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Transnasal vocal fold augmentation

January 14, 2018  |  Michael J. Knabel, BS; Jonathan M. Bock, MD, FACS

Transnasal vocal fold augmentation is tolerated well by patients, easy to perform, and can be done without an assistant.

Changes in abnormal muscle tension pattern after fiberoptic injection laryngoplasty

December 12, 2017  |  Georges Ziade, MD; Ghassan Haddad, MD; Sarah Assaad, MPH; Maher Kasti, MD; Abdul-Latif Hamdan, MD

Abstract

We performed a retrospective chart review to compare the presence and types of abnormal muscle tension patterns (MTPs) in patients who had been diagnosed with glottal insufficiency before and after fiberoptic injection laryngoplasty. The main cause of glottal insufficiency had...

Retropharyngeal hematoma following botulinum toxin injection for abductor spasmodic dysphonia

December 12, 2017  |  Joo Koh, MBBS; Sanjay Raghav, MBBS, MD, FRACP; Malcolm Baxter, OAM, MBBS, FRACS

Abductor spasmodic dysphonia is characterized by abductor spasms leading to breathy voice breaks or whispering quality, particularly during prolonged voice production.

Paresis podule on a paralyzed vocal fold

August 24, 2017  |  Karthik S. Shastri, MD; Aaron J. Jaworek, MD; Robert T. Sataloff, MD, DMA, FACS

Paresis podules are localized areas of Reinke edema that can develop on paretic or paralyzed vocal folds, or on the contralateral vocal fold.

A severe case of Reinke edema

July 18, 2017  |  Mark C. Lentner, DO; Nathan L. Colon, MD; Amanda Hu, MD, FRCSC

Heavy smoking (especially in women), laryngopharyngeal reflux, hypothyroidism, and voice abuse are common etiologies associated with this condition.

Vocal fold hemorrhage into a physiologic sulcus

June 20, 2017  |  Daniel A. Benito, MD; Jonathan J. Romak, MD; Robert T. Sataloff, MD, DMA, FACS

Predisposing factors include traumatic vocal activities such as aggressive singing, throat clearing, coughing, or shouting, especially with the use of anticoagulants.

Positron-emission tomography enhancement after vocal fold injection medialization

June 20, 2017  |  Nazaneen Grant, MD; Richard J. Wong, MD; Dennis H. Kraus, MD; Heiko Schoder, MD; Ryan C. Branski, PhD

Abstract

The potential for the misinterpretation of positron-emission tomography (PET) scans in the context of a possible malignancy has been confirmed in a case report showing increased 18F-fluorodeoxyglucose (FDG) uptake after unilateral vocal fold augmentation medialization. We...

Atypical presentation of vocal fold granulomas

April 30, 2017  |  Raj B. Patel, MD; Aaron Jaworek, MD; Robert T. Sataloff, MD, DMA, FACS

Vocal fold granulomas usually form near the vocal process or on the mucosa covering the medial surface of the arytenoid cartilage. These lesions are not true granulomas and consist of fibroblasts, collagen, leukocytes, and proliferating capillaries.

Airway foreign body occurring during in-office vocal fold injection

March 24, 2017  |  Pamela Chia, MD; Aaron Jaworek, MD; Robert T. Sataloff, MD, DMA, FACS

Needle foreign bodies in the upper airway can result in life-threatening infections or hemorrhage from injury to the major vessels in the neck or chest.

Undifferentiated pleomorphic sarcoma of the vocal fold

December 7, 2016  |  Chang-Yeong Jeong, MD; Choung-Soo Kim, MD

Abstract

Undifferentiated pleomorphic sarcoma, previously called malignant fibrous histiocytoma, usually arises in the extremities and retroperitoneum. Primary laryngeal undifferentiated pleomorphic sarcoma is very rare, with only 63 cases having been reported in the literature...

The "lake road sign": Another way to track the sulcus vocalis

December 7, 2016  |  Gauthier Desuter, MD, MSc; Delphine de Cock de Rameyen, MD; Donatienne Boucquey, MSc

Hypothetically, the lake road sign also could be applicable to mucosal bridges.

Hemorrhagic polyp with large occult sulcus vocalis in a singer

September 19, 2016  |  Meghan O'Brien, DO; Libby J. Smith, DO

A sulcus can decrease the functional vibratory property of the vocal fold free edge and result in dysphonia.

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