Benign

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.

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.

Extensive laryngeal papilloma

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

Extensive laryngeal papilloma

extensive laryngeal papilloma

chris — Sat, 14 Apr 2012 21:57:19 +0000

extensive laryngeal papilloma

Extensive laryngeal papilloma with multiple colonies, in multiple locations on both true and false vocal cords and the epiglottis.

Laryngeal papilloma and reflux

chris — Sat, 14 Apr 2012 21:53:32 +0000

Laryngeal papilloma and reflux

She had 8 surgeries for laryngeal papilloma over 24 years. Then for the past 3 years, her ENT kept telling her she had reflux laryngitis. She was not getting better on acid reflux treatment, and came to visit me. She had recurrent papillomatosis.

Papilloma

chris — Sat, 14 Apr 2012 21:18:25 +0000

Papilloma

He had two prior decisions of laryngeal papilloma. With the false color imaging available on the high definition Pentax endoscope, the discrete blood vessels within each cell are easy to appreciate.

Papilloma

chris — Sat, 14 Apr 2012 21:13:57 +0000

Papilloma

This single crop of papilloma on the left vocal cord could be confused with a nodule or polyp at a lower resolution. It has not recurred at 6 months after surgery.