Silent Reflux (LPR): Managing the Hidden Cause of Throat Irritation Many people are familiar with Gastroesophageal Reflux Disease (GERD)—the uncomfortable burning sensation in the chest known as heartburn. However, there is another form of reflux that completely bypasses the chest and targets the throat directly. This is Laryngopharyngeal Reflux (LPR) , frequently called "Silent Reflux." Because it doesn't produce the classic "burning" sensation, many patients live with chronic throat discomfort for months or years, mistaking it for a persistent cold, an allergy, or vocal strain. This guide explains how silent reflux works, how to spot its hidden symptoms, and how a specialist ENT evaluation can help you protect your throat and voice. What is Laryngopharyngeal Reflux (LPR)? LPR occurs when stomach contents—including harsh gastric acid and the digestive enzyme pepsin—travel back up the oesophagus and spill over into the larynx (voice box) and pharynx (throat). ...
Ear cartilage meatoplasty (conchal cartilage reduction) for external ear canal stenosis — an operation to widen the entrance (outer/cartilaginous part) of the ear canal by reshaping/removing the obstructing conchal cartilage and associated soft tissue, so the canal stays open and can ventilate, drain, and be cleaned. Why is this being recommended? Your ear canal is narrowed because the conchal cartilage (the bowl-shaped cartilage at the ear opening) is bulky or positioned in a way that crowds the canal entrance. This can lead to a cycle of wax trapping, recurrent otitis externa/inflammation, discharge, blocked hearing, difficulty examining the eardrum , and repeated need for microsuction. Meatoplasty aims to restore a stable, self-cleaning canal opening and reduce recurrent problems. What benefit can you reasonably expect? The intended benefits are: easier ear toilet/cleaning, fewer blockages and infections, improved access for drops and examination, and (i...