5 měsíci
A squeaking or "tin whistle" voice can be evidence of nodules or other vocal cord injury of overuse. Background: normal vocal cords vibrate along their entire length even at very high pitch. When nodules or polyps stop vibration in the mid-cord, a tiny (usually anterior) segment may continue to vibrate, creating and equally tiny "tin whistle" quality. This video explains the difference between ...
Suction Drain as A Treatment Tool in Head and Neck Surgery | Part 2
zhlédnutí 227Před 5 měsíci
Suction Drain as A Treatment Tool in Head and Neck Surgery | Part 2
Voice Drops or Sounds Breathless? Abductory Spasmodic Dysphonia Phenomenology (AB-SD)
zhlédnutí 2,1KPřed 6 měsíci
Voice Drops or Sounds Breathless? Abductory Spasmodic Dysphonia Phenomenology (AB-SD)
Asymmetrical Vocal Cord Movement
zhlédnutí 527Před 6 měsíci
Asymmetrical Vocal Cord Movement
Suction Drain As a Treatment Tool in Head & Neck Surgery - INTRODUCTION
zhlédnutí 231Před 7 měsíci
Suction Drain As a Treatment Tool in Head & Neck Surgery - INTRODUCTION
How to Keep (if possible) the Ability to Burp After Botox Treatment for R-CPD
zhlédnutí 1,5KPřed 8 měsíci
How to Keep (if possible) the Ability to Burp After Botox Treatment for R-CPD
RCPD Workup - Do You Need Testing for a Diagnosis?
zhlédnutí 1,2KPřed 8 měsíci
RCPD Workup - Do You Need Testing for a Diagnosis?
What Surprises No-burpers (R-CPD, inability to burp) about People who Can Burp
zhlédnutí 1,3KPřed 9 měsíci
What Surprises No-burpers (R-CPD, inability to burp) about People who Can Burp
Dr. Bastian Responds to your Questions about R-CPD
zhlédnutí 3,1KPřed rokem
Dr. Bastian Responds to your Questions about R-CPD
Feel Like Mucus Is Causing Your Cough? Maybe It Is Something Else...
zhlédnutí 2,2KPřed rokem
Feel Like Mucus Is Causing Your Cough? Maybe It Is Something Else...
A Sudden Tickle, Itch or Drip in the Throat | Sensory Neuropathic Throat Clearing (SNTC)
zhlédnutí 47KPřed rokem
A Sudden Tickle, Itch or Drip in the Throat | Sensory Neuropathic Throat Clearing (SNTC)
Having Trouble Swallowing Foods and Pills? A-CPD Can Be Treated with Cricopharyngeal Myotomy
zhlédnutí 3,9KPřed rokem
Having Trouble Swallowing Foods and Pills? A-CPD Can Be Treated with Cricopharyngeal Myotomy
Hyoidynia | A Toothache in the Neck
zhlédnutí 1,8KPřed rokem
Hyoidynia | A Toothache in the Neck
Trouble Breathing? How to Hear a Narrow Airway due to Tracheal Stenosis
zhlédnutí 929Před rokem
Trouble Breathing? How to Hear a Narrow Airway due to Tracheal Stenosis
What is the Right Amount of Botox for R-CPD? 100 units? 50? 200?
zhlédnutí 1,5KPřed rokem
What is the Right Amount of Botox for R-CPD? 100 units? 50? 200?
Feeling Nauseated? Symptoms of R-CPD (the Inability to Burp)
zhlédnutí 2,3KPřed rokem
Feeling Nauseated? Symptoms of R-CPD (the Inability to Burp)
Is My Vocal Weakness from My Spasmodic Dysphonia (SD) Spasms, or Is It A Botox Side Effect?
zhlédnutí 1,5KPřed rokem
Is My Vocal Weakness from My Spasmodic Dysphonia (SD) Spasms, or Is It A Botox Side Effect?
Loss of Upper Voice Caused by Lowered Muscular Ceiling (MTD)
zhlédnutí 3,1KPřed rokem
Loss of Upper Voice Caused by Lowered Muscular Ceiling (MTD)
Do Shaker Exercises Work in Treating R-CPD? (inability to burp, no burp)
zhlédnutí 14KPřed rokem
Do Shaker Exercises Work in Treating R-CPD? (inability to burp, no burp)

Komentáře

  • @kunhikrishnannambiar9351
    @kunhikrishnannambiar9351 Před 18 hodinami

    I liked, subscribed and shared your video because I have Avery feeble voice. Most of the callers on the other end of the phone mistake me for a female because of my weak voice.

  • @manishamahendri5608

    Thank u doc❤

  • @vanillavirtue
    @vanillavirtue Před dnem

    So useful! I wish vocal coaches and teachers would teach this

    • @Laryngopedia
      @Laryngopedia Před dnem

      Thank you so much! But do keep in mind that this is a very basic approach. Vocal coaches and teachers would add some nuance and greater sophistication. But for basic strengthening, this approach often helps people a lot...

