Vascular lesions of the vocal fold

Abstract

The aim of the study was to present symptoms, laryngological findings, clinical course, management modalities, and consequences of vascular lesions of vocal fold. This study examined 162 patients, the majority professional voice users, with vascular lesions regarding their presenting symptoms, laryngological findings, clinical courses and treatment results. The most common complaint was sudden hoarseness with hemorrhagic polyp. Microlaryngoscopic surgery was performed in 108 cases and the main indication of surgery was the presence of vocal fold mass or development of vocal polyp during clinical course. Cold microsurgery was utilized for removal of vocal fold masses and feeding vessels cauterized using low power, pulsed CO(2) laser. Acoustic analysis of patients revealed a significant improvement of jitter, shimmer and harmonics/noise ratio values after treatment. Depending on our clinical findings, we propose treatment algorithm where voice rest and behavioral therapy is the integral part and indications of surgery are individualized for each patient.

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

“…Overstress results in a change of the microstructure of vocal fold mucosa [23]. Induced vessel trauma leads to hemorrhage, fibrin exudation, thrombosis and proliferation of capillaries [24]. Teleangiectatic, red-colored polyps are filled with a convolute of cavernous blood compartments with clots and can enlarge to pedunculated mobile findings [25].…”

Vocal fold hemorrhage: Factors predicting recurrence

“…A correlation between VFH and anticoagulant use, recent upper respiratory infection (URI), and acute vocal trauma has been noted. 2,3 Some authors have proposed a correlation between hormonal imbalance and VFH based on an observed higher incidence in women. 2,4,5 However, all have stopped short of proposing a treatment strategy based on these factors.…”

Lesiones vasculares de los pliegues vocales.

“…The highest presentation was seen in professional vocalist associated with vocal abuse, this being a possible causal factor of the appearance of LV of the vocal folds. nes subyacentes (6). Estas lesiones se producen debido a la dilatación o ruptura de los vasos sanguíneos a lo largo de la cubierta mucosa de la cuerda vocal, y se caracterizan por una amplia variedad de síntomas y signos, desde fatiga vocal, disfonía, diplofonía, hasta cierre glótico incompleto (4,6).…”

“…nes subyacentes (6). Estas lesiones se producen debido a la dilatación o ruptura de los vasos sanguíneos a lo largo de la cubierta mucosa de la cuerda vocal, y se caracterizan por una amplia variedad de síntomas y signos, desde fatiga vocal, disfonía, diplofonía, hasta cierre glótico incompleto (4,6). Dentro de la fisiopatología se describe al trauma vocal agudo como gritar, llorar, tos excesiva, o puede estar asociado con el abuso crónico de la voz, el cual es visto principalmente en profesionales de la voz (6,7).…”