PERSPECTIVE DRUGS DISEASES EDUCATION ACADEMY ENGLISH DEUTSCH FRANAIS PORTUGUS LOG IN SIGN REGISTER RESULTS CLOSE PLEASE CONFIRM LOG OUT MEDSCAPE IF YOU YOU WILL ENTER YOUR USERNAME PASSWORD THE NEXT TIME CANCEL OTOLARYNGOLOGY FACIAL PLASTIC SURGERY INFECTIOUS CHRONIC LARYNGITIS PRESENTATION STEFANO CHIEF EDITOR ARLEN SHARE EMAIL PRINT FEEDBACK FACEBOOK TWITTER LINKEDIN OVERVIEW BACKGROUND PATHOPHYSIOLOGY EPIDEMIOLOGY SHOW PHYSICAL CAUSES LABORATORY IMAGING HISTOLOGIC FINDINGS MEDICAL CARE SURGICAL CARE DIET ACTIVITY MEDICATION SUMMARY ANTIBIOTICS OUTPATIENT CARE INPATIENT CARE TRANSFER COMPLICATIONS PROGNOSIS PATIENT EDUCATION MEDIA GALLERY REFERENCES SIGNS AND SYMPTOMS DERIVE ANATOMIC FUNCTIONAL ALTERATIONS LARYNX CONTIGUOUS SYSTEMIC DISEASE STIGMATA PATHOLOGIC PROCESS HOARSE VOICE DYSPHONIA VOICE QUALITY QUANTITY COMPLETE RECOVERY NEVER CHRONIC COUGH MARKED AT NIGHT GASTROESOPHAGEAL REFLUX DISEASE CAUSATIVE COUGH PRODUCTIVE DEGREE POSTERIOR WALL BELCHING STRIDOR LARYNGOSPASM MUCOUS STRANDS CROSS VOCAL CORDS DYSPHAGIA OTALGIA IDENTIFIED PHARYNX INVOLVED INNERVATION THROAT PERSONAL HISTORY SYMPTOM ONSET QUALITY PRECIPITATING FACTORS GENERAL STATE OF HEALTH SYMPTOMS AND SIGNS THYROID DISEASE LUNG MEDICAL CONDITIONS MIMIC CONTACT TOXIC SUBSTANCES RAPID TEMPERATURE CHANGES VOCAL PROFESSIONALLY RELATED HEARTBURN REGURGITATION WHEEZING HOARSENESS CHEST PAIN RAISE SUSPICION RECENTLY PUBLISHED PHYSICIANS LARYNGITIS PRESENCE GLOBUS SHOULD ALERT THE POSSIBILITY VOCAL CORD DYSFUNCTION HISTORY OF CHEST TIGHTNESS PHONATION LARYNGEAL ALLERGIES TRACHEOBRONCHIAL TREE ANTIHYPERTENSIVES PSYCHOTROPIC DRUGS ANTIHISTAMINES DECONGESTANTS CAUSE PREDISPOSITION DETERMINE THE ONSET AGENTS LOCAL MUCOSAL PATIENT IMMUNOSUPPRESSANT INHALED STEROID CANDIDAL MUST CALCIUM CHANNEL BLOCKERS GERD DECREASING TONE LOWER ESOPHAGEAL SPHINCTER BUCHELER CASE CHRONIC HYPERPLASTIC CIBACEN ANGIOTENSIN CONVERTING ENZYME INHALATION THERMAL BATHS INTUBATION THORACIC ABDOMINAL SURGERY POINT IATROGENIC DAMAGE RECURRENT LARYNGEAL NERVE RESULTANT SURGERIES CONSEQUENT PATIENTS NECK TRAUMA INGESTION CAUSTIC TRAVEL PARASITIC INFECTIONS FAMILY HISTORY AUTOIMMUNE DISEASES AMYLOIDOSIS SYSTEMIC LUPUS ERYTHEMATOSUS WEGENER GRANULOMATOSIS RHEUMATOID ARTHRITIS SIMILAR SYMPTOMS FAMILY MEMBERS HELP POSSIBLE ENVIRONMENTAL POLLUTANTS INFECTIOUS DISEASES PROPENSITY SPREAD SOCIAL HISTORY CIGARETTE SMOKING RECREATIONAL DRUGS ALCOHOL ABUSE POSE RISK PROMISCUITY RISK FACTORS EATING SPECIAL ATTENTION THE CONSUMPTION CHOCOLATE CAFFEINE RELAXATION