A Synopsis of the Management of Vocal Fold Scar Vocal fold scarring remains one of the greatest therapeutic challenges in laryngology and voice therapy. The loss of superior lamina propria results in a change in the pliability of the vocal folds with changes in glottal configuration, glottal closure, and reduced to absent mucosal wave motion. This results in dysphonia ... Article
Article  |   March 01, 2009
A Synopsis of the Management of Vocal Fold Scar
Author Affiliations & Notes
  • Edie R. Hapner
    Department of Otolaryngology Head and Neck Surgery, Emory Voice Center, Atlanta, GA
  • Adam Klein, MD
    Department of Otolaryngology Head and Neck Surgery, Emory Voice Center, Atlanta, GA
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / Speech, Voice & Prosody / Articles
Article   |   March 01, 2009
A Synopsis of the Management of Vocal Fold Scar
SIG 3 Perspectives on Voice and Voice Disorders, March 2009, Vol. 19, 15-23. doi:10.1044/vvd19.1.15
SIG 3 Perspectives on Voice and Voice Disorders, March 2009, Vol. 19, 15-23. doi:10.1044/vvd19.1.15
Abstract

Vocal fold scarring remains one of the greatest therapeutic challenges in laryngology and voice therapy. The loss of superior lamina propria results in a change in the pliability of the vocal folds with changes in glottal configuration, glottal closure, and reduced to absent mucosal wave motion. This results in dysphonia of varying severities including breathiness, roughness, loss of pitch range, and flexibility. The aim of this article is to present a brief review of vocal fold architecture and a discussion of the etiologies of vocal fold scarring. Methods to evaluate vocal fold scarring are presented with examples of findings in laryngoscopic, acoustic, aerodynamic, and perceptual assessments. Medical, surgical, and behavioral treatment for vocal folds scaring including sample therapy tasks are included.

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