Throat
Laryngopharyngeal Reflux (LPR)
What is Laryngopharyngeal Reflux (LPR)?
Laryngopharyngeal reflux occurs when stomach acid or digestive enzymes flow backward into the throat and voice box. Unlike heartburn, LPR often causes throat clearing, chronic cough, hoarseness or the feeling of a lump in the throat. It commonly affects people who eat late at night or have high stress levels.
How is LPR treated?
Lifestyle and diet changes are the foundation of treatment—avoiding late meals, caffeine, alcohol, and acidic foods can make a big difference. Elevating the head of the bed and maintaining a healthy weight also help. Medications such as proton pump inhibitors or H2 blockers may reduce acid and allow healing.
Swallowing Disorders (Dysphagia)
What is Dysphagia?
Swallowing disorders, known as dysphagia, occur when food or liquids don’t move smoothly from the mouth to the stomach. This may be due to muscle or nerve problems, reflux, scarring or structural narrowing.
Symptoms include:
- coughing or choking while eating
- a sensation of food sticking
- unexplained weight loss
How is Dysphagia treated?
Evaluation may include imaging or swallow studies to identify the cause. Treatment often involves swallowing therapy with a speech-language pathologist, diet modifications and management of underlying conditions such as reflux. In some cases, procedures to widen narrowed areas can improve swallowing safety and comfort.
Laryngitis
What is Laryngitis?
Laryngitis is an inflammation of the vocal cords, often caused by viral infections, overuse of the voice, allergies or reflux. It leads to hoarseness, throat discomfort or temporary voice loss. Most cases are short-term, though chronic irritation can prolong symptoms.
How is Laryngitis treated?
Voice rest, hydration, and humidification are key for recovery. Avoid whispering or shouting, which can strain the vocal cords further. If reflux or allergies are contributing, treating these conditions helps prevent recurrence. Hoarseness lasting longer than two to three weeks should be evaluated by an otolaryngologist for direct visualization to diagnose the problem.
Hoarseness (Dysphonia)
What is Dysphonia?
Hoarseness, known as Dysphonia, refers to a change in voice quality—such as breathiness, raspiness or weakness—caused by irritation or abnormal vocal cord vibration. It can result from overuse, reflux, infection, allergies or benign vocal cord lesions. Persistent hoarseness may signal an underlying voice disorder.
How is hoarseness treated?
The goal is to address the underlying cause and promote vocal health. Resting the voice, staying hydrated and avoiding irritants, such as smoking or vaping, are essential. Voice therapy with a speech-language pathologist can improve technique and prevent strain. Some cases may require medication or surgical treatment to restore normal vocal function.
Dr. Annette M. Pham
"Dr Pham is excellent- extremely competent and smart while being personable and thorough."
— W. D.
Dr. Jennifer Goodrich
"needed immediate attention and got it. that’s the best. and at the end, Dr Goodrich offered to help get the patient to the car. and gave us a cell phone number to have direct contact with her as needed.
can it get any better than that?"
— S. C.
Dr. Jennifer Goodrich
"Dr Goodrich is so sweet and welcoming! She was open to all of my questions and made me feel very comfortable going into my septoplasty!"
— H.
Dr. Annette M. Pham
"Prompt; little wait time; excellent doctor."
— Z. S.
Metro ENT & Facial Plastic Surgery
"Besides expert treatments, they have excellent visiting time management. Always a helpful staff when phone calling. Excellent follow up treatments and recovery success."
— B. F.
Dr. Jennifer Goodrich
"Dr. Goodrich is truly awesome! I can't thank her enough for correcting my years-long breathing issues. My nose surgery and follow-up went flawlessly. Every aspect of her world-class care from routine communications to friendly, responsive staff has been compassionate and caring. Thank you Dr. Goodrich and staff for taking such great care of me!"
— P. S.
Metro ENT & Facial Plastic Surgery
"Great care. Entire staff make you feel comfortable."
— D. B.
Dr. Annette M. Pham
"Dr Pham truly has gone above and beyond to help me with my very complex case. She is also a plastic surgeon which gives her a unique understanding of the trauma that I had to not only to my sinuses and nose but also how the reconstruction of my facial bones plays into my sinus issues. She listens and is able to explain things easily and in a way that you can understand. I recommend her to my brother in law who broke his nose. He was soo happy with her work that he has recommended her to his friends. The office staff if very kind. I’ve had nothing but good experiences with her and her staff."
