New Video Example of Vocal Cord Immobility

A new video example of vocal cord immobility has been posted to our website. This example depicts how one can determine if a vocal cord immobility is due to paralysis (nerve damage) or due to arytenoid dislocation. Arytenoid is the joint that moves a vocal cord back and forth.

This example used direct manipulation of the vocal cord to make this determination. Another method of evaluating (not shown) include laryngeal EMG.

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BOTOX for Facial Wrinkles Now Offered

For those with facial wrinkles, Dr. Chang now offers BOTOX injections to help get rid of unwanted Crow's Feet and Forehead wrinkles. The cost will range from $20-$40 per injection. As such, injections for Crow's Feet generally require a total of 4-6 injections or $120 to as high as $180. Even more injections may be required for forehead wrinkles which usually require at least 10 injections.

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New Webpage on Ear Tube Placement Has Been Posted

A new webpage describing ear tube placement for chronic ear infections or eustachian tube dysfunction has been added to our practice website. The webpage goes into why tubes are place and how they help as well as risks associated with this very common procedure. Click here to read more about it.

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Over-the-counter products that may be helpful to treat eustachian tube dysfunction:

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Washington Post Medical Mystery: A Deadly Sore Throat

The Washington Post on September 23, 2008, published a story of a severe sore throat due to epiglottitis, a severe infection involving the epiglottis, a structure immediately above the airway, which can result in death if not treated quickly. However, due to an accurate diagnosis, treatment with antibiotics and steroids was quickly provided and the patient recovered uneventfully.

Read the story here.

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Psychologist Added to the Voice Team at Fauquier ENT

Dr. Carmen Gonzalez is a psychologist familiar with how environmental stressors contribute to vocal quality problems. She is experienced in the use of hypnosis and biofeedback to enable patients with stress-induced vocal problems learn to manage and ultimately control their neck and voicebox muscles to allow for a clear voice regardless of the environmental situation. Her techniques are also helpful for those individuals that often experience a sore neck after prolonged talking.

Click here to see other members of the voice team.

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Dr. Chang to Guest Lecture at Shenandoah University

Dr. Christopher Chang will be a guest lecturer at Shenandoah University for the Health Issues for Performers (PRF201) course on October 27, 2008. The lecture will be held during normally scheduled hours at 3PM in Ruebush R128. This particular lecture will focus on hearing loss and its prevention for conservatory students and professionals.

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New Webpage on Neck Masses

A new webpage has been posted going over the various causes of neck masses that may appear for a given patient. Included on the webpage is a "map" (like shown here) of where neck masses typically appear for a given problem.

Click here to check it out!

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