Logo image
Vocal Fold Scarring: Current Concepts and Management
Journal article   Peer reviewed

Vocal Fold Scarring: Current Concepts and Management

Michael S. Benninger, David Alessi, Sanford Archer, Robert Bastian, Charles Ford, James Koufman, Robert T. Sataloff, Joseph R. Spiegel and Peak Woo
Otolaryngology-head and neck surgery, v 115(5), pp 474-482
Nov 1996

Abstract

Scarring of the vocal folds can occur as the result of blunt laryngeal trauma or, more commonly, as the result of surgical, latrogenic injury after excision or removal of vocal fold lesions. The scarring results in replacement of healthy tissue by fibrous tissue and can irrevocably alter vocal fold function and lead to a decreased or absent vocal fold mucosal wave. The assessment and treatment of persistent dysphonia in patients with vocal fold scarring presents both diagnostic and therapeutic challenges to the voice treatment team. The common causes of vocal fold scarring are described, and prevention of vocal fold injury during removal of vocal fold lesions is stressed. The anatomic and histologic basis for the subsequent alterations in voice production and contemporary modalities for clinical and objective assessment will be discussed. Treatment options will be reviewed, including nonsurgical treatment and voice therapy, collagen injection, fat augmentation, endoscopic laryngoplasty, and Silastic medialization.

Metrics

12 Record Views

Details

Logo image