Structural injury

Central vocal cord leukoplakia and left vocal process granuloma

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.

Exophytic leukoplakia of the left vocal cord

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.

Fungal laryngitis from Advair inhaler

Chronic use of Advair inhaler along with intermittent doses of prednisone lead to a recurrent fungal laryngitis. The white patches grow on the edges of the vocal cords.

Vocal cord leukoplakia

Longstanding leukoplakia. Vocal cords are stiff and voice is husky.

Vocal cord leukoplakia in a smoker with false color imaging

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.

cyst within the left vocal cord, beneath the mucosa

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.