Persistent Hoarseness After Surgical Removal of Vocal Cord Lesions

The outcome of different management patterns for vocal cord nodules

“…Many of the occupations of the 20 subjects involved considerable voice usage and/or working in a noisy or dusty atmosphere, tending to fit in with the clinical impression of most authors, but not entirely supporting Brotnitz' claim (1963) that the majority of vocal nodule patients are found in highly competitive, emotionally Baker et al (1981) suggested a relationship between respiratory tract disease and post-operative (short and long-term) hoarseness in vocal nodule and vocal polyp patients. Table XI shows the number of subjects in the present study who had undergone surgery (with or without speech therapy), with the presence or absence of a respiratory tract history related to the hoarseness-sincedischarge score.…”

Voice rest after vocal fold surgery: current practice and evidence

“…A prospective study of 10 patients undergoing removal of unspecified vocal fold lesions by Baker et al similarly did not find a significant correlation between post-operative voice use (including abusive voice behaviour) and persistent hoarseness 6 . However, the interpretations of these findings are again restricted by: the limited patient numbers, the lack of randomisation of patients, the lack of information about the specific vocal fold conditions being treated and the subjectivity of the assessment of hoarseness.…”

“…6 However, the interpretations of these findings are again restricted by: the limited patient numbers, the lack of randomisation of patients, the lack of information about the specific vocal fold conditions being treated and the subjectivity of the assessment of hoarseness.…”

Treatment of atypical longitudinal vocal polyp with CO2 laser

“…8 The basement membrane, located between the mucosal layer and the lamina propria, contains type IV collagen as its main component, and contains a protein that adheres the basal cells of the epidermal layer to the lamina propria because it has a dense plate. 9,10 The superficial layer of the lamina propria is a loose tissue that is easily damaged, and the Reinke's space is a potential space between the vocal mucosa and the vocal ligaments, mainly composed of the submucosal tissue and the superficial layer of the lamina propria. The loose connective tissue in this area is an important tissue essential for vocal cord vibration, but edema easily occurs due to poor lymphatic drainage.…”