The first case of osteoma in the false vocal fold

Myxofibrosarcoma (MFS) is a histologic subtype of malignant fibrous histiocytoma (MFH), with a predominant myxoid component. MFS is characterized by locally aggressive behavior and a high rate of local recurrence, however, with a good prognosis. Head and neck MFS accounts for 3% of all cases of MFS. To date, only two cases of laryngeal MFS have been reported. Owing to the rarity of MFS, the clinical characteristics and optimal treatment options remain controversial. Surgical resection with a clear margin is considered the treatment of choice. Compared to traditional MFS tumors, epithelioid variants have worse prognosis. Other factors associated with a poor prognosis of MFS tumors include inadequate surgical margins, large tumor size, old age, and high-grade tumors. Herein, we report a case of high-grade epithelioid variant MFS located in the false vocal fold, requiring total laryngectomy to obtain an adequate surgical margin. To our knowledge, this is the first case report of epithelioid variant of high-grade MFS presenting in the larynx.

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Rare Case of False Vocal fold (ventricular band) Ductal Cyst.

Egyptian Journal of Ear Nose Throat and Allied Sciences ◽

10.21608/ejentas.2020.4455.1028 ◽

2020 ◽

Vol 0 (0) ◽

pp. 0-0

Author(s):

Mark Paul ◽

Vishnu Varathan ◽

Shashigopalan Marimuthu

Keyword(s):

Vocal Fold ◽

Rare Case ◽

False Vocal

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Pseudomonas laryngeal perichondritis: unexpected diagnosis

BMJ Case Reports ◽

10.1136/bcr-2020-237129 ◽

2020 ◽

Vol 13 (12) ◽

pp. e237129

Author(s):

Siti Salwa Zainal Abidin ◽

Thean Yean Kew ◽

Mawaddah Azman ◽

Marina Mat Baki

Keyword(s):

Diabetes Mellitus ◽

Pseudomonas Aeruginosa ◽

Vocal Fold ◽

Histopathological Examination ◽

Thyroid Cartilage ◽

Tracheal Aspirate ◽

Good Recovery ◽

Antituberculous Drug ◽

False Vocal ◽

Oral Ciprofloxacin

A 57-year-old male chronic smoker with underlying diabetes mellitus presented with dysphonia associated with cough, dysphagia and reduced effort tolerance of 3 months’ duration. Videoendoscope finding revealed bilateral polypoidal and erythematous true and false vocal fold with small glottic airway. The patient was initially treated as having tuberculous laryngitis and started on antituberculous drug. However, no improvement was observed. CT of the neck showed erosion of thyroid cartilage, which points to laryngeal carcinoma as a differential diagnosis. However, the erosion was more diffuse and appeared systemic in origin. The diagnosis of laryngeal perichondritis was made when the histopathological examination revealed features of inflammation, and the tracheal aspirate isolated Pseudomonas aeruginosa. The patient made a good recovery following treatment with oral ciprofloxacin.

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Functional results of endoscopic arytenoid abduction lateropexy for bilateral vocal fold palsy

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-021-07199-1 ◽

2021 ◽

Author(s):

László Rovó ◽

Vera Matievics ◽

Balázs Sztanó ◽

László Szakács ◽

Dóra Pálinkó ◽

...

Keyword(s):

Vocal Fold ◽

Voice Quality ◽

Functional Results ◽

Severity Index ◽

Invasive Treatment ◽

Maximum Phonation Time ◽

Motion Recovery ◽

Bilateral Vocal Fold Paralysis ◽

Vocal Fold Palsy ◽

False Vocal

Abstract Purpose Endoscopic arytenoid abduction lateropexy (EAAL) is a reliable surgical solution for the minimally invasive treatment of bilateral vocal fold palsy (BVFP), providing a stable airway by the lateralization of the arytenoid cartilages with a simple suture. The nondestructive manner of the intervention theoretically leads to higher regeneration potential, thus better voice quality. The study aimed to investigate the respiratory and phonatory outcomes of this treatment concept. Methods 61 BVFP patients with significant dyspnea associated with thyroid/parathyroid surgery were treated by unilateral EAAL. Jitter, Shimmer, Harmonics to Noise Ratio, Maximum Phonation Time, Fundamental frequency, Voice Handicap Index, Dysphonia Severity Index, Friedrich’s Dysphonia Index, Global-Roughness-Breathiness scale, Quality of Life, and Peak Inspiratory Flow were evaluated 18 months after EAAL. Results All patients had a stable and adequate airway during the follow-up. Ten patients (16.4%) experienced complete bilateral motion recovery with objective acoustic parameters in the physiological ranges. Most functional results of the 13 patients (21.3%) with unilateral recovery also reached the normal values. Fifteen patients (24.6%) had unilateral adduction recovery only, with slightly impaired voice quality. Eleven patients (18.0%) had false vocal fold phonation with socially acceptable voice. In 12 patients (19.7%) no significant motion recovery was detected on the glottic level. Conclusion EAAL does not interfere with the potential regeneration process and meets the most important phoniatric requirements while guaranteeing the reversibility of the procedure—therefore serving patients with transient palsy. Further, a socially acceptable voice quality and an adequate airway are ensured even in cases of permanent bilateral vocal fold paralysis.

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The Effects of the False Vocal Fold Gaps in a Model of the Larynx on Pressures Distributions and Flows

Digital Human Modeling - Lecture Notes in Computer Science ◽

10.1007/978-3-540-73321-8_18 ◽

2007 ◽

pp. 147-156 ◽

Cited By ~ 2

Author(s):

Sheng Li ◽

MingXi Wan ◽

SuPin Wang

Keyword(s):

Vocal Fold ◽

False Vocal

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Intraductal Papilloma Arising From the Minor Salivary Glands of the Larynx: A Case Report

Ear Nose & Throat Journal ◽

10.1177/0145561320944638 ◽

2020 ◽

pp. 014556132094463

Author(s):

Satoshi Hara ◽

Shinichi Ohba ◽

Atsushi Arakawa ◽

Fumihiko Matsumoto ◽

Shin Ito ◽

...

Keyword(s):

Salivary Glands ◽

Vocal Fold ◽

Submucosal Tumor ◽

Intraductal Papilloma ◽

Minor Salivary Glands ◽

Submucosal Tumors ◽

Pathologic Evaluation ◽

Aryepiglottic Fold ◽

False Vocal

It is rare for intraductal papilloma, a benign papillary tumor, to occur in the salivary glands. To our knowledge, intraductal papilloma occurring in the minor salivary glands of the larynx has not been reported. In this report, we describe a case of intraductal papilloma that occurred in the minor salivary glands of the larynx. A woman in her 30s presented with hoarseness and dyspnea since a year. Fiber-optic laryngoscopy revealed a submucosal tumor involving the left aryepiglottic fold and the left false vocal fold. Computed tomography and magnetic resonance imaging revealed a 17 × 15 × 10 mm3 mass with homogenous isodensity, with regular, well-defined margins located on the left aryepiglottic fold and the left false vocal fold. Surgical resection was performed, and subsequently a diagnosis of intraductal papilloma was made by pathologic evaluation. During the follow-up period of over 3 years, the lesion has not recurred. In conclusion, intraductal papilloma of the minor salivary glands should be considered in the differential diagnosis of laryngeal submucosal tumors.

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