Vocal Fold

Influence of the macroscopic features of vocal fold polyps on the quality of voice: A retrospective review of 101 cases

March 1, 2010     Gursel Dursun, MD, Selmin Karatayli-Ozgursoy, MD, Ozan Bagis Ozgursoy, MD, Zahide Ciler Tezcaner, MD, Isil Coruh, Audiometrist, and Mehmet Akif Kilic, MD
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Abstract

We conducted a study to examine six macroscopic features of vocal fold polyps and to investigate their influence on quality of voice. We retrospectively reviewed the records of 101 consecutive patients with vocal fold polyps who had undergone microlaryngeal surgery for polyp removal after conservative measures had failed. All patients had undergone videolaryngostroboscopy and perceptual and acoustic voice analyses. The six macroscopic features of these vocal fold polyps were morphologic type, location, position, shape, size, and the presence or absence of a reactive lesion on the contralateral vocal fold. Among our statistically significant findings were that gelatinous polyps tended to be broad-based; polyps located on the superior surface tended to be hemorrhagic; small polyps were mostly located on the middle one-third of the vocal fold, and most of them were broad-based; and all of the polyps that were accompanied by reactive lesions on the contralateral vocal fold were located on the free edge. Moreover, jitter was found to be low in small polyps. Finally, noise-to-harmonics ratios were significantly higher in patients with anterior polyps and in those with pedunculated polyps. We conclude that each of the six macroscopic features of vocal fold polyps affected vocal function to a certain degree. We believe that our study provides additional information to otolaryngologists and speech language pathologists who deal with vocal fold polyps.

Removal of vocal fold papillomata and a laryngeal web

March 1, 2010     C. Richard Stasney, MD, Margarita Rodriguez, BS, and Jeremy Hathway, MS
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Type 2 sulcus vocalis: Sulcus vergeture

January 1, 2010     Edward J. Damrose, MD, FACS
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A giant vocal fold polyp causing dyspnea

December 1, 2009     Takeshi Kusunoki, MD, Ryohei Fujiwara, MD, Kiyotaka Murata, MD, and Katsuhisa Ikeda, MD
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Syringomyelia with syringobulbia presenting as vocal fold paralysis

June 30, 2009     Borlingegowda Viswanatha, MS, DLO
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Abstract

A 36-year-old woman presented with a history of change in voice of 1 month's duration and difficulty swallowing and episodes of nasal regurgitation of 6 days' duration. Examination revealed paralysis of the right vocal fold and the right side of the soft palate. On further investigation, she was found to have syringomyelia with syringobulbia and a Chiari type I malformation. She underwent foramen magnum decompression surgery and was followed up for 1 year. Her dysphagia and nasal regurgitation resolved, but no functional improvement was seen in either her vocal fold or palate.

Vocal fold mucosal bridge without sulcus vocalis in a smoker

May 31, 2009     Mauro Zernotti, MD, Cristina Jackson-Menaldi, PhD, and Adam D. Rubin, MD
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Vocal fold immobility from a primary minor salivary gland small-cell carcinoma: Case report

February 1, 2009     Robert L. Witt, MD, FACS and Patrick A. Wilson, MD, FCAP
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Abstract

Small-cell carcinoma of a minor salivary gland is a rare and to the best of our knowledge previously unreported cause of vocal fold immobility. We describe the case of a 68-year-old woman who presented with hoarseness, dysphagia, and weight loss. Examination revealed left vocal fold immobility. She had no other obvious abnormality of the upper airway, neck, or skin. Computed tomography and magnetic resonance imaging demonstrated a 4-cm submucosal oropharyngeal mass with extension to the parapharyngeal space and involvement of the carotid sheath and the foramen ovale at the skull base; imaging also revealed cervical adenopathy. Fine-needle aspiration biopsy identified the mass as a small-cell carcinoma, a finding that was confirmed by immunohistochemistry. Extensive tumor invasion and multiple comorbidities precluded an aggressive management strategy, and the patient was treated palliatively. She died of her disease shortly after her diagnosis. Vocal fold immobility of unknown etiology mandates imaging from the skull base to the upper mediastinum.

An unusual presentation of Teflon granuloma: Case report and discussion

January 1, 2009     Nitin A. Pagedar, MD, Catherine M. Listinsky, MD, and Harvey M. Tucker, MD, FACS
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Abstract

For more than 25 years, Teflon was the most commonly used material for injection laryngoplasty. However, the incidence of Teflon granuloma and the consequent deterioration of glottic function ultimately led to the development of other injectable materials, and as a result, Teflon granulomas are no longer frequently encountered. We present a case of Teflon granuloma that was unusual in that (1) a long period of time had elapsed between the injection and the granuloma formation and (2) there was no change in the patient's glottic function.

The floppy vocal polyp

December 1, 2008     Omar Rahmat, MD, MS and Narayanan Prepageran, FRCS
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Mucosal tear

September 25, 2008     Mark A. Ginsburg, DO, Robert L. Eller, MD, and Robert T. Sataloff, MD, DMA
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Acute vocal fold hemorrhage after thyroplasty

July 31, 2008     Robert Eller, MD, Mary Hawkshaw, RN, BSN, CORLN, and Robert T. Sataloff, MD, DMA
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A rare cause of dysphonia

July 31, 2008     Iman Naseri, MD, Sarah K. Wise, MD, and Adam M. Klein, MD
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Abstract

Although dysphonia is a common complaint among patients seen in an otolaryngology clinic, an autoimmune cause of the problem is less common. Autoimmune disease can be the source of various laryngologic manifestations, but diagnosis depends on a high index of suspicion, careful patient evaluation and testing, and videolaryngoscopy (videostroboscopy if available) to uncover specific identifying findings. This report describes a patient presenting with upper-range vocal difficulties who was found to have early systemic lupus erythematosus.

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