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Article: Vocal fold scar/sulcus vocalis.(LARYNGOSCOPIC CLINIC)
- Article from:
- Ear, Nose and Throat Journal
- Article date:
- June 1, 2007
- Author:
CopyrightCOPYRIGHT 2007 Vendome Group LLC. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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A 49-year-old man, a professional voice user, presented with complaints of vocal fatigue, instability after prolonged voice use, and a decrease in the range and fullness of his voice. He could not recall any sudden voice loss or prolonged hoarseness in the past. Physical examination, including flexible and rigid videostroboscopy, revealed supraglottic hyperfunction, bilateral vocal fold hypomobility, and signs of laryngopharyngeal reflux (LPR) disease. Laryngeal electromyography showed a 20 to 30% decreased recruitment in the distribution of the right superior laryngeal nerve.
The LPR was treated aggressively with lifestyle modifications, twice-daily proton-pump ...