The senior author (R.T.S.) has described a case ofbilateral granuloma and varicosity in the midportion of the vocal folds, as well as a laryngeal granuloma of the false vocal fold
. (6,7) The natural course and treatment of contact versus postintubation granulomas differ, as contact granulomas have a high likelihood of recurrence (92%) when removed surgically.
(8) They found a statistically significant reduction in glottic airflow rates, strain ratings, and false vocal fold
supraglottic compression after injection.
Axial CT without contrast at the level of the false vocal folds
demonstrates a small pocket of gas within the right false vocal fold
(16) With significant false vocal fold
involvement, the true vocal folds can be partially or completely obscured.
Laryngocele is an abnormal dilatation or herniation of the laryngeal saccule that extends upward within the false vocal fold
in communication with the laryngeal lumen.
Additionally, compensatory false vocal fold
hyperfunction, chronic laryngitis, benign lesions such as polyps or nodules, and dilated vessels on the surface of the vocal folds also may be associated with sulcus vocalis.
Laryngoscopy demonstrated ecchymosis of the left false vocal fold
and left aryepiglottic fold, resulting in minimal airway narrowing.
An 80-year-old retired teacher with a 10-year history of laryngeal amyloidosis had been diagnosed initially with laryngeal amyloidosis after a 1-year history of progressive dysphonia and subsequent excision of a right false vocal fold
mass that revealed amyloid deposits.
For example, Sato et al reported the successful and immediate recovery of normal swallowing function with the injection of autologous fat into the thyroarytenoid muscle, false vocal fold
, aryepiglottic fold, and medial wall of the piriform sinus in 3 patients.
(7) Patients with an acute laryngitis may also manifest findings of a muscle tension dysphonia, with either abduction of the vocal folds or false vocal fold
phonation that exacerbates and can prolong the dysphonia even after the inflammation has resolved.
The right false vocal fold
was resected to expose the lesion.
The edema was located at the aryepiglottic fold; it encompassed the arytenoid cartilage and false vocal fold
, and it extended into the paraglottic space.