
What Causes Persistent Sore Throat And Feeling Of Lump Inside Throat?

Stroboscopy. MRI larynx.
Detailed Answer:
Hi,
Thank you for your query.
1. The vocal cords vibrate at more than a hundred times a seconds and hence fine movements are not visible on a laryngoscopy. Get a Stroboscopy done, if it has not yet been done. Upload the images.
2. Any hematoma would have resolved in this time. An MRI larynx can help assess the larynx better and look for signs of cartilage injury or subluxation. Injury to the cartilage framework of the larynx and dislocation of delicate cartilage units should be looked for on both these investigations. There may be a vertical difference in the levels of the vocal cords. Any compensation of the false vocal cords should be assessed. It will be better if you can upload a video of the Stroboscopy. Bowing of the vocal cords may occur due to nerve injury or deformation of the larynx. The tenderness over the Adam's Apple area may be due to cartilage injury (specifically the thyroid cartilage or the cricoid cartilage). Fibrosis that s significant will impair the vocal movements in some manner. Do you have nay difficulty in swallowing? Reflux should be ruled out. Sometimes the food pipe and pre-vertebral soft tissues are also crushed between the voice box and spinal column. Injury to the hyoid bone and the muscles attached to the larynx should also be assessed.
3. Speech assessment software and Laryngeal EMG (ElectroMyoGraphy) can be done if available.
4. . Ideally, steroids and speech therapy should have been started at the time of the injury. It is not clear if you had a vocal cord dysfunction in 2014. You should start the speech therapy as soon as possible.
5. If all your investigations are normal, it will be a matter of time before your voice heals.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.

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