Stroboscopic view at pitch A2 during mid closure. Both polyps being blown toward the viewer superior surface of the vocal cord
5 weeks after surgery
5 weeks after surgery. Stroboscopic view during mid closure.
History ((((ADD VIDEO - UPLOAD TO YOUTUBE))))
57 year old female
Complaints
20 years ago her voice began deepening.
Now many of her clients think she is a man when on the phone with her.
This is causing problems with her business.
At times her voice actually stops and only air comes out.
She cannot yell.
She attributes the problem to a peritonsillar abscess and series of sore throats she had 20 years ago.
Medical history
Singing: was a soprano when young, no singing now
Smoking: 1 ppd x 20 years
Fluids:
Water: 3 cup per day
Caffeine: 5 caffeinated beverage/day
Alcohol: 0 glass per month
Character
Talkativeness: 4 on a scale of 7 (1 quiet, 7 talkative)
Loudness: 4 on a scale of 7 (1 is soft, 7 is loud)
Vocal commitments at Work: 4 hours per workday
Vocal capabilities
See Vocal capabilities testing guidelines for explanations
Reading pitch: low, monotonal
Anchor pitch: F2 (yes, it is that low)
Range: F2 – G3
Max phonation: >14 seconds @ C3
Loudness: soft yell
Swelling tests: G3 marked air leak
Neurogenicity: none
Psychogenicity: none
Valving: soft edge
Respiration: normal
Stroboscopic Examination of the Larynx
Summary:
Treatment
Surgical excision, with attention to preserving some of the lamina propria and prevent stiff vocal folds post operatively.
Other photos of smoker’s polyps.
