Exam 2 Part 2 Flashcards
What treatment do we use for vocal fold polyps?
Voice therapy, surgery
Fluid-filled, typically unilateral, sessile lesions (sacs) on cephalic surface or medial edge of the vocal fold
Vocal fold cyst
Where are vocal fold cysts embedded in?
Superficial lamina propria, can extend to the intermediate and deep lamina propria
What is the etiology of vocal fold cysts?
Mucous gland blockage, phonotrauma
What is the difference between vocal fold cysts and polyp?
Cysts create a stiff adynamic segment due to reduced vibratory freedom of the cover of the vocal fold, cysts are also blood filled whereas polyps are not, cysts can affect all layers of the lamina propria
What treatment do we use for vocal fold cysts?
Surgery
Superficial lamina propria is filled with viscous gelatinous fluid
Reinke’s Edema
A severe form of edema wherein the entire membranous vocal fold is filled with fluid.
Polypoid degeneration
What are the etiologies of Reinke’s edema?
Chronic phonotrauma, smoking
What are the vibratory effects of Reinke’s edema?
Increased mass and stiffness
What are the voice effects of Reinke’s edema?
Signature low pitch and husky hoarseness described as a “whiskey” or “smoker’s” voice.
What types of treatment do we use for Reinke’s edema?
Surgery, pre and post operative voice therapy
“Permanent” tissue changes in the structure of lamina propria (LP)
Vocal fold scarring
How does vocal fold scarring affect the voice?
Increases stiffness of vocal folds, reduces glottic closure, reduced mucosal wave during vocal fold vibration
How do you treat vocal fold scarring?
No accepted/effective behavioral or phonosurgical treatment.