  • @user-cz6iy2hp1v
    @user-cz6iy2hp1v Před 2 dny

    Hello doctor

  • @zztop6546
    @zztop6546 Před 2 dny

    Go on an on

  • @valya9796
    @valya9796 Před 3 dny

    thank you! this video is high informative

  • @MarketWizard546
    @MarketWizard546 Před 3 dny

    First to post

  • @bradwoods371
    @bradwoods371 Před 3 dny

    This is unintentionally hilarious.

  • @ABeroud64
    @ABeroud64 Před 3 dny

    I love informational videos like this that double as really dry humor

  • @fernandohiguera6972

    How bout nonstop burping 😢

  • @ourtimeisup
    @ourtimeisup Před 3 dny

    If I had a cough drop for every grammatical error here I’d have my problem licked!

  • @ElijahKabambala-jw8my

    Can you kindly make a video about why people stammer and how to improve it

  • @seth8635
    @seth8635 Před 5 dny

    Is the treatment only available in America?

    • @Laryngopedia
      @Laryngopedia Před 4 dny

      No, doctors all over the world are reported to have offered the procedure, several whom we are aware of are located in Europe, Philippines, and Australia.

  • @angalmeida29
    @angalmeida29 Před 6 dny

    How do we cure this please !? Thank you

    • @Laryngopedia
      @Laryngopedia Před 4 dny

      Assuming a firm diagnosis of Abductory (intermittent whisper) spasmodic dysphonia, we speak of treatment more than "cure." and it is with botox injection into the posterior cricoarytenoid muscles. Typically 3 injections per year keep the voice functioning at a dramatically better level, though not perfect.

  • @angalmeida29
    @angalmeida29 Před 6 dny

    You are god sent ‘ this is me ! Thank you so much ! God bless you

  • @Valor80
    @Valor80 Před 6 dny

    I was doing this just last night, now I am In a mental asylum

  • @Hex622
    @Hex622 Před 6 dny

    Will doing these make my voice deeper?

    • @Laryngopedia
      @Laryngopedia Před 4 dny

      Adding bulk to the folds by strengthening muscle would theoretically drop pitch ... but usually that is not as noticeable as greater strength and "body" more than lowered pitch.

  • @Kevdog1920
    @Kevdog1920 Před 7 dny

    Yup that's me

    • @Laryngopedia
      @Laryngopedia Před 4 dny

      All the best in your search for a doctor who can help. Doctors most often versed in this disorder are laryngologists.

  • @wolfspain7385
    @wolfspain7385 Před 7 dny

    *Sighs...Opens comments.

  • @8ypicals726
    @8ypicals726 Před 7 dny

    that explains a lot

  • @RossetNamyalo
    @RossetNamyalo Před 8 dny

    My voice is so strong that I cant lower it to set the to the tone when I sing. HOW CAN I BALANCE IT?

  • @GATURKS
    @GATURKS Před 8 dny

    7:00 Took my all the way out 😅😂😂😂... tiktoker GATURKS

  • @Hyperion-5744
    @Hyperion-5744 Před 9 dny

    Whenever i eat food with valentina hot sauce i can feel it in the vallecula, since valentina is decently thick for a hot sauce.

  • @user-dz9sm3vx2u
    @user-dz9sm3vx2u Před 9 dny

    I have Presbyphonia, Will this help me? I have a vocal appointment to address this. I have been waiting four months for it. I used to have a strong voice but no longer. I am 66 years old

    • @Laryngopedia
      @Laryngopedia Před 4 dny

      Everything depends on precise diagnosis, but if indeed the issue for you is bowing/atrophy of the vocal cords, then voice building (like body building) by challenging a weak voice to see if it can become stronger. If a good trial to strengthen voice in this way is insufficient, then vocal cord implants can be a possibility, but again, I'm making assumptions since there are multiple causes of a weak voice.

    • @user-dz9sm3vx2u
      @user-dz9sm3vx2u Před 3 dny

      @@Laryngopedia thank you

  • @howcaniknow
    @howcaniknow Před 9 dny

    Thank you so much!

  • @amerphillips
    @amerphillips Před 10 dny

    1. Voice of authority 2. Ship ahoy 3. Siren Thanks

  • @kimandreasheroy
    @kimandreasheroy Před 10 dny

    The title of the video is ambiguous. I recommend changing "Build" with "Strengthen".

    • @Laryngopedia
      @Laryngopedia Před 10 dny

      We did already, but for some reason, CZcams is still showing the old title...

  • @maryamjaved2028
    @maryamjaved2028 Před 10 dny

    I feel irritation in my throat when try to speak aloud. I began to cough. What should I do then.

    • @Laryngopedia
      @Laryngopedia Před 4 dny

      Hydrate well, and keep gently trying and increase loudness gradually as tolerated.

  • @user-gs5yt4hv7e
    @user-gs5yt4hv7e Před 10 dny

    I am not seeing vedio because world are shown on screen

    • @Laryngopedia
      @Laryngopedia Před 4 dny

      Some videos start with a screen of words. Keep watching?

