Structural injury

Papilloma of the vocal cords, primarily on the right

A young female who develop hoarseness during pregnancy. The bumpy, red dotted growths on her vocal cord are caused by the virus papilloma. She did not want to have surgery during pregnancy and 4 months later, the papilloma has grown to block off more for airway. She actually can still breathe reasonably well through the small opening.

Leukoplakia - verrucous keratosis

Leukoplakia of the left vocal cord. 40 years ago he quit smoking after 10 years of cigarettes. He came in with a lesion on his left vocal cord. After one month, the lesion was still there, perhaps a bit larger. It is viewed here with false color imaging to highlight the blood vessels.

leukoplakia on left vocal cord

A white spot - leukoplakia - on the left vocal cord appearing several weeks after removal of a small vocal cord cancer (a squamous cell carcinoma). Because the white patch prevents complete closure of the vocal cord, air leaks around the white patch causing a husky hoarseness.

Squamous cell carcinoma of the right vocal cord

This person developed a hoarseness several years before I saw him and had a cancer of the larynx. We remove this surgically and have been following him closely every few months for any recurrence. At more than a year after removal, the right vocal cord appears normal in structure, although it is stiff during attempted vibrations.

Amyloid deposits in the false vocal cords

  Female in her late 30s with a five-year history of hoarseness. She has amyloid deposits within her false vocal cords which have caused them to enlarge. They are putting pressure on the true vocal cords which requires her more effort to get the vocal cords vibrating.

Rigid endoscopic view of amyloid deposits

  40-year-old female with a 30 year history of a hoarse voice. Other members of her family also have a hoarse voice. She has deposits of amyloid within her vocal cords.