Laryngopedia

This patient previously underwent definitive chemo- and radiotherapy for base-of-tongue carcinoma. He describes a rugged treatment course marked by a profoundly sore throat that persisted for several months.

Since completion of therapy, he has experienced a permanent change in voice quality, noticeable but manageable dysphagia, and a restricted airway (somewhat “heavy breathing”) that does not bother his sleep and which he does not allow to limit his active lifestyle: laryngopedia.com/supraglottic-stenosis/#photo-essa…

21 hours ago | [YT] | 7

Laryngopedia

Tomorrow is the day!

Join a 90-minute live webinar with Dr. Robert Bastian, the laryngologist who first fully identified, organized, and successfully treated R-CPD (retrograde cricopharyngeus dysfunction, “no-burp”).

Drawing from over 1,300 personal cases (and 2,400 across his group), Dr. Bastian will provide a comprehensive overview of:
· How R-CPD presents and is diagnosed
· What’s known about its underlying mechanism
· Treatment approaches and outcomes
· Practical guidance for both patients and clinicians
· This webinar is ideal for:
→ Patients living with R-CPD (“no-burp”)
→ ENT physicians
→ Gastroenterologists
→ Speech–language pathologists

👉 Register today to reserve your spot for tomorrow’s session: us06web.zoom.us/webinar/register/9317625274195/WN_…

1 week ago | [YT] | 9

Laryngopedia

Only 2 days left to register for Dr. Robert Bastian’s webinar covering everything you want to know about R-CPD.”
🗓 Saturday, Dec 6
⏰ 9:00 a.m. CST (GMT-06:00)
👥 He will share his experience having treated ~1,300 patients from 50 states & 28 countries!
Don’t miss it—register now: us06web.zoom.us/webinar/register/9317625274195/WN_…

1 week ago | [YT] | 5

Laryngopedia

Imagine ten doctor visits over 18 months, searching desperately for relief from a mysterious cluster of miserable GI symptoms:
A) relentless bloating,
B) embarrassing flatulence,
C) loud gurgling,
D) hiccups, and more.
Ten doctors. Countless appointments. Test after test — physical exams, endoscopies, gastric-emptying studies, even two MRIs — all returning without meaningful answers.
This is the real story of one patient with R-CPD (retrograde cricopharyngeus dysfunction). And their story is repeated more than 2300 times in the Bastian Voice Institute caseload. Another patient saw thirteen GI specialists before finally receiving the correct diagnosis.
In every case, the turning point came from recognizing R-CPD, a disorder first described and defined by Dr. Robert Bastian, who identified the condition, established its diagnostic criteria, and opened a pathway to effective treatment. Dr. Bastian is making himself available for a webinar to explain what he has learned and to address many unanswered questions patients and their doctors may have: us06web.zoom.us/webinar/register/9317625274195/WN_…

1 week ago | [YT] | 9

Laryngopedia

⏳ Only 4 days left to register! Join us for a rare opportunity to hear directly from Dr. Bastian, the physician who first described R-CPD (Retrograde Cricopharyngeus Dysfunction)—also known as the “no-burp syndrome.”

Whether you are someone living with R-CPD, a family member, a friend, a physician (especially gastroenterologists), or a speech-language pathologist beginning to see these patients—you will gain clarity on this life-changing yet often misunderstood disorder.

Most people know about the “big four” symptoms: inability to burp, gurgling, bloating, and flatulence. But what about the other 5–6 miseries that often remain unrecognized?

You’ll also learn:
· What tests (if any) are needed for diagnosis
· How the treatment works (O.R. vs. EMG approach)
· Typical costs
· Success rates
· Insights drawn from ~1,300 personal cases (and 2,400 within his group)

Bring your curiosity. A curated Q&A will address themes of general interest, and Dr. Bastian will follow up with brief answers to remaining questions in the weeks after the webinar.

➡️ Don’t miss your chance—register now at us06web.zoom.us/webinar/register/9317625274195/WN_…

1 week ago | [YT] | 7

Laryngopedia

If you’re unsure whether you truly have R-CPD...
If your Botox injection didn’t work...
If your symptoms returned after initial success...
If you’re considering a myotomy after losing benefit from prior injections...

What should you do next? More testing? Additional Botox? EMG-guided treatment? Myotomy?

In this 90-minute Zoom session, Dr. Bastian will walk through these scenarios and attempt to answer additional pressing questions of general interest. Chat will be moderated by the co-author of the original R-CPD paper, PA Melissa (Smithson) Wingo. Dr. Bastian will address selected questions live and may be able to follow up briefly by email afterward.

This session is designed for patients, gastroenterologists, and otolaryngologists. Registration fees help support the continued maintenance of Dr. Bastian’s public-service website, Laryngopedia.com

📅 Date: December 6, 2025
🕒 Time: 9:00 a.m. CST (GMT-0600)
💻 Format: Live Online Webinar
🔗 Register here: laryngopedia.com/rwb-webinar/

3 weeks ago | [YT] | 3

Laryngopedia

One of many questions answered for patients struggling with the inability to burp (R-CPD) and considering treatment with Botox injection: What’s the best setting—an in-office injection or an outpatient procedure?

Dr. Robert Bastian will compare both options, explain who is best suited to each, and outline the advantages and trade-offs of every approach.

Join Dr. Robert Bastian—the laryngologist who first identified Retrograde Cricopharyngeus Dysfunction (R-CPD), the disorder behind the inability to burp—for a comprehensive 90-minute live session. Live Chat will allow a limited number of general-interest questions from participants.

Whether you’re an R-CPD sufferer, physician, speech pathologist, or simply intrigued by this unusual and newly recognized disorder, you’ll come away with a clear understanding of how R-CPD is diagnosed, treated, and often completely and permanently resolved.

📅 Date: December 6, 2025
🕒 Time: 9:00 a.m. CST (GMT-0600)
💻 Format: Live Online Webinar
🔗 Register here: www.laryngopedia.com/webinar

1 month ago | [YT] | 4

Laryngopedia

When vocal instability is observed, there are three main possible explanations...


1) Poor Rapport of the Person with His or Her Voice (least likely)
2) Functional / Non-Organic Explanation (occasional but crucial to identify )
3) Neurological, Muscular, or Neuromuscular Disorder (MOST IMPORTANT)


With an unstable voice or loss of vocal control, the patient cannot seem to reliably “find,” repeat more than once, or sustain the vocal task requested by the clinician—or even the voice production they themselves intend: laryngopedia.com/vocal-instability/

1 month ago | [YT] | 6

Laryngopedia

The amyloid deposit bulges from underneath the vocal cords, an incision is made and the submucosal amyloid deposit is being dissected out of the left vocal cord. While it is impossible to remove them all, the vocal cords match much better and voice is dramatically improved: laryngopedia.com/amyloidosis/

1 month ago | [YT] | 7

Laryngopedia

Bronchoscopy is an essential tool in both laryngology and pulmonology, allowing direct evaluation of airway structure and function, with or without therapeutic intervention (suction, biopsy, dilation, etc.) laryngopedia.com/bronchoscopy

Office-based flexible bronchoscopy offers quick, safe, dynamic assessment of stenosis, functional collapse, and nonorganic airway disorders, while carrying minimal risk to patients.

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.

Skip the Carousel

1 2

1 month ago | [YT] | 11