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Polyps Nodules Cysts

last modified on: Mon, 02/12/2024 - 13:20

see also: Speech Pathology Protocols

Polyps

  1. Hemorrhagic Vocal Cord Polyp (Hemorrhagic Vocal Fold Polyp)
  2. Vocal Fold Polyps (polypoid corditis) case example of surgical treatment 
  3. Recurrent Vocal Fold Polyp In-Clinic Treatment

Nodules

  1. Case Example Vocal Fold Nodule Surgery
  2. Vocal Nodules (vocal fold nodules, vocal cord nodules, singer's nodes)

Cysts

  1. Case Example Vocal Fold Cyst Surgery

PREOPERATIVE PREPARATIONS

  1. Voice Evaluation (see Voice Clinic)

NURSING CONSIDERATIONS

  1. as per Suspension Microlaryngoscopy (see Suspension Microlaryngoscopy)

ANESTHESIA CONSIDERATIONS

  1. as per Suspension Microlaryngoscopy (see Suspension Microlaryngoscopy)

Polyp

  1. Case example: In-Clinic Surgery (Topical Anesthesia)

  2. Case example (below): Operative Treatment (General Anesthesia)

View with 0 degree telescope

View through microscope with instrumentation

Final intraoperative result

Vocal fold cyst

Before excision (click to enlarge):

 

 Videos of surgical exision VC Cyst 2009:

View after resection of cyst:

REFERENCES

Vocal Nodules (vocal fold nodules, vocal cord nodules, singer's nodes)

Garcia Martins RH, Defaaeri J, Custodio Domingues MA, de Albuquerque E, R Silva, and Fabro A: Vocal Fold Nodules: Morphological and Immunohistochemical Investigations. J Voice Oct 2009 (Epub)

Carding PN, Roulstone S, Northstone K. The prevalence of childhood dysphonia: a cross-sectional study J Voice.2006;20:623-630

Remacle M, Degols JC, Delos M.Exudative lesions of REinke's space. An anatomopathological correlation. Acta Otorhinolaryngol Belg. 1996;50:253-264

Marcotullio D, Magliulo G, Pietrunti S, Suriano M. Exudative laryngeal diseases of REinke's space: a clinicohistophathological framing J Otolaryngol 2002;31:376-380

Gale N, Zidar N, Fischinger J, Kambic V. Clinical applicability of the Ljubjana classificaiton of epithelial hyperplastic laryngeal lesions. Clin Otolaryngol Allied Sci. 2000;25:227-232

McWhorter AJ and Kunduk M: True Vocal Fold Nodules: the role of differential diagnosis. Current Opinion in Otolaryngology & Head and Neck Surgery 2009,17:449-452

Verdolini K, Rosen CA, Branaski RC. Classification manula for voice disorders I. Special interest division 3, Voice and voice disorders American Speech - Language-Hearing Association. Mahwah, NJ: Lawrence Erbaum Associates, Inc.; 2006

Jiang JJ, Diaz CE, Hanson DG: Finite element modeling of vocal fold vibrationin normal phonation and hypefunctional dysphoia: implications for the pathogenesis of vocal nodules. Ann Otol Rhinol Layrngol 1998:107-603-610

Gray SD, Hammond E, Hanson DF. Benign pathologic resonses of the larynx. Ann Otol Rhinol Laryngol 1995;104:13-18

Sulica C, Behman A. Management of benign vocallesions: a survey of current opinion and practice. Ann Otol Rhinol Laryngol 2003;112:827-833

Cohen SM, Garrett CG. Utility of voice therapy in the management of vocal fold polyps and cysts. Otolaryngol Head Neck Surgy 2007;136:742-746

Wang CT, Liao LJ, Cheng PW, Lo WC, Lai MS. Intralesional steroid injection for benign vocal fold disorders: a systematic review and meta-analysis. Laryngoscope 2013 Jan;123(1):197-203

Altman KW: Vocal Fold Masses in Otolaryngol Clin N Am 40 (2007) 1091-1108