29 research outputs found
Current Endoscopic Treatment of Dysphonia
Benign laryngeal disorders result in dysphonia because of effects on glottic closure and the
vibratory characteristics of the true vocal fold. Treatment is initially directed at reversing
medical conditions and patterns of abuse with surgery reserved for unresolving lesions resulting
in troublesome dysphonia. Benign lesions that require surgery are excised as precisely as
possible sparing overlying mucosa and the underlying vocal ligament. Vocal fold scarring is
currently best treated by augmentation procedures, and atrophy may be compensated for by
medialization thyroplasty or by adding bulk to the affected folds. Application of current
knowledge of laryngeal histology and physiology is prerequisite to endoscopic surgical
intervention