Pediatric vocal fold cysts: acute dysphonia.A 12-year-old singer presented with a 1-day history of hoarseness. He had no antecedent illness or phonotrauma, and he had not sung during the 24 hours prior to the onset of his hoarseness. He had toured internationally with a boys choir for 2 years. In addition to singing, he also played the piano, clarinet, and oboe. He had had no previous voice difficulties, but he did experience occasional symptoms of laryngopharyngeal reflux, particularly excessive secretions upon awakening. Strobovideolaryngoscopy revealed the presence of a fluid-filled, deformable cyst cyst, abnormal sac in the body, filled with a fluid or semisolid and enclosed in a membrane. Cysts can be congenital but are usually acquired, the most common locations being the skin and the ovaries. in the left striking zone (figure, A). Prominent varices varices /var·i·ces/ (var´i-sez) [L.] plural of varix. Varices A type of varicose vein that develops in veins in the linings of the esophagus and upper stomach when these veins fill with blood and swell and ectasias were present on the superior surface at the base of the mass, but there was no evidence of acute hemorrhage. A reactive mass with a central crater was seen on the right (figure, B). Examination also revealed mild Reinke's edema, laryngopharyngeal reflux, and questionable mild right superior laryngeal nerve superior laryngeal nerve n. A branch of the vagus nerve at the inferior ganglion. At the thyroid cartilage, it divides into two branches, the internal, which supplies the mucous membrane of the larynx above the vocal cords; and the external, which paresis paresis /pa·re·sis/ (pah-re´sis) slight or incomplete paralysis. general paresis paralytic dementia; a form of neurosyphilis in which chronic meningoencephalitis causes gradual loss of cortical . The patient was treated with an antireflux medication, a corticosteroid, and voice modification. [FIGURE A OMITTED] Adam Rubin, MD; Johnathan B. Sataloff; Robert T. Sataloff, MD, DMA (1) (Digital Media Adapter) See digital media hub. (2) (Document Management Alliance) A specification that provides a common interface for accessing and searching document databases. |
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