Swelling at Junction of Right Vocal Cord and Apex of Vocal Process.

Sixteen patients with T1 vocal cord squamous cell carcinoma were treated with endoscopic laser excision during a 4-year period. Laser excision was the initial treatment in 11 patients, and it was used to treat 5 patients who had recurrence after radiotherapy. Postoperatively, 13 (81%) of the 16 patients had normal voices. Two patients with persistent postoperative hoarseness had had anterior commissure lesions and previous radiotherapy; the other patient had a subtotal cordectomy. One patient developed a subsequent new lesion 27 months after the initial laser treatment; he was successfully managed with a second endoscopic laser excision. Involvement of the anterior commissure or involvement of the vocal process with minimally invasive disease proved not to be a contraindication to laser excision. The overall results in this small series suggest that laser excision of T1 vocal cord carcinoma is an excellent method of treatment.

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CT Study of the Arytenoid Cartilage in Patients with Laryngeal Contact Granuloma

Otolaryngology ◽

10.1177/0194599817721153 ◽

2017 ◽

Vol 157 (6) ◽

pp. 1013-1016 ◽

Cited By ~ 1

Author(s):

Jinrang Li ◽

Shiyu Tian ◽

Shizhen Zou ◽

Qingjun Wang ◽

Xuhui Tai ◽

...

Keyword(s):

Vocal Cord ◽

Individual Case ◽

Lesion Group ◽

Arytenoid Cartilage ◽

High Resolution Computed Tomography ◽

Vocal Process ◽

Laryngeal Lesion ◽

Lesion Side ◽

Healthy Side ◽

Bilateral Lesions

Objective To explore high-resolution computed tomography (HRCT) characteristics of arytenoid cartilage in patients with laryngeal contact granuloma (LCG). Setting Tertiary hospitals. Study Design Individual case-control study. Methods HRCT scans were obtained before treatment from 42 patients with LCG. Similar scans were obtained from 50 patients with glottic laryngeal cancer or vocal cord leukoplakia without vocal process involvement. Results Forty-two male patients with LCG were enrolled in the study. There were 41 patients with unilateral vocal cord lesions, and 1 patient had bilateral lesions. All 50 eligible patients in the laryngeal lesion group were men. There were 39 patients with unilateral lesions, and 11 had bilateral lesions. The rate of arytenoid cartilage sclerosis in the LCG group was 79.07% (34/43) on the lesion side and 7.32% (3/41) on the healthy side. In the laryngeal lesion group, the rate of arytenoid cartilage sclerosis was 13.11% (8/61) on the lesion side and 2.56% (1/39) on the healthy side. The rate of arytenoid cartilage sclerosis on the lesion side of patients with LCG was significantly higher than on the healthy side of patients with LCG and significantly higher than both the healthy and lesion sides of patients with laryngeal lesions ( P < .001). Conclusions Arytenoid cartilage sclerosis was observed on the lesion side in most patients with LCG, and the presence of sclerosis may support the diagnosis of LCG.

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Amyloidosis of the Larynx in a Child

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348949410300802 ◽

1994 ◽

Vol 103 (8) ◽

pp. 590-594 ◽

Cited By ~ 16

Author(s):

Laurence R. O'Halloran ◽

Rodney P. Lusk

Keyword(s):

Vocal Cord ◽

Thyroid Cartilage ◽

Postoperative Recovery ◽

True Vocal Cord ◽

Vocal Process ◽

Laryngeal Amyloidosis ◽

Benign Process ◽

Vocal Quality ◽

False Vocal ◽

Localized Laryngeal Amyloidosis

Localized laryngeal amyloidosis is a rare and benign process. Only three cases have been reported in children. We present the case of a 9-year-old girl with localized laryngeal amyloidosis that was excised via laryngofissure. The patient presented with a 3- to 4-week history of progressive hoarseness. Direct laryngoscopy revealed a smooth, firm, submucosal mass extending from the anterior aspect of the left false vocal cord to the vocal process. Biopsy of the mass revealed findings consistent with amyloidosis. The mass was approached via laryngofissure and excised with the thyroid cartilage and left true vocal cord left intact. An extensive workup for systemic amyloidosis was negative, including bone marrow biopsy. The postoperative recovery was uneventful, with good vocal quality and a sluggish but mobile left true vocal cord. This case is significant because of the young age of the child, the extent of disease, and the use of laryngofissure for excision.

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Bilateral Vocal Fold Granuloma and Anterior Glottic Web After Papilloma Excision

Ear Nose & Throat Journal ◽

10.1177/01455613211012112 ◽

2021 ◽

pp. 014556132110121

Author(s):

Benjamin T. Ostrander ◽

Vanessa Yu ◽

Andrew Vahabzadeh-Hagh

Keyword(s):

Laser Ablation ◽

Vocal Cord ◽

Vocal Fold ◽

Steroid Injection ◽

Recurrent Respiratory Papillomatosis ◽

Voice Therapy ◽

Vocal Process ◽

Co2 Laser Ablation ◽

Anterior Glottic Web

We present a case of delayed vocal process granulomas and anterior glottic web after treatment of vocal fold papillomas with a laryngeal microdebrider and CO2 laser ablation. This case highlights a risk of vocal fold granuloma in the setting of recurrent respiratory papillomatosis and microdebrider use, warranting close follow-up and consideration of prophylactic voice therapy, anti-reflux medications, and steroid injection in cases of violation of vocal cord epithelium.

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