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With two cancelled tours in as many months, people are wondering about Adele’s voice.  Could this really be something as routine as laryngitis and a vocal hemorrhage as she claims? Unfortunately my words proved prophetic and we are looking at the beginning of a long period of recovery for this gifted artist.  But is she really just recovering from a vocal hemorrhage? Laryngitis simply means inflammation of the throat and the toxins and chemicals in cigarettes, when they are inhaled past your vocal folds, cause instant inflammation. A vocal hemorrhage happens with vocal trauma, be it excessive voice use, loud voice use, or using your voice with poor technique. In Adele’s case we don’t have the benefit of some of these factors but the first is the most important.  Although she smokes, she is 23 years old.
If you would like to speak with one of our physicians regarding this issue or another ear, nose, throat problem; or have other questions or concerns, please complete the contact form below or call us at 310-657-0123. Liver disease: symptoms and causes including cirrhosis, Learn about liver disease symptoms such as nausea, vomiting, abdominal pain, jaundice, weakness, and weight loss. Cirrhosis (liver) symptoms, causes, treatment - medicinenet, Symptoms of cirrhosis of the liver. Head and Neck Cancer cancer treatment and surgery India offers information on Head and Neck Cancer Cancer Doctor India, Head and Neck Cancer Cancer treatment and surgery Hospital India, Head and Neck Cancer Cancer treatment and surgery Abroad, Head and Neck Cancer Cancer causes, symptoms, Risk factors, treatment and surgery.
Oral cavity (mouth) : The oral cavity includes the lips, the front two-thirds of the tongue, the gingiva (gums), the buccal mucosa (lining inside the cheeks and lips), the floor (bottom) of the mouth under the tongue, the hard palate (bony top of the mouth), and the small area behind the wisdom teeth. Para nasal sinuses (small hollow spaces around the nose lined with cells that secrete mucus): the paranasal sinuses are small hollow spaces in the bones of the head surrounding the nose.
The larynx, also called the voicebox, is a short passageway formed by cartilage just below the pharynx in the neck. The salivary glands produce saliva, the fluid that keeps mucosal surfaces in the mouth and throat moist.
Squamous cell carcinomas are much more common in smokers and people who drink a lot of alcohol, particularly spirits, and even more common in people who do both. Pipe smokers and people who hold cigarettes between their lips for long periods have a higher risk of cancers in the lip area.
People who have long periods of sun exposure in their daily life have an increased risk of cancer of the lip and the skin of the head and neck, especially the ear. People who chew tobacco or betel nuts and those who use paan have a higher risk of cancers in the oral cavity.
Breathing in certain chemicals and hardwood dusts (for example, in workplaces) increases the risk of cancers of the nose and sinuses.
There are a number of precancerous conditions that can affect the head and neck, such as leukoplakia and erythroplakia, which can increase the risk of a cancer developing.
Drouble with breathing or speaking, such as persistent noisy breathing, slurred speech or a hoarse voice. In people who smoke or chew tobacco, pre-cancerous changes can occur in the lining of the mouth, or on the tongue.
At the hospital, the specialist will ask you about your current symptoms as well as your medical history, and will want to know if you are taking any medicines. In order to examine your throat and neck, the doctor may use a small mirror held at the back of your mouth.
The doctor can only make a definite diagnosis by taking a sample of cells from the abnormal area to examine under a microscope.
By looking at the sample of cells under the microscope, the doctors will be able to tell if cancer cells are present. Surgery is an important part of the treatment of head and neck cancers and aims to remove the cancer completely.


