Clinical Characteristics of Vocal Polyps With Underlying Sulcus Vocalis

Byeon, Hyung Kwon; Kim, Ji-Hoon; Kwon, Joon Ho; Jo, Kwang-Hee; Hong, Hyeyoung; Choi, Hong‐Shik

doi:10.1016/j.jvoice.2013.04.010

Cited by 18 publications

(15 citation statements)

References 12 publications

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“…A recent study found a 6% coexistence rate of vocal polyps with sulcus vocalis, which may negatively affect surgical outcomes. 41 In this study, we also identified two cases of vocal polyps with underlying sulcus; both patients presented with symptom duration longer than 12 months and a less favorable response to VFSI. These comparable findings may also help to explain the association between the chronicity of diseases and treatment outcomes.…”

Section: Chi-te Wang Et Almentioning

confidence: 86%

Comprehensive Outcome Researches of Intralesional Steroid Injection on Benign Vocal Fold Lesions

2015

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Section: Chi-te Wang Et Almentioning

confidence: 86%

Comprehensive Outcome Researches of Intralesional Steroid Injection on Benign Vocal Fold Lesions

2015

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“…They are extensions of the lamina propria, which can be clearly differentiated from the surrounding epithelium [21]. Polyps are usually located between the anterior and the middle third of the vocal fold, at the point of greatest mechanical stress during phonation [22]. Overstress results in a change of the microstructure of vocal fold mucosa [23].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Phonosurgery, Logopedic Voice Treatment and Vocal Pedagogy in Common Voice Problems of Singers

Rendon

Ermakova²,

Freymann

et al. 2018

Adv Ther

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Depending on individual medical indication, phonosurgery, logopedic treatment and voice teaching are all effective, objectively and subjectively satisfactory therapies to improve the impaired singing voice. The use of VEM in singers with functional and organic dysphonia objectifies and quantifies their vocal capacity as documented in the VRP. Complementing the established DSI, VEM introduction into practical objective voice diagnostics is appropriate and desirable especially for the treatment of singers.

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“…In our cases, sulcus was associated with vocal fold fibrous mass, epidermoid cyst, mucosal bridge, polyp, nodules, and Reinke’s oedema. According to the literature, sulcus may be detected or confirmed in approximately 30-40% of patients undergoing surgery for such lesions, thus confirming that sulcus is not easy to diagnose during stroboscopy 8 , 12 , 23 . Eckley and colleagues 9 , 23 .…”

Section: Discussionmentioning

confidence: 96%

Voice aspects in sulcus coexisting with benign lesions of the vocal folds

Miaśkiewicz

Panasiewicz

Gos

et al. 2020

Acta Otorhinolaryngol Ital

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SUMMARY The purpose of this study was to measure the clinical profile of patients with sulcus who had concomitant benign lesions such as polyp, oedema, cyst, nodules, or fibrous mass of the vocal fold. We reviewed the medical charts of 38 patients who had a diagnosis of sulcus type 2 or 3 (according to Ford). The patients were classified into two groups. The study group consisted of 16 subjects who had sulcus and associated benign lesion; 22 patients diagnosed with sulcus alone were enrolled in a control group. We analysed psychosocial (Voice Handicap Index-30), auditory-perceptual (GRBAS), acoustic measures and videostroboscopic images. In the study group, the mean VHI-30 scores of all subscales ranged from moderate to severe handicap. The difference between groups was significant on the emotional (p = 0.004) and physical (p = 0.007) subscales. On GRBAS scale, the majority of patients from both groups exhibited mild hoarseness, breathiness, asthenic or strained voice, although roughness was more frequently rated moderate; the differences between groups were not statistically significant. The most abnormally increased values were achieved for amplitude values of acoustic parameters, but significant difference between groups was found in Soft Phonation Index only (p = 0.049). Concerning glottal closure, the most frequent finding was irregular chink in the study group, and spindle glottic chink in controls; we found significant differences between groups (p = 0.004). In both series of patients, the most frequent abnormal findings were moderately diminished amplitude and moderately restricted mucosal wave, with no significant difference between groups. Patients with sulcus and coexisting benign lesions were more handicapped on the emotional and physical subscales of VHI-30. The most characteristic shape of the glottal gap was irregular chink in the study group, and spindle chink in the control group. Acoustic evaluation of voice showed that the most severe disturbances affected amplitude parameters. The clinical characteristics indicated that the presence of sulcus primarily determines the quality of voice, and that additional benign pathologies do not drastically affect further voice deterioration. The coexistence of secondary benign vocal fold lesions aggravates the difficulties in making a preoperative diagnosis of sulcus. It is important to clinically suspect the possibility of coexistent sulcus to plan the correct treatment and obtain better voice outcomes.

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Clinical Characteristics of Vocal Polyps With Underlying Sulcus Vocalis

Cited by 18 publications

References 12 publications

Comprehensive Outcome Researches of Intralesional Steroid Injection on Benign Vocal Fold Lesions

Comprehensive Outcome Researches of Intralesional Steroid Injection on Benign Vocal Fold Lesions

Efficacy of Phonosurgery, Logopedic Voice Treatment and Vocal Pedagogy in Common Voice Problems of Singers

Voice aspects in sulcus coexisting with benign lesions of the vocal folds

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