VASCULAR LESIONS OF THE VOCAL FOLDS
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Abstract
Introduction: The vascular lesions (VL) of the vocal folds form part of the group of minor structural alterations of the vocal fold, they are characterized by the presence of a refractory dysphonia that usually is of difficult diagnosis and treatment.
Aim: Describe demographic and clinical characteristics of this lesions and categorize the surgical finding in patients with VL of vocal folds diagnosed in a IVth level complexity hospital in Bogota.
Methods:We reviewed the clinical records of patients with vascular lesions diagnosed by microlaryngoscopy, we observed the frequency and distribution of vascular lesions according to each type of injury and described the relationship between vascular lesions and other laryngeal lesions.
Results:We obtained 47 patients, between 15 and 80 years old. Gender distribution was 48.8% men and 51.2% women. 69.8% of patients were professional vocalist. The most prevalent symptoms were dysphonia (65.2%) and vocal fatigue (27.9%). The presentation of VL in order of frequency were: abnormal disposition of blood vessels (42,9%) varices (26,5%), papilar ectasia (22,4 %) and hemorraghe (8,2 %).
Conclusions:The sociodemographic findings and clinical presentation of this disease were similar to the reported by other studies.The highest presentation was seen in professional vocalist associated with vocal abuse, this being a possible causal factor of the appearance of LV of the vocal folds.
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References
Pontes P, Goncalves MI, Behlau M. Vocal fold cover minor structural alterations: diagnostic errors. Phonoscope. 1999;2(4):175-85.
Arnold GE. Dysplastic dysphonia: minor anomalies of the vocal cords causing persistent hoarseness. Laryngoscope. 1958;68(2):142-158. DOI: 10.1288/00005537-195802000-00006
Pontes P, Gonçalves MI, Behlau M. Vocal fold cover minor structural alterations: Diagnostic Errors. Phonoscope 1999;2(4):175-185.
De Biase NG, Pontes PA. Blood vessels of vocal folds: a videolaryngoscopic study. Arch Otolaryngol Head Neck Surg. 2008;134(7):720-4. doi: 10.1001/archotol.134.7.720.
Pontes PAL, De Biase NG, Behlau M. Vascular characteristics of the vocal fold cover in control larynges and larynges with benign lesions. Phonoscope 1999;2(3):129-35.
Gökcan KM, Dursun G. Vascular lesions of the vocal fold. Eur Arch Otorhinolaryngol. 2009;266(4):527-33.
Postma GN, Courey MS, Ossoff RH. Microvascular lesions of the true vocal fold. Ann Otol Rhinol Laryngol. junio de 1998;107(6):472-6.
Hochman I, Sataloff RT, Hillman RE, Zeitels SM. Ectasias and varices of the vocal fold: clearing the striking zone. Ann Otol Rhinol Laryngol. 1999;108(1):10-6.
Abitbol J, Brux J de, Millot G, Masson M-F, Mimoun OL, Pau H, et al. Does a hormonal vocal cord cycle exist in women? Study of vocal premenstrual syndrome in voice performers by videostroboscopy-glottography and cytology on 38 women. J Voice. 1 de junio de 1989;3(2):157-62.
Behlau M, Zambon F, Madazio G. Managing dysphonia in occupational voice users. Curr Opin Otolaryngol Head Neck Surg. junio de 2014;22(3):188-94.
Welham NV, Maclagan MA. Vocal fatigue: current knowledge and future directions. J Voice Off J Voice Found.
;17(1):21-30.
Andrews ML. Manual of voice treatment: pediatrics through geriatrics. San Diego: Singular; 1995.
Hsiung M-W, Kang B-H, Su W-F, Pai L, Wang H-W. Clearing microvascular lesions of the true vocal fold with the KTP/532 laser. Ann Otol Rhinol Laryngol. junio de 2003;112(6):534-9.