James Phillip Thomas
Since 1999, my medical and surgical practice has been limited to voice care. I maintain an
informational web site on voice disorders - voicedoctor.net, preceptor medical students in their
early years at Oregon Health Sciences University, offer an international fellowship in laryngology as
well as short observerships to physicians, speech therapists, voice teachers and interested students.
I produce “voxdoc, the voicedoctor” on YouTube, including Laryngology 101, a series of learning
videos. I published “Why is there a frog in my throat? A guide to hoarseness.” I frequently lecture
internationally on laryngology and phonosurgery. I remain surprised at how much there is still to learn
about the larynx.
Sessions
this is a panel presentation for Assessment, office-based and endolaryngeal approach for Unilateral Vocal Fold Immobilty
Description:
Evaluation of the cricoarytenoid muscle requires a specific approach to examination including listening to vocal tasks and visually recording respiration and phonation.
Background:
Neurological impairments of the anterior branch of the recurrent laryngeal nerve are the most missed neurologic injuries of the larynx. Motion of the vocal process can be difficult to view, often covered by the arytenoid during endoscopic examinations. Additionally, sudden subtle movement can be missed.
Outcome objectives:
The audience will learn specific visual techniques to identify this recurrent laryngeal nerve injury, including paresis, synkinesis and dyskinesis of the nerve.
One of the most important outcomes is to be patient during recording, getting close and recording longer.
Slow video review looking for nuances of vocal cord motion, comparing side to side and expected motion reveals important details.
Treatment options will also be discussed.
this is a keynote about Visual neurolaryngology
this is a keynote from james thomas abouot Superior laryngeal nerve injury - why thyroid surgeons should document the highest pitch before and after surgery