— A. G.
Dr. Jennifer Goodrich
"Definitely a Great Experience! Dr. Goodrich was awesome. Friendly and accommodating staff, Especially Joy.
I highly recommend Metro ENT and Facial Plastic Surgery.
I will definitely be back!"
— R. S.
Dr. Annette M. Pham
"Long time patient of Dr Pham and this practice. A wonderful team and medical professionals! Efficient, gracious, knowledgeable, and thorough."
— K. G.
Dr. Annette M. Pham
"Excellent care. Friendly staff, and clean environment. Dr. Pham Very knowledgeable in her field of work. Highly recommend"
— K. W.
Dr. Jennifer Goodrich
"Fantastic ENT care provided by Dr Jennifer Goodrich. She has helped me with expert care for ongoing sinus issues."
— E. H.
Metro ENT & Facial Plastic Surgery
"I had a fantastic experience at Metro ENT & Facial Plastic Surgery! From start to finish, the staff was welcoming, efficient, and truly caring. Dr. Andrew Lee and Dr. Jennifer Goodrich are a phenomenal team—knowledgeable, attentive, and patient. They took the time to really listen to my concerns and walked me through every step of my treatment plan with clarity and compassion. You can tell they’re passionate about what they do, and it shows in the quality of care they provide. I’m so grateful to have found this clinic—highly recommend to anyone looking for expert ENT care with a personal touch!"
— K. J.
Dr. Annette M. Pham
"Great doctor. Lovely office people"
— M. G.
Metro ENT & Facial Plastic Surgery
"very nice experience."
— D. P.
Metro ENT & Facial Plastic Surgery
"I’ve been coming to this practice for my sinus issues for years and very happy with the service. Now I also come here for my Botox shots and very satisfied with the results."
— J. C.
Metro ENT & Facial Plastic Surgery
"Helpful and understanding."
— D. C. Q.
Dr. Annette M. Pham
"Great doctor and office staff. Never waited more than a few minutes and felt known, heard and understood ."
— J. M.
Dr. Annette M. Pham
"I had a great experience with Dr. Pham and Dr. Lee. They were so nice and informative. I really appreciated how they took the time to explain everything to me. Can’t wait to go back!"
— D. M.
Dr. Annette M. Pham
"She explained every thing clearly. Very knowledgeable and gentle during the procedure. Happy to know my condition can be improved so can’t wait to schedule my procedure on a Momday afternoon"
— H. D.
Dr. Annette M. Pham
"The doctor is excellent and very knowledgeable."
— E. W.
Dr. Annette M. Pham
"Really grateful for Dr. Pham and all the office staff! She listens well and takes the time to explain her approach, answer questions and hear concerns."
— M. G.
Dr. Annette M. Pham
"Excellent with Dr Pham, as usual
Thank you"
— J. K.
Dr. Andrew Yueh-Ling Lee
"Dr. Andrew Lee is the best!!"
— F. G.
Dr. Andrew Yueh-Ling Lee
"Dr. Lee is really a great Doctor. He diagnosed my problem, offered a choice of treatments, understood my concerns, and worked to improve my breathing/sinus problems. He's also friendly and easy to talk to, and doesn't try to rush you. I would highly recommend him."
— M. W.
Dr. Andrew Yueh-Ling Lee
"Responsive and professional. Obviously well informed and expert in quality of care."
— D. K.
Dr. Andrew Yueh-Ling Lee
"Dr. Lee is very personable and answered all of my questions thoroughly. Appointments are quick but thorough. He has a nice bedside manner."
— M. C.
Dr. Andrew Yueh-Ling Lee
"Dr. Lee was very thorough and explained everything very clearly. I would definitely him."
— S. V.
Dr. Andrew Yueh-Ling Lee
"Same day appointment! 2 blood vessels in my nose coagulated to stop nosebleed. In and out in 15 minutes. Yay!"
— L. F.
Dr. Andrew Yueh-Ling Lee
"Dr. Lee and all his staff was all amazing! They answered all my questions and even provided more to ease my mind."
— L. N.
