Advertisement

European Archives of Oto-Rhino-Laryngology

, Volume 266, Issue 4, pp 527–533 | Cite as

Vascular lesions of the vocal fold

  • Kürşat Mustafa Gökcan
  • Gürsel Dursun
Laryngology

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 CO2 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.

Keywords

Vocal cords Hemorrhage Varicose veins Vocal cords/surgery Laser surgery/methods 

Notes

Conflict of interest statement

Authors certify that they have no financial relationship with any company/organization.

References

  1. 1.
    Postma GN, Courey MS, Ossoff RH (1998) Microvascular lesions of the true vocal fold. Ann Otol Rhinol Laryngol 107:472–476PubMedGoogle Scholar
  2. 2.
    Anderson T, Hawkshaw M, Sataloff RT (2002) Right posthemorrhagic polyp with vocal fold varices. Ear Nose Throat J 81:494PubMedGoogle Scholar
  3. 3.
    Sataloff RT, Spiegel JR, Heuer RJ (1993) Consequences of vocal cord hemorrhage. Ear Nose Throat J 72:252PubMedGoogle Scholar
  4. 4.
    Dean CM, Hawkshaw M, Sataloff RT (1999) Hemorrhagic vocal fold polyp and varicosities. Ear Nose Throat J 78:828PubMedGoogle Scholar
  5. 5.
    Spiegel JR, Sataloff RT, Hawkshaw M et al (1996) Vocal fold hemorrhage. Ear Nose Throat J 75:784–789PubMedGoogle Scholar
  6. 6.
    Abitbol J (1988) Vocal cord hemorrhages in voice professionals. J Voice 2:261–266. doi: 10.1016/S0892-1997(88)80084-5 CrossRefGoogle Scholar
  7. 7.
    Lin P, Stern JC, Gould WJ (1991) Risk factors and management of vocal cord hemorrhages: an experience with 44 cases. J Voice 5:74–77. doi: 10.1016/S0892-1997(05)80166-3 CrossRefGoogle Scholar
  8. 8.
    Belafsky PC, Postma GN, Amin MR et al (2002) Symptoms and findings of laryngopharyngeal reflux. Ear Nose Throat J 81:10–13PubMedGoogle Scholar
  9. 9.
    Jiang JJ, Diaz CE, Hanson DG (1998) Finite element modeling of vocal fold vibration in normal phonation and hyperfunctional dysphonia: implications for the pathogenesis of vocal nodules. Ann Otol Rhinol Laryngol 107:603–610PubMedGoogle Scholar
  10. 10.
    Hochman I, Sataloff RT, Hillman RE et al (1999) Ectasias and varices of the vocal fold: clearing the striking zone. Ann Otol Rhinol Laryngol 108:10–16PubMedGoogle Scholar
  11. 11.
    Altman KW (2007) Vocal fold masses. Otolaryngol Clin North Am 40:1091–1108. doi: 10.1016/j.otc.2007.05.011 PubMedCrossRefGoogle Scholar
  12. 12.
    Franco RA, Andrus JG (2007) Common diagnoses and treatments in professional voice users. Otolaryngol Clin North Am 40:1025–1061. doi: 10.1016/j.otc.2007.05.008 PubMedCrossRefGoogle Scholar
  13. 13.
    Hsiung MW, Kang BH, Su WF et al (2003) Clearing microvascular lesions of the true vocal fold with the KTP/532 laser. Ann Otol Rhinol Laryngol 112:534–539PubMedGoogle Scholar
  14. 14.
    Mattiske JA, Oates JM, Greenwood KM (1998) Vocal problems among teachers: a review of prevalence, causes, prevention, and treatment. J Voice 12:489–499. doi: 10.1016/S0892-1997(98)80058-1 PubMedCrossRefGoogle Scholar
  15. 15.
    Postma GN, Courey MS, Ossof RH (1998) Professional voice. In: Cummings CW, Fredrickson JM, Harker CA (eds) Otolaryngology head and neck surgery, 3rd edn. Mosby-Year Book Company, Missouri, pp 2055–2073Google Scholar
  16. 16.
    Klein AM, Johns MM 3rd (2007) Vocal emergencies. Otolaryngol Clin North Am 40:1063–1080. doi: 10.1016/j.otc.2007.05.009 PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  1. 1.Otolaryngology Head and Neck Surgery DepartmentAnkara University Medical SchoolAnkaraTurkey
  2. 2.AnkaraTurkey

Personalised recommendations