Benign vocal fold lesions are frequently associated with harsh or excessive vocal usage. The likelihood of developing these nonmalignant lesions can be heightened by factors such as tobacco use, allergies, infections, laryngopharyngeal reflux, and alcohol intake. Approximately half of the patients who consult an ENT clinic due to voice alterations are diagnosed with a benign vocal fold lesion. The membranous vocal fold’s structure, from the interior to the exterior, comprises the squamous epithelium, Reinke’s potential space, vocal ligament, and thyroarytenoid muscle, also known as the vocal muscle. A comprehensive analysis of the patient’s medical history and a meticulous larynx examination are vital for prompt diagnosis and treatment. The type of vocal fold lesions discovered during the physical examination will determine whether conservative or surgical treatment is required. The primary reasons for choosing surgery include cancer suspicion and persistent hoarseness in a benign lesion unresponsive to conservative treatment. Given that these lesions are often due to voice overuse, abuse, or misuse, voice therapy sessions conducted by a certified speech pathologist could help eradicate detrimental behaviors and instruct patients on appropriate voice care.

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Benign Vocal Fold Lesions

  • Paraskevi Karamitsou,
  • Alexandros Poutoglidis

摘要

Benign vocal fold lesions are frequently associated with harsh or excessive vocal usage. The likelihood of developing these nonmalignant lesions can be heightened by factors such as tobacco use, allergies, infections, laryngopharyngeal reflux, and alcohol intake. Approximately half of the patients who consult an ENT clinic due to voice alterations are diagnosed with a benign vocal fold lesion. The membranous vocal fold’s structure, from the interior to the exterior, comprises the squamous epithelium, Reinke’s potential space, vocal ligament, and thyroarytenoid muscle, also known as the vocal muscle. A comprehensive analysis of the patient’s medical history and a meticulous larynx examination are vital for prompt diagnosis and treatment. The type of vocal fold lesions discovered during the physical examination will determine whether conservative or surgical treatment is required. The primary reasons for choosing surgery include cancer suspicion and persistent hoarseness in a benign lesion unresponsive to conservative treatment. Given that these lesions are often due to voice overuse, abuse, or misuse, voice therapy sessions conducted by a certified speech pathologist could help eradicate detrimental behaviors and instruct patients on appropriate voice care.