Voice Case of the Week: Scarring From Surgery

Osborne Head and Neck Institute Case Presentation:

Figure: One vibratory cycle, demonstrating good posterior closure but with mid-vocal fold insufficiency secondary to depression of the edge. This is due to vocal scarring from a loss of superficial lamina propria.
Figure: One vibratory cycle, demonstrating good posterior closure but with mid-vocal fold insufficiency secondary to depression of the edge. This is due to vocal scarring from a loss of superficial lamina propria.

The patient is a 55 year old male who has had significant vocal demands as a teacher for several decades. He had noted sudden voice changes and sought care by an ENT, who informed him that he had a vocal growth. The recommendation was made for surgical excision and the technique that was utilized was laser treatment of the lesion as well as excision.

The patient never noted any significant improvement after surgery and sought a second opinion one year later, after struggling with his voice.

Click here for Los Angeles, laryngologist, Dr. Rena Gupta, MD’s diagnosis.

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