Article: A large left vocal fold mass. (Laryngoscopic Clinic).

A 52-year-old appeals officer for the Internal Revenue Service reported a 2-year history of frequent throat clearing and a "froggy" voice. He had been examined initially by his primary care physician, who diagnosed the condition as an upper respiratory infection and recommended guaifenesin. The patient was later evaluated by an otolaryngologist, who diagnosed gastroesophageal reflux disease (GERD) and prescribed an antacid. A second otolaryngologist diagnosed the patient with left vocal fold paresis and GERD, and he started the patient on a proton-pump inhibitor. Findings on computed tomography of the neck and chest were normal.

When the patient's voice symptoms ...

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