Laryngeal mucormycosis is an uncommon form of fungal laryngitis that typically affects immunocompromised individuals. We report a rare such case in a male in his 40s who had recently recovered from severe acute respiratory syndrome-coronavirus disease-19 (SARS CoV-2 infection-COVID 19) and presented with a 1-month history of worsening hoarseness, haemoptysis, and noisy breathing. A chewing gum-like subglottic necrotic mass was biopsied. The rarity of the diagnosis was aided by histopathological and microbial study of the mass, which confirmed mucormycosis. Management included surgical debulking, intravenous liposomal amphotericin B and oral posaconazole followed by staged management of subglottic stenosis.

We present contrast-enhanced CT images of the neck and chest from a gentleman in his 70s who presented with fever, malaise, and left knee pain. He was diagnosed with septic arthritis and Staphylococcus aureus bacteremia. During admission, he developed new-onset hoarseness. Flexible laryngoscopy confirmed left vocal cord palsy. CT neck and thorax with contrast revealed a saccular aneurysm of the aortic arch (Standring, 2020; Netter, 2022; Paquette et al., 2012). Urgent surgical repair revealed an aortic abscess with rupture into the pericardial cavity. He was treated for infective endocarditis with intravenous flucloxacillin. Postoperatively, he developed a superficial sternotomy wound infection due to Candida albicans, successfully managed with fluconazole and negative-pressure wound therapy. Follow-up CT angiogram confirmed stability of the repaired aortic arch (Standring, 2020; Netter, 2022; Paquette et al., 2012). Ongoing dysphonia raised concern for persistent left recurrent laryngeal nerve palsy, prompting SALT referral for rehabilitation.

Teachers, also referred as 'speaking voice professionals' are one of the most vulnerable occupational groups for voice related problems due to prolonged voice load, challenging work environments, and limited time and opportunities for voice rest. Despite the awareness of vocal symptoms such as hoarseness and fatigue, the interventions often remain symptom focused, ignoring the cumulative and dynamic processes that contribute to the voice problems/disorders. This commentary includes the "Voice Eruption Volcano Model," a conceptual framework that uses the metaphor of a volcanic eruption to explain how environment, lifestyle, occupational factors interact overtime to produce overt voice problems in teachers. Unlike static explanatory models, the volcano model emphasizes escalation, pressure build up and the importance of prevention and behavioral change. By integrating the model with the Transtheoretical Model of Health Behavioral Change, this article highlights its relevance for early identification, clinical counseling, and preventive voice care among teachers. The model offers clinicians, educators, and policy makers a dynamic lens to move from reactive treatment to proactive vocal health management.

A ductus arteriosus aneurysm (DAA) in adults is an extremely rare aortic pathology that presents significant diagnostic and therapeutic challenges because of its variable clinical presentation and lack of standardized management guidelines. We present 2 cases that illustrate the wide spectrum of DAA clinical presentation and management. The first involves a 54-year-old woman with a small, stable DAA managed conservatively. The second describes a 74-year-old man with a large, symptomatic aneurysm presenting with hoarseness, successfully treated with a hybrid surgical and endovascular approach. The literature on adult DAAs remains limited, with no standardized treatment guidelines. The current management approaches are primarily based on case reports and small case series, requiring individualized decision-making based on aneurysm characteristics, patient symptoms, and surgical risk. Additionally, we performed a review of 121 DAA cases reported in adults and analyzed their clinical presentation, diagnostic approaches, treatment modalities, and outcomes.