Laryngeal Polyps, Cysts, and Sulci
Nodules, Polyps, Cysts and Sulci generally occur within the phonatory epithelium or lamina propria of the true vocal fold. An impaired vocal fold edge compromises apposition of the vocal fold edges and may impair the vibratory surface of the vocal folds. These benign lesions yield an inefficient glottis manifesting as dysphonia. Diagnosis is heavily dependent on history and exam findings, namely stroboscopy. Treatment is individualized with consideration of the subjective patient’s voice handicap and the practitioner’s perceptual rating, the patient’s voice demand and the potential for improvement of voicing habits and technique, and likelihood for resolution without surgical intervention. Management may include voice rest, voice modification, voice therapy, adjunct medications for concurrent pathology or symptomatic relief of throat symptoms. Phonosurgery is often the ultimate solution for polyps, cysts, and large mature nodules. Keen knowledge of both surgical technique as well as perioperative care is imperative.
- Review the histologic structure of the vocal folds.
- Identify the pathogenesis of benign vocal fold lesions.
- Be familiar with terminology of benign vocal fold lesions and how they differ clinically.
- Appreciate the options for medical and behavioral management of benign vocal fold lesions.
- Describe risks and benefits of phonosurgery.
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