Regardless of type, benign vocal fold lesions – nodules, polyps, or cysts – cause hoarseness by disrupting the vocal fold closure and vibration pattern.
Determining Type of Lesion Important for Management
Determining the type of vocal fold lesion(s) is important since some respond well to voice therapy alone while others require surgical removal.
No Consensus on Vocal Fold Lesion “Vocabulary”
Currently, there is a no uniformity of vocabulary among otolaryngologists regarding vocal lesions, especially in defining vocal fold nodules, polyps, and cysts.
Stroboscopy Is Key to Diagnosis
Stroboscopic examination of the vocal fold lesion(s) is essential for accurate diagnosis and successful treatment.
Surgery Has High Success Rate
Surgery for benign vocal fold lesion(s) can be highly successful when performed with precise phonomicrosurgical techniques. As with all surgery, risk is balanced by benefit – the relief of functional voice limitations – and can be ameliorated by proper planning for surgery and postsurgical care.
No Role for “Vocal Cord/Vocal Fold Stripping”
According to current best practices, there is no role for a type of surgery called “vocal cord/vocal fold stripping” for the treatment of benign vocal fold lesions.
Patient education material presented here does not substitute for medical consultation or examination, nor is this material intended to provide advice on the medical treatment appropriate to any specific circumstances.