Monday, February 20, 2017

Singing Voice / Beat-box Voice

Good afternoon! I am inquiring on behalf of my cousin, who seems to be at a loss for what to do next, concerning his voice. He is a beat-boxer and has recently injured himself and would like any advice on how he can proceed and/or any tips on how to rest his voice for the best recovery possible. I would really appreciate whatever you can do for us. Thank you!

"It begins a little different, seeing as though, it was a beat-boxing injury. I was recently attempting to play with lower registers and I had a very sharp and severe pain stem from throat that shot through the body. I went into shock and went to the ER where they dismissed me with generalized laryngitis and gave me anxiety medication. The proceeding days, I found it almost impossible to swallow with the sensation of something catching/grinding near my Adam's apple. I then noticed rubber band popping sensation under my jaw when swallowing. An ear, nose, and throat doctor noticed bruising along my chords, but this didn't seem like enough for my other symptoms. My last observation has been if I consciously lower my Adam's apple from its stationary position, there is a popping sensation that occurs that is occasionally painful."

Melissa Kim, M.S., CCC-SLP writes...

Unfortunately, I can’t offer any helpful advice without more information as to the cause of his symptoms. If his current ENT has not offered a diagnosis which would explain his symptoms, a second opinion would be in order. I would counsel your cousin to ask if additional imaging (e.g., CT of the neck) may be helpful in determining the cause of his pain. Best of luck to you both.

Thursday, February 2, 2017


Laryngoscopy Grand Rounds

Friday, February 10, 2017
7:30 AM – 8:30 AM
Physician Pavilion East Conference Center

" Surgical Management of Dysphagia"

Topic Presentation/Discussion:
Elizabeth Guardiani, M.D.

Wednesday, January 25, 2017

Head and Neck Cancer Care - Grand Rounds

Head & Neck Grand Rounds

Friday, February 3, 2017

7:30 AM – 8:30 AM
Physician Pavilion East Conference Center

Christine Gourin, MD presents:

“Identifying Value in Head and Neck Cancer Care”

Monday, January 9, 2017

Laryngoscopy Grand Rounds

Johns Hopkins Voice Center
Greater Baltimore Medical Center


Laryngoscopy Grand Rounds

Friday, January 13, 2017
7:30 AM – 8:30 AM

Physician Pavilion East Conference Center 

" Infectious Diseases of the Larynx"
Topic Presentation/Discussion by:
Rebecca J. Kamil, M.D.


“Epidemiological Trends for Non-smokers and Young
Adults with Laryngeal Squamous Cell Carcinoma”
Topic Presentation/Discussion by:
Ian Malm, M.D.

Karen T. Pitman, MD FACS, Medical Director of the Milton J. Dance, Jr. Head and Neck Center & Professor, Johns Hopkins Department of Otolaryngology-Head and Neck Surgery, Ryan H. Sobel, MD, and Ray Gervacio F. Blanco, MD, FACS, Assistant Professor, Johns Hopkins University.
Our teams work together to ensure a coordinated plan of care for patients with head and neck conditions.  Schedule your appointment.

Wednesday, December 21, 2016

Nodules - Singing Voice

My daughter is a budding singer. She is taking singing lessons and her vocal coach is concerned that she perhaps has nodes. That her chords barely phonate above a B natural in treble clef.  My daughter has to strain to sing in the higher range of her naturally alto voice. We are seeking advice and perhaps an appointment for evaluation.

Thank you

Melissa Bidlack, CCC-SLP replies...

Thank you for contacting us.  
Without knowing your daughter’s vocal history, I would ask how old she is and if this issue has been longstanding or is more recent? Also, has she noticed any changes in her speaking voice? If she has experienced a change in her voice that has persisted for longer than 3 weeks, I would recommend she see a fellowship-trained laryngologist who can examine her vocal folds using videostroboscopy. 
While lesions such as vocal nodules can limit range and increase strain, this can also occur with increased muscle tension.
The only way to be sure is to have her vocal folds visualized by a laryngologist, who would then recommend the appropriate course of treatment.  We would be happy to see your daughter at our center, and appointments can be scheduled by calling 443-849-2087. Please let us know if we can be of further assistance.

All the best to you,

Melissa Bidlack, CCC-SLP

Wednesday, December 7, 2016

Vocal fold paralysis: To Reinnervate Or Not To Reinnervate

Laryngeal Stroboscopy Grand Rounds
Friday, December 9, 2016
7:30 AM – 8:30 AM
Physician Pavilion East Conference Center

" Vocal fold paralysis: To Reinnervate Or Not To Reinnervate "

Topic Presentation/Discussion:
Julina Ongkasuwan, M.D.