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Vocal fold polyp in a professional singer.


A 41-year-old professional nightclub singer presented with complaints of progressive hoarseness, vocal fatigue, and breathiness. He said his symptoms had been present for several years. Lately, he had been unable to complete his 5 performance sets per week without experiencing significant vocal fatigue. Ten years earlier, he had been diagnosed with vocal fold nodules, for which he had undergone minimal voice therapy. His medical and surgical history was unremarkable otherwise.

Stroboscopic examination detected a large right vocal fold polyp polyp, in medicine, a benign tumor occurring in areas lined with mucous membrane such as the nose, gastrointestinal tract (especially the colon), and the uterus. Some polyps are pedunculated tumors, i.e.  and feeding vessels. Voice therapy was instituted, and the patient was scheduled for surgery. The patient underwent microscopic direct laryngoscopy with excision of the polyp and a right varicosity varicosity /var·i·cos·i·ty/ (var?i-kos´i-te)
1. the quality or fact of being varicose.

2. varix.

3. varicose vein.


var·i·cos·i·ty
n.
1.
 (figure). Bilateral injections of dexamethasone dexamethasone /dex·a·meth·a·sone/ (dek?sah-meth´ah-son) a synthetic glucocorticoid used primarily as an antiinflammatory in various conditions, including collagen diseases and allergic states; it is the basis of a screening test in the  were administered to treat mucosal wave stiffness in areas of underlying fibrosis. Voice therapy continued after surgery. His voice recovered well.

Libby J. Smith, DO; 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.
 

From the Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University It began as Jefferson Medical College in 1824. On July 1, 1969 the institution officially became Thomas Jefferson University.

The university is made up of three colleges:
  • Jefferson Medical College
  • Jefferson College of Graduate Studies
 and Graduate Hospital, Philadelphia.
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Title Annotation:LARYNGOSCOPIC CLINIC
Author:Sataloff, Robert T.
Publication:Ear, Nose and Throat Journal
Article Type:Brief Article
Date:Sep 1, 2005
Words:158
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Next Article:Schwannoma of the larynx.(IMAGING CLINIC)
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