Follow-Up with ENT

Yesterday, I had a fourth-month follow-up appointment with my ENT. I’ve recently been experiencing increased throat clearing, which I presumed to be a sign of my idiopathic subglottic stenosis worsening.

My ENT had three residents observing my larygoscopy. It revealed that my airway is currently am 25% occluded. Therefore, surgery isn’t immediately necessary. It also showed the influence of paradoxical vocal fold motion (PVFM) in producing my symptoms, especially increased shortness of breath while exercising. There were mild signs of irritation and inflammation in my airway, too.

My specialist wants me to switch from Omeprazole, to Pantoprazole, to monitor my silent GERD. He mentioned the option of initiating a Bactrim protocol, too. Bactrim is an antibiotic.

He said that, on paper at least, I look like an excellent candidate for a crichotracheal re-section surgery. He and I both share considerable concern about how receiving a resection might permanently impair my voice quality.

My ENT is confident about exploring non-surgical options to treat my condition, which is a combination of having an idiopathic subglottic stenosis, PVFM, and silent GERD.

For the first time ever, my ENT mentioned the possibility of a mucousal skin draft to address my condition. I’m definitely going to read more about this procedure. I’m surprised that I was learning about this option for the first time, given that my last appointment was only four months ago.

I left the office feeling woozy, due to receiving the anesthetic required to perform my laryngoscopy. I also left this appointment feeling significantly more encouraged than I’ve felt in a very long time about treating my combination of chronic conditions.

I’m so satisfied with my ENT. He’s concurrently highly compassionate and competent.

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