A vocal over user who speaks publicly several times per week has developed pain on the left side of his neck for the past month. The pain is from the left vocal process ulceration. He quit smoking cigarettes/tobacco almost 10 years ago.
He has used tobacco and alcohol and declined a biopsy of the lesion so I am not certain of the pathology. The leukoplakia is very exophytic and reminds me of verrucous keratosis. This could represent squamous cell carcinoma as well.
51-year-old who has smoked one pack a day for 30 years and consumed significant amount of alcohol is noted a hoarse voice, throat pain and has coughed up some blood.
The slightly raised area on the center of the right vocal cord is very stiff on stroboscopy.
There are mucous glands along the inferior vibratory lip of the vocal cords which may become plugged and fill with mucus. This leaves a cyst beneath the surface mucosa of the vocal cord. She has noted the sensation of phlegm affecting her voice for more than 10 years and feels that her voice has become worse over the past year.