If the cancer is larger, surgery will often involve a hospital stay and an operation under general anaesthetic. A type of surgery called micrographic surgery is being tested in research trials for cancers of the lip and oral cavity. The surgeon may need to remove part of the mouth or throat lining and occasionally some facial skin. If the cancer is affecting part of your jawbone, the affected bone may be removed with the tumour. Chemotherapy may be used before or after surgery or radiotherapy to try to increase their effectiveness. Chemotherapy may also be given to people whose cancer has spread to other parts of the body or whose cancer has come back after radiotherapy. PDT uses a combination of laser light of a specific wavelength and a light-sensitive drug to destroy cancer cells.
There is a delay of four days between injection and the activation of the drug using the laser light.
In early-stage cancer of the head and neck PDT may be used to try to cure the cancer and is usually given as part of research trials. PDT can sometimes be used to shrink an advanced cancer to reduce symptoms, but it cannot cure an advanced cancer. Irish Cancer Society Daffodil Centres provide in-person, one-on-one cancer information, support and advice in local hospitals across Ireland.
Even if she smokes two packs per day, and has been for a decade, it is nearly impossible to develop smoking-related cancer at such a young age.  Other cancers do occur in this age group, but not those that arise from smoking. It is designed to provide reliable medical information in a format that is easy to understand.
The oropharynx includes the soft palate (the back of the mouth), the base of the tongue, and the tonsils. In some cases (for example, salivary gland cancers, sarcomas and lymphomas) the causes are unknown. The doctor may also pass a nasendoscope (a very thin flexible tube with a light at the end) into your nose to get a better view of the back of the mouth and throat. You may be given a local anaesthetic lozenge to suck, which numbs the mouth for a few minutes. They will also be able to find out the type of cancer; for example, whether it has begun in the cells lining the mouth and throat (squamous cells). Using a fine needle and syringe, the doctor takes a sample of cells from a lump and sends it to the laboratory to see if any cancer cells are present.
It is sometimes used for people with pre-cancerous conditions who need to have regular biopsies.
The part of your mouth or throat that the doctor may remove depends on where the tumour is. Sometimes the amount of surgery may involve more than one part of your head and neck, and may mean that you will have scars on your face or neck. This may be combined with a light-sensitive drug (sometimes called a photosensitising agent) in treatment known as photodynamic therapy (PDT). The surgeon removes the cancer, and during the surgery the tissue that has been removed is examined under a microscope.
This can be replaced using a thick piece of skin taken from another part of the body – usually the forearm or chest.
In this case, you may need to have part of a bone taken from elsewhere in your body to replace the missing jawbone.


It can also be used after an operation, to destroy small areas of cancer that could not be removed by the surgery. Sometimes chemotherapy may be given at the same time as radiotherapy (a treatment known as chemo-radiotherapy), as they can be more effective if they are given together. It is used in this situation to try to shrink and control the cancer and relieve symptoms, to try to prolong a good quality of life. The laser light used in PDT is focused through a fibre-optic tube, and is shone for only a few minutes. It is a hollow, muscular and elastic organ found in the lower part of your belly (abdomen).
The innermost layer has a special lining that prevents urine being reabsorbed into the body.
Find out ways we can provide practical and emotional support to cancer patients, their loved ones and carers.
As Chief of Medical Resources, I hold an undergraduate degree in Neuroscience from the University of California, Los Angeles and a graduate degree in Medical Science from the University of Southern California.
It also has a small piece of tissue, called the epiglottis, which moves to cover the larynx to prevent food from entering the air passages. Instead, the area may be sprayed with an anaesthetic spray, which numbs the back of your throat. A small piece of the suspected cancer is then removed using a very fine needle or a special pair of tweezers (biopsy forceps).
An FNAC may be quite uncomfortable and the area may be bruised for a week or so afterwards.
Instead of having biopsies a small amount of blue dye is painted onto the abnormal area, which is then very closely looked at using a microscope.
Very small cancers can often be treated with a simple surgical operation under local or general anaesthetic, or with laser surgery, with no need to stay in hospital overnight.
It may also be given in combination with chemotherapy, which is known as chemo-radiotherapy. As the drugs circulate in the bloodstream, they can reach the cancer cells all over the body.
The doctor holds the fibre-optic tube very close to the cancer so that the correct amount of light is delivered and the PDT causes the minimum amount of damage to normal, healthy cells.
The bladder collects and stores urine.Urine is made in the kidneys and passes through tubes called ureters to the bladder. If you do have a local anaesthetic in your throat, you shouldn't eat or drink anything for about an hour afterwards, until your throat has lost the numb feeling. However, it is more likely that a biopsy will be taken whilst you are asleep under a general anaesthetic. This allows the specialist to examine the mouth and throat area closely and take biopsies from any other suspicious areas.. When a laser is shone on to the cancer, the drug is triggered to interact with oxygen, which then destroys the cancer cells. She is board certified in otolaryngology and laryngology and fellowship trained in laryngology, specializing in the care of the professional voice.



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