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Research Article| Volume 27, ISSUE 5, P632-635, September 2013

Clinical Characteristics of Vocal Polyps With Underlying Sulcus Vocalis

  • Hyung Kwon Byeon
    Affiliations
    Department of Otorhinolaryngology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, Republic of Korea

    Institute of Logopedics and Phoniatrics, Yonsei University College of Medicine, Seoul, Republic of Korea
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  • Ji-Hoon Kim
    Affiliations
    Department of Otorhinolaryngology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, Republic of Korea

    Institute of Logopedics and Phoniatrics, Yonsei University College of Medicine, Seoul, Republic of Korea
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  • Jin Ho Kwon
    Affiliations
    Department of Otorhinolaryngology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, Republic of Korea

    Institute of Logopedics and Phoniatrics, Yonsei University College of Medicine, Seoul, Republic of Korea
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  • Kwang-Hee Jo
    Affiliations
    Department of Otorhinolaryngology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, Republic of Korea

    Institute of Logopedics and Phoniatrics, Yonsei University College of Medicine, Seoul, Republic of Korea
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  • Hyun Jun Hong
    Affiliations
    Department of Otorhinolaryngology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, Republic of Korea

    Institute of Logopedics and Phoniatrics, Yonsei University College of Medicine, Seoul, Republic of Korea
    Search for articles by this author
  • Hong-Shik Choi
    Correspondence
    Address correspondence and reprint requests to Hong-Shik Choi, Department of Otorhinolaryngology, Yonsei University College of Medicine, Gangnam Severance Hospital, 211 Eonju-ro, Gangnam-gu, Seoul 135-720, Republic of Korea.
    Affiliations
    Department of Otorhinolaryngology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, Republic of Korea

    Institute of Logopedics and Phoniatrics, Yonsei University College of Medicine, Seoul, Republic of Korea
    Search for articles by this author

      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

        • Giovanni A.
        • Chanteret C.
        • Lagier A.
        Sulcus vocalis: a review.
        Eur Arch Otorhinolaryngol. 2007; 264: 337-344
        • Sunter A.V.
        • Yigit O.
        • Hug G.E.
        • Alkan Z.
        • Kocak I.
        • Buyuk Y.
        Histopathological characteristics of sulcus vocalis.
        Otolaryngol Head Neck Surg. 2011; 145: 264-269
        • Ford C.N.
        • Inagi K.
        • Khidr A.
        • Bless D.M.
        • Gilchrist K.W.
        Sulcus vocalis: a rational approach to diagnosis and management.
        Ann Otol Rhinol Laryngol. 1996; 105: 189-200
        • Kleinsasser O.
        Pathogenesis of vocal cord polyps.
        Ann Otol Rhinol Laryngol. 1982; 91: 378-381
        • Kambic V.
        • Radsel Z.
        • Zargi M.
        • Acko M.
        Vocal fold polyps: incidence, histology and pathogenesis.
        J Laryngol Otol. 1981; 95: 609-618
        • Johns M.M.
        Update on etiology, diagnosis, and treatment of vocal fold nodules, polyps and cysts.
        Curr Opin Otolaryngol Head Neck Surg. 2003; 11: 456-461
        • Martins R.H.
        • Defaveri J.
        • Domingues M.A.
        • de Albuquerque e Silva R.
        Vocal polyps: clinical, morphological, and immunohistochemical aspects.
        J Voice. 2011; 25: 98-106
        • Eckley C.A.
        • Swensson J.
        • Duprat A.C.
        • Donati F.
        • Costa H.O.
        Incidence of structural vocal fold abnormalities associated with vocal fold polyps.
        Braz J Otorhinolaryngol. 2008; 74: 508-511
        • Eckley C.A.
        • Corvo M.A.
        • Yoshimi R.
        • Swensson J.
        • Duprat A.C.
        Unsuspected intraoperative finding of structural abnormalities associated with vocal fold polyps.
        J Voice. 2010; 24: 623-625
        • Tan M.
        • Pitman M.J.
        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
        • Bielamowicz S.
        • Villagomez V.
        Sulcus vocalis concealed by a hemorrhagic polyp.
        Ear Nose Throat J. 2001; 80: 696
        • Sataloff R.T.
        • Hawkshaw M.J.
        • Nagorsky M.
        Vocal fold polyp, scar, and sulcus vocalis.
        Ear Nose Throat J. 2000; 79: 768
        • Hirano M.
        • Yoshida T.
        • Tanaka S.
        • Hibi S.
        Sulcus vocalis: functional aspects.
        Ann Otol Rhinol Laryngol. 1990; 99: 679-683