A 58-year-old male news reporter had been experiencing frequent voice-breaks for the past one year. He had no cough, heartburns, difficulty in breathing or swallowing. He tried drinking hot water or tea with honey but that did not help. He did not have fever, myalgia, or any other medical condition in the recent past. His medical history included cholecystectomy about a year and a half ago. However, he was not on any medication. He denied the use of alcohol though he occasionally smoked a cigar.
His vital signs were normal. On examination, his voice was found to be hoarse. His otoscopic and ocular examinations were unremarkable. Oral examination showed 1+ tonsils without any exudate, mobile tongue, midline uvula and no mucosal lesions. His neck examination showed isometric neck muscle strength and full cervical range of motion. His trachea was midline and no masses were felt. No other…
