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Monday 8:30am - 4pm Tuesday 8:30am - 4pm Wednesday 8:30am - 4pm Thursday 8:30am - 4pm Friday 8:30am - 4pm

Bastian Voice Institute

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United States
Downers Grove, IL
Bastian Voice Institute

We provide medical care and consideration for persons with voice, swallowing, and airway disorders.

01/25/2026

A 74-year-old man presented with unexplained hoarseness. Definitive excisional biopsy in an operating room revealed invasive carcinoma. Over subsequent years, several additional office-based laser treatments were required for small areas of recurrent leukoplakia.

This approach proved highly effective. It avoided radiotherapy and repeated operative interventions, preserved vocal function, and allowed the patient to attend treatments independently without the need for anesthesia or accompaniment.

📖 Learn more at laryngopedia.com/cancer

01/23/2026

This patient experienced abrupt onset of hoarseness. Diagnosis from another physician reported vocal cord paralysis and a “mass.” She presented for a second opinion. Upon examination, a right saccular cyst is seen protruding from the ventricle and also lifting and bulging the false cord. This would be a hybrid anterior/lateral saccular cyst: https://laryngopedia.com/saccular-cyst/ -cyst-laryngocele-or-laryngopyocele

01/18/2026

This elderly woman had undergone total thyroidectomy approximately 25 years ago. At presentation her inspiratory noises were prominent even at rest. Inspiration between every sentence created involuntary inspiratory phonation. Her husband said he had to use a separate bedroom because she was so loud during sleep: https://laryngopedia.com/vocal-cord-paralysis-bilateral/ -and-after-posterior-commissuroplasty

01/16/2026

Contact granulomas can be diagnosed by “certain” visual criteria, and be allowed to mature and detach spontaneously, with no need for removal except in unusual circumstances: https://laryngopedia.com/contact-granuloma/ -and-grove-granuloma

01/11/2026

This elderly patient has suffered at least 6 episodes of pneumothorax due to her known BHD syndrome. Her reason for laryngology consultation is a very poor voice across several years,. Examination shows a bulging but mostly mobile left vocal cord, due to a submucosal mass.

If pulmonary function and risk of further pneumothorax check out, the plan is removal under general anesthesia. An “upper Dutch door” is planned, dividing 1/3 of the way down from the thyroid notch & then a cartilage cut directed straight posteriorly, parallelling the ventricle: https://laryngopedia.com/paraglottic-mass-and-birt-hogg-dube-bhd-syndrome/

01/07/2026

This 90-year-old person’s swallowing vigor and accuracy are diminished along with her cricopharyngeal function. She has been experiencing swallowing symptoms for nearly 3 years. Initially, she had difficulty swallowing pills, then meat, and now she can only swallow purees and liquids: laryngopedia.com/presbyphagia

After cricopharyngeal myotomy, the patient reports large improvement of swallowing, saying she has eaten a whole hamburger with no issue.

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.

The patient reports large improvement of swallowing, saying she has eaten a whole hamburger with no issue.

01/04/2026

This person has chronic hoarseness, without prior illness or voice overuse. The explanation is a mucus-retention cyst. How do we know to know this is a cyst and not a polyp? https://laryngopedia.com/mucus-retention-cyst/ -after-removal

01/01/2026

Compared with transverse cordotomy, arytenoidectomy, and other methods, posterior commissuroplasty tends to achieve a more physiologic airway while degrading voice quality to a lesser degree. The other methods can restore airway effectively, but often at the cost of increased breathiness or loss of vocal strength.

12/27/2025

The key finding in bilateral vocal cord paralysis is loss of abduction. Because vocal cords can still vibrate well when closely approximated—even if denervated—voice quality is often surprisingly good. The primary deficit is airway narrowing. Patients may produce an involuntary inspiratory voice when breathing rapidly or during sleep, and they experience reduced exercise tolerance: https://laryngopedia.com/vocal-cord-paralysis-bilateral/

12/21/2025

Arytenoid Dislocation: A Personal Experience Leading to an Alternate Method of Diagnosis

Why, despite years as the sole dedicated laryngologist in two major academic centers with extensive trauma and critical-care populations, my own incidence of true arytenoid dislocation was so low?

Combined with my knowledge of the joint’s toughness, I began to suspect that some cases diagnosed as “dislocation” might have another explanation: https://laryngopedia.com/arytenoid-dislocation-a-diagnostic-strategy/ -personal-experience-leading-to-an-alternate

12/19/2025

Early assessment of vocal process MATCH dramatically simplifies the diagnostic pathway for Arytenoid dislocation. This single, quick, office-based maneuver can eliminate the need for CT imaging, EMG, anesthetized laryngoscopy, and other costly or invasive tests. The result is a faster, more accurate diagnosis at a fraction of the expense and burden associated with current common practice: https://laryngopedia.com/arytenoid-dislocation-a-diagnostic-strategy/

12/17/2025

Unlike neurogenic immobility, arytenoid dislocation represents a mechanical limitation of the joint’s range of motion. Early identification is said to permit possible microlaryngoscopic reduction and greater likelihood of functional recovery.

Most reported cases follow endotracheal intubation, with the remainder due to external trauma or laryngeal manipulation.

Patients typically present with hoarseness or breathiness immediately after the inciting event, accompanied by impaired vocal cord mobility resembling recurrent laryngeal nerve paralysis or paresis: https://laryngopedia.com/arytenoid-dislocation-a-diagnostic-strategy/

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.

Address

3010 Highland Parkway
Downers Grove, IL
60515

Opening Hours

Monday	8:30am - 4pm
Tuesday	8:30am - 4pm
Wednesday	8:30am - 4pm
Thursday	8:30am - 4pm
Friday	8:30am - 4pm

Telephone

+16307241100

Website

https://www.bastianvoice.com/

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