Vocal Fold

Vocal fold atrophy after paralysis

September 18, 2013     Adam Rubin, MD; Jason D. Chesney, DO
article

Much debate currently exists as to the timing of vocal fold atrophy following denervation and as to why some patients maintain excellent muscle tone despite long-standing nerve injury.

Iatrogenic epiglottic inversion during intubation

August 21, 2013     Adam Rourke, DO and Adam Rubin, MD
article

The otolaryngologist must recognize when the epiglottis is inverted or risk inserting the laryngoscope too far and traumatizing the vocal folds.

Posterior cordectomy: How much is enough?

July 21, 2013     Reena Gupta, MD; Belinda Mantle, MD; Ryan F. Osborne, MD
article

Bilateral vocal fold paralysis has traditionally been treated with tracheotomy, which bypasses the source of obstruction and exerts a lesser impact on swallow function compared with other interventions, but fewer patients are willing to tolerate this option.

Prolonged ulcerative laryngitis in an 18-year-old voice major

April 17, 2013     Brent L. Toland, MD; Rima A. DeFatta, MD; Robert T. Sataloff, MD, DMA, FACS
article

Management of prolonged ulcerative laryngitis requires close observation with strobovideolaryngoscopy; therapy involves steroids, antibiotics, antifungal drugs, and antireflux treatment.

A false-positive FDG uptake in Teflon granuloma: A case report

April 17, 2013     Munir Demir Bajin, MD; Ali Sefik Hosal, MD
article

Abstract

Positron emmision tomography (PET) is successfully used to monitor malignancies. Unfortunately it is not tumor specific. We present a case with history of rectum cancer and lentigo maligna who underwent PET-CT which revealed an increased uptake in the larynx. What was first considered as a third pirmary turned out to be a Teflon granuloma.

Hemorrhagic vocal process granuloma

April 17, 2013     Farhad R. Chowdhury, DO; Kevin Hsu, DO; Robert T. Sataloff, MD, DMA, FACS
article

Most small vocal process granulomas will resolve spontaneously if the primary insult is removed, but these lesions have a very high tendency to recur.

Acute laryngitis superimposed on chronic laryngitis

February 25, 2013     David N. Myerson, MD; Rima A. DeFatta, MD; Robert T. Sataloff, MD, DMA, FACS
article

Radiation-induced fibrosis can be found in tissues of the neck, pharynx, larynx, esophagus, ear, and temporomandibular joint. It is associated histologically with aggregates of macrophages, fibroblasts, vascular connective tissue changes, and deposition of extracellular matrix. This fibrosis can lead to strictures, stenosis, trismus, ulcerations, and scarring, which can present as dysphagia and dysphonia.

Acute dystonic reaction to general anesthesia with propofol and ondansetron: A graded response

January 24, 2013     Matthew H.J. Size, MBChB, FRCA; John S. Rubin, MD, FACS, FRCS; Anil Patel, MBBS, FRCA
article

Abstract

Propofol and ondansetron, alone and in combination, have been associated with acute dystonic reactions during recovery from anesthesia. We report the case of a 44-year-old woman who had undergone microlaryngoscopic fat injection to the vocal folds three times over a period of 10 months. Each procedure was performed by the same surgeon. On each occasion, the patient received an identical anesthetic that was administered by the same anesthetist. The anesthetic regimen included propofol and ondansetron. Following the first procedure, the patient experienced no reaction to these agents. However, she experienced a mild reaction after the second procedure and a severe acute dystonic reaction after the third. We believe this is the first report of a graded reaction to either propofol or ondansetron.

Silent vocal fold hemorrhage

October 31, 2012     Thomas M. d'Arville, MD; Rima A. DeFatta, MD; Robert T. Sataloff, MD, DMA, FACS
article

Although most vocal fold hemorrhages resolve spontaneously, accurate and timely diagnosis permits the laryngologist to prescribe precautions that will prevent further damage. This is especially important for patients who use their voices in their professions.

Vocal fold atrophy and Reinke edema

October 8, 2012     Eliana Verghese, MD; Rima A. DeFatta, MD; Robert T. Sataloff, MD, DMA, FACS
article

If voice therapy does not improve vocal fold atrophy and muscle tension dysphonia, then medialization laryngoplasty by injection or thyroplasty may be indicated. 

Sulcus vocalis

August 10, 2012     Johnathan B. Sataloff; Rima A. DeFatta, MD; Mary J. Hawkshaw, BSN, RN, CORLN; Robert T. Sataloff, MD, DMA, FACS
article

Sulcus vocalis causes stiffness of the vibratory margin of the vocal folds, and often in adynamic segments. Patients can experience hoarseness, breathiness, increased phonation threshold pressures, decreased vocal efficiency and, commonly, voice fatigue.

Extramedullary plasmacytoma of the true vocal fold

August 10, 2012     Nilantha De Zoysa, MRCS, DOHNS, BS; Belinda Sandler, MRCP, BSc; Kwame Amonoo-Kuofi, MRCS; Rajiv Swamy, FRCPath; Prasad Kothari, MDS, FDSRCS, FRCS(ORL–HNS); George Mochloulis, MD, CCST(ORL–HNS)
article

Abstract

We report a rare case of extramedullary plasmacytoma (EMP) of the true vocal fold. Our patient, a 62-year-old woman, presented with dysphonia. On workup, fiberoptic laryngoscopy detected a lesion arising from the anterior half of her left true vocal fold. No evidence of other pathology was noted. The patient underwent radical radiotherapy, and the lesion resolved. Follow-up revealed no sign of recurrence. A type of myeloma, EMP is rare, especially in the larynx. To the best of our knowledge, our patient represents the sixth case of glottic EMP to be reported in the literature.

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