see also: Speech Pathology Protocols
Polyps
- Hemorrhagic Vocal Cord Polyp (Hemorrhagic Vocal Fold Polyp)
- Vocal Fold Polyps (polypoid corditis) case example of surgical treatment
- Recurrent Vocal Fold Polyp In-Clinic Treatment
Nodules
- Case Example Vocal Fold Nodule Surgery
- Vocal Nodules (vocal fold nodules, vocal cord nodules, singer's nodes)
Cysts
PREOPERATIVE PREPARATIONS
- Voice Evaluation (see Voice Clinic)
NURSING CONSIDERATIONS
- as per Suspension Microlaryngoscopy (see Suspension Microlaryngoscopy)
ANESTHESIA CONSIDERATIONS
- as per Suspension Microlaryngoscopy (see Suspension Microlaryngoscopy)
Polyp
-
Case example: In-Clinic Surgery (Topical Anesthesia)
-
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:
SEE VIDEO BELOW:
SEE VIDEO BELOW:
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