Tumor

Leukoplakia and Granuloma

docvox — Wed, 27 Mar 2013 16:24:55 +0000

Leukoplakia and Granuloma

A vocal over user who speaks publicly several times per week has developed pain on the left side of his neck for the past month. The pain is from the left vocal process ulceration. He quit smoking cigarettes/tobacco almost 10 years ago.

Exophytic leukoplakia of one vocal cord

docvox — Fri, 22 Mar 2013 15:24:48 +0000

Exophytic leukoplakia of one vocal cord

He has used tobacco and alcohol and declined a biopsy of the lesion so I am not certain of the pathology. The leukoplakia is very exophytic and reminds me of verrucous keratosis. This could represent squamous cell carcinoma as well.

Leukoplakia

docvox — Wed, 13 Feb 2013 23:34:57 +0000

Leukoplakia

Longstanding leukoplakia. Vocal cords are stiff and voice is husky.

Leukoplakia in smoker

docvox — Thu, 31 Jan 2013 02:17:00 +0000

Leukoplakia in smoker

51-year-old who has smoked one pack a day for 30 years and consumed significant amount of alcohol is noted a hoarse voice, throat pain and has coughed up some blood. The slightly raised area on the center of the right vocal cord is very stiff on stroboscopy.

laryngocoele

docvox — Sat, 10 Nov 2012 01:37:00 +0000

laryngocoele

Internal laryngocoele: This mass on the left aryepiglottic fold is an internal laryngocoele. Viewed with false color on a high definition Pentax and the scope

Cutaneous sarcoid

docvox — Mon, 13 Aug 2012 16:55:00 +0000

Cutaneous sarcoid

Patient with two years of hoarseness. She has sarcoid of her skin for many years which has been treated with steroid injections. She underwent biopsies of her vocal cords which showed non-caseating granulomas and chronic inflammation consistent with sarcoid. Operative photos:

Papilloma

chris — Sun, 15 Apr 2012 18:43:00 +0000

Papilloma

A young female who develop hoarseness during pregnancy. The bumpy, red dotted growths on her vocal cord are caused by the virus papilloma. She did not want to have surgery during pregnancy and 4 months later, the papilloma has grown to block off more for airway. She actually can still breathe reasonably well through the small opening.

Papilloma

chris — Sun, 15 Apr 2012 18:41:52 +0000

Papilloma

Papilloma on the left vocal cord at the anterior commissure and within the left ventricle. The red dots are a little vessel loop within each infected cell.

laryngeal papilloma on the right arytenoid

chris — Sun, 15 Apr 2012 18:40:02 +0000

laryngeal papilloma on the right arytenoid

Papilloma

chris — Sun, 15 Apr 2012 18:38:30 +0000

Papilloma

papilloma

Papilloma of the right arytenoid

chris — Sun, 15 Apr 2012 18:36:55 +0000

Papilloma of the right arytenoid

Papilloma tend to recur

chris — Sun, 15 Apr 2012 18:32:00 +0000

Papilloma tend to recur

This young man was treated for acid reflux for more than 6 months without improving. He then had a biopsy, removing some tissue from the left vocal cord which showed papilloma. The first picture is when I first met him after the one excision.

Cancer of the pharynx

chris — Sat, 14 Apr 2012 22:47:44 +0000

Cancer of the pharynx

Approximately 70-year-old male who has both smoked and consumed alcohol in the past. He also had a cancer removed from the floor of mouth one year ago. He reported a right-sided sore throat and intermittent referred otalgia to his right ear.

Foreign body caught in the laryngeal ventricle

chris — Sat, 14 Apr 2012 22:30:17 +0000

Foreign body caught in the laryngeal ventricle

This 47-year-old female noted hoarseness that started 5-7 years before I saw her. The hoarseness has become progressively worse over the past 2 years. During the past 2 years, she has noted breaks in her voice and an increased effort to make sound.

Extensive laryngeal papilloma

chris — Sat, 14 Apr 2012 22:06:00 +0000