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After neck surgery 20 years ago, he developed a weak voice from a left sided paralyzed vocal cord. Five months ago Teflon was injected into the left vocal cord for a left paralyzed vocal cord. His voice has gotten worse since the injection.
I had seen her 3 months earlier for her tracheostomy tube which had been removed and she had completely normal vocal cords at that point. The swelling beneath her vocal cords is from the previous tracheostomy tube scar. She then developed hoarseness, which I would attribute to using a Flovent inhaler.
She has used steroid inhalers and develops recurrent fungal infections of the larynx. Presently she is on Pulmicort when the current infection developed. She has almost no voice. The vocal cords are very stiff and during stroboscopy the edges do not align.
Patient with two years of hoarseness. She has sarcoid of her skin for many years which has been treated with steroid injections. She underwent biopsies of her vocal cords which showed non-caseating granulomas and chronic inflammation consistent with sarcoid.
This 73-year-old male had intermittent hoarseness in the past. 6 weeks prior to his visit he developed hoarseness that did not go away. On his exam, he had a red, dry, crusty irritation.