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Bilateral sulcus vocalis.

A22-year-old law student presented with "laryngitis." His hoarseness had recently diminished, but it had not resolved. He complained of difficult phonation and fatigue, and he said that his speaking voice was higher than usual. His history included two episodes of upper respiratory infection (URI): one 2 years earlier and the other 4 years earlier. During the more recent URI, he had been aphonic for 1 day.

Flexible and rigid endoscopy demonstrated right vocal fold hypomobility; this finding was confirmed by electromyography, which revealed a 30% reduction in recruitment in both the superior and recurrent laryngeal nerves on the right. Glottic vocalis, which was worse on the left; this was confirmed during microdirect laryngoscopy (figure).


The sulcus vocalis was corrected with bilateral fat implantation followed by bilateral type 1 thyroplasty. Lipoinjections were later administered to achieve further medialization and to add bulk to the vocal fold.

Ford et al (1) categorized sulcus disorders into three types:

* Type 1 is a physiologic variant characterized by atrophy. The lamina, BSN, RN, CORLN; Robert T. Sataloff, MD, DMA

From the American Institute for Voice and Ear Research (Dr. Eller and Ms. Hawkshaw) and the Department of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine and Graduate Hospital (Dr. Sataloff), Philadelphia.
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hema hema (Member): hi 11/27/2008 10:21 PM
this is an interest article, i realy enjoy it,i got lot of informations.
i want to thank you.
i want to ask you about sulcus vocalis.
i am a 24 yrs old ,male,having sulcus vocalis,bilateral and have no other disorders.
Is there a good surgery for this disorder.

Article Details
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Author:Sataloff, Robert T.
Publication:Ear, Nose and Throat Journal
Date:Oct 1, 2006
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