Summary
Objective
This study aims to find a correlation between vocal fold polyps and sulcus vocalis
and to investigate the character of such vocal fold polyps associated with sulcus
vocalis.
Study Design
Retrospective clinical research.
Methods
A retrospective review of 280 patients who have been admitted and operated under general
anesthesia for vocal fold polyps at a tertiary care medical center from March 2009
to July 2012 was performed.
Results
The patients were classified into two groups. Group A (18 patients) was defined as
patients who have been diagnosed with vocal polyps coexisting with sulcus vocalis.
Group B (262 patients) was designated to the rest of the patients who have been solely
diagnosed with vocal fold polyps. The prevalence of an underlying sulcus vocalis associated
with vocal polyps in the studied population overall was 6.4% (18/280). Considering
the recurrence rate of vocal fold polyps in each group, it was 16.7% (three patients)
in group A and 3.1% (eight patients) in group B. In general, there was an improvement
in the voice quality after the operation in both groups. The degree of improvement
was less substantial in group A rather than group B.
Conclusion
When dealing with patients who have been diagnosed as vocal fold polyps, the possibility
of coexisting sulcus vocalis should always be considered, and if diagnosed simultaneously,
management of vocal polyps and sulcus vocalis must be sought for a better voice outcome
and to reduce the chance of recurrence of vocal polyps.
Key Words
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References
- Sulcus vocalis: a review.Eur Arch Otorhinolaryngol. 2007; 264: 337-344
- Histopathological characteristics of sulcus vocalis.Otolaryngol Head Neck Surg. 2011; 145: 264-269
- Sulcus vocalis: a rational approach to diagnosis and management.Ann Otol Rhinol Laryngol. 1996; 105: 189-200
- Pathogenesis of vocal cord polyps.Ann Otol Rhinol Laryngol. 1982; 91: 378-381
- Vocal fold polyps: incidence, histology and pathogenesis.J Laryngol Otol. 1981; 95: 609-618
- Update on etiology, diagnosis, and treatment of vocal fold nodules, polyps and cysts.Curr Opin Otolaryngol Head Neck Surg. 2003; 11: 456-461
- Vocal polyps: clinical, morphological, and immunohistochemical aspects.J Voice. 2011; 25: 98-106
- Incidence of structural vocal fold abnormalities associated with vocal fold polyps.Braz J Otorhinolaryngol. 2008; 74: 508-511
- Unsuspected intraoperative finding of structural abnormalities associated with vocal fold polyps.J Voice. 2010; 24: 623-625
- A case of bilateral vocal fold mucosal bridges, bilateral trans-vocal fold type III sulci vocales, and an intracordal polyp.J Voice. 2011; 25: 484-486
- Sulcus vocalis concealed by a hemorrhagic polyp.Ear Nose Throat J. 2001; 80: 696
- Vocal fold polyp, scar, and sulcus vocalis.Ear Nose Throat J. 2000; 79: 768
- Sulcus vocalis: functional aspects.Ann Otol Rhinol Laryngol. 1990; 99: 679-683
Article info
Publication history
Published online: July 29, 2013
Accepted:
April 23,
2013
Identification
Copyright
© 2013 The Voice Foundation. Published by Elsevier Inc. All rights reserved.