In this episode of the UEP Voicebox podcast, we dive deep into the evolving landscape of recurrent respiratory papillomatosis (RRP) with leading laryngologist Dr. Simon Best. Specializing in complex voice and airway disorders—with a particular focus on the comprehensive care of professional voice-users and performers—Dr. Best shares invaluable clinical insights into shifting paradigms of patient care.

Join host Dr. Shiying Hey as we explore emerging medical interventions, including HPV-specific immunotherapy (Papzimeos), bevacizumab, and vaccination protocols. Dr. Best outlines a modern, forward-thinking treatment algorithm designed with three core goals: reducing procedural frequency, safeguarding vocal function, and fundamentally improving patient quality of life.

• The Clinical Burden of RRP: Understanding the physical and emotional toll on patients.

• The Recurrence Cycle: Exploring the underlying drivers behind why RRP keeps coming back.

• The RRPF Contemporary Treatment Approach: Integrating state-of-the-art strategies into daily practice (featuring extended insights on Bevacizumab).

• A Paradigm Shift: Evaluating HPV-specific immunotherapy and how it changes the therapeutic landscape.

• Mechanism of Action: A closer look at how HPV-specific immunotherapy works at the cellular level.

• The Johns Hopkins Experience: Real-world clinical outcomes and observations utilizing Papzimeos.

• Looking Ahead: The future horizon of RRP care and ongoing research.

Listen now to explore the future of airway and vocal rehabilitation. Don't forget to subscribe, share, and stay connected with our community as we continue exploring the intersection of science and the human voice.

Missed an episode? Catch up here on all the conversations recorded at The UEP Voicebox, the official podcast of The Union of European Phoniatricians.

In this UEP Voicebox episode, Professor Daniel Novakovic joins us from Sydney to explain the concept of laryngeal sensory dysfunction.

The symptoms present may be chronic cough, throat irritation, and inducible laryngeal obstruction — but his latest research is opening new treatment options.

He discusses diagnostic tools (history, cough threshold testing, superior laryngeal nerve blocks), therapeutic options including neural modulators, speech therapy, and the emerging use of supraglottic botulinum toxin.

We are also joined by his patient, Katie Gladstone, as she shares her recovery story.

Thank you for listening to the UEP Voice Box! If you enjoyed this episode, please subscribe on your favorite podcast channels, and share wth your colleagues and friends.

Episode 13 - Dr. Robert T. Sataloff: Voice Under the Knife: Operating on Artistic Voices

What happens when a performer’s most vital instrument requires surgical intervention? The decision to undergo surgery can often be career-defining. So when should a professional Voice user take that risk?

In this episode of The Artistic Voice (a special sub-series of The UEP Voice Box), we speak to a true expert of vocal surgery: Dr. Robert T. Sataloff.

Dr. Shiying Hey talks with Dr. Robert Sataloff about the unique challenges of voice surgery for artistic voice users. The conversation covers surgical principles for phonomicrosurgery, delicate tissue handling, approaches to scar management (steroids, fat and grafts), timing and postoperative rehabilitation, and the guiding principles when performing surgery on an Artistic Voice.

Other things to note in this conversation:

✨ The High Stakes of Phonosurgery: Why operating on the artistic voice demands an entirely different level of precision, micro-dissection, and an intimate understanding of the vocal fold's layered architecture.

✨ A Comprehensive Care Team: Exploring why the best surgical outcomes rely on an ecosystem of experts—combining the surgeon's blade with the nuanced ear of singing voice specialists and speech-language pathologists.

✨ Preserving the Invisible Instrument: How protecting a performer's livelihood requires balancing different treatment options and a deep commitment to preserving vocal flexibility, timbre, and emotional range.

True vocal longevity relies on setting healthy boundaries in work and rest, plus knowing when to seek specialized care.

🎧 Listen to the full episode of the UEP Voice Box here and on Spotify, Amazon and Apple Podcasts.

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