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Vocal Fold

Bilateral intubation granulomas

March 16, 2016  |  Wen-Sen Lai, MD; Yuan-Yung Lin, MD; Yueng-Hsiang Chu, MD, PhD; Jih-Chin Lee, MD

Granulomas typically appear as pale, pedunculated masses, usually found on the posterior one-third of the vocal folds overlying the vocal process of the arytenoid cartilage.

Blood flow to a hemorrhagic vocal fold mass

February 24, 2016  |  Jaime Eaglin Moore, MD; Natalie Krane, MD; Robert T. Sataloff, MD, DMA, FACS

While the value of treatment of the vessels that feed an area of mass formation seems self-evident, the wisdom of treating draining vessels has not been established.

Resolution of vocal fold leukoplakia during erlotinib treatment for lung cancer

February 24, 2016  |  David O. Francis, MD, MS; Stephanie Misono, MD, MPH; Jessica Somerville, MD; Andrew McWhorter, MD; C. Gaelyn Garrett, MD

Abstract

Treatment of vocal fold leukoplakia is complicated because it is associated with a high rate of recurrence after excision and it has the potential for progression to malignancy. Authors have presented different approaches to management, one of which is directed serial...

Laryngitis obscuring an anterior glottic mass

January 22, 2016  |  James D. Thompson, MD; Jaime Eaglin Moore, MD; Robert T. Sataloff, MD, DMA, FACS

Anterior masses, such as the one seen in this case, can cause glottic insufficiency and vocal strain.

Vocal fold immobility after finger sweep self-extrusion of impacted food in a choking victim with resolution following laryngeal mask ventilation

January 22, 2016  |  Shaum Sridharan, MD; Milan R. Amin, MD; Ryan C. Branski, PhD

Abstract

We report a case of unilateral vocal fold immobility in a 57-year-old woman that occurred subsequent to a choking episode, which she resolved by removing impacted food with a finger sweep. Other than the unilateral immobility, no abnormality of the laryngeal mucosa or framework...

Laryngeal tuberculosis: A public health concern

October 31, 2015  |  Matthew B. Zavod, MD, FACS

Physical examination findings in patients with laryngeal tuberculosis vary, but they can include edema, hyperemia, nodularity, ulcerations, exophytic mass, and obliteration of anatomic landmarks.

Posthemorrhagic polyp: Risk of misdiagnosis of the cause of glottic insufficiency

September 21, 2015  |  Massi Romanelli-Gobbi, MD; Julia Ellerston, MA; Rima A. DeFatta, MD; Joel Portnoy, MD; Robert T. Sataloff, MD, DMA, FACS

Patients with vocal fold hemorrhage often present with sudden dysphonia and may not be able to recall an inciting event.

Adult-onset familial vocal fold paralysis

September 21, 2015  |  Ida Amir, MRCS, DOHNS; Yanick J. Crow, MBBS, PhD, MRCP; Pradeep Morar, MD, FRCS(ORL-HNS)

Abstract

We describe the cases of 2 brothers in their early 50s, born to consanguineous parents, who presented with acute stridor as a result of adult-onset bilateral abductor vocal fold paralysis. Both patients had a history of adult-onset asthma. No other associated symptoms were...

Silastic injection for vocal fold medialization resulting in a false-positive finding on F18 FDG-PET/CT

September 21, 2015  |  Ayman Mahfouz, MBBS; Meeran Naji, MSc, MRCS, FRCR; Wing Yan Mok, BSc, MBBS, FRCR; Ali S. Taghi, MBBS, MD, FRCS(ORL-HNS); Zarni Win, MRCP, FRCR

Abstract

A false-positive uptake of F18-fluorodeoxyglucose (FDG) on positron-emission tomography/computed tomography (PET/CT) can result in confusion and misinterpretation of scans. Such uptakes have been previously described after injection of polytetrafluoroethylene (Teflon) into the...

A rare case of malignant fibrous histiocytoma (pleomorphic undifferentiated sarcoma NOS) of the vocal fold

July 21, 2015  |  Jin Pyeong Kim, MD; Jin Yong Kim, MD; Gyung Hyuck Ko, MD; Seung Hoon Woo, MD

Abstract

Malignant fibrous histiocytoma, also known as pleomorphic undifferentiated sarcoma not otherwise specified, arises in numerous organs. The first-line treatment is complete excision of the mass, but in some cases postoperative chemo- and/or radiotherapy is recommended. Only a...

Bilateral true vocal fold atrophy

April 28, 2015  |  Jason Bell, MD; Rima A. DeFatta, MD; Robert T. Sataloff, MD, DMA, FACS

The most common cause of vocal fold atrophy is aging, but other causes include paresis, menopause, and thyroiditis, as well as neuromuscular junction disorders such as myasthenia gravis.

Bilateral Eagle syndrome causing dysphagia

February 2, 2015  |  Lyndsay L. Madden, DO; Roxann Diez Gross, PhD; Libby J. Smith, DO

Patients with Eagle syndrome often report symptoms that include dysphagia, otalgia, throat pain, globus sensation, facial pain, headache, taste disturbances, and dental pain that worsen with chewing, head and tongue movements, and swallowing.

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