Dr. Andrew Yueh-Ling Lee
"Had ear pain, came, doc told me what’s causing it and recommended some meds, week later the pain gone. They know what they’re doing."
— K. A. E.
Dr. Andrew Yueh-Ling Lee
"Outstanding visit, excellent diagnosis and medical care."
— A. M. L.
Dr. Andrew Yueh-Ling Lee
"Dr. Lee and all of his supporting staff were amazing and made our consult and surgery a seamless experience. Dr. Lee took the time to hear our concerns and review the options with us. Everyone at the Surgery Center were warm and professional. Highly recommend!"
— R. M.
Dr. Andrew Yueh-Ling Lee
"Dr. Lee is most kind and knowledgeable. He has addressed my sinuses and ears effectively and gently which is very important to me. Thank you Dr. Lee!"
— M. S.
Dr. Andrew Yueh-Ling Lee
"Dr. Lee listened to my symptoms and concerns, answered all my questions patiently, and was informative and educated me on the various options for my situation. He has a good bedside manner. I felt well cared for."
— S.
Dr. Andrew Yueh-Ling Lee
"I got referred to Dr. Lee and he exceeded my expectations. He’s super knowledgeable, informative, and took time to explain everything thoroughly. Had a great experience with Dr. Lee.
I just got a procedure done = from start to finish he explained everything he was doing and made me feel super relaxed/comfortable during the procedure.
If yall need a GREAT ENT go to Dr. Lee. He will not disappoint!"
— G. K.
Dr. Esther Kim
Dr. Annette M. Pham
"Metro ENT & Facial Plastic Surgery is a very efficient and effective practice. On my second visit, I was seen immediately. Dr. Pham is a wonderful doctor. She took the time to explain the CT scan results, her diagnosis, and her treatment recommendation. She engaged me in a mutually beneficial discussion about my condition. I can’t say enough about her. Thank you."
— B. S.
Dr. Annette M. Pham
"She is the Best ENT as her “bedside” manner, expertise and compassion set the gold star for providers!!!"
— B. S.
Dr. Annette M. Pham
"My family has been going to see Dr. Pham for easily 11years. We trust her far and above anyone else to treat us for our ENT issues. She is a surgeon but still always finds a way to (even last minute) make time for us to handle the “little” issues. She has a way of making us feel important and gives us such great medical care!"
— R. M.
Dr. Annette M. Pham
"Dr. Pham is amazing. Beyond smart and so helpful anytime we come in. She treats my whole family. The office staff is also awesome."
— K. M.
Dr. Andrew Yueh-Ling Lee
"Dr. Lee is a miracle worker! Almost 2 years of not having a sinus infection. The best part is that those medicines prescribed were natural, leading to long-term sustainability. Thank you, Dr. Lee."
— T. B.
Dr. Andrew Yueh-Ling Lee
"Dr. Lee was absolutely great. His team made the process very seamless and comforting when getting my young son’s tonsils removed. I was very impressed with the clinical team day of procedure. Dr. Lee was very honest, empathetic, and provided us with a great experience. Thank you!"
— A. L.
Dr. Andrew Yueh-Ling Lee
"The front desk was very helpful and friendly. I saw Dr. Lee, he’s very knowledgeable and personable. He takes his time to explain what’s going on and ALL the options to treat the problem, from the most affordable and easy to start, to the most expensive and complex treatments; which I really appreciated. I’m making this my ENT practice for now on."
— O. M.
Dr. Annette M. Pham
"Dr. Pham is hands down the most capable and caring medical professional I have ever encountered. As a woman, I have had my share of doctors who seemed to either not listen to my concerns or who outright blew them off. That is not Dr. Pham. When my infant son was having feeding issues, she worked with me to figure out the cause without any medical intervention. Two years later, she successfully performed his adenoidectomy, giving him immediate relief from symptoms that had delayed his speech and hearing but would likely have otherwise gone unnoticed. Always checking in on me during those appointments, too, she diagnosed my sinus issues and later performed my successful sinus surgery. More than once, for me and my son, she has found room to fit us into her already packed schedule for a same day urgent appointment. And each time, she remembers me and asks thoughtful follow-up questions. She feels like family. Her team as well is skilled and thoughtful, teeing up for when I have sent urgent messages, and I have never had a billing issue. Really, I don’t think you could find a better practitioner or practice."
— E. B.


