All About the Throat

Gastroesophageal Reflux
Often referred to as GERD, occurs when acid from the stomach backs up into the esophagus. Normally, food travels from the mouth, down through the esophagus and into the stomach. A ring of muscle at the bottom of the esophagus, the lower esophageal sphincter (LES), contracts to keep the acidic contents of the stomach from “refluxing” or coming back up into the esophagus. In those who have GERD, the LES does not close properly, allowing acid to move up the esophagus.
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Hoarseness

Hoarseness is a general term that describes abnormal voice changes. When hoarse, the voice may sound breathy, raspy, strained, or there may be changes in volume (loudness) or pitch (how high or low the voice is). The changes in sound are usually due to disorders related to the vocal cords that are the sound producing parts of the voice box (larynx). While breathing, the vocal cords remain apart. When speaking or singing, they come together, and as air leaves the lungs, they vibrate, producing sound. Swelling or lumps on the vocal cords prevent them from coming together properly and changes the way the cords vibrate, which makes a change in the voice, altering quality, volume, and pitch.
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Laryngeal Cancer

The American Cancer Society estimates that approximately 38,000 new cases of head and neck cancer were diagnosed in the United States in 2002; about 9,000 of these were in the larynx (voice box).Experts anticipate similar statistics for 2003. An estimated 3,700 people died of laryngeal cancer in 2002 representing approximately two thirds of one percent of all cancer deaths in this country. Even for disease survivors, the consequences of laryngeal cancer are often severe. Laryngeal cancer is a preventable disease because the risk factors are associated with modifiable behaviors.
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Salivary Glands

Salivary glands are found in and around your mouth and throat. We call the major salivary glands the parotid, submandibular, and sublingual glands. They all secrete saliva into your mouth, the parotid through tubes that drain saliva, called salivary ducts, near your upper teeth, submandibular under your tongue, and the sublingual through many ducts in the floor of your mouth.
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Swallowing

Difficulty in swallowing (dysphagia) is common among all age groups, especially the elderly. The term dysphagia refers to the feeling of difficulty passing food or liquid from the mouth to the stomach. This may be caused by many factors, most of which are temporary and not threatening. Difficulties in swallowing rarely represent a more serious disease, such as a tumor or a progressive neurological disorder. When the difficulty does not clear up by itself in a short period of time, you should see an otolaryngologist–head and neck surgeon.
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Temporo-Mandibular Joint (TMJ)

Temporo-Mandibular Joint (TMJ) is the joint where the mandible (the lower jaw) joins the temporal bone of the skull, immediately in front of the ear on each side of your head. A small disc of cartilage separates the bones, much like in the knee joint, so that the mandible may slide easily; each time you chew you move it. But you also move it every time you talk and each time you swallow (every three minutes or so). It is, therefore, one of the most frequently used of all joints of the body and one of the most complex.
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Tonsils and adenoids (tonsillitis)

Tonsils and adenoids (tonsillitis) are masses of tissue that are similar to the lymph nodes or "glands" found in the neck, groin, and armpits. Tonsils are the two masses on the back of the throat. Adenoids are high in the throat behind the nose and the roof of the mouth (soft palate) and are not visible through the mouth without special instruments.
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Vocal cord lesion

Vocal cord lesion (physicians call them vocal "fold" lesions) refers to a group of noncancerous (benign), abnormal growths (lesions) within or along the covering of the vocal cord. Vocal cord lesions are one of the most common causes of voice problems and are generally seen in three forms; nodules, polyps, and cysts.
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Vocal cord paresis and paralysis

Vocal cord paresis and paralysis result from abnormal nerve input to the voice box muscles (laryngeal muscles). Paralysis is the total interruption of nerve impulse resulting in no movement of the muscle; Paresis is the partial interruption of nerve impulse resulting in weak or abnormal motion of laryngeal muscle(s).
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Serving Johnston, Wake, Harnett, Wayne, Wilson and Sampson Counties.

Dr. N. Daniel Catz MD FACS, 919.934.0948, Located in Smithfield, NC

927 North Brightleaf Blvd., Smithfield, NC 27577 919.934.0948