Vocal Fold

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
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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.

Laryngeal lipoma

June 4, 2012     Rima A. DeFatta, MD; Tre Landrum, DO; Joseph Whitten, MD; Robert T. Sataloff, MD, DMA, FACS

Pertussis presenting as hoarseness in an adult

February 18, 2012     Stephen V. Tornabene, MD, Joshua Crose, BS, and Raul M. Cruz, MD
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Abstract

Pertussis is a rare condition in adults. This report describes a 65-year-old man presenting to the otolaryngology service with hoarseness secondary to pertussis. He had a history of worsening cough and hoarseness occurring over several weeks. Laryngoscopy showed significant erythema at the medial edges of the vocal folds. Stroboscopy demonstrated bilateral decreased amplitude and decreased mucosal wave of the vocal folds. Polymerase chain reaction testing of the sputum revealed Bordetella pertussis. The patient was started on azithromycin, and he reported gradual resolution of the chest and laryngeal symptoms over the next few months. Pertussis, or whooping cough, is not common in the United States because of childhood vaccination protocols. Nevertheless, otolaryngologists need to be aware of this condition as a possible cause of hoarseness.

Reactive intracordal fibrovascular lesion

February 18, 2012     Matthew E. Leach, MD, Joel H. Blumin, MD, Chun He, MD, PhD, and Jonathan M. Bock, MD

Hemorrhage into a vocal fold cyst

December 15, 2011     Farhad R. Chowdhury, DO, Nishant Reddy, MD, and Robert T. Sataloff, MD, DMA, FACS

Asymptomatic anterior glottic web

October 26, 2011     Jamie Eaglin, MD, Farhad R. Chowdhury, MD, and Robert Thayer Sataloff, MD, DMA, FACS

Papilloma: A diagnostic near miss

August 15, 2011     Courtney A. Abshier, MD, Rima A. DeFatta, MD, Johnathan B. Sataloff, and Robert T. Sataloff, MD, DMA, FACS

Anterior and posterior glottic webs

July 13, 2011     Jennifer M. Cannady, MA CCC-SLP and Lee A. Reussner, MD

Bilateral vocal fold polyps with occult sulcus mucosal bridge

June 13, 2011     Colleen N. Johnson, MD, MPH, MAJ USAF and Robert L. Eller, MD, MAJ USAF

Laryngeal coccidioidomycosis with vocal fold paralysis

April 30, 2011     Jacqui E. Allen, MBChB, FRACS and Peter C. Belafsky, MD, PhD
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Abstract

We present the case of a 52-year-old woman with recurrent disseminated coccidioidomycosis involving the larynx that was associated with vocal fold paralysis. The diagnosis was confirmed by histologic biopsy, and the patient had an excellent response to systemic antifungal treatment. However, her vocal fold motion did not return. We also review the current world literature.

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