Narrow band imaging for sulcus vocalis—an often missed diagnosis

Tan, Sien Hui; Sombuntham, Premsuda

doi:10.1093/qjmed/hcac204

Cited by 1 publication

(1 citation statement)

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“…Indeed, as reported by Sünter et al [26], the diagnosis of a sulcus is sometimes only made during a direct laryngoscopy with an experienced surgeon. In this regard, a recent study suggested the use of Narrow-Band Imaging (NBI) endoscopy to better detect SV in outpatients [42], as also shown in Figures 1 and 2. Desuter et al observed that, in cases of SV, the vessels that usually are parallel to vocal fold change their course and split, skirting the edges of the furrow.…”

Section: Discussionmentioning

confidence: 89%

Sulcus Vocalis and Benign Vocal Cord Lesions: Is There Any Relationship?

Saraniti

Patti

Verro

2023

IJERPH

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Background: Sulcus vocalis (SV) is a longitudinal groove in the free edge of the true vocal cord. It may impair phonation with incomplete glottic closure, phonasthenia and hoarseness. This study aims to detect a correlation between benign vocal cord lesions and the incidence of the SV. Methods: A retrospective study was carried out on patients who underwent transoral surgery due to benign vocal fold lesions and were selected according to strict criteria. Patients were divided into a group with sulcus vocalis (Group wSV) and a group without sulcus vocalis (Group w/oSV). The possible correlations between variables were assessed by the Pearson chi-square test (p < 0.05). Results: The study included 232 vocal cord lesions in 229 patients: 62.88% were females whose mean age was 46.61 ± 14.04. The most frequent diseases were polyps (37.94%), nodules (18.53%) and Reinke’s edema (21.12%). Statistically significant relationships were found between age and SV (p-value 0.0005) and between mild dysplasia and SV (p-value 0.03). Conclusions: This study did not detect a cause–effect relationship between SV and benign vocal fold lesions. SV within vocal fold lesions is more common in younger patients, suggesting a congenital nature of SV. In conclusion, in the case of a benign vocal fold lesion, a possible SV should be considered and researched to provide the patient the best healthcare.

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Section: Discussionmentioning

confidence: 89%