  • @tabor503
    @tabor503 Před 10 dny

    That at the beginning sounds how i sound when i falsetto

  • @jaciej9227
    @jaciej9227 Před 10 dny

    I have one paralyzed vocal cord after thyroid surgery. I am more prone to these attacks. I absolutely hate these. They are terrifying when they happen. Vinegar is my biggest trigger. And talking while I eat or drink. If a tiny bit of fluid gets inhaled it begins. I think it is important to let people you are with know that you have them, and what they are. Otherwise you might end up getting the Heinlich maneuver. I wish there were a cure for this

    • @Laryngopedia
      @Laryngopedia Před 4 dny

      Very good advice for those with laryngospasm to let those around them know to avoid Heimlich. I'd get very good at straw breathing and if laryngospasms are very frequent, your doctor might consider using use neuralgia medication like amitriptyline and gabapentin.

  • @achankilat5952
    @achankilat5952 Před 12 dny

    Powerful I listened the entire program

  • @GypsyOdyssee
    @GypsyOdyssee Před 13 dny

    ❤❤

  • @tythtyhtyhtyh
    @tythtyhtyhtyh Před 13 dny

    Im on my fifth month now trying to weaken my voice, wish me luck guys❤

  • @explicitwalrus6489
    @explicitwalrus6489 Před 13 dny

    Thumbnail had me blushing ngl

  • @copelofficial493
    @copelofficial493 Před 14 dny

    Thumbnsil of the video confused me😂

  • @paolorpao570
    @paolorpao570 Před 14 dny

    This explanation, as given, makes no sense. It doesn’t make sense if it doesn’t explain how to use these ‘positions’; for example, the belting position could lead people to scream incorrectly, risking worsening the situation by straining the voice, and the same goes for the siren. It should be explained using examples of proprioception.

    • @Laryngopedia
      @Laryngopedia Před 13 dny

      Thanks for your good comment. More nuance and "skill" in building up a weak voice is always preferred. But as I explained, this is a beginning for those who can't or won't take the time and expense of seeing a speech pathologist. Sometimes logistical challenges make this difficult for elderly patients with vocal cord bowing/atrophy. Especially in a large metro area with daunting traffic. And then consider this evidence: In suggesting this to many hundreds of patients across the years, I've never seen an injury. Avoiding injury is one reason I describe very short 1 or 2 minute) bursts of very loud voice. The other is that people get bored if you ask them to do long more nuanced voice building exercises. Again, thanks for your comment.

  • @hrithikpoojary06
    @hrithikpoojary06 Před 14 dny

    Why would I want a weak muscle?😅

    • @Laryngopedia
      @Laryngopedia Před 11 dny

      Think of body building, where continual exercise of a muscle-say, in your arm-strengthens it. The same goes for the muscles in your vocal cords.

  • @carolineclaeys1856
    @carolineclaeys1856 Před 15 dny

    I had a botox injection about 10 months ago and ever since i can burp !!! Hallelujah!! 🙏 And this after spending nearly 40 years of my life without being able to burp at all… Each burp now feels so precious…… 😄👍👍👍

  • @hannavlassenbroeck5708

    Hey doctor, i used to have a lot of gurgling but lately i have some small burps on a daily basis but i also still have the gurgling noises. Does this mean i am slowly getting the ability to burp?

    • @Laryngopedia
      @Laryngopedia Před 4 dny

      It is possible for a person to have micro-burps but that are not completely relieving....

    • @hannavlassenbroeck5708
      @hannavlassenbroeck5708 Před 4 dny

      @@Laryngopedia and is there something i can do that will make them more relieving?

  • @EyeMemoryLane
    @EyeMemoryLane Před 15 dny

    You are our hero!

  • @ayandamthimkhulu851
    @ayandamthimkhulu851 Před 15 dny

    God bless my brain

  • @enzopradelli
    @enzopradelli Před 15 dny

    Thanks for your content Dr!

  • @MistrBlistr
    @MistrBlistr Před 16 dny

    Wouldn’t someone want to build a strong voice and not a weak one?

    • @Laryngopedia
      @Laryngopedia Před 15 dny

      Think of body building, where continual exercise of a muscle-say, in your arm-strengthens it. The same goes for the muscles in your vocal cords.

  • @ka-vikings5522
    @ka-vikings5522 Před 16 dny

    Thank you

  • @imeaniguess.6963
    @imeaniguess.6963 Před 16 dny

    Decided to watch it because the title was confusing, fell asleep and read it right when I woke up. 🤦🏾‍♂️

  • @kevine9986
    @kevine9986 Před 16 dny

    Looks like a big old Bagina

  • @harrisonsturdevant3524

    What would you tell a life long no burper that had short term success with shakers exercise and practice but then over time lost the ability to have relieving burps? (I can now force a burp but they are more throat burps and do not necessarily vent the stomach)

    • @Laryngopedia
      @Laryngopedia Před 4 dny

      There is no limit on how long one can try to learn to burp, but many find using botox to train the ability to burp is by far more efficient and effective. Follow your own lead...

  • @SuccessMuoghalu-eu3og

    Is it normal to feel some pain at the left side of the throat after talking for a bit?

    • @Laryngopedia
      @Laryngopedia Před 4 dny

      No. If persistent, you should see your ENT.

  • @rololamperouge2023
    @rololamperouge2023 Před 16 dny

    Thank you so much Doctor. Big help. 😊🌻