Bastian Voice Institute

Bastian Voice Institute We provide medical care and consideration for persons with voice, swallowing, and airway disorders.

This man has smoked heavily for many years and developed a chronically hoarse voice. Elsewhere, he underwent microlaryng...
02/15/2026

This man has smoked heavily for many years and developed a chronically hoarse voice. Elsewhere, he underwent microlaryngoscopic surgery for removal of “Reinke’s edema” (also called “smoker’s polyposis”). Unfortunately, his voice changed little afterward, and he remained extremely hoarse: https://laryngopedia.com/polypoid-degeneration-reinkes-edema-smokers-polyps/ -can-be-enough

Thank you to Sally Helm and Noel King of the Unexplainable Podcast for hosting Dr. Bastian! You can listen to their disc...
02/10/2026

Thank you to Sally Helm and Noel King of the Unexplainable Podcast for hosting Dr. Bastian! You can listen to their discussion about R-CPD (inability to burp, no-burp) on your podcasting app, or at the link below: https://megaphone.link/VMP9023011775

This person has the typical PD voice change. His “inner voice” is the main issue. He cannot “collect and express” vitali...
02/08/2026

This person has the typical PD voice change. His “inner voice” is the main issue. He cannot “collect and express” vitality vocally. This series, on the other hand, focuses on the end-organ (larynx) change that can be the result of loss of vigor: https://laryngopedia.com/parkinsons-disease-related-voice-change/

As a temporary “bridge” while awaiting possible vocal cord paralysis recovery, this patient elected to undergo vocal fol...
02/07/2026

As a temporary “bridge” while awaiting possible vocal cord paralysis recovery, this patient elected to undergo vocal fold injection with voice gel, understanding that the benefit would be transient. Typical improvement lasts six to eight weeks, after which repeat injection may be required.

In her case, however, a single injection proved sufficient. Her voice did not deteriorate, and spontaneous recovery of vocal fold mobility subsequently occurred at the same time that the gel was resorbing: https://laryngopedia.com/vocal-cord-paralysis-unilateral/ -cord-paralysis-evolution-to-paresis

Inside our throat, the esophagus is normally a collapsed muscular tube. If its walls remain tightly apposed to the scope...
02/01/2026

Inside our throat, the esophagus is normally a collapsed muscular tube. If its walls remain tightly apposed to the scope, visualization is extremely poor—much like trying to read a book held just 1 cm from your eyes.

One of the classic findings in people with R-CPD is what we call an “always-open” esophagus. This occurs because the esophagus is held open by the patient’s own retained, unburpable air: https://laryngopedia.com/r-cpd-esophageal-findings/

A 74-year-old man presented with unexplained hoarseness. Definitive excisional biopsy in an operating room revealed inva...
01/25/2026

A 74-year-old man presented with unexplained hoarseness. Definitive excisional biopsy in an operating room revealed invasive carcinoma. Over subsequent years, several additional office-based laser treatments were required for small areas of recurrent leukoplakia.

This approach proved highly effective. It avoided radiotherapy and repeated operative interventions, preserved vocal function, and allowed the patient to attend treatments independently without the need for anesthesia or accompaniment.

📖 Learn more at laryngopedia.com/cancer

This patient experienced abrupt onset of hoarseness. Diagnosis from another physician reported vocal cord paralysis and ...
01/23/2026

This patient experienced abrupt onset of hoarseness. Diagnosis from another physician reported vocal cord paralysis and a “mass.” She presented for a second opinion. Upon examination, a right saccular cyst is seen protruding from the ventricle and also lifting and bulging the false cord. This would be a hybrid anterior/lateral saccular cyst: https://laryngopedia.com/saccular-cyst/ -cyst-laryngocele-or-laryngopyocele

This elderly woman had undergone total thyroidectomy approximately 25 years ago. At presentation her inspiratory noises ...
01/18/2026

This elderly woman had undergone total thyroidectomy approximately 25 years ago. At presentation her inspiratory noises were prominent even at rest. Inspiration between every sentence created involuntary inspiratory phonation. Her husband said he had to use a separate bedroom because she was so loud during sleep: https://laryngopedia.com/vocal-cord-paralysis-bilateral/ -and-after-posterior-commissuroplasty

Contact granulomas can be diagnosed by “certain” visual criteria, and be allowed to mature and detach spontaneously, wit...
01/16/2026

Contact granulomas can be diagnosed by “certain” visual criteria, and be allowed to mature and detach spontaneously, with no need for removal except in unusual circumstances: https://laryngopedia.com/contact-granuloma/ -and-grove-granuloma

This elderly patient has suffered at least 6 episodes of pneumothorax due to her known BHD syndrome. Her reason for lary...
01/11/2026

This elderly patient has suffered at least 6 episodes of pneumothorax due to her known BHD syndrome. Her reason for laryngology consultation is a very poor voice across several years,. Examination shows a bulging but mostly mobile left vocal cord, due to a submucosal mass.

If pulmonary function and risk of further pneumothorax check out, the plan is removal under general anesthesia. An “upper Dutch door” is planned, dividing 1/3 of the way down from the thyroid notch & then a cartilage cut directed straight posteriorly, parallelling the ventricle: https://laryngopedia.com/paraglottic-mass-and-birt-hogg-dube-bhd-syndrome/

This 90-year-old person’s swallowing vigor and accuracy are diminished along with her cricopharyngeal function. She has ...
01/07/2026

This 90-year-old person’s swallowing vigor and accuracy are diminished along with her cricopharyngeal function. She has been experiencing swallowing symptoms for nearly 3 years. Initially, she had difficulty swallowing pills, then meat, and now she can only swallow purees and liquids: laryngopedia.com/presbyphagia

After cricopharyngeal myotomy, the patient reports large improvement of swallowing, saying she has eaten a whole hamburger with no issue.

If you are struggling with a 🎵 voice, 👤 swallowing, 🫁 airway, or 🗣️ cough disorder, schedule a video call with Dr. Bastian! Send an email to info@laryngopedia.com (link in bio) to get started.

The patient reports large improvement of swallowing, saying she has eaten a whole hamburger with no issue.

Address

3010 Highland Parkway
Downers Grove, IL
60515

Opening Hours

Monday 8:30am - 4pm
Tuesday 8:30am - 4pm
Wednesday 8:30am - 4pm
Thursday 8:30am - 4pm
Friday 8:30am - 4pm

Telephone

+16307241100

Alerts

Be the first to know and let us send you an email when Bastian Voice Institute posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram

Category