Sulcus Vocalis (Type III): Prevalence and Strobovideolaryngoscopy Characteristics

Selleck, Anne Morgan; Moore, John W.; Rutt, Amy L; Hu, Amanda; Sataloff, Robert T.

doi:10.1016/j.jvoice.2014.09.015

Cited by 17 publications

(32 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As in other reports, the VHI-30 scores in the study group were influenced by gender allocation 15 . The control group had an even sex distribution, whereas in the study group there was a prevalence of women, in contrast with the literature 24 , 28 , 29 . Patients with sulcus and concomitant benign lesions had significantly higher emotional and functional VHI-30 scores.…”

Section: Discussioncontrasting

confidence: 83%

Voice aspects in sulcus coexisting with benign lesions of the vocal folds

Miaśkiewicz

Panasiewicz

Gos

et al. 2020

Acta Otorhinolaryngol Ital

View full text Add to dashboard Cite

SUMMARY The purpose of this study was to measure the clinical profile of patients with sulcus who had concomitant benign lesions such as polyp, oedema, cyst, nodules, or fibrous mass of the vocal fold. We reviewed the medical charts of 38 patients who had a diagnosis of sulcus type 2 or 3 (according to Ford). The patients were classified into two groups. The study group consisted of 16 subjects who had sulcus and associated benign lesion; 22 patients diagnosed with sulcus alone were enrolled in a control group. We analysed psychosocial (Voice Handicap Index-30), auditory-perceptual (GRBAS), acoustic measures and videostroboscopic images. In the study group, the mean VHI-30 scores of all subscales ranged from moderate to severe handicap. The difference between groups was significant on the emotional (p = 0.004) and physical (p = 0.007) subscales. On GRBAS scale, the majority of patients from both groups exhibited mild hoarseness, breathiness, asthenic or strained voice, although roughness was more frequently rated moderate; the differences between groups were not statistically significant. The most abnormally increased values were achieved for amplitude values of acoustic parameters, but significant difference between groups was found in Soft Phonation Index only (p = 0.049). Concerning glottal closure, the most frequent finding was irregular chink in the study group, and spindle glottic chink in controls; we found significant differences between groups (p = 0.004). In both series of patients, the most frequent abnormal findings were moderately diminished amplitude and moderately restricted mucosal wave, with no significant difference between groups. Patients with sulcus and coexisting benign lesions were more handicapped on the emotional and physical subscales of VHI-30. The most characteristic shape of the glottal gap was irregular chink in the study group, and spindle chink in the control group. Acoustic evaluation of voice showed that the most severe disturbances affected amplitude parameters. The clinical characteristics indicated that the presence of sulcus primarily determines the quality of voice, and that additional benign pathologies do not drastically affect further voice deterioration. The coexistence of secondary benign vocal fold lesions aggravates the difficulties in making a preoperative diagnosis of sulcus. It is important to clinically suspect the possibility of coexistent sulcus to plan the correct treatment and obtain better voice outcomes.

show abstract

Section: Discussioncontrasting

confidence: 83%

Voice aspects in sulcus coexisting with benign lesions of the vocal folds

Miaśkiewicz

Panasiewicz

Gos

et al. 2020

Acta Otorhinolaryngol Ital

View full text Add to dashboard Cite

show abstract

“…In the present study, both epidermoid and mucus retention cysts were grouped as cysts. Regarding the definition of Selleck et al [25], we mainly diagnosed type II and III of sulcus vocalis. The type II (sulcusvergeture) is defined as a groove in the vocal fold from atrophy of the superficial layer of the lamina propria.…”

Section: Examination Methodsmentioning

confidence: 99%

“…Type III may have the appearance of an open cyst with thickened epithelium [25]. Vocal fold atrophy is characterized by a decreased thicknes s of the vocal fold, which can be achieved by both reduced thickness of the lamina propria and reduced muscle mass of the thyroarythenoid muscle.…”

Section: Examination Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Description of patients consulting the voice clinic regarding gender, age, occupational status, and diagnosis

Remacle

Petitfils

Finck

et al. 2016

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Purpose. To describe the gender, age, occupational status and diagnosis of dysphonic patients.Method. We retrospectively analyzed the medical records of 1079 patients examined at the Voice clinic of the University hospital of Liège in French-speaking Belgium.Results. Overall, seven out of 10 patients who attended the voice clinic for dysphonia were females. The patients' ages ranged from 4 to 93 (mean=43.5). Females predominantly consulted at the age of 54 and males at the age of 9. Regarding the occupational status, workers represented more than half of our patients (53%), while 11.2% were unemployed, 15.4% were students, and 19.9% were retired. Regarding the diagnoses of the 1079 patients, nodules were the most common pathologies (n=182, 16.9% of the patients), prevailing in females (n=142, 18.8% of the females), encountered in 16.8% of the workers and 42.8% of the students consulting the voice clinic. Following nodules, laryngeal mobility disorders were diagnosed in 16.4% of the patients (n=177), mainly females (n=115), and was the most frequent diagnosis in retirees (n=75, 34.9%). Conclusions. The majority of the patients consulting the voice clinic for dysphonia were adult females, in their workforce, diagnosed with vocal nodules. The identification of the patients' characteristics and diagnoses is important to develop treatments and prevention of dysphonia, estimate their costs, and allow comparisons across referral centers.

show abstract

“…Sulcus vocalis is considered the most difficult to diagnose and treat clinical entity for laryngologists, owing in part to its poorly understood etiology [2]. Nearly 50% of cases are congenital in origin, and the other half are acquired later in life.…”

Section: Discussionmentioning

confidence: 99%