EVENTUALLY APPEARANCE VITAL SIGNS USEFUL ACCESSORY MUSCLE RESPIRATION DETECTED AUSCULTATION PULSE OXIMETRY MEASUREMENT FEVER PARAMETERS TOXICITY SYSTEMIC CONDITION FACTOR THOROUGH HEAD AND NECK INITIAL MASSES THYROID GLAND TRACHEAL CARTILAGES INDIRECT LARYNGOSCOPY PERFORMED ROUTINE DIRECT TECHNIQUES AWAKE RIGID LARYNGOSCOPE GENERAL ANESTHESIA INFLAMMATORY PROCESS STRUCTURES RECENT ERYTHEMA EDEMA PARTICULAR PAID THE BASE THE TONGUE SINUSES FIND PRIMARY SOURCE LUNGS POTENTIAL SOURCES SWELLING COMMON PRESENT CASES BACTERIAL INFECTION CONDITIONS LOOK HISTOPLASMOSIS BLASTOMYCOSIS FUNGAL INFECTIONS TUBERCULOSIS SQUAMOUS CELL CANCER EPIGLOTTIS STIFFNESS HYPERPLASIA CHRONIC INFLAMMATION PREVIOUS THE LIST CIGARETTE SMOKE IRRITATING PROVOKE ETHANOL IMPURITIES MYCOTOXINS DIRECT CONTACT MUCOSA SYSTEMIC EFFECT IRRITANT PARTICULARLY GASTRIC CONTENT THE INJURY LIE DOWN THE COMMON MILD THE PROCESS INVOLVE UPPER RESPIRATORY TRACT EPITHELIUM DIAGNOSIS THE CONDITION REFLUX INFECTIONS BACTERIUM STAPHYLOCOCCUS AUREUS HAEMOPHILUS INFLUENZAE PNEUMOCOCCAL SPECIES THE COURSE VIRAL CAUSED INFECTION TUBERCLE BACILLUS MYCOBACTERIUM TUBERCULOSIS OVERALL HEMATOGENOUS ROUTE INFECTED SPUTUM PULMONARY TUBERCULOSIS MYCOBACTERIUM LEPRAE HANSEN BACILLI NERVES AFFECT THE PORTAL ENTRY THOUGHT NASAL MUCOSA NASAL PERFORATION SPIRAL TREPONEMA PALLIDUM SYPHILIS STAGES CHANCRE SYSTEMIC CUTANEOUS INVOLVEMENT TERTIARY CONGENITAL SYPHILIS SEEN SECONDARY SYPHILIS RHINOSCLEROMA KLEBSIELLA RHINOSCLEROMATIS ACTINOMYCOSIS GRANULOMATOUS BACTERIA ACTINOMYCES ISRAELII THE NORMAL OROPHARYNGEAL FLORA MANIFEST VIRUSES DETERMINING PLAY MINOR ROLE ETIOLOGY IMMUNOCOMPROMISED NATURALLY CONSEQUENCE PHARMACOLOGIC FUNGI SURFACE IMMUNOSUPPRESSION CONGENITAL ACQUIRED DERIVED DRUG INDUCED CHEMOTHERAPEUTIC AGENTS RADIATION THERAPY ALMOST PHARYNGITIS SUPERFICIAL COLONIZATION ORAL CAVITY TAKES INHALED THE ONLY SITE INVASIVE ENDEMIC CERTAIN AREAS THE UNITED HISTOPLASMA CAPSULATUM BLASTOMYCES DERMATITIS PREVALENT THE OHIO RIVER AREA SOUTHWESTERN UNITED STATES PARACOCCIDIOIDOMYCOSIS COCCIDIOSIS ASPERGILLOSIS RHINOSPORIDIOSIS ORGANISMS LESS DEVELOPMENT OF EXIST SPORADIC FOREIGN TRAVELERS LEISHMANIASIS SPOROTRICHOSIS REPORTED PRIMARY MALT LYMPHOMA EXTRAESOPHAGEAL REFLUX HELICOBACTER PYLORI INFECTION ABUSE PERTINENT PROFESSIONAL SINGERS LESIONS RANGE SIMPLE PERSIST OVER TIME DELAYED HYPERSENSITIVITY AUTHORS DATA EXACT NUMBER PEOPLE CURRENT SEEMS INCREASING ENVIRONMENTAL FACTORS THIS CONDITION 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