Vocal fold scarring: Current concepts and management

M. S. Benninger, D. Alessi, S. Archer, R. Bastian, C. Ford, J. Koufman, R. T. Sataloff, J. R. Spiegel, P. Woo

Research output: Contribution to journalReview articlepeer-review

249 Scopus citations

Abstract

Scarring of the vocal folds can occur as the result of blunt laryngeal trauma or, more commonly, as the result of surgical, iatrogenic injury after excision or removal of vocal fold lesions. The scarring results in replacement of healthy tissue by fibrous tissue and can irrevocably alter vocal fold function and lead to a decreased or absent vocal fold mucosal wave. The assessment and treatment of persistent dysphonia in patients with vocal fold scarring presents both diagnostic and therapeutic challenges to the voice treatment team. The common causes of vocal fold scarring are described, and prevention of vocal fold injury during removal of vocal fold lesions is stressed. The anatomic and histologic basis for the subsequent alterations in voice production and contemporary modalities for clinical and objective assessment will be discussed. Treatment options will be reviewed, including nonsurgical treatment and voice therapy, collagen injection, fat augmentation, endoscopic laryngoplasty, and Silastic medialization.

Original languageEnglish
Pages (from-to)474-482
Number of pages9
JournalOtolaryngology - Head and Neck Surgery
Volume115
Issue number5
DOIs
StatePublished - 1996

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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