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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Tightness/dysfunction Muscles Lateral To Base Of Tongue

follow up to lasting tightness/dysfunction muscles lateral to base of tongue thank u for reply. have had computer problems so just got it. ? r u saying local steroid and other iinjections are likely to be ineffective or did that just apply to oral supplements? sup. con. mus. feels totally constricted and dysfunctional , is there a way to release this muscle w/out causing more damage? My post-nasal clearance issue is untenable and feels as if there is material that is becoming calcified . If there is nothing that can be done to heal throat muscle is there a possibility of vaporizing some turbinate tissue in back to help w/ this clearance problem? Understand this is rare problem but quite real and have found my limited contact w/ ent community to be that of me being damaged gooods that they dont want get involved w/. this makes it very difficult to get a serious evaluation and resolution of problem. thanks for reply and any additional info would be appreciated.
Tue, 8 Nov 2011
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  User's Response
's  Response
1. Local injections are likely to be ineffective.
2. You should undergo FEES (Fiberoptic Endoscopic Evaluation of Swallowing) or FEESST (Fiberoptic Endoscopic Evaluation of Swallowing with Sensory Testing) to pinpoint the muscle incoordination.
3. Co-ablation assisted release of fibrosis and muscles is an option.
4. Radio-Frequency assisted reduction of turbinates may help reduce your post nasal drip. A plain CT PNS (Para Nasal Sinises) Scan pre and post decongestion will help delineate the excess turbinate tissue and also show the health of your sinuses and deviations of your nasal septum.
OBGYN Dr. Nilima Ghosh Hajra's  Response
welcome to healthcaremagic
from the description it is essential that you attend a neurological center and get a complete evaluation regarding your problems
a proper diagnosis can only decide the prope rtreatment
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Tightness/dysfunction Muscles Lateral To Base Of Tongue

1. Local injections are likely to be ineffective. 2. You should undergo FEES (Fiberoptic Endoscopic Evaluation of Swallowing) or FEESST (Fiberoptic Endoscopic Evaluation of Swallowing with Sensory Testing) to pinpoint the muscle incoordination. 3. Co-ablation assisted release of fibrosis and muscles is an option. 4. Radio-Frequency assisted reduction of turbinates may help reduce your post nasal drip. A plain CT PNS (Para Nasal Sinises) Scan pre and post decongestion will help delineate the excess turbinate tissue and also show the health of your sinuses and deviations of your nasal septum.