eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Laryngology
Vocal Fold Cysts: Workup
Updated: Sep 8, 2008
Workup
Diagnostic Procedures
- Videostroboscopy is essential in making the diagnosis of a cyst. The mucosal wave overlying the cyst is decreased or absent in comparison with the opposite vocal fold because the cyst tethers the mucosa, altering the biomechanical properties of the lamina propria and preventing mucosal wave propagation. Nodules and polyps, which are contained entirely within the superficial layers of the lamina propria, usually do not severely hamper mucosal wave propagation (see Vocal Polyps and Nodules).
- Despite the excellent visualization provided by videostroboscopy, it cannot replace direct laryngoscopy and palpation of the lesion as the criterion standard in diagnosis and should not be considered a substitute, especially in patients in whom a neoplastic process is possible.
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Workup: Vocal Fold Cysts |
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References
Courey MS, Gardner GM, Stone RE, et al. Endoscopic vocal fold microflap: a three-year experience. Ann Otol Rhinol Laryngol. Apr 1995;104(4 Pt 1):267-73. [Medline].
Hoffman HT, Bock JM, Karnell LH, et al. Microendoscopy of Reinke's space. Ann Otol Rhinol Laryngol. Jul 2008;117(7):510-4; discussion 515-6. [Medline].
Courey MS, Garrett CG, Ossoff RH. Medial microflap for excision of benign vocal fold lesions. Laryngoscope. Mar 1997;107(3):340-4. [Medline].
Courey MS, Shohet JA, Scott MA, et al. Immunohistochemical characterization of benign laryngeal lesions. Ann Otol Rhinol Laryngol. Jul 1996;105(7):525-31. [Medline].
Gray S. Basement membrane zone injury in vocal nodules. In: Gauffin J, Hammarberg B, eds. Vocal Fold Physiology. San Diego: Singular Press; 1991.
Gray SD, Hammond E, Hanson DF. Benign pathologic responses of the larynx. Ann Otol Rhinol Laryngol. Jan 1995;104(1):13-8. [Medline].
Gray SD, Hirano M, Sato K. Molecular and cellular structure of vocal fold tissue. In: Gauffin J, Hammarberg B, eds. Vocal Fold Physiology. San Diego: Singular Press; 1991:1-35.
Hirano M. Surgical anatomy and physiology of the vocal folds. In: Voice Surgery. St. Louis: Mosby-Year Book; 1993:125-58.
Hirano M, Yoshida T, Hirade Y, et al. Improved surgical technique for epidermoid cysts of the vocal fold. Ann Otol Rhinol Laryngol. Oct 1989;98(10):791-5. [Medline].
Rubin JS, Lee S, McGuinness J, et al. The potential role of ultrasound in differentiating solid and cystic swellings of the true vocal fold. J Voice. Jun 2004;18(2):231-5. [Medline].
Sataloff RT. The professional voice. In: Cummings CW, Fredrickson JM, Haker LA, et al, eds. Otolaryngology: Head and Neck Surgery. Vol. 3. St. Louis: Mosby; 1986:2029-56.
Sataloff RT, Spiegel JR, Heuer RJ, et al. Laryngeal mini-microflap: a new technique and reassessment of the microflap saga. J Voice. Jun 1995;9(2):198-204. [Medline].
Further Reading
Keywords
vocal fold cysts, vocal cord, cysts, epidermoid cysts, mucus retention cysts, benign vocal lesions, benign vocal disorders, intracordal cysts, dysphonia, aphonia, diplophonia, Reinke space, vocal fold
Workup: Vocal Fold Cysts