Throat

Tonsils and Adenoids

By Dr. Payam Daneshrad 20 Feb, 2016 ENT, Service Section for ENT, Throat

What affects tonsils and adenoids?
When should I see a doctor?
Common symptoms of tonsillitis and enlarged adenoids
and more…

Snoring

By Dr. Payam Daneshrad 12 Feb, 2016 Nose, Snoring, Throat

Insight into sleeping disorders and sleep apnea

What causes snoring?
Why is snoring serious?
What treatments are available?
and more…

Thyroid Disorders and Surgery

By Dr. Payam Daneshrad 11 Feb, 2016 ENT, Service Section for ENT, Throat

Insight into complications and treatment

What is a thyroid disorder?
What treatment may be recommended?
What is thyroid surgery?
and more…

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We offer a large selection of services.

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Flexible Laryngoscopy

In flexible laryngoscopy, a thin, flexible viewing tube (called a laryngoscope) is passed through the nose and guided to the vocal cords, or larynx. Fiberoptic cables permit a physician to directly inspect the nose, throat, and larynx for abnormalities. Laryngoscopy is typically performed in a doctor’s office using local anesthesia.

The Purpose of the Flexible Laryngoscopy

To detect laryngeal abnormalities, such as inflammation, lesions, or narrowed passages (strictures)
To help diagnose the cause of a persistent or bloody cough, hoarseness, throat pain, or bad breath
To determine the cause for difficulty swallowing or a feeling of a lump in the throat
To determine the cause of other voice problems, such as a breathy voice, weak voice or loss of voice
Used therapeutically to remove foreign objects

What You Experience during Flexible Laryngoscopy

You will sit upright in an exam chair in your doctor’s office.
Relax and breathe through your nose. A local anesthetic is sprayed into the back of your nose and throat to numb these areas and suppress the gag reflex (however, you may still gag and feel some discomfort when the laryngoscope is first inserted).
The doctor inserts the scope through one nostril and closely inspects your nose, throat, and larynx.
Photographs may be taken with a tiny camera attached to the scope.
This procedure usually takes less than 5 minutes, though the anesthetic may last up to an hour.

Video Stroboscopy

Video stroboscopy combines videotaping with a technique called stroboscopy to evaluate the function of the vocal cords, or larynx, in people with voice disorders. During speech, the vocal folds in the larynx vibrate too rapidly to permit examination with a normal light source. Stroboscopy overcomes this obstacle by using a strobe light to illuminate the larynx: The strobe emits light pulses at a rate slightly slower than the vibration frequency of the vocal folds, causing the folds to appear to move in slow motion.

An examiner may then observe the movement and function of your larynx as you make particular sounds. This is done with either a flexible viewing tube (endoscope) passed through the nose or a rigid endoscope passed through the mouth. The scope contains an optical system and a tiny camera to record the exam on videotape for later review.

Purpose of the Video Stroboscopy

To visualize the vocal cords
To identify the cause of hoarseness or voice dysfunction that may be caused by swelling of the vocal cords due to heavy use, misuse, irritations, polyps or growths or acid reflux
To detect or evaluate vocal cord lesions and other abnormalities such as scar tissue, inflammation or muscle tension disorders
To assess function of the voice box and vocal cords
To evaluate swallowing problems, which may be due to muscle abnormalities

What You Experience During Video Stroboscopy

You will be asked to sit upright, leaning a little bit forward from your hips.
A topical anesthetic may be sprayed on your throat and, if necessary, in your nose to make the procedure more comfortable and suppress the gag reflex. (You may still cough or gag if the endoscope touches the back of your throat or tongue.)
The examiner guides a flexible scope through one nostril into the throat, or holds your tongue gently with a piece of gauze and passes a rigid scope into your mouth.
You will be instructed to perform particular vocal tasks, such as pronouncing vowels or singing, while the examiner uses the stroboscope to visualize your vocal cords. This examination is recorded on videotape.
The procedure usually lasts less than 5 minutes..

What Our Clients Say

Dr. Daneshrad removed our son's tonsils and adenoids in late December. Our experience with him and his office was first class all the way. From the scheduler, Carole, who guided us through the process, to the anesthesiologist who called us the night before to give us an idea of the process and answers questions, to the nurses, and finally to Dr. Daneshrad himself, everyone did their best to treat our son with top notch care, and helped a couple of nervous parents get through a very stressful operation. This event was life changing for us. Before, our son struggled to sleep at night, making his days miserable - he was inattentive and ill-mannered, both at home and at school. Now it's 3 months later, he sleeps like a baby, on a regular schedule, and everyone at his pre-school, our extended family, and others have said that he is a like a new kid. The first day we met with Dr. Daneshrad, he was very careful in his analysis and recommendations. I got a great vibe from him immediately. He didn't push us into getting an operation; he just laid out the pros and cons, and left it up to us to decide whether to go ahead with the operation. When we arrived for the operation he met with us beforehand and set us at ease, explaining step by step what would happen, how long it would take, what to expect. After the operation he came out to the waiting room and said, "you can expect his behavior to change immediately". He was right. I have to add that the most stressful time of the post-operation is the first three days. On one of those days we had to call Dr. Daneshrad very late on a weekend night with an urgent question. Of course he wasn't in his office, so we left a message with his answering service. I expected that he would call the next day. Instead, he called right back and gave us the advice we needed. If you have a child with enlarged tonsils and adenoids, enough that it causes snoring and sleep apnea, and your insurance covers Dr. Daneshrad, I recommend that you take your child to him for care. We are so grateful that we did.

Charles M.,
I had my tonsils removed by Dr. Daneshrad. The Dr. and his staff were all incredibly lovely and supportive to me through this entire process. Dr. Daneshrad did a great job explaining to me the procedure and how to prepare for my recovery. His assistant was very kind and even called to check in on me a few times during my recovery. She also was very helpful when my husband called to ask questions along the way. I highly recommend this Dr. for your ENT needs.

Anastasia S.,

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Throat

Tonsils and Adenoids

Snoring

Insight into sleeping disorders and sleep apnea

Thyroid Disorders and Surgery

Insight into complications and treatment

We offer a large selection of services.

Click on one of the icons below for more infomation.

Latest Posts

Vocal Cord Paralysis

Fine Needle Aspiration

CPAP – Continuous Positive Airway Pressure

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